Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in New York

MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization

$267,388typical hospital bill

$70,523typical amount paid

$44,785–$79,003range paid across 12 hospitals

New York hospitals billed Medicare a typical $267,388 for this stay in 2024, about 3.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

Hospital	City	Medicare stays	Billed	Paid
St Francis Hospital - the Heart Center	Roslyn	21	$288,518	$44,785
St Joseph's Hospital Health Center	Syracuse	46	$118,916	$51,915
St Peter's Hospital	Albany	19	$153,846	$52,192
Lenox Hill Hospital	New York	12	$293,786	$52,326
Kaleida Health	Buffalo	19	$202,583	$58,864
Vassar Brothers Medical Center	Poughkeepsie	19	$121,620	$69,608
Albany Medical Center Hospital	Albany	15	$151,915	$71,439
Westchester Medical Center	Valhalla	16	$758,725	$75,079
Nyu Langone Hospitals	New York	37	$406,351	$77,255
Mount Sinai Hospital	New York	47	$265,655	$78,177
Suny/Stony Brook University Hospital	Stony Brook	26	$269,120	$78,197
New York-Presbyterian Hospital	New York	32	$376,940	$79,003

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.