Heart valve replacement through a catheter (TAVR) in New York
MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc
$195,658typical hospital bill
$51,907typical amount paid
$40,987–$65,750range paid across 29 hospitals
New York hospitals billed Medicare a typical $195,658 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 Peter's Hospital | Albany | 48 | $147,076 | $40,987 | |
| Good Samaritan Hospital of Suffern | Suffern | 39 | $326,303 | $42,876 | |
| Wynn Hospital | Utica | 41 | $233,936 | $42,948 | |
| Good Samaritan Hospital Medical Center | West Islip | 63 | $295,608 | $43,479 | |
| St Joseph's Hospital Health Center | Syracuse | 103 | $136,697 | $43,868 | |
| St Francis Hospital - the Heart Center | Roslyn | 367 | $313,509 | $43,979 | |
| United Health Services Hospitals, Inc | Binghamton | 102 | $150,032 | $44,091 | |
| Ellis Hospital | Schenectady | 23 | $239,718 | $46,367 | |
| White Plains Hospital Center | White Plains | 12 | $212,961 | $47,913 | |
| Ns/Lij Hs Southside Hospital | Bay Shore | 74 | $231,533 | $48,051 | |
| Rochester General Hospital | Rochester | 59 | $150,953 | $49,439 | |
| Vassar Brothers Medical Center | Poughkeepsie | 102 | $153,410 | $50,399 | |
| University Hospital S U N Y Health Science Center | Syracuse | 37 | $173,933 | $50,721 | |
| Albany Medical Center Hospital | Albany | 181 | $118,000 | $51,341 | |
| Kaleida Health | Buffalo | 164 | $124,433 | $51,907 | |
| Lenox Hill Hospital | New York | 108 | $260,906 | $52,704 | |
| Bassett Healthcare | Cooperstown | 21 | $104,286 | $53,038 | |
| North Shore University Hospital | Manhasset | 153 | $249,893 | $53,304 | |
| New York-Presbyterian/Queens | Flushing | 16 | $187,604 | $53,648 | |
| Staten Island University Hospital | Staten Island | 41 | $217,911 | $53,974 | |
| Westchester Medical Center | Valhalla | 35 | $369,966 | $54,071 | |
| Strong Memorial Hospital | Rochester | 53 | $98,794 | $58,170 | |
| Suny/Stony Brook University Hospital | Stony Brook | 153 | $154,278 | $58,268 | |
| Mount Sinai West | New York | 14 | $227,764 | $59,444 | |
| Maimonides Medical Center | Brooklyn | 42 | $185,063 | $59,547 | |
| New York-Presbyterian Hospital | New York | 361 | $195,658 | $60,943 | |
| Nyu Langone Hospitals | New York | 289 | $441,341 | $63,221 | |
| Montefiore Medical Center | Bronx | 22 | $305,125 | $63,501 | |
| Mount Sinai Hospital | New York | 326 | $184,294 | $65,750 |
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.