Heart valve replacement through a catheter (TAVR), with major complications in New York
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$295,789typical hospital bill
$67,687typical amount paid
$52,894–$93,742range paid across 23 hospitals
New York hospitals billed Medicare a typical $295,789 for this stay in 2024, about 4.4 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 | |
|---|---|---|---|---|---|
| Good Samaritan Hospital Medical Center | West Islip | 19 | $316,325 | $52,894 | |
| White Plains Hospital Center | White Plains | 85 | $213,677 | $53,113 | |
| Good Samaritan Hospital of Suffern | Suffern | 18 | $365,772 | $54,338 | |
| Ellis Hospital | Schenectady | 30 | $241,209 | $55,378 | |
| St Peter's Hospital | Albany | 17 | $239,367 | $55,974 | |
| Ns/Lij Hs Southside Hospital | Bay Shore | 37 | $295,789 | $56,117 | |
| St Joseph's Hospital Health Center | Syracuse | 42 | $157,178 | $56,133 | |
| United Health Services Hospitals, Inc | Binghamton | 12 | $182,904 | $56,374 | |
| St Francis Hospital - the Heart Center | Roslyn | 140 | $423,030 | $60,011 | |
| Rochester General Hospital | Rochester | 43 | $170,092 | $61,437 | |
| Vassar Brothers Medical Center | Poughkeepsie | 94 | $172,082 | $65,127 | |
| Kaleida Health | Buffalo | 39 | $187,453 | $67,687 | |
| Albany Medical Center Hospital | Albany | 106 | $171,013 | $68,354 | |
| Strong Memorial Hospital | Rochester | 15 | $138,768 | $73,830 | |
| Westchester Medical Center | Valhalla | 21 | $590,938 | $75,559 | |
| Nyu Langone Hospitals | New York | 274 | $465,907 | $79,272 | |
| Suny/Stony Brook University Hospital | Stony Brook | 31 | $310,422 | $79,443 | |
| North Shore University Hospital | Manhasset | 60 | $475,214 | $81,251 | |
| Mount Sinai Hospital | New York | 144 | $256,904 | $82,719 | |
| Lenox Hill Hospital | New York | 36 | $396,522 | $82,951 | |
| New York-Presbyterian Hospital | New York | 244 | $398,966 | $84,864 | |
| Montefiore Medical Center | Bronx | 108 | $396,289 | $84,998 | |
| Maimonides Medical Center | Brooklyn | 14 | $460,082 | $93,742 |
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.