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Coronary stent (PCI) in New York: what insurers pay

Posted commercial rates at 58 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 92928

HospitalMedian across insurers× MedicareInsurersFile date
Saratoga Hospital Saratoga Springs$10,3350.7×12025-12-31
Albany Medical Center Hospital Albany$10,7290.7×32025-12-31
Glens Falls Hospital Glens Falls$10,8250.8×42025-12-31
Flushing Hospital Medical Center Flushing$12,1890.8×102026-03-25
Jamaica Hospital Medical Center Jamaica$12,6200.9×102026-03-25
Maimonides Medical Center Brooklyn$13,2880.9×62026-04-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$14,0651.0×52026-09-05
Jacobi Medical Center Bronx$14,0651.0×52026-09-05
Elmhurst Hospital Center Elmhurst$14,0651.0×52026-09-05
South Brooklyn Health Brooklyn$14,0651.0×52026-09-05
Metropolitan Hospital Center New York$14,0651.0×52026-09-05
Kings County Hospital Center Brooklyn$14,0651.0×52026-09-05
Bellevue Hospital Center New York$14,0651.0×52026-09-05
Queens Hospital Center Jamaica$14,0651.0×52026-09-05
Harlem Hospital Center New York$14,0651.0×52026-09-05
Nassau University Medical Center East Meadow$14,7241.0×22025-10-28
Stony Brook University Hospital Stony Brook$14,8161.0×42026-06-10
Bronxcare Hospital Center Bronx$15,0041.0×22026-05-05
St Charles Hospital Port Jefferson$15,4601.1×142026-04-01
Wynn Hospital Utica$15,7071.1×142026-08-07
Montefiore Mount Vernon Hospital Mount Vernon$16,7761.2×102026-04-01
Sisters Of Charity Hospital Buffalo$19,8001.4×72026-04-01
Mount St Mary'S Hospital And Health Center Lewiston$19,8001.4×72026-04-01
Mercy Hospital Of Buffalo Buffalo$19,8001.4×72026-04-01
Columbia Memorial Hospital Hudson$20,1301.4×12025-12-31
Garnet Health Medical Center Catskills Harris$20,1781.4×32026-04-01
Montefiore Medical Center Bronx$21,7381.5×132026-04-01
Samaritan Medical Center Watertown$21,8271.5×32026-02-02
St Joseph'S Medical Center Yonkers$23,2231.6×12026-07-13
Strong Memorial Hospital Rochester$23,9571.7×42026-07-01
Highland Hospital Rochester$24,3921.7×42026-07-01
Garnet Health Medical Center Middletown$25,2181.8×52026-04-01
Geneva General Hospital Geneva$25,4241.8×32026-08-27
Samaritan Hospital Troy$25,8731.8×202026-03-31
Crouse Hospital Syracuse$25,8801.8×32026-05-19
Jones Memorial Hospital Wellsville$26,0411.8×62026-01-01
Nicholas H Noyes Memorial Hospital Dansville$29,5272.0×62026-01-01
Roswell Park Cancer Institute Buffalo$30,1822.1×22026-04-01
St James Hospital Hornell$33,8472.4×52026-01-01
Erie County Medical Center Buffalo$36,0262.5×32026-08-25
Medina Memorial Hospital Medina$42,3662.9×22026-07-29
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$47,9483.3×92026-01-01

CPT 92930

HospitalMedian across insurers× MedicareInsurersFile date
Glens Falls Hospital Glens Falls$11,7960.5×12025-12-31
Albany Medical Center Hospital Albany$15,5140.7×12025-12-31
St Charles Hospital Port Jefferson$17,0220.7×72026-04-01
Stony Brook University Hospital Stony Brook$21,7320.9×32026-06-10
Flushing Hospital Medical Center Flushing$22,7711.0×82026-03-25
Jamaica Hospital Medical Center Jamaica$22,9981.0×72026-03-25
Montefiore Mount Vernon Hospital Mount Vernon$25,1711.1×32026-04-01
Montefiore Medical Center Bronx$25,1721.1×42026-04-01
Samaritan Hospital Troy$29,7081.3×52026-03-31
Highland Hospital Rochester$32,8601.4×42026-07-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$34,3251.5×12026-09-05
Jacobi Medical Center Bronx$34,3251.5×12026-09-05
Elmhurst Hospital Center Elmhurst$34,3251.5×12026-09-05
South Brooklyn Health Brooklyn$34,3251.5×12026-09-05
Metropolitan Hospital Center New York$34,3251.5×12026-09-05
Kings County Hospital Center Brooklyn$34,3251.5×12026-09-05
Bellevue Hospital Center New York$34,3251.5×12026-09-05
Queens Hospital Center Jamaica$34,3251.5×12026-09-05
Harlem Hospital Center New York$34,3251.5×12026-09-05
Samaritan Medical Center Watertown$34,6611.5×32026-02-02
St Joseph'S Medical Center Yonkers$36,8781.6×12026-07-13
Strong Memorial Hospital Rochester$39,2631.7×42026-07-01
Geneva General Hospital Geneva$40,3731.8×32026-08-27
Jones Memorial Hospital Wellsville$41,3521.8×62026-01-01
Nicholas H Noyes Memorial Hospital Dansville$46,8882.0×62026-01-01
Garnet Health Medical Center Middletown$46,9102.0×32026-04-01
Roswell Park Cancer Institute Buffalo$47,9282.1×22026-04-01
St James Hospital Hornell$53,7482.4×52026-01-01
Maimonides Medical Center Brooklyn$69,5653.0×12026-04-01

MS-DRG 322

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$12,7910.8×12026-01-01
Ira Davenport Memorial Hospital Bath$13,3830.8×12026-03-27
Arnot Ogden Medical Center Elmira$14,3540.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$14,3540.9×22026-03-27
St Charles Hospital Port Jefferson$15,3861.0×142026-04-01
Geneva General Hospital Geneva$16,0381.0×32026-08-27
Montefiore Medical Center Bronx$16,1231.0×22026-04-01
Guthrie Cortland Regional Medical Center Cortland$16,1541.0×42026-03-31
St James Hospital Hornell$16,2391.0×12026-01-01
Schuyler Hospital Montour Falls$16,8941.1×22026-03-27
Corning Hospital Corning$16,9271.1×52026-03-31
Highland Hospital Rochester$19,7841.2×32026-07-01
Clifton Springs Hospital And Clinic Clifton Springs$20,1811.3×32026-04-01
United Memorial Medical Center Batavia$20,2961.3×32026-04-01
Niagara Falls Memorial Medical Center Niagara Falls$20,7091.3×42026-06-17
St Joseph'S Medical Center Yonkers$20,8831.3×32026-07-13
Canton-Potsdam Hospital Potsdam$20,8861.3×32026-04-01
Samaritan Medical Center Watertown$21,0041.3×42026-02-02
Unity Hospital Of Rochester Rochester$22,0381.4×32026-04-01
Unity Specialty Hospital Rochester$22,0381.4×32026-04-01
Rochester General Hospital Rochester$22,6041.4×32026-04-01
Medina Memorial Hospital Medina$22,6481.4×22026-07-29
Nassau University Medical Center East Meadow$22,8871.4×62025-10-28
Bronxcare Hospital Center Bronx$23,4731.5×72026-05-05
Newark-Wayne Community Hospital Newark$23,6241.5×32026-04-01
St John'S Riverside Hospital Yonkers$23,9011.5×62026-03-27
Nicholas H Noyes Memorial Hospital Dansville$24,8001.6×12026-01-01
Wynn Hospital Utica$26,9771.7×52026-08-07
Saratoga Hospital Saratoga Springs$29,2511.8×12025-12-31
Glens Falls Hospital Glens Falls$29,3781.8×22025-12-31
Flushing Hospital Medical Center Flushing$29,6351.9×82026-03-25
Strong Memorial Hospital Rochester$30,0541.9×32026-07-01
Mount St Mary'S Hospital And Health Center Lewiston$30,4121.9×62026-04-01
Crouse Hospital Syracuse$30,6391.9×42026-05-19
Jamaica Hospital Medical Center Jamaica$30,8001.9×82026-03-25
Sisters Of Charity Hospital Buffalo$31,0341.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$31,0341.9×72026-04-01
Columbia Memorial Hospital Hudson$32,0122.0×42025-12-31
Stony Brook University Hospital Stony Brook$33,0112.1×12026-06-10
South Brooklyn Health Brooklyn$33,0142.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$33,0632.1×82026-09-05
Elmhurst Hospital Center Elmhurst$33,9582.1×82026-09-05
Jacobi Medical Center Bronx$34,6192.2×82026-09-05
Metropolitan Hospital Center New York$34,6192.2×82026-09-05
Queens Hospital Center Jamaica$34,6192.2×82026-09-05
Harlem Hospital Center New York$34,6192.2×82026-09-05
Kings County Hospital Center Brooklyn$35,0632.2×82026-09-05
Bellevue Hospital Center New York$35,0632.2×82026-09-05
Nathan Littauer Hospital Gloversville$36,0692.3×32026-03-04
Samaritan Hospital Troy$48,7503.1×52026-03-31
Maimonides Medical Center Brooklyn$51,3543.2×82026-04-01
Garnet Health Medical Center Middletown$53,0743.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$54,2833.4×92026-01-01
Garnet Health Medical Center Catskills Harris$55,0813.5×82026-04-01
Albany Medical Center Hospital Albany$57,5803.6×22025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$58,0103.6×102026-04-01

MS-DRG 321

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$19,7390.8×12026-01-01
Ira Davenport Memorial Hospital Bath$20,6540.8×12026-03-27
Arnot Ogden Medical Center Elmira$22,1520.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$22,1520.9×22026-03-27
St Charles Hospital Port Jefferson$23,4000.9×142026-04-01
Geneva General Hospital Geneva$24,7511.0×32026-08-27
St James Hospital Hornell$25,0611.0×12026-01-01
Guthrie Cortland Regional Medical Center Cortland$25,1221.0×42026-03-31
Montefiore Medical Center Bronx$25,3701.0×22026-04-01
Schuyler Hospital Montour Falls$26,0701.1×22026-03-27
Corning Hospital Corning$26,6351.1×52026-03-31
Highland Hospital Rochester$30,8901.3×32026-07-01
Clifton Springs Hospital And Clinic Clifton Springs$31,1441.3×32026-04-01
United Memorial Medical Center Batavia$31,3221.3×32026-04-01
St Joseph'S Medical Center Yonkers$32,2281.3×32026-07-13
Canton-Potsdam Hospital Potsdam$32,2331.3×32026-04-01
Samaritan Medical Center Watertown$32,5881.3×42026-02-02
Niagara Falls Memorial Medical Center Niagara Falls$32,6501.3×42026-06-17
Stony Brook University Hospital Stony Brook$33,0111.3×12026-06-10
Unity Hospital Of Rochester Rochester$34,0101.4×32026-04-01
Unity Specialty Hospital Rochester$34,0101.4×32026-04-01
Rochester General Hospital Rochester$34,8841.4×32026-04-01
Medina Memorial Hospital Medina$35,4801.4×22026-07-29
Nassau University Medical Center East Meadow$36,0141.5×62025-10-28
Newark-Wayne Community Hospital Newark$36,4591.5×32026-04-01
Bronxcare Hospital Center Bronx$37,0061.5×72026-05-05
St John'S Riverside Hospital Yonkers$37,1601.5×62026-03-27
Nicholas H Noyes Memorial Hospital Dansville$38,2731.6×12026-01-01
Wynn Hospital Utica$41,3361.7×52026-08-07
Saratoga Hospital Saratoga Springs$46,0271.9×12025-12-31
Glens Falls Hospital Glens Falls$46,2261.9×22025-12-31
Strong Memorial Hospital Rochester$46,3811.9×32026-07-01
Flushing Hospital Medical Center Flushing$46,6321.9×82026-03-25
Crouse Hospital Syracuse$46,7041.9×42026-05-19
Mount St Mary'S Hospital And Health Center Lewiston$46,9341.9×62026-04-01
Sisters Of Charity Hospital Buffalo$47,8941.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$47,8941.9×72026-04-01
Jamaica Hospital Medical Center Jamaica$48,4642.0×82026-03-25
Columbia Memorial Hospital Hudson$50,3712.0×42025-12-31
South Brooklyn Health Brooklyn$50,9502.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$51,0262.1×82026-09-05
Elmhurst Hospital Center Elmhurst$52,4072.1×82026-09-05
Jacobi Medical Center Bronx$53,4272.2×82026-09-05
Metropolitan Hospital Center New York$53,4272.2×82026-09-05
Queens Hospital Center Jamaica$53,4272.2×82026-09-05
Harlem Hospital Center New York$53,4272.2×82026-09-05
Kings County Hospital Center Brooklyn$54,1112.2×82026-09-05
Bellevue Hospital Center New York$54,1112.2×82026-09-05
Nathan Littauer Hospital Gloversville$55,6652.3×32026-03-04
Samaritan Hospital Troy$75,2363.1×52026-03-31
Maimonides Medical Center Brooklyn$79,2543.2×82026-04-01
Garnet Health Medical Center Middletown$81,9083.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$83,7743.4×92026-01-01
Albany Medical Center Hospital Albany$86,8363.5×22025-12-31
Garnet Health Medical Center Catskills Harris$86,8393.5×82026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$91,2823.7×102026-04-01

Questions

How much do insurers pay for coronary stent (pci) in New York?

58 New York hospitals post usable commercial rates for coronary stent (pci) in their federal price-transparency files. For CPT 92928, hospital outpatient, the median across 42 hospitals is $18,288, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.