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Heart failure (hospital stay) in New York: what insurers pay

Posted commercial rates at 9 New York hospitals, each next to its own Medicare base rate.

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MS-DRG 291

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$12,8291.1×12026-04-01
Jamaica Hospital Medical Center Jamaica$21,2621.8×32026-03-25
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$24,0582.1×72026-09-05
South Brooklyn Health Brooklyn$24,0582.1×72026-09-05
Elmhurst Hospital Center Elmhurst$24,4022.1×72026-09-05
Jacobi Medical Center Bronx$25,3702.2×72026-09-05
Stony Brook University Hospital Stony Brook$33,0112.8×12026-06-10
Maimonides Medical Center Brooklyn$37,1863.2×62026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$41,2013.5×72026-01-01

MS-DRG 292

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$8,4681.1×12026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$27,2473.5×72026-01-01
Stony Brook University Hospital Stony Brook$33,0114.3×12026-06-10

MS-DRG 293

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$5,3971.1×12026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$18,1653.5×72026-01-01
Stony Brook University Hospital Stony Brook$33,0116.4×12026-06-10

Questions

How much do insurers pay for heart failure (hospital stay) in New York?

9 New York hospitals post usable commercial rates for heart failure (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 291), the median across 9 hospitals is $24,402, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.