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Heart valve surgery (open) in New York: what insurers pay

Posted commercial rates at 3 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$33,0110.7×12026-06-10
Montefiore Medical Center Bronx$52,0691.1×12026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$171,1463.5×72026-01-01

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$76,0641.1×12026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$246,4203.5×72026-01-01

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$94,8761.1×12026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$313,9593.5×72026-01-01

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$63,4841.1×12026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$211,0213.5×72026-01-01

Questions

How much do insurers pay for heart valve surgery (open) in New York?

3 New York hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 3 hospitals is $52,069, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.