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TAVR (catheter heart valve) in New York: what insurers pay

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

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MS-DRG 267

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$33,0110.8×12026-06-10
Montefiore Medical Center Bronx$46,2501.1×12026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$152,7883.5×72026-01-01

MS-DRG 266

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$58,8931.1×12026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$196,6793.5×72026-01-01

Questions

How much do insurers pay for tavr (catheter heart valve) in New York?

3 New York hospitals post usable commercial rates for tavr (catheter heart valve) in their federal price-transparency files. For inpatient stay (MS-DRG 267), the median across 3 hospitals is $46,250, 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.