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Healthcare Pricing Data: BRONX, NY

5 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

5

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

3.9x

Across all procedures

vs National Average

+69%

Chargemaster rates

About This Data

BRONX, NY has 5 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 3.9x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in BRONX is TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU (DRG 004), with an average chargemaster rate of $635,114 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$96,26253.5x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$73,61053.3x
HEART FAILURE AND SHOCK WITH MCC291$73,56653.9x
RENAL FAILURE WITH MCC682$67,15753.3x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$62,63253.6x
SYNCOPE AND COLLAPSE312$38,93653.0x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$247,21243.0x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$217,73843.4x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$101,22644.4x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$80,99943.1x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$66,89843.6x
RED BLOOD CELL DISORDERS WITHOUT MCC812$46,23043.5x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$38,74343.4x
BRONCHITIS AND ASTHMA WITH CC/MCC202$38,28942.9x
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU004$635,11433.5x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS207$296,94233.4x
HIV WITH MAJOR RELATED CONDITION WITH MCC974$118,76733.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$116,62634.5x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$104,29634.7x
SEIZURES WITH MCC100$103,25034.0x
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY884$82,42033.9x
DIABETES WITH MCC637$81,78534.5x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$77,25234.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$76,86135.8x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$75,87634.2x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$72,84034.5x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$72,72634.0x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$71,75235.3x
RED BLOOD CELL DISORDERS WITH MCC811$69,60233.6x
MEDICAL BACK PROBLEMS WITHOUT MCC552$62,58235.1x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error