Healthcare Pricing Data: NEW YORK, NY
10 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
10
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
6.2x
Across all procedures
vs National Average
+59%
Chargemaster rates
About This Data
NEW YORK, NY has 10 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 6.2x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in NEW YORK is SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS (DRG 870), with an average chargemaster rate of $459,995 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
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $145,097 | 9 | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $119,598 | 9 | 5.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $100,087 | 9 | 6.0x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $459,995 | 8 | 5.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $166,249 | 8 | 6.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $133,235 | 8 | 5.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $132,805 | 8 | 5.4x |
| RENAL FAILURE WITH MCC | 682 | $107,802 | 8 | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $99,808 | 8 | 6.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $89,440 | 8 | 6.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $86,470 | 8 | 7.5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $82,032 | 8 | 5.5x |
| RENAL FAILURE WITH CC | 683 | $68,380 | 8 | 6.5x |
| SYNCOPE AND COLLAPSE | 312 | $64,509 | 8 | 6.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $390,722 | 7 | 6.0x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $206,916 | 7 | 5.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $200,004 | 7 | 5.6x |
| SEIZURES WITH MCC | 100 | $177,545 | 7 | 7.0x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $137,045 | 7 | 6.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $122,969 | 7 | 5.4x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $119,890 | 7 | 6.0x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $113,351 | 7 | 6.1x |
| CELLULITIS WITH MCC | 602 | $108,763 | 7 | 6.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $104,704 | 7 | 5.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $104,153 | 7 | 7.0x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $104,150 | 7 | 6.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $100,006 | 7 | 7.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $97,213 | 7 | 6.4x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $82,704 | 7 | 7.0x |
| SEIZURES WITHOUT MCC | 101 | $81,009 | 7 | 8.0x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in NEW YORK With Pricing Data
BELLEVUE HOSPITAL CENTER
42 procedures with pricing data
HARLEM HOSPITAL CENTER
17 procedures with pricing data
HOSPITAL FOR SPECIAL SURGERY
32 procedures with pricing data
LENOX HILL HOSPITAL
124 procedures with pricing data
METROPOLITAN HOSPITAL CENTER
3 procedures with pricing data
MOUNT SINAI BETH ISRAEL
114 procedures with pricing data
MOUNT SINAI HOSPITAL
224 procedures with pricing data
MOUNT SINAI WEST
145 procedures with pricing data
NEW YORK-PRESBYTERIAN HOSPITAL
389 procedures with pricing data
NYU LANGONE HOSPITALS
346 procedures with pricing data
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Upload your bill — free comparisonData 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