Bellevue Hospital Center
BELLEVUE HOSPITAL CENTER in New York, NY charges 2.1x the Medicare reimbursement rate across 42 analyzed procedures, reflecting typical pricing patterns for government-owned hospitals.
New York, NY 10016 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
B
Good
Avg markup vs Medicare
2.11x
Charge / Medicare rate
Max markup
3.54x
Worst procedure
Procedures analyzed
42
With pricing data
Outlier procedures
2.4%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $736,107 | $368,054 | — | 3.5x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $743,843 | $371,922 | — | 3.5x |
| SEIZURES WITH MCC | 100 | $135,989 | $67,995 | — | 3.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $320,433 | $160,216 | — | 3.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $358,168 | $179,084 | — | 3.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $123,339 | $61,669 | — | 3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $223,762 | $111,881 | — | 2.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $103,029 | $51,515 | — | 2.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $87,244 | $43,622 | — | 2.6x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $230,959 | $115,479 | — | 2.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $82,324 | $41,162 | — | 2.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $77,886 | $38,943 | — | 2.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $92,379 | $46,190 | — | 2.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $74,809 | $37,404 | — | 2.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $58,784 | $29,392 | — | 2.3x |
| CELLULITIS WITH MCC | 602 | $67,941 | $33,971 | — | 2.2x |
| DIABETES WITH CC | 638 | $63,267 | $31,633 | — | 2.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $63,221 | $31,611 | — | 2.2x |
| RENAL FAILURE WITH MCC | 682 | $75,533 | $37,766 | — | 2.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $112,541 | $56,270 | — | 2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $87,941 | $43,971 | — | 2x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $80,616 | $40,308 | — | 2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $78,752 | $39,376 | — | 2x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $68,315 | $34,158 | — | 2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $63,989 | $31,995 | — | 2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $88,555 | $44,278 | — | 1.9x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $57,428 | $28,714 | — | 1.8x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $61,197 | $30,599 | — | 1.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $45,583 | $22,792 | — | 1.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $48,275 | $24,138 | — | 1.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $44,309 | $22,154 | — | 1.7x |
| RENAL FAILURE WITH CC | 683 | $44,953 | $22,476 | — | 1.7x |
| CELLULITIS WITHOUT MCC | 603 | $47,847 | $23,924 | — | 1.6x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $49,698 | $24,849 | — | 1.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $38,006 | $19,003 | — | 1.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $48,755 | $24,378 | — | 1.4x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $39,651 | $19,825 | — | 1.4x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $33,707 | $16,853 | — | 1.3x |
| SYNCOPE AND COLLAPSE | 312 | $38,685 | $19,342 | — | 1.3x |
| SEIZURES WITHOUT MCC | 101 | $37,107 | $18,554 | — | 1.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,274 | $13,137 | — | 1x |
| CHEST PAIN | 313 | $25,060 | $12,530 | — | 0.9x |
How BELLEVUE HOSPITAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use