Lenox Hill Hospital
Lenox Hill Hospital in New York, NY charges 6.6x the Medicare reimbursement rate across 124 analyzed procedures, with 36% showing significant price variations.
New York, NY 10075 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
6.63x
Charge / Medicare rate
Max markup
13.05x
Worst procedure
Procedures analyzed
124
With pricing data
Outlier procedures
35.5%
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $63,766 | $31,883 | — | 13.1x |
| SEIZURES WITHOUT MCC | 101 | $116,902 | $58,451 | — | 12.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $93,894 | $46,947 | — | 11.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $95,279 | $47,640 | — | 11.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $107,772 | $53,886 | — | 10.4x |
| DYSEQUILIBRIUM | 149 | $75,569 | $37,785 | — | 10.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $97,167 | $48,584 | — | 9.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $110,059 | $55,029 | — | 9.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $136,560 | $68,280 | — | 9.4x |
| HYPERTENSION WITHOUT MCC | 305 | $69,723 | $34,861 | — | 9.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $69,305 | $34,653 | — | 9.3x |
| HYPERTENSION WITH MCC | 304 | $110,777 | $55,388 | — | 9.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $85,876 | $42,938 | — | 9.2x |
| CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | 307 | $85,200 | $42,600 | — | 9.1x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $85,261 | $42,630 | — | 9.1x |
| SEIZURES WITH MCC | 100 | $226,682 | $113,341 | — | 9.1x |
| CHEST PAIN | 313 | $66,057 | $33,028 | — | 9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $88,997 | $44,499 | — | 8.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $106,443 | $53,222 | — | 8.7x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $70,837 | $35,419 | — | 8.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $73,325 | $36,663 | — | 8.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $267,848 | $133,924 | — | 8.3x |
| SYNCOPE AND COLLAPSE | 312 | $74,354 | $37,177 | — | 8.3x |
| CELLULITIS WITH MCC | 602 | $120,180 | $60,090 | — | 8.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $149,552 | $74,776 | — | 8.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $121,239 | $60,620 | — | 8.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $179,334 | $89,667 | — | 8.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $64,013 | $32,007 | — | 7.9x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $75,579 | $37,790 | — | 7.8x |
| RENAL FAILURE WITH CC | 683 | $73,608 | $36,804 | — | 7.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $227,641 | $113,820 | — | 7.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $60,312 | $30,156 | — | 7.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $179,629 | $89,814 | — | 7.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $80,684 | $40,342 | — | 7.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $136,172 | $68,086 | — | 7.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $76,105 | $38,053 | — | 7.4x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $157,185 | $78,592 | — | 7.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $97,685 | $48,842 | — | 7.4x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $135,961 | $67,981 | — | 7.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $200,701 | $100,350 | — | 7.2x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $141,715 | $70,857 | — | 7.2x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $358,528 | $179,264 | — | 7.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $55,803 | $27,902 | — | 7.1x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $43,794 | $21,897 | — | 7.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $91,769 | $45,884 | — | 7.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $302,701 | $151,350 | — | 7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $128,419 | $64,210 | — | 7x |
| CELLULITIS WITHOUT MCC | 603 | $62,335 | $31,168 | — | 6.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $139,273 | $69,636 | — | 6.9x |
| ENDOCRINE DISORDERS WITH CC | 644 | $72,585 | $36,292 | — | 6.9x |
Showing 50 of 124 procedures
How LENOX HILL HOSPITAL 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