Montefiore Medical Center
Montefiore Medical Center in Bronx, NY charges 8.0x the Medicare reimbursement rate on average, with 69% of analyzed procedures showing significant price variations.
Bronx, NY 10467 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
No credit card required. Results in 60 seconds.
Pricing grade
D
High
Avg markup vs Medicare
7.96x
Charge / Medicare rate
Max markup
13.58x
Worst procedure
Procedures analyzed
195
With pricing data
Outlier procedures
69.2%
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 |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $107,206 | $53,603 | — | 13.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $80,334 | $40,167 | — | 13.2x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $201,235 | $100,618 | — | 12.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $295,989 | $147,995 | — | 12x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $129,732 | $64,866 | — | 11.9x |
| ENDOCRINE DISORDERS WITH CC | 644 | $128,083 | $64,041 | — | 11.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $92,596 | $46,298 | — | 11.6x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $121,890 | $60,945 | — | 11.5x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 542 | $192,916 | $96,458 | — | 11.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $236,762 | $118,381 | — | 11.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $160,471 | $80,235 | — | 11.1x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $186,708 | $93,354 | — | 10.9x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $141,055 | $70,528 | — | 10.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $92,036 | $46,018 | — | 10.8x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $263,024 | $131,512 | — | 10.6x |
| PSYCHOSES | 885 | $214,820 | $107,410 | — | 10.6x |
| KIDNEY TRANSPLANT | 652 | $416,107 | $208,054 | — | 10.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $663,144 | $331,572 | — | 10.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $122,523 | $61,261 | — | 10.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $235,555 | $117,778 | — | 10.5x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $126,179 | $63,090 | — | 10.1x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $71,491 | $35,745 | — | 10.1x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $216,239 | $108,120 | — | 10x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $103,693 | $51,846 | — | 9.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $111,455 | $55,727 | — | 9.9x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $125,063 | $62,531 | — | 9.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $153,128 | $76,564 | — | 9.9x |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $268,124 | $134,062 | — | 9.8x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $262,589 | $131,294 | — | 9.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $139,084 | $69,542 | — | 9.8x |
| BRONCHITIS AND ASTHMA WITHOUT CC/MCC | 203 | $68,623 | $34,312 | — | 9.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $167,967 | $83,983 | — | 9.4x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $254,537 | $127,268 | — | 9.4x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $130,146 | $65,073 | — | 9.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $103,981 | $51,990 | — | 9.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $95,144 | $47,572 | — | 9.4x |
| DIABETES WITH CC | 638 | $95,229 | $47,614 | — | 9.4x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $197,821 | $98,911 | — | 9.4x |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 988 | $180,182 | $90,091 | — | 9.4x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | 564 | $177,063 | $88,531 | — | 9.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $98,948 | $49,474 | — | 9.3x |
| MINOR SKIN DISORDERS WITHOUT MCC | 607 | $88,348 | $44,174 | — | 9.3x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $188,319 | $94,159 | — | 9.3x |
| TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 558 | $90,921 | $45,461 | — | 9.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $85,143 | $42,572 | — | 9.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $106,329 | $53,165 | — | 9.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $237,236 | $118,618 | — | 9.2x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $241,531 | $120,766 | — | 9.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $136,586 | $68,293 | — | 9.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $231,145 | $115,572 | — | 9.2x |
Showing 50 of 195 procedures
How MONTEFIORE MEDICAL 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.
Got a bill from MONTEFIORE MEDICAL CENTER?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Montefiore Medical Center?
Free guides to help you take action
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