MONTEFIORE MEDICAL CENTER
BRONX, NY 10467 · Acute Care Hospitals
195 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
195
With CMS pricing data
Avg Charge-to-Medicare Ratio
8.0x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
69%
Compared to NY hospitals
Understanding Your Costs
When you receive a bill from MONTEFIORE MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MONTEFIORE MEDICAL CENTER lists chargemaster rates that average 8.0x the corresponding Medicare reimbursement amount across 195 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in NY has a chargemaster-to-Medicare ratio of 3.8x, with ratios across the state ranging from 1.1x to 12.4x. At 8.0x, this facility’s average ratio is above the state median. 124 hospitals in NY report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at MONTEFIORE MEDICAL CENTER is TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC (DRG 069). The listed chargemaster rate is $107,206, while Medicare reimburses $7,895 for the same procedure — a ratio of 13.6x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
135 of 195 procedures (69%) at this facility have listed rates above the 90th percentile compared to other NY hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
MONTEFIORE MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $107,206 | $7,895 | 13.6x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $80,334 | $6,099 | 13.2x | 1th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $201,235 | $16,183 | 12.4x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $295,989 | $24,770 | 11.9x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $129,732 | $10,937 | 11.9x | 1th | Compare your bill |
| ENDOCRINE DISORDERS WITH CC | 644 | $128,083 | $10,988 | 11.7x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $92,596 | $8,001 | 11.6x | 1th | Compare your bill |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $121,890 | $10,610 | 11.5x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 542 | $192,916 | $17,292 | 11.2x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $236,762 | $21,266 | 11.1x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $160,471 | $14,429 | 11.1x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $186,708 | $17,126 | 10.9x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $141,055 | $12,987 | 10.9x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $92,036 | $8,501 | 10.8x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $263,024 | $24,723 | 10.6x | 1th | Compare your bill |
| PSYCHOSES | 885 | $214,820 | $20,287 | 10.6x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $416,107 | $39,347 | 10.6x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $663,144 | $62,742 | 10.6x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $122,523 | $11,608 | 10.6x | 1th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $235,555 | $22,470 | 10.5x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $126,179 | $12,484 | 10.1x | 1th | Compare your bill |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $71,491 | $7,087 | 10.1x | 1th | Compare your bill |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $216,239 | $21,721 | 10.0x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $103,693 | $10,446 | 9.9x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $111,455 | $11,237 | 9.9x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $125,063 | $12,670 | 9.9x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $153,128 | $15,546 | 9.8x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $268,124 | $27,277 | 9.8x | 1th | Compare your bill |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $262,589 | $26,787 | 9.8x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $139,084 | $14,231 | 9.8x | 1th | Compare your bill |
| BRONCHITIS AND ASTHMA WITHOUT CC/MCC | 203 | $68,623 | $7,240 | 9.5x | 1th | Compare your bill |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $254,537 | $26,963 | 9.4x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $167,967 | $17,789 | 9.4x | 1th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $130,146 | $13,821 | 9.4x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $103,981 | $11,046 | 9.4x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $95,144 | $10,130 | 9.4x | 1th | Compare your bill |
| DIABETES WITH CC | 638 | $95,229 | $10,163 | 9.4x | 1th | Compare your bill |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 988 | $180,182 | $19,258 | 9.4x | 1th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $197,821 | $21,138 | 9.4x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | 564 | $177,063 | $18,978 | 9.3x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $98,948 | $10,610 | 9.3x | 1th | Compare your bill |
| MINOR SKIN DISORDERS WITHOUT MCC | 607 | $88,348 | $9,483 | 9.3x | 1th | Compare your bill |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $188,319 | $20,236 | 9.3x | 1th | Compare your bill |
| TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 558 | $90,921 | $9,785 | 9.3x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $85,143 | $9,163 | 9.3x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $237,236 | $25,673 | 9.2x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $106,329 | $11,502 | 9.2x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $241,531 | $26,224 | 9.2x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $231,145 | $25,158 | 9.2x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $136,586 | $14,859 | 9.2x | 1th | Compare your bill |
Showing 50 of 195 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across NY hospitals
124 hospitals in NY report pricing data to CMS. This facility's average ratio of 8.0x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About MONTEFIORE MEDICAL CENTER
How much does MONTEFIORE MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, MONTEFIORE MEDICAL CENTER's listed chargemaster rates average 8.0x the Medicare reimbursement amount across 195 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at MONTEFIORE MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at MONTEFIORE MEDICAL CENTER is TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC (DRG 069), with a listed charge of $107,206 compared to Medicare reimbursement of $7,895 — a ratio of 13.6x. Source: CMS IPPS Provider Summary.
Is MONTEFIORE MEDICAL CENTER expensive compared to other NY hospitals?
MONTEFIORE MEDICAL CENTER's average chargemaster-to-Medicare ratio is 8.0x. Ratios vary significantly across NY hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for MONTEFIORE MEDICAL CENTER come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from MONTEFIORE MEDICAL CENTER is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does MONTEFIORE MEDICAL CENTER in BRONX, NY accept Medicare?
MONTEFIORE MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MONTEFIORE MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.