Montefiore New Rochelle Hospital
Montefiore New Rochelle Hospital in New Rochelle, NY charges 5.2x the Medicare reimbursement rate across 35 analyzed procedures at this nonprofit-private facility.
New Rochelle, NY 10802 · Acute Care Hospitals · CMS Rating: 1/5
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
5.15x
Charge / Medicare rate
Max markup
7.67x
Worst procedure
Procedures analyzed
35
With pricing data
Outlier procedures
2.9%
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 |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $57,151 | $28,575 | — | 7.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $56,830 | $28,415 | — | 7.6x |
| RENAL FAILURE WITH CC | 683 | $57,056 | $28,528 | — | 7.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $68,463 | $34,232 | — | 6.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $115,677 | $57,839 | — | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $58,118 | $29,059 | — | 6.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $61,009 | $30,504 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $47,910 | $23,955 | — | 6.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $55,162 | $27,581 | — | 6.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $55,228 | $27,614 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $46,435 | $23,218 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $64,244 | $32,122 | — | 5.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $77,009 | $38,504 | — | 5.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $41,778 | $20,889 | — | 5.6x |
| RENAL FAILURE WITH MCC | 682 | $77,767 | $38,884 | — | 5.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $58,082 | $29,041 | — | 5.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $88,036 | $44,018 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $87,014 | $43,507 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $63,591 | $31,795 | — | 5.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $35,501 | $17,751 | — | 4.9x |
| SYNCOPE AND COLLAPSE | 312 | $37,050 | $18,525 | — | 4.8x |
| CELLULITIS WITHOUT MCC | 603 | $38,258 | $19,129 | — | 4.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $85,697 | $42,848 | — | 4.5x |
| SEIZURES WITH MCC | 100 | $76,696 | $38,348 | — | 4x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $60,380 | $30,190 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $50,033 | $25,016 | — | 3.9x |
| BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 462 | $108,662 | $54,331 | — | 3.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $77,056 | $38,528 | — | 3.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $219,278 | $109,639 | — | 3.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $68,488 | $34,244 | — | 3.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $67,070 | $33,535 | — | 3.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $42,264 | $21,132 | — | 3.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $82,714 | $41,357 | — | 3.4x |
| DIABETES WITH MCC | 637 | $43,537 | $21,769 | — | 3.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $55,260 | $27,630 | — | 3x |
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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