Montefiore St Luke's Cornwall
MONTEFIORE ST LUKE'S CORNWALL in Newburgh, NY charges 8.1x the Medicare reimbursement rate on average, with 11% of procedures showing significant price variations.
Newburgh, NY 12550 · 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.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.05x
Charge / Medicare rate
Max markup
12.52x
Worst procedure
Procedures analyzed
64
With pricing data
Outlier procedures
10.9%
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $61,800 | $30,900 | — | 12.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $87,917 | $43,959 | — | 11.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $75,699 | $37,850 | — | 10.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $66,070 | $33,035 | — | 10.7x |
| SEIZURES WITHOUT MCC | 101 | $68,991 | $34,496 | — | 10.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $57,802 | $28,901 | — | 10.6x |
| HYPERTENSION WITHOUT MCC | 305 | $53,773 | $26,887 | — | 10.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $67,891 | $33,946 | — | 9.8x |
| CELLULITIS WITHOUT MCC | 603 | $64,376 | $32,188 | — | 9.7x |
| DIABETES WITH CC | 638 | $59,030 | $29,515 | — | 9.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $135,308 | $67,654 | — | 9.6x |
| DIABETES WITH MCC | 637 | $86,284 | $43,142 | — | 9.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $54,821 | $27,411 | — | 9.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $77,506 | $38,753 | — | 9.2x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $48,314 | $24,157 | — | 9.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $69,024 | $34,512 | — | 9.1x |
| SYNCOPE AND COLLAPSE | 312 | $57,194 | $28,597 | — | 8.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $68,745 | $34,372 | — | 8.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $96,827 | $48,414 | — | 8.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $68,746 | $34,373 | — | 8.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $108,660 | $54,330 | — | 8.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $48,984 | $24,492 | — | 8.6x |
| RENAL FAILURE WITH CC | 683 | $57,825 | $28,912 | — | 8.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $53,999 | $27,000 | — | 8.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $59,564 | $29,782 | — | 8.5x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $65,914 | $32,957 | — | 8.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $46,546 | $23,273 | — | 8.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $125,595 | $62,797 | — | 8.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $138,119 | $69,060 | — | 8.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $144,797 | $72,398 | — | 8.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $210,162 | $105,081 | — | 8.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $60,821 | $30,411 | — | 8.2x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $68,201 | $34,100 | — | 8.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $75,798 | $37,899 | — | 8.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $82,025 | $41,013 | — | 8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $176,907 | $88,454 | — | 7.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $74,292 | $37,146 | — | 7.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $125,667 | $62,833 | — | 7.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $56,334 | $28,167 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $184,866 | $92,433 | — | 7.5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $74,241 | $37,121 | — | 7.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $39,691 | $19,846 | — | 7.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $73,178 | $36,589 | — | 7.3x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $58,722 | $29,361 | — | 7.3x |
| CELLULITIS WITH MCC | 602 | $82,827 | $41,413 | — | 7.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $121,824 | $60,912 | — | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $62,463 | $31,232 | — | 7.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $66,513 | $33,256 | — | 7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $116,595 | $58,298 | — | 7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $114,077 | $57,038 | — | 6.9x |
Showing 50 of 64 procedures
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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