Mount Sinai Beth Israel
Mount Sinai Beth Israel in New York, NY charges 6.9x the Medicare reimbursement rate across 114 analyzed procedures, with 30% classified as pricing outliers.
New York, NY 10003 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
6.93x
Charge / Medicare rate
Max markup
14.02x
Worst procedure
Procedures analyzed
114
With pricing data
Outlier procedures
29.8%
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 |
|---|---|---|---|---|---|
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $62,562 | $31,281 | — | 14x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | 918 | $63,081 | $31,540 | — | 10.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $78,354 | $39,177 | — | 9.6x |
| DYSEQUILIBRIUM | 149 | $71,654 | $35,827 | — | 9.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $127,978 | $63,989 | — | 9.4x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $75,278 | $37,639 | — | 9.3x |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $245,294 | $122,647 | — | 9.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $46,282 | $23,141 | — | 9.2x |
| CELLULITIS WITHOUT MCC | 603 | $75,749 | $37,874 | — | 9x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $153,093 | $76,546 | — | 8.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $64,255 | $32,128 | — | 8.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $74,720 | $37,360 | — | 8.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $117,680 | $58,840 | — | 8.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $168,383 | $84,191 | — | 8.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $71,988 | $35,994 | — | 8.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $62,640 | $31,320 | — | 8.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $90,444 | $45,222 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $190,860 | $95,430 | — | 8.2x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $60,958 | $30,479 | — | 8.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $77,865 | $38,932 | — | 8.1x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $65,404 | $32,702 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $132,053 | $66,026 | — | 8.1x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $76,906 | $38,453 | — | 8.1x |
| RENAL FAILURE WITH CC | 683 | $74,674 | $37,337 | — | 8.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $84,903 | $42,451 | — | 8x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $80,106 | $40,053 | — | 8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $61,943 | $30,972 | — | 7.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $196,536 | $98,268 | — | 7.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $59,666 | $29,833 | — | 7.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $170,763 | $85,382 | — | 7.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $137,912 | $68,956 | — | 7.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $107,067 | $53,534 | — | 7.8x |
| SYNCOPE AND COLLAPSE | 312 | $72,662 | $36,331 | — | 7.8x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $92,227 | $46,113 | — | 7.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $64,656 | $32,328 | — | 7.7x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $81,961 | $40,980 | — | 7.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $77,448 | $38,724 | — | 7.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $78,389 | $39,195 | — | 7.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $84,233 | $42,117 | — | 7.6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $61,229 | $30,615 | — | 7.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $81,218 | $40,609 | — | 7.5x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $118,520 | $59,260 | — | 7.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $409,889 | $204,944 | — | 7.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $95,355 | $47,677 | — | 7.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $55,060 | $27,530 | — | 7.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $58,774 | $29,387 | — | 7.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $102,587 | $51,294 | — | 7.3x |
| DIABETES WITH CC | 638 | $59,131 | $29,566 | — | 7.2x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $59,094 | $29,547 | — | 7.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $56,739 | $28,369 | — | 7.2x |
Showing 50 of 114 procedures
How MOUNT SINAI BETH ISRAEL 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