Mount Sinai Hospital
Mount Sinai Hospital in New York, NY charges 5.5x the Medicare reimbursement rate on average across 224 analyzed procedures, with 23% showing significant pricing variations.
New York, NY 10029 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
D
High
Avg markup vs Medicare
5.47x
Charge / Medicare rate
Max markup
11.18x
Worst procedure
Procedures analyzed
224
With pricing data
Outlier procedures
22.8%
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 |
|---|---|---|---|---|---|
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $212,530 | $106,265 | — | 11.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $79,452 | $39,726 | — | 9.3x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $40,477 | $20,238 | — | 9.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $234,795 | $117,398 | — | 9.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $88,444 | $44,222 | — | 8.8x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $235,904 | $117,952 | — | 8.6x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $106,665 | $53,332 | — | 8.2x |
| KIDNEY TRANSPLANT | 652 | $282,263 | $141,131 | — | 8.1x |
| PLEURAL EFFUSION WITH MCC | 186 | $116,944 | $58,472 | — | 8x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $201,133 | $100,567 | — | 8x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $83,730 | $41,865 | — | 7.8x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $85,669 | $42,835 | — | 7.8x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $157,306 | $78,653 | — | 7.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $71,129 | $35,564 | — | 7.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $64,154 | $32,077 | — | 7.7x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $83,632 | $41,816 | — | 7.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $112,379 | $56,190 | — | 7.6x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 205 | $151,647 | $75,823 | — | 7.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $59,459 | $29,729 | — | 7.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $123,278 | $61,639 | — | 7.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $174,473 | $87,237 | — | 7.4x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $182,769 | $91,385 | — | 7.3x |
| CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | 306 | $143,375 | $71,687 | — | 7.3x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 542 | $155,696 | $77,848 | — | 7.3x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $165,753 | $82,876 | — | 7.3x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $198,777 | $99,389 | — | 7.3x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $87,203 | $43,602 | — | 7.3x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $193,016 | $96,508 | — | 7.3x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | 856 | $473,838 | $236,919 | — | 7.3x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $130,422 | $65,211 | — | 7.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $170,518 | $85,259 | — | 7.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $147,852 | $73,926 | — | 7.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $109,211 | $54,606 | — | 7.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $203,081 | $101,541 | — | 7.2x |
| SEIZURES WITHOUT MCC | 101 | $75,096 | $37,548 | — | 7.2x |
| CELLULITIS WITH MCC | 602 | $124,210 | $62,105 | — | 7.2x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $139,409 | $69,705 | — | 7.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $100,301 | $50,151 | — | 7.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $81,081 | $40,540 | — | 7.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $115,053 | $57,527 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $68,423 | $34,212 | — | 7x |
| RENAL FAILURE WITH CC | 683 | $65,261 | $32,631 | — | 7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $60,758 | $30,379 | — | 7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $100,050 | $50,025 | — | 7x |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $73,914 | $36,957 | — | 6.9x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $204,589 | $102,295 | — | 6.9x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $110,338 | $55,169 | — | 6.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $76,599 | $38,300 | — | 6.9x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $151,776 | $75,888 | — | 6.8x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $113,246 | $56,623 | — | 6.8x |
Showing 50 of 224 procedures
How MOUNT SINAI HOSPITAL 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