MOUNT SINAI HOSPITAL
NEW YORK, NY 10029 · Acute Care Hospitals
224 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
224
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.5x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
23%
Compared to NY hospitals
Understanding Your Costs
When you receive a bill from MOUNT SINAI HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MOUNT SINAI HOSPITAL lists chargemaster rates that average 5.5x the corresponding Medicare reimbursement amount across 224 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 5.5x, 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 MOUNT SINAI HOSPITAL is NERVOUS SYSTEM NEOPLASMS WITH MCC (DRG 054). The listed chargemaster rate is $212,530, while Medicare reimburses $19,001 for the same procedure — a ratio of 11.2x (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.
51 of 224 procedures (23%) 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).
MOUNT SINAI HOSPITAL 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 | |
|---|---|---|---|---|---|---|
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $212,530 | $19,001 | 11.2x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $79,452 | $8,564 | 9.3x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $40,477 | $4,407 | 9.2x | 1th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $234,795 | $25,874 | 9.1x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $88,444 | $10,066 | 8.8x | 1th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $235,904 | $27,531 | 8.6x | 1th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $106,665 | $13,054 | 8.2x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $282,263 | $34,956 | 8.1x | 1th | Compare your bill |
| PLEURAL EFFUSION WITH MCC | 186 | $116,944 | $14,624 | 8.0x | 1th | Compare your bill |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $201,133 | $25,179 | 8.0x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $83,730 | $10,675 | 7.8x | 1th | Compare your bill |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $85,669 | $10,986 | 7.8x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $157,306 | $20,264 | 7.8x | 1th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $71,129 | $9,276 | 7.7x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $64,154 | $8,377 | 7.7x | 1th | Compare your bill |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $83,632 | $10,983 | 7.6x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $112,379 | $14,776 | 7.6x | 1th | Compare your bill |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 205 | $151,647 | $20,040 | 7.6x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $59,459 | $7,930 | 7.5x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $123,278 | $16,572 | 7.4x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $174,473 | $23,511 | 7.4x | 1th | Compare your bill |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $182,769 | $24,942 | 7.3x | 1th | Compare your bill |
| CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | 306 | $143,375 | $19,580 | 7.3x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 542 | $155,696 | $21,285 | 7.3x | 1th | Compare your bill |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $165,753 | $22,677 | 7.3x | 1th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $87,203 | $11,951 | 7.3x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $198,777 | $27,242 | 7.3x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $193,016 | $26,460 | 7.3x | 1th | Compare your bill |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | 856 | $473,838 | $65,117 | 7.3x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $170,518 | $23,458 | 7.3x | 1th | Compare your bill |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $130,422 | $17,947 | 7.3x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $147,852 | $20,434 | 7.2x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $109,211 | $15,130 | 7.2x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $203,081 | $28,270 | 7.2x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $75,096 | $10,472 | 7.2x | 1th | Compare your bill |
| CELLULITIS WITH MCC | 602 | $124,210 | $17,360 | 7.2x | 1th | Compare your bill |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $139,409 | $19,561 | 7.1x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $100,301 | $14,108 | 7.1x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $81,081 | $11,420 | 7.1x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $115,053 | $16,222 | 7.1x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $68,423 | $9,769 | 7.0x | 1th | Compare your bill |
| RENAL FAILURE WITH CC | 683 | $65,261 | $9,339 | 7.0x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $60,758 | $8,691 | 7.0x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $100,050 | $14,400 | 7.0x | 1th | Compare your bill |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $73,914 | $10,669 | 6.9x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $204,589 | $29,509 | 6.9x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $76,599 | $11,189 | 6.8x | 1th | Compare your bill |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $110,338 | $16,096 | 6.8x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $151,776 | $22,183 | 6.8x | 1th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $113,246 | $16,759 | 6.8x | 1th | Compare your bill |
Showing 50 of 224 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 5.5x places it at the lower-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 MOUNT SINAI HOSPITAL
How much does MOUNT SINAI HOSPITAL charge compared to Medicare?
According to CMS IPPS data, MOUNT SINAI HOSPITAL's listed chargemaster rates average 5.5x the Medicare reimbursement amount across 224 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 MOUNT SINAI HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at MOUNT SINAI HOSPITAL is NERVOUS SYSTEM NEOPLASMS WITH MCC (DRG 054), with a listed charge of $212,530 compared to Medicare reimbursement of $19,001 — a ratio of 11.2x. Source: CMS IPPS Provider Summary.
Is MOUNT SINAI HOSPITAL expensive compared to other NY hospitals?
MOUNT SINAI HOSPITAL's average chargemaster-to-Medicare ratio is 5.5x. 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 MOUNT SINAI HOSPITAL 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 MOUNT SINAI HOSPITAL 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 MOUNT SINAI HOSPITAL in NEW YORK, NY accept Medicare?
MOUNT SINAI HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MOUNT SINAI HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.