MOUNT SINAI WEST
NEW YORK, NY 10019 · Acute Care Hospitals
145 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
145
With CMS pricing data
Avg Charge-to-Medicare Ratio
6.0x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Church
Above 90th Percentile
33%
Compared to NY hospitals
Understanding Your Costs
When you receive a bill from MOUNT SINAI WEST, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MOUNT SINAI WEST lists chargemaster rates that average 6.0x the corresponding Medicare reimbursement amount across 145 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 6.0x, 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 WEST is NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC (DRG 070). The listed chargemaster rate is $321,233, while Medicare reimburses $27,144 for the same procedure — a ratio of 11.8x (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.
48 of 145 procedures (33%) 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 WEST is a voluntary non-profit - church 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 | |
|---|---|---|---|---|---|---|
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $321,233 | $27,144 | 11.8x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $84,054 | $8,556 | 9.8x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $79,077 | $8,091 | 9.8x | 1th | Compare your bill |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $97,715 | $10,367 | 9.4x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $106,180 | $11,402 | 9.3x | 1th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $105,442 | $11,924 | 8.8x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $91,950 | $10,630 | 8.7x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $78,541 | $9,223 | 8.5x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $70,159 | $8,345 | 8.4x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $117,907 | $14,201 | 8.3x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $81,248 | $10,000 | 8.1x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $61,243 | $7,625 | 8.0x | 1th | Compare your bill |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | 562 | $140,690 | $17,630 | 8.0x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $146,405 | $18,595 | 7.9x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $45,184 | $5,748 | 7.9x | 1th | Compare your bill |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $74,954 | $9,695 | 7.7x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $199,060 | $25,792 | 7.7x | 1th | Compare your bill |
| COAGULATION DISORDERS | 813 | $139,300 | $18,210 | 7.7x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $185,080 | $24,635 | 7.5x | 1th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $184,025 | $24,558 | 7.5x | 1th | Compare your bill |
| SEIZURES WITH MCC | 100 | $176,801 | $23,776 | 7.4x | 1th | Compare your bill |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $148,166 | $20,013 | 7.4x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $77,273 | $10,467 | 7.4x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $54,876 | $7,450 | 7.4x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $110,934 | $15,051 | 7.4x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $64,656 | $8,801 | 7.3x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $76,835 | $10,550 | 7.3x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $64,022 | $8,811 | 7.3x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $80,546 | $11,129 | 7.2x | 1th | Compare your bill |
| CELLULITIS WITHOUT MCC | 603 | $70,611 | $9,783 | 7.2x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $127,760 | $17,784 | 7.2x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $167,147 | $23,269 | 7.2x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $79,554 | $11,158 | 7.1x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $108,864 | $15,456 | 7.0x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $139,672 | $19,899 | 7.0x | 1th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $80,175 | $11,460 | 7.0x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $108,329 | $15,479 | 7.0x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $75,145 | $10,787 | 7.0x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITH CC | 184 | $77,537 | $11,124 | 7.0x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $197,501 | $28,379 | 7.0x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $237,626 | $34,122 | 7.0x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $163,324 | $23,525 | 6.9x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $62,440 | $9,016 | 6.9x | 1th | Compare your bill |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $77,548 | $11,187 | 6.9x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $591,910 | $85,644 | 6.9x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $143,303 | $20,769 | 6.9x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $120,932 | $17,633 | 6.9x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $79,027 | $11,513 | 6.9x | 1th | Compare your bill |
| DIABETES WITH CC | 638 | $64,202 | $9,354 | 6.9x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $104,284 | $15,214 | 6.8x | 1th | Compare your bill |
Showing 50 of 145 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 6.0x 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 WEST
How much does MOUNT SINAI WEST charge compared to Medicare?
According to CMS IPPS data, MOUNT SINAI WEST's listed chargemaster rates average 6.0x the Medicare reimbursement amount across 145 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 WEST?
The procedure with the highest chargemaster-to-Medicare ratio at MOUNT SINAI WEST is NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC (DRG 070), with a listed charge of $321,233 compared to Medicare reimbursement of $27,144 — a ratio of 11.8x. Source: CMS IPPS Provider Summary.
Is MOUNT SINAI WEST expensive compared to other NY hospitals?
MOUNT SINAI WEST's average chargemaster-to-Medicare ratio is 6.0x. 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 WEST 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 WEST 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 WEST in NEW YORK, NY accept Medicare?
MOUNT SINAI WEST is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MOUNT SINAI WEST directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.