New York-presbyterian Hospital
New York-Presbyterian Hospital in New York, NY charges 7.2x the Medicare reimbursement rate across 389 analyzed procedures, with 47% showing significant price variations.
New York, NY 10065 · Acute Care Hospitals · CMS Rating: 5/5
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
D
High
Avg markup vs Medicare
7.18x
Charge / Medicare rate
Max markup
12.05x
Worst procedure
Procedures analyzed
389
With pricing data
Outlier procedures
47.3%
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 WITHOUT CC/MCC | 310 | $62,216 | $31,108 | — | 12.1x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | 436 | $133,591 | $66,796 | — | 12x |
| MINOR SKIN DISORDERS WITH MCC | 606 | $187,940 | $93,970 | — | 11.8x |
| NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | 055 | $119,586 | $59,793 | — | 11.6x |
| PSYCHOSES | 885 | $216,272 | $108,136 | — | 11.6x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $110,264 | $55,132 | — | 11.2x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $121,449 | $60,725 | — | 11x |
| OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | 155 | $106,395 | $53,197 | — | 10.8x |
| OTITIS MEDIA AND URI WITHOUT MCC | 153 | $72,411 | $36,206 | — | 10.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | 440 | $62,970 | $31,485 | — | 10.6x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $153,223 | $76,612 | — | 10.6x |
| AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | 559 | $156,561 | $78,281 | — | 10.5x |
| NEUROLOGICAL EYE DISORDERS | 123 | $97,351 | $48,676 | — | 10.4x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $59,370 | $29,685 | — | 10.4x |
| RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | 815 | $149,109 | $74,555 | — | 10.4x |
| CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | 307 | $125,931 | $62,966 | — | 10.4x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $73,469 | $36,734 | — | 10.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $108,099 | $54,049 | — | 10.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $105,125 | $52,562 | — | 10.3x |
| KIDNEY TRANSPLANT | 652 | $331,439 | $165,720 | — | 10.3x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | 651 | $438,251 | $219,126 | — | 10.2x |
| PNEUMOTHORAX WITH CC | 200 | $107,863 | $53,931 | — | 10.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $99,952 | $49,976 | — | 10.2x |
| DIABETES WITH CC | 638 | $89,379 | $44,689 | — | 10.1x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $165,233 | $82,617 | — | 10.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $68,597 | $34,299 | — | 10x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $108,699 | $54,350 | — | 10x |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $108,222 | $54,111 | — | 9.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $82,018 | $41,009 | — | 9.9x |
| OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | 867 | $250,798 | $125,399 | — | 9.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $116,937 | $58,468 | — | 9.8x |
| ENDOCRINE DISORDERS WITH CC | 644 | $108,759 | $54,380 | — | 9.7x |
| DENTAL AND ORAL DISEASES WITH CC | 158 | $98,019 | $49,009 | — | 9.7x |
| COMPLICATED PEPTIC ULCER WITH CC | 381 | $98,387 | $49,194 | — | 9.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $164,197 | $82,099 | — | 9.7x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 061 | $275,924 | $137,962 | — | 9.7x |
| DIABETES WITHOUT CC/MCC | 639 | $59,287 | $29,644 | — | 9.6x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 542 | $208,979 | $104,490 | — | 9.6x |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | 240 | $244,704 | $122,352 | — | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $74,806 | $37,403 | — | 9.6x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $87,920 | $43,960 | — | 9.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $123,683 | $61,841 | — | 9.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $65,717 | $32,859 | — | 9.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $80,835 | $40,417 | — | 9.4x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $85,054 | $42,527 | — | 9.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $137,456 | $68,728 | — | 9.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $73,667 | $36,833 | — | 9.3x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $187,540 | $93,770 | — | 9.3x |
| VIRAL ILLNESS WITHOUT MCC | 866 | $89,352 | $44,676 | — | 9.3x |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $86,638 | $43,319 | — | 9.3x |
Showing 50 of 389 procedures
How NEW YORK-PRESBYTERIAN 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