NEW YORK-PRESBYTERIAN HOSPITAL
NEW YORK, NY 10065 · Acute Care Hospitals
389 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
389
With CMS pricing data
Avg Charge-to-Medicare Ratio
7.2x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
47%
Compared to NY hospitals
Understanding Your Costs
When you receive a bill from NEW YORK-PRESBYTERIAN HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, NEW YORK-PRESBYTERIAN HOSPITAL lists chargemaster rates that average 7.2x the corresponding Medicare reimbursement amount across 389 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 7.2x, 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 NEW YORK-PRESBYTERIAN HOSPITAL is CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC (DRG 310). The listed chargemaster rate is $62,216, while Medicare reimburses $5,165 for the same procedure — a ratio of 12.1x (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.
184 of 389 procedures (47%) 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).
NEW YORK-PRESBYTERIAN HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 5/5 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 | |
|---|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $62,216 | $5,165 | 12.1x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | 436 | $133,591 | $11,102 | 12.0x | 1th | Compare your bill |
| MINOR SKIN DISORDERS WITH MCC | 606 | $187,940 | $15,910 | 11.8x | 1th | Compare your bill |
| PSYCHOSES | 885 | $216,272 | $18,596 | 11.6x | 1th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | 055 | $119,586 | $10,283 | 11.6x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $110,264 | $9,869 | 11.2x | 1th | Compare your bill |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $121,449 | $11,022 | 11.0x | 1th | Compare your bill |
| OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | 155 | $106,395 | $9,825 | 10.8x | 1th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $153,223 | $14,431 | 10.6x | 1th | Compare your bill |
| OTITIS MEDIA AND URI WITHOUT MCC | 153 | $72,411 | $6,821 | 10.6x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | 440 | $62,970 | $5,928 | 10.6x | 1th | Compare your bill |
| AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | 559 | $156,561 | $14,958 | 10.5x | 1th | Compare your bill |
| NEUROLOGICAL EYE DISORDERS | 123 | $97,351 | $9,334 | 10.4x | 1th | Compare your bill |
| RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | 815 | $149,109 | $14,367 | 10.4x | 1th | Compare your bill |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $59,370 | $5,721 | 10.4x | 1th | Compare your bill |
| CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | 307 | $125,931 | $12,145 | 10.4x | 1th | Compare your bill |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $73,469 | $7,095 | 10.3x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $108,099 | $10,486 | 10.3x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $105,125 | $10,211 | 10.3x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $331,439 | $32,341 | 10.3x | 1th | Compare your bill |
| PNEUMOTHORAX WITH CC | 200 | $107,863 | $10,534 | 10.2x | 1th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | 651 | $438,251 | $42,784 | 10.2x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $99,952 | $9,822 | 10.2x | 1th | Compare your bill |
| DIABETES WITH CC | 638 | $89,379 | $8,887 | 10.1x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $165,233 | $16,435 | 10.1x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $68,597 | $6,852 | 10.0x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $108,699 | $10,887 | 10.0x | 1th | Compare your bill |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $108,222 | $10,892 | 9.9x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $82,018 | $8,321 | 9.9x | 1th | Compare your bill |
| OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | 867 | $250,798 | $25,497 | 9.8x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $116,937 | $12,000 | 9.8x | 1th | Compare your bill |
| ENDOCRINE DISORDERS WITH CC | 644 | $108,759 | $11,169 | 9.7x | 1th | Compare your bill |
| DENTAL AND ORAL DISEASES WITH CC | 158 | $98,019 | $10,090 | 9.7x | 1th | Compare your bill |
| COMPLICATED PEPTIC ULCER WITH CC | 381 | $98,387 | $10,161 | 9.7x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $164,197 | $16,961 | 9.7x | 1th | Compare your bill |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 061 | $275,924 | $28,575 | 9.7x | 1th | Compare your bill |
| DIABETES WITHOUT CC/MCC | 639 | $59,287 | $6,151 | 9.6x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 542 | $208,979 | $21,698 | 9.6x | 1th | Compare your bill |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | 240 | $244,704 | $25,527 | 9.6x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $74,806 | $7,821 | 9.6x | 1th | Compare your bill |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $87,920 | $9,287 | 9.5x | 1th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $123,683 | $13,094 | 9.4x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $65,717 | $6,967 | 9.4x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $80,835 | $8,584 | 9.4x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH CC | 292 | $85,054 | $9,040 | 9.4x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $137,456 | $14,670 | 9.4x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $73,667 | $7,919 | 9.3x | 1th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $187,540 | $20,195 | 9.3x | 1th | Compare your bill |
| VIRAL ILLNESS WITHOUT MCC | 866 | $89,352 | $9,616 | 9.3x | 1th | Compare your bill |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $86,638 | $9,356 | 9.3x | 1th | Compare your bill |
Showing 50 of 389 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 7.2x places it at the upper-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 NEW YORK-PRESBYTERIAN HOSPITAL
How much does NEW YORK-PRESBYTERIAN HOSPITAL charge compared to Medicare?
According to CMS IPPS data, NEW YORK-PRESBYTERIAN HOSPITAL's listed chargemaster rates average 7.2x the Medicare reimbursement amount across 389 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 NEW YORK-PRESBYTERIAN HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at NEW YORK-PRESBYTERIAN HOSPITAL is CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC (DRG 310), with a listed charge of $62,216 compared to Medicare reimbursement of $5,165 — a ratio of 12.1x. Source: CMS IPPS Provider Summary.
Is NEW YORK-PRESBYTERIAN HOSPITAL expensive compared to other NY hospitals?
NEW YORK-PRESBYTERIAN HOSPITAL's average chargemaster-to-Medicare ratio is 7.2x. 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 NEW YORK-PRESBYTERIAN 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 NEW YORK-PRESBYTERIAN 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 NEW YORK-PRESBYTERIAN HOSPITAL in NEW YORK, NY accept Medicare?
NEW YORK-PRESBYTERIAN HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact NEW YORK-PRESBYTERIAN HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.