Nyack Hospital
NYACK HOSPITAL in Nyack, NY charges 8.0x the Medicare reimbursement rate on average across 65 analyzed procedures, with 6% classified as pricing outliers.
Nyack, NY 10960 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
7.96x
Charge / Medicare rate
Max markup
11.98x
Worst procedure
Procedures analyzed
65
With pricing data
Outlier procedures
6.2%
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 |
|---|---|---|---|---|---|
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $98,076 | $49,038 | — | 12x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $79,123 | $39,562 | — | 11.9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $69,449 | $34,725 | — | 10.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $61,148 | $30,574 | — | 10.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $67,446 | $33,723 | — | 10.6x |
| RENAL FAILURE WITH CC | 683 | $66,243 | $33,122 | — | 10.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $37,172 | $18,586 | — | 10.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $60,962 | $30,481 | — | 10.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $70,313 | $35,156 | — | 10x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $73,286 | $36,643 | — | 9.9x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $69,062 | $34,531 | — | 9.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $57,228 | $28,614 | — | 9.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $107,305 | $53,653 | — | 9.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $57,868 | $28,934 | — | 9.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $56,260 | $28,130 | — | 9.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $52,884 | $26,442 | — | 9.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $69,346 | $34,673 | — | 9.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $54,583 | $27,292 | — | 9.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $75,643 | $37,822 | — | 9.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $67,931 | $33,965 | — | 9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $49,836 | $24,918 | — | 9x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $105,415 | $52,707 | — | 8.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $124,193 | $62,097 | — | 8.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $88,223 | $44,112 | — | 8.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $124,602 | $62,301 | — | 8.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $62,298 | $31,149 | — | 8.4x |
| SYNCOPE AND COLLAPSE | 312 | $49,690 | $24,845 | — | 8.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $77,615 | $38,807 | — | 8.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $72,398 | $36,199 | — | 7.9x |
| CELLULITIS WITHOUT MCC | 603 | $50,453 | $25,226 | — | 7.9x |
| CELLULITIS WITH MCC | 602 | $84,662 | $42,331 | — | 7.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $90,467 | $45,233 | — | 7.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $91,265 | $45,633 | — | 7.8x |
| SEIZURES WITHOUT MCC | 101 | $52,249 | $26,124 | — | 7.7x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | 895 | $95,258 | $47,629 | — | 7.6x |
| HYPERTENSION WITHOUT MCC | 305 | $41,069 | $20,535 | — | 7.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $117,830 | $58,915 | — | 7.4x |
| DIABETES WITH CC | 638 | $51,517 | $25,758 | — | 7.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $57,751 | $28,875 | — | 7.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $65,033 | $32,517 | — | 7.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $67,748 | $33,874 | — | 7.2x |
| RENAL FAILURE WITH MCC | 682 | $87,899 | $43,950 | — | 7.2x |
| DIABETES WITH MCC | 637 | $79,732 | $39,866 | — | 7.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $51,455 | $25,728 | — | 7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $162,505 | $81,252 | — | 7x |
| COAGULATION DISORDERS | 813 | $89,062 | $44,531 | — | 7x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $82,829 | $41,415 | — | 7x |
| DYSEQUILIBRIUM | 149 | $38,292 | $19,146 | — | 6.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $97,516 | $48,758 | — | 6.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $108,048 | $54,024 | — | 6.7x |
Showing 50 of 65 procedures
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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