Westchester Medical Center
Westchester Medical Center in Valhalla, NY charges 12.4x the Medicare reimbursement rate across 144 analyzed procedures, with 95% showing significant price variations.
Valhalla, NY 10595 · Acute Care Hospitals · CMS Rating: 1/5
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
F
Very high
Avg markup vs Medicare
12.36x
Charge / Medicare rate
Max markup
31.49x
Worst procedure
Procedures analyzed
144
With pricing data
Outlier procedures
95.1%
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 |
|---|---|---|---|---|---|
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $242,153 | $121,077 | — | 31.5x |
| NEUROLOGICAL EYE DISORDERS | 123 | $160,113 | $80,056 | — | 21.6x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $206,860 | $103,430 | — | 20.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $241,449 | $120,725 | — | 19.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $118,695 | $59,348 | — | 17.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $162,199 | $81,100 | — | 17.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $205,631 | $102,815 | — | 17.8x |
| PNEUMOTHORAX WITH CC | 200 | $200,664 | $100,332 | — | 17.6x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $299,942 | $149,971 | — | 17.3x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $174,833 | $87,416 | — | 16.9x |
| DIABETES WITH CC | 638 | $151,283 | $75,641 | — | 16.9x |
| CELLULITIS WITH MCC | 602 | $203,978 | $101,989 | — | 16.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $124,520 | $62,260 | — | 16.5x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $188,657 | $94,329 | — | 16.5x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $133,608 | $66,804 | — | 16.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $133,146 | $66,573 | — | 16.2x |
| SYNCOPE AND COLLAPSE | 312 | $142,161 | $71,080 | — | 16.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $160,058 | $80,029 | — | 15.9x |
| RENAL FAILURE WITH CC | 683 | $139,083 | $69,541 | — | 15.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $165,568 | $82,784 | — | 15.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $117,773 | $58,886 | — | 15.6x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $344,058 | $172,029 | — | 15.5x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $171,520 | $85,760 | — | 15.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $117,411 | $58,706 | — | 15.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $129,278 | $64,639 | — | 15.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $175,525 | $87,763 | — | 15.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $143,829 | $71,914 | — | 15.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $147,213 | $73,606 | — | 15.2x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $121,084 | $60,542 | — | 15.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $149,195 | $74,597 | — | 15.1x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $169,880 | $84,940 | — | 15x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $158,855 | $79,428 | — | 14.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $164,608 | $82,304 | — | 14.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $123,177 | $61,588 | — | 14.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $183,634 | $91,817 | — | 14.6x |
| RENAL FAILURE WITH MCC | 682 | $248,144 | $124,072 | — | 14.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $118,189 | $59,094 | — | 14.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $285,171 | $142,585 | — | 14.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $262,165 | $131,083 | — | 14.2x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $120,229 | $60,114 | — | 14x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $237,380 | $118,690 | — | 13.9x |
| MINOR SKIN DISORDERS WITHOUT MCC | 607 | $120,648 | $60,324 | — | 13.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $108,336 | $54,168 | — | 13.8x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $222,404 | $111,202 | — | 13.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $218,959 | $109,479 | — | 13.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $135,442 | $67,721 | — | 13.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $417,385 | $208,693 | — | 13.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $187,186 | $93,593 | — | 13.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $204,996 | $102,498 | — | 13.6x |
| DIABETES WITH MCC | 637 | $194,253 | $97,127 | — | 13.6x |
Showing 50 of 144 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