72/100
#569 nationally
Elmhurst Hospital Center
79-01 Broadway, Elmhurst, NY 11373 · (718) 334-1141
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Elmhurst Hospital Center billed $1.78 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 1.8x
- volume-weighted across all its priced work
- Procedures priced
- 44
- inpatient and outpatient combined
- Rank in NY
- #54
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 92% of U.S. hospitals.
Better than 86% of U.S. hospitals.
Better than 44% of U.S. hospitals.
Better than 48% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
184 | $96,237 | $41,835 | +47% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
77 | $12,098 | $3,115 | -38% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
58 | $57,947 | $33,023 | +33% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
44 | $48,666 | $35,452 | -8% |
|
Fainting
MS-DRG 312 · Inpatient stay |
42 | $29,134 | $28,802 | -20% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
38 | $48,151 | $31,537 | +18% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
36 | $52,423 | $38,063 | -15% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
34 | $49,073 | $33,913 | about average |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
29 | $33,632 | $27,434 | +13% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
28 | $108,719 | $45,148 | +98% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$108,719 | $45,148 | +98% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$96,237 | $41,835 | +47% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$102,281 | $42,633 | +34% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$57,947 | $33,023 | +33% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$94,000 | $38,244 | +32% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$39,716 | $27,309 | +30% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$103,602 | $41,399 | +24% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$105,777 | $41,728 | +23% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$12,098 | $3,115 | -38% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,295 | $1,845 | -38% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
$22,073 | $27,176 | -34% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$8,526 | $2,515 | -27% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$31,568 | $27,789 | -23% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
$51,502 | $41,099 | -21% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$29,134 | $28,802 | -20% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$25,672 | $27,663 | -20% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.