30/100
#1,876 nationally
Lenox Hill Hospital
100 East 77Th Street, New York, NY 10075 · (212) 434-2000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Lenox Hill Hospital billed $5.21 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
- 5.2x
- volume-weighted across all its priced work
- Procedures priced
- 178
- inpatient and outpatient combined
- Rank in NY
- #102
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 29% of U.S. hospitals.
Better than 56% of U.S. hospitals.
Better than 17% of U.S. hospitals.
Better than 10% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
1,999 | $18,247 | $2,592 | +55% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
576 | $133,038 | $25,810 | +104% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
413 | $24,074 | $4,510 | +16% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
292 | $21,732 | $3,848 | +5% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
228 | $16,459 | $1,795 | +47% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
215 | $42,838 | $5,675 | +56% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
172 | $16,794 | $1,782 | +67% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
171 | $148,632 | $19,778 | +242% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
165 | $35,341 | $3,642 | +40% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
163 | $34,191 | $8,003 | -14% |
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 |
|---|---|---|---|
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$142,227 | $14,568 | +249% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$148,632 | $19,778 | +242% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$177,858 | $27,431 | +209% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$193,973 | $28,292 | +202% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$88,678 | $10,018 | +190% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$220,657 | $30,917 | +189% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
$196,799 | $33,211 | +187% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$128,623 | $13,499 | +182% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
HIV-Related Infection (severe)
MS-DRG 974 · Inpatient stay |
$85,656 | $34,274 | -52% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$61,520 | $19,704 | -36% |
|
Level 2 Nerve Procedures
APC 5432 · Hospital outpatient visit |
$29,279 | $7,404 | -25% |
|
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with
MS-DRG 427 · Inpatient stay |
$234,398 | $95,845 | -24% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$101,207 | $25,006 | -24% |
|
Major Male Pelvic Procedures without Complications/mcc
MS-DRG 708 · Inpatient stay |
$70,095 | $21,461 | -19% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$36,789 | $9,979 | -17% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$18,560 | $4,314 | -15% |
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.