21/100
#2,152 nationally
Montefiore Medical Center
111 East 210Th Street, Bronx, NY 10467 · (718) 920-4321
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Montefiore Medical Center billed $6.16 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
- 6.2x
- volume-weighted across all its priced work
- Procedures priced
- 235
- inpatient and outpatient combined
- Rank in NY
- #114
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 19% of U.S. hospitals.
Better than 47% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 4% 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 |
995 | $212,310 | $31,878 | +225% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
511 | $1,852 | $767 | -41% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
390 | $169,882 | $24,163 | +291% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
387 | $25,441 | $2,614 | +116% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
246 | $43,554 | $3,631 | +73% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
246 | $10,369 | $2,287 | -20% |
|
Fainting
MS-DRG 312 · Inpatient stay |
198 | $81,317 | $13,478 | +122% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
190 | $519,773 | $79,572 | +192% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
186 | $121,570 | $31,015 | +52% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
182 | $159,998 | $23,332 | +230% |
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 |
|---|---|---|---|
|
Psychoses
MS-DRG 885 · Inpatient stay |
$249,453 | $22,382 | +591% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
$340,007 | $49,076 | +418% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$384,651 | $41,126 | +381% |
|
Other Musculoskeletal System and Connective Tissue Diagnoses with Major Complications
MS-DRG 564 · Inpatient stay |
$272,216 | $26,439 | +324% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$169,882 | $24,163 | +291% |
|
Other Musculoskeletal System and Connective Tissue Diagnoses with Complications
MS-DRG 565 · Inpatient stay |
$163,323 | $17,789 | +287% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$210,506 | $22,989 | +286% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
$265,885 | $34,439 | +283% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,852 | $767 | -41% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$114,035 | $36,939 | -23% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$10,369 | $2,287 | -20% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$18,972 | $4,314 | -13% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$10,228 | $1,890 | -10% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$124,110 | $26,282 | -6% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$92,479 | $19,704 | -3% |
|
Other Skin, Subcutaneous Tissue and Breast Procedures with Complications
MS-DRG 580 · Inpatient stay |
$81,185 | $17,832 | about average |
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.