All published prices at Montefiore Medical Center
235 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| 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% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
160 | $81,121 | $13,616 | +151% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
159 | $124,110 | $26,282 | -6% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
155 | $541,663 | $97,578 | +102% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
152 | $197,267 | $28,638 | +247% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
143 | $19,019 | $1,813 | +89% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
142 | $130,765 | $21,718 | +181% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
136 | $152,658 | $25,504 | +177% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
128 | $16,274 | $2,142 | +38% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
125 | $147,948 | $20,254 | +206% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
124 | $105,351 | $16,076 | +179% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
123 | $144,962 | $22,641 | +174% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
119 | $100,000 | $15,745 | +203% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
113 | $238,819 | $38,347 | +213% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
108 | $396,289 | $84,998 | +65% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
108 | $47,984 | $6,493 | +37% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
105 | $33,709 | $3,179 | +91% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
102 | $33,367 | $4,580 | +61% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
99 | $33,544 | $3,506 | +76% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
98 | $39,368 | $5,825 | +43% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
96 | $87,179 | $13,182 | +193% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
93 | $38,371 | $7,701 | about average |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
92 | $192,585 | $31,210 | +146% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
92 | $30,541 | $3,925 | +48% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
90 | $122,425 | $19,027 | +200% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
89 | $106,707 | $18,074 | +172% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
88 | $110,124 | $17,899 | +157% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
88 | $191,586 | $28,617 | +169% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
88 | $105,536 | $16,531 | +156% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
87 | $20,678 | $1,760 | +84% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
86 | $69,431 | $11,764 | +106% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
80 | $174,293 | $24,376 | +210% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
79 | $194,233 | $26,136 | +217% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
78 | $127,010 | $15,819 | +179% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
76 | $87,847 | $15,061 | +116% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
76 | $20,132 | $2,175 | +77% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
75 | $183,154 | $33,520 | +127% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
75 | $87,266 | $14,669 | +175% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
74 | $134,555 | $23,499 | +110% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
74 | $10,228 | $1,890 | -10% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
74 | $28,760 | $4,170 | +27% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
72 | $84,740 | $15,596 | +178% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
72 | $89,393 | $17,078 | +127% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
71 | $158,480 | $22,674 | +181% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
71 | $49,889 | $7,962 | +25% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
71 | $68,465 | $12,356 | about average |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
70 | $92,784 | $15,601 | +137% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
68 | $33,238 | $3,083 | +71% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
67 | $108,965 | $21,172 | +128% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
67 | $39,243 | $5,996 | +9% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
65 | $32,927 | $3,602 | +62% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
64 | $93,248 | $12,894 | +205% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
64 | $150,088 | $26,129 | +200% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
63 | $91,860 | $15,932 | +136% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
63 | $101,139 | $19,779 | +192% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
62 | $53,600 | $6,350 | +55% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
61 | $31,377 | $3,843 | +35% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
60 | $160,609 | $19,908 | +239% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
60 | $169,127 | $24,097 | +151% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
58 | $1,863,362 | $334,930 | +112% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
58 | $322,038 | $59,516 | +122% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
57 | $106,480 | $22,331 | +154% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
52 | $25,406 | $2,592 | +76% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
51 | $314,721 | $39,255 | +258% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
51 | $95,434 | $14,335 | +212% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
51 | $102,952 | $16,269 | +177% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
49 | $157,380 | $25,873 | +55% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
49 | $130,720 | $19,622 | +155% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
49 | $22,651 | $3,111 | +37% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
47 | $116,296 | $15,833 | +181% |
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay |
47 | $94,546 | $16,232 | +99% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
47 | $82,106 | $15,950 | +123% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
47 | $65,422 | $11,966 | +67% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
46 | $332,489 | $48,043 | +193% |
|
Bone Diseases and Arthropathies without Major Complications
MS-DRG 554 · Inpatient stay |
46 | $79,707 | $13,775 | +148% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
44 | $267,687 | $43,038 | +86% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
43 | $114,249 | $18,322 | +207% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
43 | $150,482 | $50,559 | +21% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
43 | $171,278 | $30,503 | +106% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
43 | $407,865 | $64,632 | +122% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
42 | $66,546 | $12,087 | +99% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
40 | $106,009 | $13,576 | +239% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
40 | $81,056 | $13,034 | +150% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
38 | $32,860 | $3,439 | +81% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
36 | $534,169 | $74,037 | +178% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
36 | $142,154 | $22,268 | +161% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
36 | $601,377 | $85,868 | +168% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
36 | $74,611 | $14,435 | +19% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
35 | $210,506 | $22,989 | +286% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
35 | $153,136 | $18,851 | +250% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
35 | $69,069 | $14,705 | +107% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.