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 |
|---|---|---|---|---|
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
35 | $65,892 | $11,994 | +28% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
34 | $196,931 | $34,996 | +129% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
34 | $261,144 | $39,125 | +203% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
34 | $92,479 | $19,704 | -3% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
34 | $78,206 | $11,528 | +31% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
33 | $399,572 | $80,944 | +126% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
33 | $118,022 | $20,040 | +197% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
33 | $35,392 | $4,294 | +48% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
32 | $151,797 | $29,603 | +196% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
31 | $458,982 | $95,610 | +100% |
|
Hypertension with Major Complications
MS-DRG 304 · Inpatient stay |
31 | $129,123 | $18,640 | +159% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
31 | $617,304 | $72,847 | +244% |
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay |
31 | $403,019 | $82,043 | +57% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
31 | $183,664 | $25,926 | +174% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
30 | $171,262 | $32,595 | +141% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
30 | $223,869 | $43,487 | +123% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
30 | $201,681 | $48,464 | +55% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
30 | $114,035 | $36,939 | -23% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
29 | $85,678 | $12,568 | +108% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
29 | $91,996 | $16,308 | +162% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
28 | $116,006 | $16,470 | +158% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
28 | $260,510 | $31,570 | +219% |
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
27 | $1,114,431 | $223,091 | +107% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
27 | $170,760 | $34,016 | +57% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
27 | $384,651 | $41,126 | +381% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
27 | $45,426 | $7,345 | +15% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
26 | $240,508 | $30,293 | +200% |
|
Lymphoma and Non-acute Leukemia with Major Complications
MS-DRG 840 · Inpatient stay |
26 | $338,391 | $45,866 | +137% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
26 | $220,465 | $31,659 | +195% |
|
HIV-Related Infection (severe)
MS-DRG 974 · Inpatient stay |
26 | $379,689 | $48,101 | +114% |
|
Cranial and Peripheral Nerve Disorders with Major Complications
MS-DRG 073 · Inpatient stay |
25 | $115,739 | $33,598 | +79% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
25 | $244,493 | $32,360 | +221% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
24 | $64,158 | $10,323 | +155% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
24 | $159,746 | $24,244 | +178% |
|
Atherosclerosis without Major Complications
MS-DRG 303 · Inpatient stay |
24 | $79,280 | $11,260 | +162% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
24 | $143,749 | $25,604 | +74% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
24 | $116,173 | $14,406 | +257% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
24 | $199,323 | $39,582 | +96% |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
24 | $370,729 | $54,721 | +173% |
|
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major
MS-DRG 556 · Inpatient stay |
24 | $67,429 | $12,166 | +78% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
23 | $97,840 | $16,455 | +121% |
|
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major
MS-DRG 239 · Inpatient stay |
23 | $333,901 | $54,895 | +69% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
23 | $54,597 | $6,596 | +59% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
22 | $305,125 | $63,501 | +61% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
22 | $162,176 | $29,625 | +89% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
22 | $378,099 | $60,649 | +146% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
22 | $185,400 | $27,393 | +150% |
|
Kidney Transplant
MS-DRG 652 · Inpatient stay |
22 | $434,674 | $44,619 | +47% |
|
Other Respiratory System Diagnoses with Major Complications
MS-DRG 205 · Inpatient stay |
21 | $201,611 | $34,623 | +164% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
21 | $249,453 | $22,382 | +591% |
|
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Complications
MS-DRG 240 · Inpatient stay |
21 | $241,043 | $41,496 | +100% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
21 | $173,878 | $25,245 | +164% |
|
Acute Leukemia with Major Complications
MS-DRG 834 · Inpatient stay |
21 | $512,827 | $80,111 | +90% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
21 | $177,536 | $24,154 | +161% |
|
Headaches without Major Complications
MS-DRG 103 · Inpatient stay |
21 | $86,773 | $13,516 | +88% |
|
Respiratory Signs and Symptoms
MS-DRG 204 · Inpatient stay |
21 | $70,041 | $14,241 | +41% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 808 · Inpatient stay |
21 | $381,997 | $58,049 | +259% |
|
Minor Skin Disorders without Major Complications
MS-DRG 607 · Inpatient stay |
21 | $76,550 | $13,429 | +102% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
21 | $18,972 | $4,314 | -13% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
21 | $39,572 | $5,603 | +32% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
19 | $576,013 | $120,285 | +72% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
19 | $49,096 | $9,563 | +30% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
18 | $186,647 | $26,478 | +182% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
18 | $207,869 | $38,342 | +77% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
18 | $152,033 | $44,849 | +83% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
18 | $178,181 | $33,358 | +149% |
|
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D
MS-DRG 464 · Inpatient stay |
18 | $203,717 | $47,233 | +49% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
18 | $162,369 | $33,303 | +58% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 809 · Inpatient stay |
18 | $170,745 | $20,655 | +210% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
18 | $78,815 | $14,063 | +92% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
18 | $118,081 | $34,867 | +5% |
|
Digestive Malignancy with Complications
MS-DRG 375 · Inpatient stay |
17 | $127,108 | $25,182 | +139% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
17 | $93,720 | $16,595 | +82% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
17 | $203,148 | $31,848 | +130% |
|
Kidney Transplant with Hemodialysis with Major Complications
MS-DRG 650 · Inpatient stay |
17 | $525,982 | $56,153 | +45% |
|
Kidney and Ureter Procedures for Non-neoplasm with Major Complications
MS-DRG 659 · Inpatient stay |
17 | $222,485 | $44,233 | +126% |
|
Level 1 Icd and Similar Procedures
APC 5231 · Hospital outpatient visit |
17 | $99,027 | $26,475 | +5% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
16 | $205,757 | $46,645 | +83% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications
MS-DRG 442 · Inpatient stay |
16 | $141,026 | $15,672 | +235% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
16 | $236,732 | $40,604 | +144% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
16 | $83,380 | $16,870 | +101% |
|
Other Disorders of the Eye without Major Complications
MS-DRG 125 · Inpatient stay |
16 | $78,840 | $12,945 | +84% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
16 | $39,735 | $5,887 | +64% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
15 | $216,750 | $24,712 | +228% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
15 | $126,421 | $16,401 | +252% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
15 | $157,903 | $21,343 | +195% |
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay |
15 | $112,677 | $15,854 | +155% |
|
Other Respiratory System Diagnoses without Major Complications
MS-DRG 206 · Inpatient stay |
15 | $123,885 | $16,313 | +168% |
|
Connective Tissue Disorders with Major Complications
MS-DRG 545 · Inpatient stay |
15 | $288,076 | $33,641 | +123% |
|
Cardiac Congenital and Valvular Disorders with Major Complications
MS-DRG 306 · Inpatient stay |
15 | $303,064 | $37,388 | +252% |
|
Skin Ulcers with Complications
MS-DRG 593 · Inpatient stay |
15 | $104,559 | $20,852 | +24% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
15 | $33,151 | $6,420 | +11% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
15 | $55,831 | $10,367 | +26% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
15 | $36,223 | $3,615 | +91% |
|
Other Respiratory System Operating Room Procedures with Major Complications
MS-DRG 166 · Inpatient stay |
14 | $316,088 | $56,341 | +117% |
|
Traumatic Injury without Major Complications
MS-DRG 914 · Inpatient stay |
14 | $68,963 | $14,006 | +13% |
|
Chimeric Antigen Receptor (car) T-cell and Other Immunotherapies
MS-DRG 018 · Inpatient stay |
13 | $2,711,945 | $439,122 | +37% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
13 | $109,350 | $14,459 | +184% |
|
Lymphoma and Non-acute Leukemia with Complications
MS-DRG 841 · Inpatient stay |
13 | $199,517 | $21,761 | +120% |
|
Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 987 · Inpatient stay |
13 | $492,866 | $69,634 | +242% |
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.