52/100
#1,198 nationally
Montefiore New Rochelle Hospital
16 Guion Place, New Rochelle, NY 10802 · (914) 632-5000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Montefiore New Rochelle Hospital billed $3.84 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
- 3.8x
- volume-weighted across all its priced work
- Procedures priced
- 37
- inpatient and outpatient combined
- Rank in NY
- #76
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 53% of U.S. hospitals.
Better than 89% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 24% 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 |
191 | $94,098 | $24,502 | +44% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
101 | $62,907 | $21,284 | -21% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
65 | $71,918 | $15,836 | +66% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
56 | $45,423 | $14,948 | -27% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
47 | $10,116 | $1,829 | -10% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
40 | $106,927 | $19,047 | +130% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
36 | $63,680 | $14,429 | +62% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
33 | $44,724 | $10,548 | +50% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
31 | $251,531 | $77,278 | -6% |
|
Bilateral or Multiple Major Joint Procedures of Lower Extremity without Major
MS-DRG 462 · Inpatient stay |
31 | $130,787 | $39,180 | +20% |
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 |
|---|---|---|---|
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$106,927 | $19,047 | +130% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$55,120 | $11,885 | +80% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$67,031 | $12,988 | +80% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$58,494 | $12,333 | +77% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$82,708 | $15,725 | +71% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$89,865 | $16,885 | +70% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$71,918 | $15,836 | +66% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$68,674 | $13,166 | +64% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$17,876 | $5,888 | -35% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$45,423 | $14,948 | -27% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$30,418 | $8,140 | -24% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$14,757 | $3,627 | -23% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$62,907 | $21,284 | -21% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$146,635 | $44,122 | -18% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$19,731 | $3,937 | -15% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$17,593 | $3,967 | -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.