32/100
#1,819 nationally
Mount Sinai Beth Israel
281 1St Ave, New York, NY 10003 · (212) 420-2000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Mount Sinai Beth Israel billed $5.88 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
- 5.9x
- volume-weighted across all its priced work
- Procedures priced
- 109
- inpatient and outpatient combined
- Rank in NY
- #98
- 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 20% of U.S. hospitals.
Better than 83% of U.S. hospitals.
Better than 14% of U.S. hospitals.
Better than 5% 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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
431 | $2,927 | $769 | -7% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
374 | $177,460 | $27,518 | +172% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
187 | $113,449 | $18,080 | +161% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
173 | $9,527 | $2,285 | -26% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
173 | $17,042 | $3,869 | -17% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
136 | $18,834 | $3,177 | +7% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
126 | $126,831 | $21,495 | +107% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
124 | $8,199 | $1,819 | -19% |
|
Fainting
MS-DRG 312 · Inpatient stay |
103 | $61,386 | $11,693 | +68% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
103 | $22,686 | $5,787 | -17% |
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 |
|---|---|---|---|
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$106,924 | $12,338 | +242% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$159,760 | $25,005 | +220% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$120,477 | $16,373 | +196% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$154,816 | $21,959 | +192% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$85,543 | $12,020 | +187% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$86,827 | $12,579 | +185% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
$188,089 | $25,251 | +184% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$160,001 | $23,615 | +182% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$4,470 | $1,890 | -61% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$10,875 | $3,627 | -43% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$20,934 | $6,190 | -42% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$26,040 | $10,367 | -41% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$41,679 | $14,797 | -33% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$24,241 | $6,495 | -29% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$27,284 | $7,709 | -29% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$9,527 | $2,285 | -26% |
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.