46/100
#1,389 nationally
Mount Sinai Hospital
One Gustave L Levy Place, New York, NY 10029 · (212) 241-7981
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Mount Sinai Hospital billed $3.94 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
- 3.9x
- volume-weighted across all its priced work
- Procedures priced
- 269
- inpatient and outpatient combined
- Rank in NY
- #80
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 50% of U.S. hospitals.
Better than 89% of U.S. hospitals.
Better than 20% of U.S. hospitals.
Better than 7% 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 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
754 | $19,679 | $3,181 | +11% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
630 | $163,338 | $34,560 | +150% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
621 | $84,988 | $26,746 | -36% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
597 | $15,750 | $3,665 | -38% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
542 | $36,887 | $12,438 | -45% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
527 | $26,099 | $3,104 | +34% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
366 | $66,648 | $26,321 | -35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
364 | $9,575 | $1,810 | -5% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
326 | $184,294 | $65,750 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
307 | $133,647 | $25,110 | +208% |
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 |
|---|---|---|---|
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
$247,150 | $52,180 | +273% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$165,877 | $36,006 | +232% |
|
Acute Myocardial Infarction, Expired with Major Complications
MS-DRG 283 · Inpatient stay |
$273,217 | $42,442 | +221% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
$206,764 | $31,494 | +213% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$133,647 | $25,110 | +208% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$204,013 | $55,401 | +205% |
|
Other Digestive System Operating Room Procedures with Major Complications
MS-DRG 356 · Inpatient stay |
$534,757 | $110,681 | +191% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
$194,548 | $38,198 | +189% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Breast/lymphatic Surgery and Related Procedures
APC 5093 · Hospital outpatient visit |
$35,022 | $10,716 | -48% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$50,599 | $19,898 | -47% |
|
Coronary Intravascular Lithotripsy with Intraluminal Device without Major Complications
MS-DRG 324 · Inpatient stay |
$85,025 | $42,136 | -47% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$36,887 | $12,438 | -45% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$45,863 | $24,824 | -43% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$85,647 | $37,317 | -42% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
$97,115 | $58,057 | -41% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$22,333 | $9,613 | -41% |
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.