All published prices at Mount Sinai Hospital
269 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 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% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
281 | $13,796 | $3,596 | -28% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
271 | $9,356 | $2,301 | -28% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
258 | $11,774 | $2,145 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
255 | $27,548 | $6,504 | -22% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
234 | $26,661 | $5,836 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
230 | $38,070 | $14,891 | -39% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
230 | $41,464 | $11,656 | -31% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
188 | $18,341 | $4,114 | -19% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
182 | $21,038 | $3,915 | about average |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
177 | $127,204 | $25,966 | +107% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
176 | $116,749 | $44,001 | -6% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
167 | $22,333 | $9,613 | -41% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
162 | $50,599 | $19,898 | -47% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
158 | $70,474 | $27,622 | -12% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
157 | $140,249 | $28,462 | +155% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
156 | $105,644 | $22,745 | +127% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
148 | $34,843 | $6,220 | -4% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
144 | $256,904 | $82,719 | +7% |
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay |
143 | $112,440 | $48,354 | -25% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
138 | $24,184 | $6,392 | -30% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
124 | $187,312 | $37,319 | +113% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
124 | $12,969 | $2,619 | +10% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
123 | $21,220 | $3,911 | -9% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
122 | $20,207 | $4,282 | -15% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
121 | $381,852 | $114,361 | +14% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
119 | $120,788 | $26,798 | +113% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
118 | $378,080 | $90,764 | +112% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
113 | $103,687 | $40,736 | -28% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
109 | $123,112 | $26,433 | +133% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
104 | $27,969 | $6,626 | -19% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
103 | $118,067 | $24,686 | +143% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
96 | $26,160 | $7,788 | -32% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
93 | $129,258 | $28,496 | +82% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
91 | $242,643 | $66,377 | +35% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
89 | $83,252 | $18,859 | +104% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
89 | $2,496 | $770 | -20% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
87 | $88,515 | $20,232 | +83% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
86 | $33,262 | $10,473 | -25% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
84 | $36,098 | $12,134 | -30% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
83 | $288,532 | $79,281 | +29% |
|
Coronary Intravascular Lithotripsy with Intraluminal Device without Major Complications
MS-DRG 324 · Inpatient stay |
82 | $85,025 | $42,136 | -47% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
81 | $65,134 | $13,506 | +102% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
81 | $72,803 | $17,136 | +93% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
81 | $73,306 | $17,164 | +87% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
80 | $78,605 | $16,963 | +44% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
80 | $117,343 | $35,972 | +17% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
80 | $33,529 | $7,978 | -16% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
80 | $16,727 | $3,493 | -8% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
78 | $71,584 | $15,134 | +117% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
78 | $31,453 | $7,420 | -20% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
74 | $14,638 | $3,195 | -12% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
73 | $224,730 | $48,760 | +55% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
73 | $63,781 | $13,358 | +114% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
73 | $140,913 | $28,840 | +120% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
69 | $185,667 | $36,397 | +137% |
|
Fainting
MS-DRG 312 · Inpatient stay |
67 | $65,151 | $14,195 | +78% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
67 | $80,039 | $16,436 | +94% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
66 | $300,489 | $69,312 | +56% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
66 | $148,850 | $61,445 | about average |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
63 | $113,200 | $24,779 | +101% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
62 | $219,024 | $37,655 | +187% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
61 | $51,449 | $12,584 | +68% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
60 | $130,444 | $24,456 | +154% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
60 | $102,964 | $37,665 | -5% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit
MS-DRG 216 · Inpatient stay |
58 | $458,104 | $138,418 | about average |
|
Sepsis
MS-DRG 870 · Inpatient stay |
57 | $535,143 | $123,094 | +99% |
|
Lymphoma and Non-acute Leukemia with Major Complications
MS-DRG 840 · Inpatient stay |
56 | $281,993 | $50,000 | +97% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
51 | $109,819 | $21,169 | +132% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
50 | $79,785 | $15,259 | +82% |
|
Kidney Transplant
MS-DRG 652 · Inpatient stay |
50 | $308,196 | $50,034 | +4% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
50 | $97,813 | $21,130 | +83% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
49 | $72,098 | $22,115 | -25% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
48 | $1,560,076 | $369,877 | +78% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
48 | $142,405 | $29,009 | +100% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
48 | $49,025 | $13,019 | +54% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
47 | $340,087 | $79,899 | +85% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
47 | $116,746 | $36,966 | +4% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
47 | $265,655 | $78,177 | +14% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
47 | $19,485 | $6,209 | -35% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
46 | $110,317 | $18,501 | +142% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
46 | $165,877 | $36,006 | +232% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
45 | $89,355 | $18,595 | +114% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
45 | $61,546 | $14,877 | +102% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
44 | $81,820 | $20,544 | +71% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
44 | $145,188 | $25,168 | +166% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
44 | $84,604 | $16,670 | +118% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
44 | $58,971 | $13,007 | +93% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
43 | $85,647 | $37,317 | -42% |
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
42 | $1,122,394 | $259,972 | +109% |
|
Cardiac Congenital and Valvular Disorders with Major Complications
MS-DRG 306 · Inpatient stay |
42 | $116,124 | $25,079 | +35% |
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.