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 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
42 | $14,795 | $4,358 | -32% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
41 | $220,921 | $40,816 | +176% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
41 | $198,149 | $49,123 | +143% |
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay |
40 | $335,013 | $83,907 | +39% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
40 | $173,281 | $32,825 | +128% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
39 | $69,519 | $14,913 | +87% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
38 | $106,448 | $24,611 | +89% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
37 | $46,472 | $9,481 | +85% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
37 | $319,253 | $62,509 | +107% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
37 | $144,819 | $44,881 | +21% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications
MS-DRG 846 · Inpatient stay |
37 | $143,133 | $39,263 | +33% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
37 | $8,633 | $1,822 | about average |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
36 | $175,729 | $47,996 | +29% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
35 | $194,548 | $38,198 | +189% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
35 | $183,455 | $35,815 | +145% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
34 | $224,165 | $41,358 | +98% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
34 | $109,738 | $18,017 | +165% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
33 | $193,364 | $39,350 | +140% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
33 | $85,952 | $18,208 | +91% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
32 | $202,461 | $39,614 | +135% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
32 | $151,707 | $27,670 | +130% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
31 | $67,171 | $15,188 | +65% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
31 | $58,465 | $16,916 | +36% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
31 | $159,900 | $30,011 | +178% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
31 | $70,545 | $15,552 | +104% |
|
Back and Neck Procedures Except Spinal Fusion with Complications
MS-DRG 519 · Inpatient stay |
31 | $116,823 | $29,757 | +36% |
|
Cardiac Congenital and Valvular Disorders without Major Complications
MS-DRG 307 · Inpatient stay |
31 | $75,902 | $16,289 | -7% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
30 | $118,168 | $24,396 | +130% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
30 | $21,359 | $3,683 | +5% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
29 | $206,958 | $65,338 | +17% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
29 | $76,651 | $16,295 | +96% |
|
Other Major Cardiovascular Procedures without Complications/mcc
MS-DRG 272 · Inpatient stay |
29 | $77,527 | $33,609 | -27% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
28 | $181,260 | $84,104 | -18% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
28 | $62,441 | $12,502 | +59% |
|
Percutaneous Cardiovascular Procedures without Intraluminal Device without Major
MS-DRG 251 · Inpatient stay |
28 | $67,129 | $21,323 | -31% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
28 | $14,074 | $1,829 | +25% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
27 | $40,146 | $10,311 | +22% |
|
Kidney Transplant with Hemodialysis with Major Complications
MS-DRG 650 · Inpatient stay |
27 | $345,033 | $71,381 | -5% |
|
Lymphoma and Non-acute Leukemia with Complications
MS-DRG 841 · Inpatient stay |
27 | $132,128 | $23,867 | +46% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
27 | $204,013 | $55,401 | +205% |
|
Other Cardiothoracic Procedures without Major Complications
MS-DRG 229 · Inpatient stay |
27 | $132,192 | $46,097 | -13% |
|
Other Endovascular Cardiac Valve Procedures with Major Complications
MS-DRG 319 · Inpatient stay |
27 | $216,609 | $63,970 | +12% |
|
Major Male Pelvic Procedures with Complications/mcc
MS-DRG 707 · Inpatient stay |
27 | $80,006 | $30,459 | -18% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
27 | $63,050 | $21,153 | -24% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
27 | $20,310 | $3,664 | +7% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
26 | $111,969 | $33,032 | +20% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
26 | $204,892 | $45,308 | +74% |
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay |
26 | $198,362 | $42,179 | +168% |
|
Percutaneous and Other Intracardiac Procedures with Major Complications
MS-DRG 273 · Inpatient stay |
26 | $174,826 | $56,141 | -6% |
|
Stomach, Esophageal and Duodenal Procedures with Major Complications
MS-DRG 326 · Inpatient stay |
26 | $250,124 | $71,386 | +12% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
26 | $129,712 | $46,418 | about average |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
26 | $64,508 | $16,024 | +68% |
|
Major Bladder Procedures with Complications
MS-DRG 654 · Inpatient stay |
26 | $134,169 | $39,691 | -8% |
|
Major Male Pelvic Procedures without Complications/mcc
MS-DRG 708 · Inpatient stay |
26 | $60,929 | $29,033 | -29% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
25 | $385,230 | $78,629 | +68% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
25 | $211,919 | $44,689 | +146% |
|
Carotid Artery Stent Procedures without Complications/mcc
MS-DRG 036 · Inpatient stay |
25 | $67,539 | $26,559 | -4% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
24 | $190,360 | $26,993 | +156% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
24 | $126,162 | $28,676 | +76% |
|
Other Respiratory System Operating Room Procedures with Major Complications
MS-DRG 166 · Inpatient stay |
24 | $377,769 | $83,755 | +159% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
24 | $14,527 | $1,931 | +27% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
23 | $88,463 | $26,559 | +19% |
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay |
23 | $401,089 | $102,298 | +57% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
23 | $60,350 | $13,936 | +64% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
22 | $256,239 | $59,885 | +40% |
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay |
22 | $44,592 | $11,029 | +16% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
22 | $151,034 | $31,726 | +81% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
22 | $50,264 | $12,512 | +55% |
|
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without
MS-DRG 279 · Inpatient stay |
22 | $88,655 | $41,086 | about average |
|
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit
MS-DRG 217 · Inpatient stay |
21 | $265,122 | $93,462 | about average |
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay |
21 | $76,656 | $17,823 | +73% |
|
Kidney and Ureter Procedures for Neoplasm without Complications/mcc
MS-DRG 658 · Inpatient stay |
21 | $56,478 | $26,210 | -26% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
21 | $22,859 | $5,660 | -24% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
20 | $153,551 | $31,163 | +91% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
20 | $80,963 | $16,780 | +106% |
|
Other Cardiothoracic Procedures with Major Complications
MS-DRG 228 · Inpatient stay |
20 | $224,940 | $85,932 | about average |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
20 | $26,177 | $8,596 | -36% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
19 | $89,333 | $17,238 | +140% |
|
Other Respiratory System Diagnoses with Major Complications
MS-DRG 205 · Inpatient stay |
19 | $122,448 | $26,996 | +60% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
19 | $35,346 | $11,627 | +5% |
|
Liver Transplant with Major Complications or Intestinal Transplant
MS-DRG 005 · Inpatient stay |
19 | $970,510 | $199,774 | +36% |
|
Autologous Bone Marrow Transplant with Complications/mcc
MS-DRG 016 · Inpatient stay |
19 | $368,556 | $102,170 | +53% |
|
Other Respiratory System Operating Room Procedures with Complications
MS-DRG 167 · Inpatient stay |
19 | $99,503 | $29,137 | +28% |
|
Digestive Malignancy with Complications
MS-DRG 375 · Inpatient stay |
19 | $142,516 | $24,594 | +168% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
19 | $100,467 | $36,593 | about average |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
19 | $98,668 | $24,392 | +42% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
19 | $74,216 | $22,028 | +9% |
|
Signs and Symptoms with Major Complications
MS-DRG 947 · Inpatient stay |
19 | $99,520 | $21,391 | +82% |
|
Implantation Wireless Pa Pressure Monitor
APC 5200 · Hospital outpatient visit |
19 | $81,741 | $32,971 | -40% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
18 | $71,722 | $19,346 | +35% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
18 | $97,115 | $58,057 | -41% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
18 | $206,764 | $31,494 | +213% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
18 | $47,030 | $13,132 | +34% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
18 | $129,792 | $32,974 | +47% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 808 · Inpatient stay |
18 | $150,268 | $36,769 | +41% |
|
Transurethral Prostatectomy with Complications/mcc
MS-DRG 713 · Inpatient stay |
18 | $68,312 | $22,518 | about average |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
17 | $441,084 | $107,894 | +43% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
17 | $178,530 | $48,685 | +29% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
17 | $65,318 | $13,936 | +109% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
17 | $89,364 | $20,723 | +61% |
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.