All published prices at Mount Sinai South Nassau
155 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,130 | $66,163 | $3,076 | +240% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
1,110 | $149,635 | $20,621 | +129% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
253 | $107,526 | $12,873 | +148% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
229 | $16,478 | $1,827 | +63% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
221 | $117,895 | $12,378 | +74% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
215 | $40,502 | $3,641 | +60% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
178 | $26,593 | $2,122 | +126% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
177 | $122,690 | $16,806 | +123% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
175 | $60,856 | $14,652 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
167 | $89,346 | $11,230 | +128% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
153 | $32,210 | $5,801 | +17% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
147 | $29,184 | $3,928 | +41% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
141 | $335,959 | $51,934 | +89% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
136 | $111,030 | $14,927 | +138% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
113 | $20,322 | $2,626 | +73% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
105 | $97,162 | $11,980 | +138% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
101 | $144,124 | $18,093 | +103% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
95 | $128,774 | $15,305 | +143% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
95 | $42,820 | $8,061 | +7% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
89 | $45,017 | $6,408 | +28% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
85 | $77,923 | $9,912 | +136% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
84 | $27,104 | $3,202 | +53% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
83 | $160,586 | $21,937 | +111% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
83 | $129,145 | $21,143 | +55% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
79 | $118,708 | $16,837 | +109% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
75 | $405,937 | $67,550 | +51% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
75 | $41,929 | $3,592 | +119% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
73 | $22,261 | $2,295 | +72% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
72 | $122,692 | $11,065 | +169% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
70 | $27,531 | $1,790 | +145% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
68 | $93,207 | $10,314 | +126% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
68 | $22,830 | $3,523 | +26% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
67 | $66,281 | $9,629 | +117% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
65 | $115,118 | $13,019 | +138% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
65 | $72,816 | $8,836 | +126% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
63 | $86,327 | $9,021 | +190% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
63 | $166,810 | $19,140 | +75% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
62 | $34,562 | $4,295 | +45% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
59 | $83,424 | $13,105 | +72% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
57 | $57,950 | $11,584 | about average |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
52 | $23,796 | $3,163 | +44% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
51 | $173,142 | $19,461 | +70% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
49 | $116,047 | $16,157 | +89% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
49 | $51,148 | $10,371 | +15% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
48 | $35,688 | $8,513 | -13% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
46 | $130,290 | $25,531 | +30% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
46 | $27,294 | $3,647 | +34% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
45 | $95,702 | $11,785 | +86% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
44 | $32,859 | $4,315 | +50% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
43 | $59,873 | $8,037 | +96% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
42 | $74,750 | $11,012 | +79% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
42 | $163,998 | $22,092 | +86% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
42 | $29,751 | $3,898 | +28% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
41 | $90,171 | $12,885 | +90% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
40 | $135,850 | $18,036 | +112% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
40 | $45,629 | $7,348 | +16% |
|
Fainting
MS-DRG 312 · Inpatient stay |
39 | $90,682 | $9,437 | +148% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
39 | $58,605 | $6,309 | +69% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
38 | $87,137 | $10,571 | +123% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
37 | $82,806 | $12,197 | +69% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
37 | $29,645 | $5,605 | about average |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
36 | $83,489 | $10,756 | +53% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
36 | $118,073 | $21,342 | +38% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
35 | $182,306 | $28,679 | +55% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
35 | $109,890 | $14,470 | +95% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
34 | $89,335 | $15,920 | +33% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
34 | $34,624 | $4,220 | +53% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
33 | $100,808 | $24,764 | +25% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
32 | $187,013 | $8,772 | +216% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
31 | $70,700 | $9,287 | +73% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
31 | $101,982 | $13,432 | +99% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
31 | $113,786 | $15,698 | +122% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
30 | $143,349 | $20,628 | +83% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
30 | $240,014 | $35,520 | +67% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
30 | $69,446 | $10,167 | +79% |
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
30 | $953,241 | $138,618 | +77% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
29 | $50,998 | $6,422 | +70% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
28 | $184,301 | $27,348 | +62% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
28 | $77,229 | $8,866 | +147% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
26 | $73,748 | $8,722 | +132% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
26 | $251,083 | $43,436 | +40% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
26 | $72,824 | $9,040 | +98% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
25 | $116,536 | $15,358 | +103% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
25 | $113,496 | $14,510 | +90% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
24 | $88,602 | $10,353 | +138% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
24 | $67,923 | $10,035 | +96% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
22 | $151,646 | $18,543 | +113% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
22 | $90,896 | $14,627 | +61% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
22 | $144,090 | $22,084 | +74% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
22 | $83,455 | $11,763 | +110% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
22 | $44,802 | $6,192 | +24% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
21 | $307,675 | $44,466 | +60% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
21 | $277,652 | $44,579 | +51% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
21 | $196,713 | $18,693 | +183% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
20 | $69,302 | $9,445 | +86% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
20 | $183,375 | $27,977 | +63% |
|
Major Chest Trauma with Major Complications
MS-DRG 183 · Inpatient stay |
20 | $106,771 | $15,987 | +53% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
20 | $24,927 | $1,805 | +191% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
19 | $96,844 | $10,515 | +126% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
19 | $58,584 | $8,547 | +79% |
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.