35/100
#1,740 nationally
Mount Sinai West
1000 Tenth Avenue, New York, NY 10019 · (212) 523-4000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Mount Sinai West billed $5.25 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
- 5.3x
- volume-weighted across all its priced work
- Procedures priced
- 183
- inpatient and outpatient combined
- Rank in NY
- #93
- 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 25% of U.S. hospitals.
Better than 87% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
559 | $176,977 | $28,988 | +171% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
252 | $44,491 | $12,374 | -34% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
230 | $16,776 | $3,630 | -34% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
215 | $96,439 | $26,560 | -27% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
164 | $27,206 | $10,261 | -39% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
155 | $151,824 | $23,366 | +147% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
150 | $125,049 | $19,498 | +188% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
138 | $35,714 | $8,012 | -10% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
129 | $41,998 | $14,289 | -33% |
|
Fainting
MS-DRG 312 · Inpatient stay |
123 | $66,724 | $12,362 | +82% |
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 |
|---|---|---|---|
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
$151,945 | $24,333 | +334% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
$273,001 | $29,690 | +312% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$172,402 | $23,130 | +236% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$155,270 | $27,680 | +224% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$131,991 | $19,000 | +224% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$99,804 | $15,219 | +209% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$228,475 | $34,365 | +200% |
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
$1,590,286 | $280,867 | +196% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$56,084 | $19,257 | -41% |
|
Stomach, Esophageal and Duodenal Procedures with Major Complications
MS-DRG 326 · Inpatient stay |
$136,380 | $58,472 | -39% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$27,206 | $10,261 | -39% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$22,538 | $6,389 | -35% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$44,491 | $12,374 | -34% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$16,776 | $3,630 | -34% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$39,876 | $11,471 | -33% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$41,998 | $14,289 | -33% |
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.