All published prices at Mount Sinai West
183 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 |
|---|---|---|---|---|
|
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% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
120 | $13,953 | $3,575 | -27% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
119 | $27,016 | $6,456 | -23% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
115 | $11,712 | $1,810 | +4% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
113 | $12,890 | $2,128 | +10% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
110 | $128,209 | $23,104 | +133% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
104 | $22,538 | $6,389 | -35% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
104 | $26,069 | $5,800 | -5% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
101 | $131,991 | $19,000 | +224% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
99 | $74,061 | $24,680 | -7% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
96 | $124,297 | $20,746 | +156% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
87 | $13,099 | $1,826 | +30% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
84 | $410,752 | $74,133 | +131% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
83 | $107,587 | $18,931 | +131% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
83 | $20,038 | $3,927 | about average |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
81 | $18,326 | $3,646 | -10% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
81 | $56,084 | $19,257 | -41% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
81 | $29,019 | $6,531 | -16% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
80 | $147,657 | $24,694 | +160% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
80 | $29,537 | $9,464 | -22% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
73 | $228,475 | $34,365 | +200% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
73 | $99,804 | $15,219 | +209% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
72 | $143,098 | $22,209 | +170% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
72 | $27,797 | $6,121 | -23% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
68 | $88,346 | $14,795 | +125% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
67 | $40,338 | $11,859 | -22% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
64 | $156,009 | $28,202 | +87% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
63 | $17,014 | $3,522 | -6% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
63 | $13,917 | $2,550 | -16% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
61 | $87,314 | $14,256 | +123% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
59 | $21,316 | $4,236 | -11% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
58 | $199,217 | $38,920 | +70% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
53 | $68,738 | $11,850 | +131% |
|
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc
MS-DRG 027 · Inpatient stay |
53 | $86,395 | $32,034 | -29% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
53 | $39,876 | $11,471 | -33% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
52 | $70,851 | $12,860 | +132% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
52 | $78,728 | $12,596 | +142% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
50 | $191,808 | $38,124 | +123% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
50 | $14,642 | $2,294 | +13% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
49 | $19,815 | $3,897 | -15% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
47 | $156,431 | $42,103 | +26% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
45 | $94,070 | $14,220 | +128% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
45 | $98,801 | $17,520 | +93% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
45 | $101,687 | $24,573 | +26% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
43 | $178,476 | $26,884 | +151% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
42 | $138,751 | $24,268 | +100% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
41 | $221,862 | $33,710 | +175% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
40 | $126,444 | $20,008 | +125% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
39 | $333,584 | $59,662 | +73% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
39 | $63,325 | $10,513 | +107% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
39 | $86,341 | $13,698 | +162% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
39 | $638,863 | $100,579 | +138% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
39 | $20,228 | $4,164 | -11% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
38 | $135,915 | $23,693 | +91% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
38 | $146,827 | $22,228 | +169% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
38 | $123,693 | $16,860 | +161% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
38 | $78,535 | $14,539 | +75% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
37 | $18,470 | $3,201 | +4% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
36 | $97,491 | $14,880 | +133% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
36 | $146,242 | $26,643 | +193% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
35 | $101,372 | $14,523 | +123% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
35 | $83,671 | $13,424 | +105% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
35 | $83,814 | $13,274 | +91% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
35 | $134,149 | $28,145 | +57% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
34 | $29,697 | $7,173 | -25% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
33 | $102,678 | $34,867 | -9% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
32 | $155,270 | $27,680 | +224% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
32 | $109,858 | $18,633 | +127% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
32 | $56,159 | $11,145 | +84% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
31 | $510,455 | $85,106 | +123% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
31 | $148,010 | $22,873 | +162% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
30 | $122,809 | $34,040 | +9% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
30 | $182,091 | $47,377 | +26% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
30 | $119,265 | $35,762 | -20% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
29 | $67,536 | $12,145 | +84% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
28 | $140,119 | $22,835 | +118% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
28 | $65,870 | $10,492 | +68% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
27 | $515,702 | $92,415 | +130% |
|
HIV-Related Infection (severe)
MS-DRG 974 · Inpatient stay |
27 | $238,279 | $48,072 | +34% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
26 | $375,951 | $56,913 | +159% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
26 | $146,776 | $39,891 | about average |
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay |
26 | $179,924 | $46,912 | +20% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
26 | $117,013 | $31,534 | +14% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
26 | $24,903 | $5,431 | -17% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
25 | $186,780 | $26,208 | +139% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
25 | $80,790 | $13,108 | +108% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
25 | $15,878 | $4,314 | -27% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
24 | $90,902 | $24,203 | -11% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
24 | $86,807 | $14,202 | +133% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
23 | $83,941 | $14,665 | +123% |
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay |
23 | $278,155 | $70,874 | +16% |
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.