50/100
#1,259 nationally
Mt Sinai Hospital Medical Center
15Th Street At California, Chicago, IL 60608 · (773) 542-2000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Mt Sinai Hospital Medical Center billed $3.52 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
- 3.5x
- volume-weighted across all its priced work
- Procedures priced
- 17
- inpatient and outpatient combined
- Rank in IL
- #46
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 70% of U.S. hospitals.
Better than 36% of U.S. hospitals.
Better than 39% of U.S. hospitals.
Better than 49% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
158 | $19,794 | $2,573 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
59 | $70,759 | $25,050 | +8% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
53 | $17,986 | $2,183 | +53% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
36 | $7,805 | $1,539 | -23% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
34 | $44,871 | $17,750 | +3% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
21 | $185,037 | $55,321 | +4% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
21 | $11,987 | $1,934 | -7% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
17 | $21,217 | $3,026 | +11% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
15 | $72,959 | $25,704 | +28% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
14 | $62,513 | $16,134 | +37% |
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 |
|---|---|---|---|
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$51,087 | $15,452 | +55% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$17,986 | $2,183 | +53% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$104,575 | $22,502 | +47% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$62,513 | $16,134 | +37% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$72,959 | $25,704 | +28% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$21,217 | $3,026 | +11% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$70,759 | $25,050 | +8% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$185,037 | $55,321 | +4% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,805 | $1,539 | -23% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$14,396 | $2,698 | -19% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$31,168 | $14,352 | -15% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$237,228 | $73,750 | -12% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$44,043 | $16,425 | -9% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$11,987 | $1,934 | -7% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$45,859 | $17,843 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$19,794 | $2,573 | about average |
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.