28/100
#1,937 nationally
New York-Presbyterian Hospital
525 East 68Th Street, New York, NY 10065 · (212) 746-5454
Charges far above the national norm
For every $1 of care Medicare actually paid for here, New York-Presbyterian Hospital billed $5.61 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
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 432
- inpatient and outpatient combined
- Rank in NY
- #105
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 24% of U.S. hospitals.
Better than 67% of U.S. hospitals.
Better than 10% 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 |
2,607 | $218,019 | $33,092 | +234% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
2,406 | $19,019 | $2,634 | +62% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
1,405 | $32,221 | $3,680 | +28% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
1,050 | $15,495 | $1,825 | +54% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
973 | $16,537 | $2,143 | +41% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
958 | $152,227 | $20,822 | +251% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
808 | $34,219 | $6,506 | about average |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
793 | $49,745 | $12,487 | -26% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
633 | $20,724 | $3,961 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
615 | $23,838 | $5,845 | -13% |
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 |
|---|---|---|---|
|
Aftercare, Musculoskeletal System and Connective Tissue with Major Complications
MS-DRG 559 · Inpatient stay |
$289,907 | $40,281 | +390% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$221,000 | $33,973 | +342% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
$92,357 | $9,928 | +321% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$288,988 | $39,781 | +279% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
$247,664 | $30,732 | +275% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$189,343 | $25,980 | +269% |
|
Minor Skin Disorders without Major Complications
MS-DRG 607 · Inpatient stay |
$136,266 | $20,589 | +259% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$152,227 | $20,822 | +251% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Implantation Wireless Pa Pressure Monitor
APC 5200 · Hospital outpatient visit |
$81,135 | $32,971 | -40% |
|
Level 4 Breast/lymphatic Surgery and Related Procedures
APC 5094 · Hospital outpatient visit |
$65,109 | $20,003 | -32% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$66,194 | $19,905 | -31% |
|
Otitis Media and Uri with Major Complications
MS-DRG 152 · Inpatient stay |
$119,132 | $18,178 | -27% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$49,745 | $12,487 | -26% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$33,080 | $10,473 | -26% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$117,265 | $37,317 | -21% |
|
Cochlear Implant Procedure
APC 5166 · Hospital outpatient visit |
$97,952 | $38,037 | -20% |
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.