39/100
#1,620 nationally
New York-Presbyterian/Queens
56-45 Main Street, Flushing, NY 11355 · (718) 670-2000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, New York-Presbyterian/Queens billed $5.27 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
- 146
- inpatient and outpatient combined
- Rank in NY
- #88
- 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 27% of U.S. hospitals.
Better than 85% of U.S. hospitals.
Better than 22% of U.S. hospitals.
Better than 15% 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 |
896 | $143,945 | $25,092 | +121% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
217 | $109,164 | $16,278 | +151% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
129 | $122,882 | $19,575 | +123% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
124 | $74,243 | $23,332 | -7% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
122 | $9,894 | $1,813 | about average |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
118 | $86,529 | $14,281 | +112% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
118 | $376,766 | $79,085 | +40% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
114 | $113,189 | $16,187 | +143% |
|
Fainting
MS-DRG 312 · Inpatient stay |
102 | $63,467 | $10,317 | +73% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
101 | $16,920 | $3,689 | -33% |
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 |
|---|---|---|---|
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$118,319 | $12,147 | +167% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$144,990 | $17,976 | +166% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$139,843 | $21,921 | +164% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$79,968 | $11,450 | +162% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
$187,859 | $20,012 | +153% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$109,164 | $16,278 | +151% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$139,557 | $22,036 | +146% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$113,189 | $16,187 | +143% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$29,885 | $12,500 | -56% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$18,404 | $5,981 | -49% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$71,499 | $26,949 | -46% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$11,930 | $4,358 | -45% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$24,426 | $9,661 | -35% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$19,479 | $6,485 | -35% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$40,598 | $14,030 | -35% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$16,920 | $3,689 | -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.