All published prices at New York-Presbyterian/Queens
146 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 |
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% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
100 | $323,469 | $62,892 | +82% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
95 | $71,084 | $13,052 | +81% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
93 | $29,162 | $8,140 | -27% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
90 | $18,948 | $3,897 | -8% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
82 | $62,996 | $10,318 | +112% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
78 | $12,082 | $2,143 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
75 | $139,557 | $22,036 | +146% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
75 | $18,183 | $2,652 | +55% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
73 | $71,499 | $26,949 | -46% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
72 | $155,583 | $26,163 | +104% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
70 | $64,513 | $11,855 | +96% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
69 | $14,542 | $1,829 | +30% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
66 | $82,289 | $15,371 | +70% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
65 | $22,667 | $5,888 | -17% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
63 | $77,210 | $14,452 | +87% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
62 | $57,645 | $9,647 | +79% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
61 | $94,238 | $12,394 | +107% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
60 | $28,799 | $6,479 | -18% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
59 | $116,092 | $19,869 | +63% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
56 | $29,885 | $12,500 | -56% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
55 | $139,843 | $21,921 | +164% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
53 | $47,396 | $9,682 | +55% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
52 | $101,187 | $22,241 | +21% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
51 | $72,425 | $13,363 | +73% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
51 | $22,021 | $4,337 | -8% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
51 | $17,773 | $2,226 | +38% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
49 | $66,545 | $11,682 | +71% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
49 | $65,183 | $12,648 | +67% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
49 | $125,663 | $20,088 | +96% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
45 | $54,921 | $10,727 | +35% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
45 | $56,508 | $9,673 | +85% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
44 | $184,546 | $30,620 | +110% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
43 | $117,569 | $18,494 | +92% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
42 | $69,833 | $15,287 | +46% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
39 | $25,353 | $3,627 | +33% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
36 | $79,968 | $11,450 | +162% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
35 | $56,959 | $10,174 | +69% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
34 | $96,764 | $23,292 | +13% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
34 | $10,449 | $2,197 | -8% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
34 | $16,356 | $3,194 | about average |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
33 | $51,464 | $10,105 | +49% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
33 | $51,249 | $10,633 | +39% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
33 | $18,559 | $3,683 | -9% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
33 | $25,185 | $3,937 | +8% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
31 | $123,544 | $22,880 | +58% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
30 | $144,731 | $27,009 | +68% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
30 | $104,102 | $29,547 | +29% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
30 | $65,101 | $9,435 | +66% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
29 | $40,598 | $14,030 | -35% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
28 | $81,715 | $15,521 | +69% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
28 | $74,807 | $12,387 | +98% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
27 | $112,787 | $35,617 | -9% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
27 | $138,612 | $32,997 | +18% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
27 | $54,053 | $10,780 | +67% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
26 | $85,801 | $18,037 | +27% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
25 | $49,929 | $9,246 | +49% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
25 | $98,378 | $15,101 | +108% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
25 | $36,851 | $12,111 | -28% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
24 | $135,461 | $31,619 | -6% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
24 | $99,599 | $19,352 | +43% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
23 | $136,366 | $23,420 | +142% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
23 | $82,423 | $16,607 | +46% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
23 | $61,553 | $12,554 | +56% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
23 | $18,404 | $5,981 | -49% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
23 | $17,687 | $3,434 | about average |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
22 | $67,011 | $10,170 | +111% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
22 | $48,910 | $11,255 | +32% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
22 | $11,930 | $4,358 | -45% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
21 | $1,170,886 | $248,666 | +33% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
21 | $106,685 | $23,167 | +5% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
21 | $35,804 | $7,420 | -9% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
20 | $67,787 | $14,478 | +20% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
20 | $70,247 | $12,066 | +89% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
20 | $73,006 | $16,364 | +34% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
20 | $19,117 | $3,105 | +8% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
19 | $49,920 | $9,600 | +21% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
19 | $140,142 | $38,468 | +39% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
19 | $159,506 | $24,099 | +85% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
19 | $112,214 | $17,952 | +119% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
19 | $33,492 | $6,504 | -3% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
18 | $56,488 | $12,727 | +32% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
18 | $108,828 | $17,644 | +112% |
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
18 | $923,602 | $131,930 | +72% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
18 | $93,723 | $19,530 | +42% |
|
Other Musculoskeletal System and Connective Tissue Diagnoses with Complications
MS-DRG 565 · Inpatient stay |
18 | $61,495 | $12,203 | +46% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
17 | $144,990 | $17,976 | +166% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
17 | $92,876 | $18,986 | +67% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
17 | $271,988 | $55,205 | +48% |
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay |
17 | $346,498 | $73,907 | +35% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
17 | $126,539 | $28,759 | +31% |
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.