19/100
#2,195 nationally
Phelps Hospital
701 North Broadway, Sleepy Hollow, NY 10591 · (914) 366-3000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Phelps Hospital billed $6.82 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
- 6.8x
- volume-weighted across all its priced work
- Procedures priced
- 84
- inpatient and outpatient combined
- Rank in NY
- #116
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 18% of U.S. hospitals.
Better than 26% of U.S. hospitals.
Better than 15% of U.S. hospitals.
Better than 16% 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 |
332 | $117,256 | $20,180 | +80% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
274 | $52,136 | $3,056 | +168% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
273 | $22,222 | $2,568 | +89% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
158 | $15,920 | $1,784 | +58% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
109 | $24,937 | $2,132 | +112% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
100 | $17,896 | $2,218 | +39% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
100 | $35,449 | $5,721 | +29% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
96 | $91,482 | $13,335 | +111% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
79 | $115,349 | $16,176 | +110% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
70 | $80,255 | $11,554 | +97% |
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 |
|---|---|---|---|
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
$140,913 | $18,519 | +302% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$45,312 | $2,659 | +213% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$52,136 | $3,056 | +168% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$122,207 | $13,998 | +138% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$56,465 | $4,337 | +137% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$91,239 | $11,518 | +121% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$86,910 | $7,420 | +120% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$65,640 | $10,194 | +115% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$6,491 | $1,661 | -24% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$29,337 | $9,159 | -22% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$79,181 | $19,784 | about average |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$41,253 | $9,093 | about average |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$24,294 | $4,228 | +7% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$73,770 | $12,319 | +9% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$12,816 | $1,787 | +14% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$20,509 | $3,054 | +16% |
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.