34/100
#1,780 nationally
Richmond University Medical Center
355 Bard Avenue, Staten Island, NY 10310 · (718) 354-5047
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Richmond University Medical Center billed $4.64 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
- 4.6x
- volume-weighted across all its priced work
- Procedures priced
- 69
- inpatient and outpatient combined
- Rank in NY
- #96
- 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 41% of U.S. hospitals.
Better than 50% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 14% 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 |
196 | $32,111 | $3,077 | +65% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
190 | $125,269 | $26,551 | +92% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
76 | $85,662 | $17,554 | +84% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
73 | $98,116 | $22,815 | +78% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
69 | $26,923 | $6,463 | -23% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
65 | $22,479 | $3,552 | -11% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
60 | $13,279 | $3,966 | -36% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
57 | $14,217 | $3,508 | -22% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
53 | $240,799 | $82,845 | -10% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
50 | $13,424 | $1,808 | +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 |
|---|---|---|---|
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$97,409 | $15,019 | +148% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$138,835 | $22,909 | +144% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$137,053 | $24,706 | +143% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$74,088 | $12,074 | +142% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$183,642 | $30,622 | +135% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$73,738 | $13,735 | +124% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$137,741 | $23,125 | +115% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$65,366 | $10,943 | +114% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$83,381 | $26,949 | -37% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$13,279 | $3,966 | -36% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$20,470 | $5,603 | -25% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$26,923 | $6,463 | -23% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$14,217 | $3,508 | -22% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$18,750 | $3,937 | -19% |
|
Traumatic Injury without Major Complications
MS-DRG 914 · Inpatient stay |
$49,371 | $11,224 | -19% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$16,907 | $3,569 | -17% |
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.