▸ Hospital · NY · CCN 330101
Mount Sinai Hospital
525 EAST 68TH STREET, NEW YORK, NY, 10065
2,850 bedsAcute Care Hospitals2
Compliance grade
C
77/100
Procedures tracked
43
of 209 target codes
Payers
15
with negotiated rates
Rates published
1,677
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 15 | — | — | $19,613 | $34,476 | $55,033 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 15 | — | — | $27,881 | $49,636 | $79,231 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 15 | — | — | $14,410 | $24,936 | $39,805 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 15 | — | — | $10,023 | $16,892 | $26,965 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 15 | — | — | $21,846 | $38,571 | $61,569 |
| COPD w MCC | MS-DRG | 190 | 15 | — | — | $15,721 | $27,340 | $43,642 |
| COPD w CC | MS-DRG | 191 | 15 | — | — | $12,158 | $20,807 | $33,213 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | — | — | $9,452.53 | $15,846 | $25,294 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 15 | — | — | $11,659 | $19,891 | $31,752 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 15 | — | — | $9,270.8 | $15,513 | $24,762 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | — | — | $22,404 | $39,592 | $63,200 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | — | — | $13,183 | $22,685 | $36,212 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | — | — | $10,544 | $17,848 | $28,489 |
| Heart failure & shock w MCC | MS-DRG | 291 | 15 | — | — | $18,092 | $31,687 | $50,580 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | — | — | $12,239 | $20,955 | $33,450 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | — | — | $8,429.47 | $13,970 | $22,300 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | — | — | $17,018 | $29,717 | $47,436 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | — | — | $10,714 | $18,159 | $28,986 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | — | — | $8,430.82 | $13,972 | $22,304 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | — | — | $14,012 | $24,206 | $38,639 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | — | — | $9,296.38 | $15,560 | $24,837 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | — | — | $11,305 | $19,242 | $30,715 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 15 | — | — | $21,914 | $38,694 | $61,766 |
| Kidney/UTI w MCC | MS-DRG | 689 | 15 | — | — | $16,430 | $28,639 | $45,715 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 15 | — | — | $11,707 | $19,980 | $31,893 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 15 | — | — | $26,959 | $47,945 | $76,533 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 15 | — | — | $14,585 | $25,257 | $40,317 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | — | — | $62,685 | $113,451 | $181,098 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | — | — | $33,080 | $59,168 | $94,447 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | — | — | $23,464 | $41,537 | $66,305 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | — | — | $23,582 | $41,752 | $66,647 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | — | — | $19,196 | $33,711 | $53,811 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | — | — | $46,674 | $84,094 | $134,236 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | — | — | $41,641 | $74,865 | $119,505 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | — | — | $26,776 | $47,609 | $75,997 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | — | — | $40,014 | $71,881 | $114,742 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | — | — | $29,005 | $51,696 | $82,521 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 15 | — | — | $22,766 | $40,256 | $64,260 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 15 | — | — | $39,679 | $71,267 | $113,761 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | — | — | $22,353 | $39,499 | $63,050 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 15 | — | — | $21,115 | $37,230 | $59,429 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 15 | — | — | $17,512 | $30,623 | $48,882 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 15 | — | — | $28,394 | $50,576 | $80,732 |
Payer mix (top 15)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 43 | $30,718 |
| Cigna | 43 | $27,864 |
| Emblem Health | 43 | $31,752 |
| Empire BCBS | 43 | $35,454 |
| fidelis | 43 | $18,092 |
| Healthfirst | 43 | $18,092 |
| horizon | 43 | $33,831 |
| Humana | 43 | $18,092 |
| local 1199 | 43 | $27,997 |
| metroplus | 43 | $18,092 |
| oscar | 43 | $29,848 |
| oxford | 43 | $44,925 |
| UnitedHealthcare | 43 | $28,481 |
| vns | 43 | $18,092 |
| WellCare | 43 | $18,092 |