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New York hospital prices

What New York hospitals charge across every procedure they publish in their federally-mandated machine-readable file.

Hospitals

Procedures

206

Payers

Rate rows

99,765

Top procedures in New York

By number of New York hospitals reporting (≥2). Click for the national distribution.

Procedure	Type	Code	New York hospitals	New York median
AMI discharged alive w/o CC/MCC	MS-DRG	282	6	$7,734.94
Simple pneumonia & pleurisy w CC	MS-DRG	194	6	$8,747.27
Cardiac arrhythmia w CC	MS-DRG	309	6	$7,886.42
Major joint replacement w MCC	MS-DRG	469	6	$31,484
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	6	$32,239
Psychoses	MS-DRG	885	6	$31,040
Psychoses	MS-DRG	885	6	$13,690
AMI discharged alive w MCC	MS-DRG	280	6	$17,509
Cardiac arrhythmia w MCC	MS-DRG	308	6	$12,864
Major small/large bowel procedures w MCC	MS-DRG	329	5	$48,984
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	5	$12,744
Intracranial hemorrhage/CVA w CC	MS-DRG	065	5	$22,744
Respiratory infections & inflammations w MCC	MS-DRG	177	5	$35,039
Major small/large bowel procedures w MCC	MS-DRG	329	5	$102,144
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	5	$5,968.41
Major small/large bowel procedures w CC	MS-DRG	330	5	$53,343
COPD w CC	MS-DRG	191	5	$18,977
Hip hemiarthroplasty	CPT	27125	5	$1,139.61
COPD w MCC	MS-DRG	190	5	$11,979
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	5	$15,407
Cardiac arrhythmia w CC	MS-DRG	309	5	$16,562
Heart failure & shock w/o CC/MCC	MS-DRG	293	5	$5,853.21
COPD w CC	MS-DRG	191	5	$9,164.38
Total hip replacement	CPT	27130	5	$1,399.43
COPD w/o CC/MCC	MS-DRG	192	5	$14,452
Heart failure & shock w CC	MS-DRG	292	5	$9,186.77
Total knee replacement	CPT	27447	5	$1,398.11
COPD w/o CC/MCC	MS-DRG	192	5	$6,903.95
Simple pneumonia & pleurisy w CC	MS-DRG	194	5	$18,142
Heart failure & shock w CC	MS-DRG	292	5	$19,112
COPD w MCC	MS-DRG	190	5	$24,936
AMI discharged alive w CC	MS-DRG	281	5	$9,833.22
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	5	$6,642.6
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	5	$44,872
AMI discharged alive w CC	MS-DRG	281	5	$20,690
AMI discharged alive w/o CC/MCC	MS-DRG	282	5	$16,278
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	5	$14,149
Heart failure & shock w MCC	MS-DRG	291	5	$28,900
Heart failure & shock w MCC	MS-DRG	291	5	$13,919
AMI discharged alive w MCC	MS-DRG	280	5	$35,947

Top payers in New York

Payer	Hospitals	Rates	Median rate
Aetna	16	5,821	$465.13
UnitedHealthcare	15	8,802	$241.39
Humana	12	1,642	$273.3
Cigna	11	2,179	$1,018.18
Blue Cross Blue Shield	10	17,227	$171.86
Emblem Health	10	5,558	$386.25
magnacare	8	1,463	$525.6
WellCare	7	338	$11,610
Healthfirst	7	3,148	$228.72
mvp	7	3,119	$185.53
Empire BCBS	7	4,087	$943.28
oxford	6	1,078	$595.77
fidelis	6	1,117	$318.15
Molina	5	974	$163.28
fidelis care	4	3,714	$134.55
Multiplan	3	923	$531
Medicare	3	1,956	$195.21
metroplus	3	276	$1,155.7
capital district physicians' health plan	3	2,838	$126.12
oscar	3	172	$29,313
local 1199	3	135	$34,600
VA Health	3	739	$146.56
martins point	3	690	$151.85
vns	3	341	$275.69
choicecare	2	862	$204
centers plan for healthy living	2	513	$152.5
cdphp	2	174	$25,020
Medicare Advantage	2	147	$304.71
1199 seiu	2	154	$634
Medicaid	2	2,395	$103.02

New York hospitals (top 19 by compliance)

Hospital	City	Grade	Score	Procedures	Payers
Nassau University Medical Center	EAST MEADOW	A	100	198	14
FREDRICK FERRIS THOMPSON HOSPITAL	CANANDAIGUA	A	100	190	14
Memorial Hospital For Cancer And Allied Diseases	NEW YORK	A	100	189	18
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL	PLATTSBURGH	A	100	188	17
Elizabethtown Community Hospital	ELIZABETHTOWN	A	100	157	16
Westfield Memorial Hospital	WESTFIELD	A	100	155	18
Alice Hyde Medical Center	MALONE	A	100	133	12
St Joseph's Medical Center	YONKERS	A	100	111	15
Helen Hayes Hospital	WEST HAVERSTRAW	A	95	68	10
NYU LANGONE HOSPITALS	NEW YORK	B	86	138	0
EASTERN LONG ISLAND HOSPITAL	GREENPORT	B	86	138	0
Adirondack Medical Center - Saranac Lake	SARANAC LAKE	B	82	11	8
Garnet Health Medical Center	MIDDLETOWN	C	77	47	17
Garnet Health Medical Center Catskills - (csk)	HARRIS	C	77	45	15
SOUTH NASSAU COMMUNITIES HOSPITAL	OCEANSIDE	C	77	43	12
NEW YORK EYE AND EAR INFIRMARY	NEW YORK	C	77	43	15
Mount Sinai Hospital	NEW YORK	C	77	43	15
Calvary Hospital Inc	BRONX	D	69	44	0
Stony Brook University Hospital	STONY BROOK	F	55	104	25