New York / Bellevue Hospital Center
CMS certification 330204 · New York, NY · 4 entries in CMS's price-transparency list
Bellevue Hospital Center: charges and Medicare payments
Bellevue Hospital Center reported 918 Medicare inpatient stays across 44 DRGs in 2024. Across them it charged 1.91 times what it was paid — among the lower ratios in New York, number 100 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 94 stays at an average charge of $128,439, 42% above the national average. It also billed 235 outpatient services, charging 4.83 times what Medicare paid.
- 1Medicare inpatient stays 918
- 2Charge ÷ paid, inpatient 1.91×
- 3Rank in NY (highest ratio = 1) 100 of 123
- 4CMS price-transparency actions 4
Inpatient stays
For the 44 DRGs that can be compared with the national average, Bellevue Hospital Center charged more than the national average in 23 (52%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 94 | $128,439 | +42% | $57,504 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 60 | $91,479 | +21% | $49,578 |
| 291 Heart Failure and Shock with MCC | 41 | $80,129 | +42% | $45,671 |
| 481 Hip and Femur Procedures except Major Joint with CC | 35 | $73,664 | -27% | $49,960 |
| 884 Organic Disturbances and Intellectual Disability | 31 | $111,578 | +79% | $58,922 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 30 | $197,568 | -30% | $100,047 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 30 | $118,893 | +19% | $57,238 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 29 | $55,671 | +10% | $35,609 |
| 177 Respiratory Infections and Inflammations with MCC | 26 | $90,318 | +28% | $48,744 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $52,207 | -13% | $45,539 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $51,709 | +37% | $41,699 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $67,206 | +31% | $43,375 |
| 057 Degenerative Nervous System Disorders without MCC | 21 | $52,999 | -6% | $40,793 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $125,702 | -23% | $58,858 |
| 605 Trauma To The Skin, Subcutaneous Tissue and Breast without... | 21 | $33,279 | -28% | $32,959 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $31,478 | -15% | $36,493 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $60,247 | +8% | $37,309 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 18 | $57,499 | -22% | $40,452 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $57,283 | +49% | $40,893 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $57,877 | -49% | $45,664 |
| 552 Medical Back Problems without MCC | 17 | $35,267 | -28% | $33,652 |
| 682 Renal Failure with MCC | 17 | $76,463 | +16% | $39,976 |
| 312 Syncope and Collapse | 16 | $36,832 | -19% | $33,613 |
| 637 Diabetes with MCC | 16 | $66,864 | +1% | $50,742 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $287,762 | +26% | $99,523 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 15 | $778,915 | -26% | $280,897 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $55,031 | -10% | $45,162 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $125,842 | -9% | $65,663 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 14 | $56,337 | +32% | $35,961 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $316,641 | -2% | $133,654 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 13 | $124,196 | +8% | $65,429 |
| 100 Seizures with MCC | 13 | $103,676 | +10% | $55,850 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 12 | $629,944 | +3% | $229,901 |
| 056 Degenerative Nervous System Disorders with MCC | 12 | $153,741 | +60% | $80,683 |
| 228 Other Cardiothoracic Procedures with MCC | 12 | $239,524 | -4% | $96,993 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $91,367 | -4% | $51,810 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $37,480 | -7% | $28,622 |
| 084 Traumatic Stupor and Coma >1 Hour without CC/MCC | 11 | $25,368 | -52% | $31,753 |
| 183 Major Chest Trauma with MCC | 11 | $46,726 | -37% | $44,506 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $35,549 | -2% | $33,929 |
| 683 Renal Failure with CC | 11 | $52,254 | +28% | $40,257 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $52,729 | +11% | $40,759 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $50,966 | +4% | $37,899 |
| 948 Signs and Symptoms without MCC | 11 | $55,076 | +45% | $38,464 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 48 | $8,752 | $2,612 |
| Comprehensive Observation Services | 43 | $10,232 | $3,115 |
| Level 2 Urology and Related Services | 39 | $4,904 | $778 |
| Level 2 Musculoskeletal Procedures | 26 | $11,294 | $1,829 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 23 | $5,979 | $1,845 |
| Level 1 Endovascular Procedures | 16 | $9,578 | $3,714 |
| Level 2 Upper GI Procedures | 16 | $10,277 | $2,165 |
| Level 3 Vascular Procedures | 12 | $10,946 | $3,627 |
| Level 3 Urology and Related Services | 12 | $10,623 | $2,318 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bellevue Hospital Center charged $128,439 on average, 10% more than the New York average of $116,930, and was paid $57,504 against a state average of $24,426. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Bellevue Hospital Center charged $91,479 on average, 11% less than the New York average of $102,833, and was paid $49,578 against a state average of $21,127. For Heart Failure and Shock with MCC (DRG 291), Bellevue Hospital Center charged $80,129 on average, 1% less than the New York average of $81,161, and was paid $45,671 against a state average of $16,034. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Bellevue Hospital Center charged $73,664 on average, 34% less than the New York average of $111,979, and was paid $49,960 against a state average of $23,668. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,752 was 46% below the state average of $16,178. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,232 was 62% below the state average of $26,675. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $4,904 was 43% above the state average of $3,429. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $11,294 was 13% below the state average of $13,038.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Bellevue Hospital Center in New York, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-06-23 (CMS case 417)
- CAP Request — 2021-12-01 (CMS case 417)
- Closure Notice — 2022-03-15 (CMS case 417)
- Met Requirements — 2025-03-28 (CMS case 3482)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.