New York / Harlem Hospital Center
CMS certification 330240 · New York, NY · 1 entry in CMS's price-transparency list
Harlem Hospital Center: charges and Medicare payments
Harlem Hospital Center reported 344 Medicare inpatient stays across 15 DRGs in 2024. Across them it charged 2.29 times what it was paid — among the lower ratios in New York, number 84 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: 116 stays at an average charge of $101,456, 12% above the national average. It also billed 72 outpatient services, charging 4.12 times what Medicare paid.
- 1Medicare inpatient stays 344
- 2Charge ÷ paid, inpatient 2.29×
- 3Rank in NY (highest ratio = 1) 84 of 123
- 4CMS price-transparency actions 1
Inpatient stays
For the 15 DRGs that can be compared with the national average, Harlem Hospital Center charged more than the national average in 7 (47%). 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 | 116 | $101,456 | +12% | $40,745 |
| 291 Heart Failure and Shock with MCC | 36 | $50,319 | -11% | $29,191 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $60,995 | +6% | $29,404 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 20 | $300,235 | +31% | $110,491 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 18 | $44,227 | -41% | $29,159 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $47,178 | -22% | $29,736 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $44,627 | +20% | $22,430 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $44,214 | -42% | $33,060 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 15 | $276,245 | -15% | $102,308 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $49,882 | +32% | $21,828 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $40,199 | -18% | $26,214 |
| 193 Simple Pneumonia and Pleurisy with MCC | 12 | $76,022 | +27% | $31,034 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $78,698 | -21% | $40,575 |
| 069 Transient Ischemia without Thrombolytic | 11 | $36,831 | -27% | $22,681 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $88,488 | +21% | $37,944 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 30 | $8,306 | $3,032 |
| Level 2 Urology and Related Services | 17 | $4,678 | $777 |
| Level 1 Intraocular Procedures | 14 | $9,607 | $2,652 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 11 | $5,813 | $1,845 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Harlem Hospital Center charged $101,456 on average, 13% less than the New York average of $116,930, and was paid $40,745 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Harlem Hospital Center charged $50,319 on average, 38% less than the New York average of $81,161, and was paid $29,191 against a state average of $16,034. For Pulmonary Edema and Respiratory Failure (DRG 189), Harlem Hospital Center charged $60,995 on average, 18% less than the New York average of $74,150, and was paid $29,404 against a state average of $15,119. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Harlem Hospital Center charged $300,235 on average, 4% more than the New York average of $288,832, and was paid $110,491 against a state average of $63,023. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,306 was 69% below the state average of $26,675. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $4,678 was 36% above the state average of $3,429. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,607 was 41% below the state average of $16,178. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,813 was 55% below the state average of $12,815.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Harlem 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:
- Met Requirements — 2025-04-18 (CMS case 3804)
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.