New York / Lincoln Medical & Mental Health Center
CMS certification 330080 · Bronx, NY
Lincoln Medical & Mental Health Center: charges and Medicare payments
Lincoln Medical & Mental Health Center reported 330 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 1.46 times what it was paid — among the lower ratios in New York, number 117 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: 70 stays at an average charge of $72,398, 20% below the national average. It also billed 111 outpatient services, charging 4.12 times what Medicare paid.
- 1Medicare inpatient stays 330
- 2Charge ÷ paid, inpatient 1.46×
- 3Rank in NY (highest ratio = 1) 117 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 17 DRGs that can be compared with the national average, Lincoln Medical & Mental Health Center charged more than the national average in 1 (6%). 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 | 70 | $72,398 | -20% | $40,891 |
| 291 Heart Failure and Shock with MCC | 39 | $31,750 | -44% | $31,893 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $48,228 | -36% | $34,756 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $52,169 | -13% | $33,148 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $25,569 | -50% | $31,023 |
| 812 Red Blood Cell Disorders without MCC | 18 | $37,293 | -16% | $28,852 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $36,695 | -27% | $29,336 |
| 682 Renal Failure with MCC | 16 | $74,037 | +12% | $39,221 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $184,218 | -43% | $95,558 |
| 637 Diabetes with MCC | 13 | $31,428 | -53% | $32,168 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $27,033 | -27% | $20,836 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $23,444 | -38% | $25,419 |
| 202 Bronchitis and Asthma with CC/MCC | 12 | $44,281 | -4% | $24,765 |
| 638 Diabetes with CC | 12 | $16,919 | -59% | $24,877 |
| 193 Simple Pneumonia and Pleurisy with MCC | 11 | $41,423 | -31% | $31,098 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $60,782 | 0% | $32,535 |
| 603 Cellulitis without MCC | 11 | $16,945 | -55% | $25,275 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 46 | $9,226 | $3,115 |
| Level 2 Urology and Related Services | 36 | $2,716 | $777 |
| Level 3 Urology and Related Services | 17 | $9,184 | $2,318 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 12 | $6,632 | $1,753 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lincoln Medical & Mental Health Center charged $72,398 on average, 38% less than the New York average of $116,930, and was paid $40,891 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Lincoln Medical & Mental Health Center charged $31,750 on average, 61% less than the New York average of $81,161, and was paid $31,893 against a state average of $16,034. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Lincoln Medical & Mental Health Center charged $48,228 on average, 53% less than the New York average of $102,833, and was paid $34,756 against a state average of $21,127. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Lincoln Medical & Mental Health Center charged $52,169 on average, 38% less than the New York average of $83,542, and was paid $33,148 against a state average of $17,824. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,226 was 65% below the state average of $26,675. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,716 was 21% below the state average of $3,429. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,184 was 30% below the state average of $13,044. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,632 was 48% below the state average of $12,815.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.