New York / Maimonides Medical Center

CMS certification 330194 · Brooklyn, NY · 4 entries in CMS's price-transparency list

Maimonides Medical Center: charges and Medicare payments

Maimonides Medical Center reported 5,865 Medicare inpatient stays across 130 DRGs in 2024. Across them it charged 4.37 times what it was paid — mid-range in New York, number 42 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: 1019 stays at an average charge of $136,417, 51% above the national average. It also billed 2,898 outpatient services, charging 7 times what Medicare paid.

1Medicare inpatient stays 5,865
2Charge ÷ paid, inpatient 4.37×
3Rank in NY (highest ratio = 1) 42 of 123
4CMS price-transparency actions 4

Average charge per stay at Maimonides Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 130 DRGs that can be compared with the national average, Maimonides Medical Center charged more than the national average in 106 (82%). 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	1019	$136,417	+51%	$30,280
291 Heart Failure and Shock with MCC	362	$126,442	+124%	$21,373
870 Septicemia or Severe Sepsis with MV >96 Hours	192	$352,334	+9%	$93,266
280 Acute Myocardial Infarction, Discharged Alive with MCC	161	$147,578	+95%	$26,037
193 Simple Pneumonia and Pleurisy with MCC	135	$86,439	+45%	$19,635
177 Respiratory Infections and Inflammations with MCC	114	$108,954	+54%	$24,945
682 Renal Failure with MCC	111	$79,109	+20%	$21,254
853 Infectious and Parasitic Diseases with O.R. Procedures with...	107	$380,901	+66%	$78,997
698 Other Kidney and Urinary Tract Diagnoses with MCC	102	$117,746	+60%	$26,917
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	100	$145,280	+45%	$28,654
189 Pulmonary Edema and Respiratory Failure	97	$77,896	+35%	$18,092
377 Gastrointestinal Hemorrhage with MCC	94	$126,452	+48%	$28,127
481 Hip and Femur Procedures except Major Joint with CC	91	$110,352	+10%	$27,831
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	86	$72,728	+48%	$15,896
689 Kidney and Urinary Tract Infections with MCC	81	$61,562	+20%	$17,067
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	77	$96,975	+61%	$20,590
004 Tracheostomy with MV >96 Hours or Principal Diagnosis except...	70	$771,408	+26%	$186,537
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	69	$85,696	+54%	$15,172
683 Renal Failure with CC	69	$55,757	+37%	$13,459
690 Kidney and Urinary Tract Infections without MCC	63	$52,317	+38%	$12,129
378 Gastrointestinal Hemorrhage with CC	62	$67,759	+40%	$14,508
322 Percutaneous Cardiovascular Procedures with Intraluminal...	60	$107,352	-6%	$25,784
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	59	$41,321	+3%	$12,032
603 Cellulitis without MCC	56	$57,325	+54%	$13,716
309 Cardiac Arrhythmia and Conduction Disorders with CC	50	$61,828	+71%	$11,119
470 Major Hip and Knee Joint Replacement or Reattachment of...	50	$97,745	+5%	$24,051
281 Acute Myocardial Infarction, Discharged Alive with CC	49	$67,046	+33%	$13,241
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	49	$109,947	+7%	$27,141
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	49	$42,726	+15%	$10,962
699 Other Kidney and Urinary Tract Diagnoses with CC	48	$63,043	+33%	$15,330
314 Other Circulatory System Diagnoses with MCC	46	$149,607	+58%	$33,164
393 Other Digestive System Diagnoses with MCC	46	$90,837	+18%	$23,285
884 Organic Disturbances and Intellectual Disability	46	$145,337	+133%	$22,939
321 Percutaneous Cardiovascular Procedures with Intraluminal...	43	$158,160	-3%	$38,570
267 Endovascular Cardiac Valve Replacement and Supplement...	42	$185,063	-16%	$59,547
308 Cardiac Arrhythmia and Conduction Disorders with MCC	42	$110,961	+96%	$20,991
312 Syncope and Collapse	42	$49,453	+9%	$12,291
286 Circulatory Disorders except AMI, with Cardiac...	41	$160,842	+43%	$35,329
552 Medical Back Problems without MCC	39	$51,161	+5%	$13,188
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	38	$66,984	+10%	$18,618
811 Red Blood Cell Disorders with MCC	37	$94,004	+38%	$21,809
057 Degenerative Nervous System Disorders without MCC	36	$97,208	+72%	$25,380
374 Digestive Malignancy with MCC	36	$143,555	+43%	$33,436
394 Other Digestive System Diagnoses with CC	36	$57,306	+22%	$13,839
637 Diabetes with MCC	34	$104,284	+57%	$22,642
056 Degenerative Nervous System Disorders with MCC	33	$97,257	+1%	$31,284
274 Percutaneous and Other Intracardiac Procedures without MCC	33	$103,323	-34%	$40,832
207 Respiratory System Diagnosis with Ventilator Support >96...	32	$450,264	+54%	$106,237
287 Circulatory Disorders except AMI, with Cardiac...	32	$47,117	-26%	$15,885
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	31	$114,917	+76%	$21,567
194 Simple Pneumonia and Pleurisy with CC	31	$51,834	+35%	$11,877
638 Diabetes with CC	30	$62,580	+50%	$13,812
270 Other Major Cardiovascular Procedures with MCC	29	$222,649	-14%	$65,309
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	28	$1,267,860	+20%	$287,054
388 Gastrointestinal Obstruction with MCC	28	$103,674	+52%	$20,444
445 Disorders of The Biliary Tract with CC	27	$72,136	+24%	$15,671
329 Major Small and Large Bowel Procedures with MCC	26	$254,342	+18%	$64,206
025 Craniotomy and Endovascular Intracranial Procedures with MCC	25	$226,452	-2%	$57,975
101 Seizures without MCC	25	$71,780	+47%	$13,639
242 Permanent Cardiac Pacemaker Implant with MCC	24	$174,551	+9%	$52,399

Showing the 60 most frequent of 130 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	527	$24,244	$3,115
Level 2 Excision/ Biopsy/ Incision and Drainage	322	$9,499	$1,840
Level 1 Endovascular Procedures	270	$17,828	$3,714
Level 4 Urology and Related Services	180	$24,118	$3,967
Level 3 Urology and Related Services	142	$16,867	$2,318
Level 3 Endovascular Procedures	135	$79,049	$12,500
Level 3 Electrophysiologic Procedures	114	$163,187	$26,727
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	109	$32,374	$3,919
Level 2 Upper GI Procedures	90	$15,483	$2,165
Level 3 Pacemaker and Similar Procedures	87	$58,053	$12,134
Level 1 Laparoscopy and Related Services	82	$40,607	$6,566
Level 3 Vascular Procedures	81	$16,540	$3,627
Level 5 Urology and Related Services	70	$33,621	$5,888
Level 3 Excision/ Biopsy/ Incision and Drainage	56	$18,428	$3,233
Level 5 Musculoskeletal Procedures	56	$76,505	$14,948
Level 4 Gynecologic Procedures	56	$22,904	$3,558
Level 1 Breast/Lymphatic Surgery and Related Procedures	47	$28,274	$4,337
Level 2 Pacemaker and Similar Procedures	46	$44,763	$9,661
Level 2 Laparoscopy and Related Services	46	$89,890	$11,699
Level 3 Lower GI Procedures	45	$17,634	$3,195
Level 4 Musculoskeletal Procedures	43	$40,413	$7,989
Level 2 Endovascular Procedures	42	$31,851	$6,504
Level 4 Airway Endoscopy	34	$25,801	$4,261
Level 2 Vascular Procedures	29	$8,012	$1,823
Level 2 ICD and Similar Procedures	28	$148,130	$37,317

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Maimonides Medical Center charged $136,417 on average, 17% more than the New York average of $116,930, and was paid $30,280 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Maimonides Medical Center charged $126,442 on average, 56% more than the New York average of $81,161, and was paid $21,373 against a state average of $16,034. For Septicemia or Severe Sepsis with MV >96 Hours (DRG 870), Maimonides Medical Center charged $352,334 on average, 2% less than the New York average of $359,081, and was paid $93,266 against a state average of $85,696. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Maimonides Medical Center charged $147,578 on average, 44% more than the New York average of $102,833, and was paid $26,037 against a state average of $21,127. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,244 was 9% below the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,499 was 26% below the state average of $12,815. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,828 was 30% below the state average of $25,359. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $24,118 was 19% above the state average of $20,339.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Maimonides Medical Center in Brooklyn, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-04-19 (CMS case 81)
CAP Request — 2021-09-30 (CMS case 81)
Closure Notice — 2022-02-02 (CMS case 81)
Met Requirements — 2025-03-19 (CMS case 3347)

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.