New York / Montefiore New Rochelle Hospital
CMS certification 330184 · New Rochelle, NY
Montefiore New Rochelle Hospital: charges and Medicare payments
Montefiore New Rochelle Hospital reported 881 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 3.85 times what it was paid — mid-range in New York, number 48 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: 191 stays at an average charge of $94,098, 4% above the national average. It also billed 218 outpatient services, charging 4.26 times what Medicare paid.
- 1Medicare inpatient stays 881
- 2Charge ÷ paid, inpatient 3.85×
- 3Rank in NY (highest ratio = 1) 48 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 28 DRGs that can be compared with the national average, Montefiore New Rochelle Hospital charged more than the national average in 19 (68%). 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 | 191 | $94,098 | +4% | $24,502 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 101 | $62,907 | -32% | $21,283 |
| 291 Heart Failure and Shock with MCC | 65 | $71,918 | +28% | $15,836 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $106,927 | +79% | $19,047 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 36 | $63,680 | +30% | $14,429 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $44,724 | +18% | $10,548 |
| 462 Bilateral or Multiple Major Joint Procedures of Lower... | 31 | $130,787 | -5% | $39,180 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 31 | $251,531 | -22% | $77,278 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $79,817 | +13% | $22,595 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $82,708 | +44% | $15,725 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $64,201 | +25% | $14,145 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $51,673 | -14% | $15,728 |
| 682 Renal Failure with MCC | 21 | $89,865 | +36% | $16,885 |
| 378 Gastrointestinal Hemorrhage with CC | 20 | $53,387 | +10% | $12,362 |
| 178 Respiratory Infections and Inflammations with CC | 18 | $67,031 | +48% | $12,988 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $49,057 | +28% | $10,796 |
| 683 Renal Failure with CC | 18 | $58,494 | +44% | $12,333 |
| 312 Syncope and Collapse | 17 | $45,152 | -1% | $11,049 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $41,139 | +2% | $10,130 |
| 884 Organic Disturbances and Intellectual Disability | 16 | $52,746 | -15% | $21,931 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $91,868 | +8% | $21,008 |
| 552 Medical Back Problems without MCC | 15 | $52,701 | +8% | $12,341 |
| 057 Degenerative Nervous System Disorders without MCC | 13 | $60,150 | +6% | $15,439 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $55,120 | +49% | $11,885 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $68,674 | +36% | $13,166 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $35,912 | -1% | $10,881 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $146,635 | -36% | $44,122 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $98,694 | -1% | $24,647 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 56 | $45,423 | $14,948 |
| Level 2 Musculoskeletal Procedures | 47 | $10,116 | $1,829 |
| Level 3 Musculoskeletal Procedures | 24 | $19,265 | $3,683 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 19 | $19,731 | $3,937 |
| Level 4 Musculoskeletal Procedures | 18 | $30,418 | $8,140 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 15 | $10,836 | $1,845 |
| Level 3 Vascular Procedures | 14 | $14,757 | $3,627 |
| Level 5 Urology and Related Services | 14 | $17,876 | $5,888 |
| Level 4 Urology and Related Services | 11 | $17,593 | $3,967 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Montefiore New Rochelle Hospital charged $94,098 on average, 20% less than the New York average of $116,930, and was paid $24,502 against a state average of $24,426. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Montefiore New Rochelle Hospital charged $62,907 on average, 41% less than the New York average of $107,202, and was paid $21,283 against a state average of $23,235. For Heart Failure and Shock with MCC (DRG 291), Montefiore New Rochelle Hospital charged $71,918 on average, 11% less than the New York average of $81,161, and was paid $15,836 against a state average of $16,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Montefiore New Rochelle Hospital charged $106,927 on average, 39% more than the New York average of $77,177, and was paid $19,047 against a state average of $15,976. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $45,423 was 33% below the state average of $67,926. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $10,116 was 22% below the state average of $13,038. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $19,265 was 7% below the state average of $20,797. For Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (outpatient APC 5341), its average charge of $19,731 was 18% below the state average of $23,948.
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.