New York / Mount Sinai Beth Israel
CMS certification 330169 · New York, NY · 4 entries in CMS's price-transparency list
Mount Sinai Beth Israel: charges and Medicare payments
Mount Sinai Beth Israel reported 3,089 Medicare inpatient stays across 82 DRGs in 2024. Across them it charged 6.05 times what it was paid — among the higher ratios in New York, number 16 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: 374 stays at an average charge of $177,460, 97% above the national average. It also billed 1,818 outpatient services, charging 5.03 times what Medicare paid.
- 1Medicare inpatient stays 3,089
- 2Charge ÷ paid, inpatient 6.05×
- 3Rank in NY (highest ratio = 1) 16 of 123
- 4CMS price-transparency actions 4
Inpatient stays
For the 82 DRGs that can be compared with the national average, Mount Sinai Beth Israel charged more than the national average in 82 (100%). 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 | 374 | $177,460 | +97% | $27,518 |
| 291 Heart Failure and Shock with MCC | 187 | $113,449 | +101% | $18,080 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 126 | $126,831 | +67% | $21,495 |
| 312 Syncope and Collapse | 103 | $61,386 | +35% | $11,693 |
| 177 Respiratory Infections and Inflammations with MCC | 98 | $141,672 | +101% | $22,232 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 93 | $134,175 | +123% | $20,028 |
| 193 Simple Pneumonia and Pleurisy with MCC | 81 | $123,873 | +107% | $17,544 |
| 682 Renal Failure with MCC | 76 | $154,816 | +135% | $21,959 |
| 690 Kidney and Urinary Tract Infections without MCC | 70 | $85,543 | +126% | $12,020 |
| 689 Kidney and Urinary Tract Infections with MCC | 66 | $120,477 | +135% | $16,373 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 62 | $76,538 | +91% | $11,346 |
| 603 Cellulitis without MCC | 60 | $86,827 | +133% | $12,579 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 54 | $89,146 | +82% | $14,213 |
| 683 Renal Failure with CC | 47 | $72,795 | +79% | $12,260 |
| 884 Organic Disturbances and Intellectual Disability | 45 | $159,760 | +156% | $25,005 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 44 | $66,726 | +80% | $10,942 |
| 313 Chest Pain | 43 | $49,448 | +24% | $10,502 |
| 637 Diabetes with MCC | 42 | $124,912 | +88% | $19,873 |
| 149 Dysequilibrium | 41 | $55,371 | +25% | $10,199 |
| 377 Gastrointestinal Hemorrhage with MCC | 39 | $147,062 | +72% | $22,418 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 39 | $433,400 | +89% | $76,542 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 38 | $202,895 | +103% | $27,128 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 37 | $366,139 | +13% | $78,796 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $114,299 | +99% | $17,381 |
| 378 Gastrointestinal Hemorrhage with CC | 36 | $78,560 | +62% | $13,538 |
| 552 Medical Back Problems without MCC | 35 | $99,410 | +103% | $13,963 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $119,419 | +96% | $17,647 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $160,001 | +118% | $23,615 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 32 | $114,518 | +106% | $13,841 |
| 100 Seizures with MCC | 31 | $114,735 | +22% | $24,772 |
| 194 Simple Pneumonia and Pleurisy with CC | 31 | $68,843 | +79% | $11,782 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 31 | $52,643 | +46% | $10,248 |
| 394 Other Digestive System Diagnoses with CC | 29 | $73,601 | +56% | $13,283 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 29 | $70,946 | +49% | $13,891 |
| 811 Red Blood Cell Disorders with MCC | 29 | $116,657 | +71% | $18,627 |
| 895 Alcohol, Drug Abuse or Dependence with Rehabilitation... | 28 | $85,696 | +151% | $20,903 |
| 057 Degenerative Nervous System Disorders without MCC | 27 | $106,931 | +89% | $17,493 |
| 812 Red Blood Cell Disorders without MCC | 27 | $75,502 | +70% | $12,546 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 26 | $69,093 | +62% | $12,361 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 25 | $101,182 | +100% | $15,465 |
| 202 Bronchitis and Asthma with CC/MCC | 25 | $74,953 | +62% | $13,629 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $65,413 | +30% | $11,938 |
| 393 Other Digestive System Diagnoses with MCC | 24 | $143,992 | +88% | $22,654 |
| 070 Other Cerebrovascular Disorders with MCC | 23 | $188,089 | +147% | $25,251 |
| 314 Other Circulatory System Diagnoses with MCC | 23 | $101,862 | +7% | $24,470 |
| 948 Signs and Symptoms without MCC | 23 | $72,059 | +89% | $11,435 |
| 092 Other Disorders of Nervous System with CC | 22 | $59,660 | +16% | $12,872 |
| 056 Degenerative Nervous System Disorders with MCC | 21 | $119,620 | +25% | $29,607 |
| 305 Hypertension without MCC | 21 | $49,604 | +24% | $10,770 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $105,452 | +86% | $16,513 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 21 | $42,285 | +47% | $8,266 |
| 389 Gastrointestinal Obstruction with CC | 21 | $106,924 | +175% | $12,338 |
| 101 Seizures without MCC | 20 | $65,047 | +33% | $12,382 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 20 | $117,530 | +80% | $18,646 |
| 638 Diabetes with CC | 20 | $69,988 | +68% | $11,663 |
| 069 Transient Ischemia without Thrombolytic | 18 | $65,997 | +31% | $10,353 |
| 178 Respiratory Infections and Inflammations with CC | 18 | $86,846 | +92% | $14,163 |
| 253 Other Vascular Procedures with CC | 18 | $194,690 | +48% | $32,983 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $170,406 | +26% | $29,238 |
| 252 Other Vascular Procedures with MCC | 16 | $226,396 | +33% | $47,678 |
Showing the 60 most frequent of 82 DRGs.
Outpatient services
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mount Sinai Beth Israel charged $177,460 on average, 52% more than the New York average of $116,930, and was paid $27,518 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Mount Sinai Beth Israel charged $113,449 on average, 40% more than the New York average of $81,161, and was paid $18,080 against a state average of $16,034. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Mount Sinai Beth Israel charged $126,831 on average, 23% more than the New York average of $102,833, and was paid $21,495 against a state average of $21,127. For Syncope and Collapse (DRG 312), Mount Sinai Beth Israel charged $61,386 on average, 5% more than the New York average of $58,334, and was paid $11,693 against a state average of $11,568. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,927 was 15% below the state average of $3,429. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,527 was 27% below the state average of $13,044. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $17,042 was 16% below the state average of $20,339. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $18,834 was 16% below the state average of $22,362.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mount Sinai Beth Israel 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 — 2021-04-19 (CMS case 71)
- CAP Request — 2021-09-30 (CMS case 71)
- Closure Notice — 2022-08-19 (CMS case 71)
- Administrative Closure — 2025-05-23 (CMS case 3506)
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.