New York-Presbyterian Hospital: charges and Medicare payments

New York-Presbyterian Hospital reported 27,689 Medicare inpatient stays across 373 DRGs in 2024. Across them it charged 5.68 times what it was paid — among the higher ratios in New York, number 21 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: 2607 stays at an average charge of $218,019, 141% above the national average. It also billed 19,818 outpatient services, charging 5.93 times what Medicare paid.

1Medicare inpatient stays 27,689
2Charge ÷ paid, inpatient 5.68×
3Rank in NY (highest ratio = 1) 21 of 123
4CMS price-transparency actions 0

Average charge per stay at New York-Presbyterian Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 373 DRGs that can be compared with the national average, New York-Presbyterian Hospital charged more than the national average in 353 (95%). 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	2607	$218,019	+141%	$33,092
291 Heart Failure and Shock with MCC	958	$152,227	+170%	$20,822
177 Respiratory Infections and Inflammations with MCC	528	$166,761	+136%	$26,031
853 Infectious and Parasitic Diseases with O.R. Procedures with...	418	$543,207	+137%	$85,645
698 Other Kidney and Urinary Tract Diagnoses with MCC	381	$165,036	+125%	$26,993
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	374	$100,615	+105%	$17,084
193 Simple Pneumonia and Pleurisy with MCC	371	$143,424	+140%	$20,672
267 Endovascular Cardiac Valve Replacement and Supplement...	361	$195,658	-12%	$60,943
312 Syncope and Collapse	317	$75,649	+66%	$12,209
690 Kidney and Urinary Tract Infections without MCC	314	$86,253	+128%	$12,652
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	308	$76,033	+89%	$11,714
470 Major Hip and Knee Joint Replacement or Reattachment of...	304	$98,544	+6%	$24,852
689 Kidney and Urinary Tract Infections with MCC	303	$124,504	+143%	$18,411
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	293	$133,831	+122%	$20,004
280 Acute Myocardial Infarction, Discharged Alive with MCC	289	$188,319	+148%	$26,932
870 Septicemia or Severe Sepsis with MV >96 Hours	261	$651,438	+102%	$112,693
274 Percutaneous and Other Intracardiac Procedures without MCC	257	$140,650	-10%	$42,751
266 Endovascular Cardiac Valve Replacement and Supplement...	244	$398,966	+40%	$84,864
682 Renal Failure with MCC	238	$177,615	+169%	$25,506
057 Degenerative Nervous System Disorders without MCC	227	$127,014	+124%	$20,914
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	226	$218,445	+119%	$32,631
378 Gastrointestinal Hemorrhage with CC	224	$91,638	+89%	$14,793
699 Other Kidney and Urinary Tract Diagnoses with CC	220	$107,504	+126%	$17,780
286 Circulatory Disorders except AMI, with Cardiac...	218	$294,007	+162%	$41,514
481 Hip and Femur Procedures except Major Joint with CC	214	$156,488	+55%	$27,376
683 Renal Failure with CC	214	$91,181	+124%	$13,130
025 Craniotomy and Endovascular Intracranial Procedures with MCC	213	$323,742	+40%	$73,566
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	213	$492,117	+23%	$115,987
552 Medical Back Problems without MCC	211	$91,924	+88%	$14,519
377 Gastrointestinal Hemorrhage with MCC	209	$181,623	+113%	$28,866
314 Other Circulatory System Diagnoses with MCC	204	$213,424	+125%	$33,313
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	201	$72,546	+96%	$11,593
603 Cellulitis without MCC	183	$85,350	+129%	$13,882
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	174	$115,878	+108%	$15,216
309 Cardiac Arrhythmia and Conduction Disorders with CC	174	$74,298	+106%	$10,858
194 Simple Pneumonia and Pleurisy with CC	172	$74,386	+94%	$12,038
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	172	$129,330	+112%	$19,816
812 Red Blood Cell Disorders without MCC	172	$90,401	+104%	$13,753
164 Major Chest Procedures with CC	163	$139,041	+9%	$33,707
189 Pulmonary Edema and Respiratory Failure	160	$158,887	+176%	$21,549
330 Major Small and Large Bowel Procedures with CC	158	$154,588	+30%	$30,710
322 Percutaneous Cardiovascular Procedures with Intraluminal...	156	$119,904	+5%	$24,253
216 Cardiac Valve and Other Major Cardiothoracic Procedures with...	154	$600,446	+22%	$143,803
811 Red Blood Cell Disorders with MCC	150	$158,814	+133%	$21,925
178 Respiratory Infections and Inflammations with CC	149	$95,760	+111%	$14,969
056 Degenerative Nervous System Disorders with MCC	148	$236,410	+146%	$33,974
190 Chronic Obstructive Pulmonary Disease with MCC	144	$114,624	+127%	$16,524
394 Other Digestive System Diagnoses with CC	144	$100,252	+113%	$14,660
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	143	$146,795	+43%	$28,345
884 Organic Disturbances and Intellectual Disability	143	$221,000	+254%	$33,973
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	138	$434,541	+101%	$79,113
101 Seizures without MCC	136	$84,295	+73%	$13,472
638 Diabetes with CC	133	$113,812	+173%	$14,375
329 Major Small and Large Bowel Procedures with MCC	131	$413,382	+92%	$71,791
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	127	$94,680	+122%	$14,042
205 Other Respiratory System Diagnoses with MCC	121	$257,958	+192%	$37,597
308 Cardiac Arrhythmia and Conduction Disorders with MCC	115	$114,428	+102%	$18,271
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	114	$2,247,115	+113%	$411,959
652 Kidney Transplant	113	$339,916	+1%	$58,095
092 Other Disorders of Nervous System with CC	112	$104,846	+103%	$14,725

Showing the 60 most frequent of 373 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	2,406	$19,019	$2,634
Level 1 Endovascular Procedures	1,405	$32,221	$3,680
Level 2 Excision/ Biopsy/ Incision and Drainage	1,050	$15,495	$1,825
Level 2 Upper GI Procedures	973	$16,537	$2,143
Level 1 Laparoscopy and Related Services	808	$34,219	$6,506
Level 3 Endovascular Procedures	793	$49,745	$12,486
Level 4 Urology and Related Services	633	$20,724	$3,961
Level 5 Urology and Related Services	615	$23,838	$5,845
Level 5 Musculoskeletal Procedures	596	$52,852	$14,903
Level 4 Musculoskeletal Procedures	556	$39,359	$8,133
Level 4 Airway Endoscopy	534	$25,166	$4,249
Level 3 Urology and Related Services	495	$19,672	$2,304
Level 3 Excision/ Biopsy/ Incision and Drainage	481	$15,088	$3,219
Level 3 Electrophysiologic Procedures	479	$113,179	$26,744
Level 2 Intraocular Procedures	469	$31,555	$4,619
Level 3 Vascular Procedures	464	$26,572	$3,590
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	434	$26,264	$3,886
Level 2 Laparoscopy and Related Services	356	$50,282	$11,643
Level 1 Breast/Lymphatic Surgery and Related Procedures	341	$24,937	$4,317
Level 2 Endovascular Procedures	335	$36,799	$6,427
Level 5 ENT Procedures	323	$39,378	$6,631
Level 4 Endovascular Procedures	305	$66,194	$19,905
Level 2 Musculoskeletal Procedures	302	$14,355	$1,824
Level 3 Pacemaker and Similar Procedures	291	$64,792	$11,958
Level 4 Gynecologic Procedures	285	$24,683	$3,502

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), New York-Presbyterian Hospital charged $218,019 on average, 86% more than the New York average of $116,930, and was paid $33,092 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), New York-Presbyterian Hospital charged $152,227 on average, 88% more than the New York average of $81,161, and was paid $20,822 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), New York-Presbyterian Hospital charged $166,761 on average, 77% more than the New York average of $94,371, and was paid $26,031 against a state average of $19,472. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), New York-Presbyterian Hospital charged $543,207 on average, 88% more than the New York average of $288,832, and was paid $85,645 against a state average of $63,023. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $19,019 was 18% above the state average of $16,178. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $32,221 was 27% above the state average of $25,359. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,495 was 21% above the state average of $12,815. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $16,537 was 10% above the state average of $15,077.

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.