Richmond University Medical Center: charges and Medicare payments

Richmond University Medical Center reported 1,265 Medicare inpatient stays across 44 DRGs in 2024. Across them it charged 4.42 times what it was paid — among the higher ratios in New York, number 41 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: 190 stays at an average charge of $125,269, 39% above the national average. It also billed 934 outpatient services, charging 7.4 times what Medicare paid.

1Medicare inpatient stays 1,265
2Charge ÷ paid, inpatient 4.42×
3Rank in NY (highest ratio = 1) 41 of 123
4CMS price-transparency actions 0

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

Inpatient stays

For the 44 DRGs that can be compared with the national average, Richmond University Medical Center charged more than the national average in 40 (91%). 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	190	$125,269	+39%	$26,551
193 Simple Pneumonia and Pleurisy with MCC	76	$85,662	+43%	$17,554
177 Respiratory Infections and Inflammations with MCC	73	$98,116	+39%	$22,815
870 Septicemia or Severe Sepsis with MV >96 Hours	53	$240,799	-26%	$82,845
312 Syncope and Collapse	48	$71,835	+58%	$11,828
291 Heart Failure and Shock with MCC	40	$91,339	+62%	$19,225
689 Kidney and Urinary Tract Infections with MCC	37	$69,092	+35%	$16,082
698 Other Kidney and Urinary Tract Diagnoses with MCC	37	$138,835	+89%	$22,909
189 Pulmonary Edema and Respiratory Failure	36	$60,023	+4%	$16,166
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$76,108	+26%	$18,084
853 Infectious and Parasitic Diseases with O.R. Procedures with...	32	$263,284	+15%	$64,496
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	30	$62,536	+56%	$11,288
603 Cellulitis without MCC	30	$60,662	+63%	$12,622
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	25	$143,857	+44%	$27,775
190 Chronic Obstructive Pulmonary Disease with MCC	24	$57,495	+14%	$14,798
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	24	$97,409	+99%	$15,019
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$74,088	+100%	$12,074
811 Red Blood Cell Disorders with MCC	23	$137,053	+101%	$24,706
690 Kidney and Urinary Tract Infections without MCC	22	$56,920	+50%	$11,948
637 Diabetes with MCC	21	$83,801	+26%	$19,414
004 Tracheostomy with MV >96 Hours or Principal Diagnosis except...	20	$596,630	-3%	$170,303
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	19	$83,092	+49%	$13,957
314 Other Circulatory System Diagnoses with MCC	19	$183,642	+94%	$30,622
481 Hip and Femur Procedures except Major Joint with CC	19	$138,870	+38%	$25,365
552 Medical Back Problems without MCC	19	$71,693	+47%	$12,963
605 Trauma To The Skin, Subcutaneous Tissue and Breast without...	19	$49,633	+7%	$11,811
682 Renal Failure with MCC	19	$112,175	+70%	$19,144
069 Transient Ischemia without Thrombolytic	18	$68,274	+35%	$11,895
280 Acute Myocardial Infarction, Discharged Alive with MCC	18	$111,907	+48%	$23,836
101 Seizures without MCC	17	$66,020	+35%	$12,228
378 Gastrointestinal Hemorrhage with CC	17	$79,385	+64%	$13,993
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	17	$79,336	+30%	$17,720
638 Diabetes with CC	17	$66,196	+59%	$12,966
812 Red Blood Cell Disorders without MCC	17	$77,284	+74%	$13,101
207 Respiratory System Diagnosis with Ventilator Support >96...	16	$265,313	-9%	$84,002
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	15	$53,168	+85%	$8,231
699 Other Kidney and Urinary Tract Diagnoses with CC	15	$56,452	+19%	$14,041
393 Other Digestive System Diagnoses with MCC	14	$137,741	+79%	$23,125
309 Cardiac Arrhythmia and Conduction Disorders with CC	13	$65,366	+81%	$10,943
914 Traumatic Injury without MCC	13	$49,371	+4%	$11,224
208 Respiratory System Diagnosis with Ventilator Support <=96...	12	$114,058	-16%	$34,658
281 Acute Myocardial Infarction, Discharged Alive with CC	12	$59,074	+17%	$12,327
683 Renal Failure with CC	12	$73,738	+81%	$13,735
329 Major Small and Large Bowel Procedures with MCC	11	$347,711	+62%	$60,832

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	196	$32,111	$3,077
Level 1 Laparoscopy and Related Services	69	$26,923	$6,463
Level 1 Endovascular Procedures	65	$22,479	$3,552
Level 4 Urology and Related Services	60	$13,279	$3,966
Level 4 Gynecologic Procedures	57	$14,217	$3,508
Level 2 Excision/ Biopsy/ Incision and Drainage	50	$13,424	$1,808
Level 5 Urology and Related Services	32	$20,470	$5,603
Level 6 Urology and Related Services	32	$40,167	$10,203
Level 3 Vascular Procedures	31	$18,533	$3,452
Level 3 Endovascular Procedures	29	$98,813	$12,500
Level 3 Excision/ Biopsy/ Incision and Drainage	28	$16,039	$3,233
Level 1 Intraocular Procedures	28	$22,324	$2,652
Level 2 Upper GI Procedures	26	$19,937	$2,165
Level 2 Vascular Procedures	25	$8,014	$1,822
Level 3 Pacemaker and Similar Procedures	25	$95,421	$11,760
Level 3 Musculoskeletal Procedures	24	$16,907	$3,569
Level 2 Musculoskeletal Procedures	23	$15,045	$1,829
Level 3 Urology and Related Services	23	$12,040	$2,318
Level 2 Endovascular Procedures	22	$35,616	$6,504
Level 4 Musculoskeletal Procedures	21	$40,492	$8,140
Level 1 Nerve Procedures	20	$12,862	$2,197
Level 2 ICD and Similar Procedures	13	$280,382	$37,317
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	13	$18,750	$3,937
Level 3 Electrophysiologic Procedures	11	$83,381	$26,949
Level 2 Laparoscopy and Related Services	11	$50,704	$11,698

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Richmond University Medical Center charged $125,269 on average, 7% more than the New York average of $116,930, and was paid $26,551 against a state average of $24,426. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Richmond University Medical Center charged $85,662 on average, 11% more than the New York average of $77,177, and was paid $17,554 against a state average of $15,976. For Respiratory Infections and Inflammations with MCC (DRG 177), Richmond University Medical Center charged $98,116 on average, 4% more than the New York average of $94,371, and was paid $22,815 against a state average of $19,472. For Septicemia or Severe Sepsis with MV >96 Hours (DRG 870), Richmond University Medical Center charged $240,799 on average, 33% less than the New York average of $359,081, and was paid $82,845 against a state average of $85,696. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,111 was 20% above the state average of $26,675. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $26,923 was 23% below the state average of $35,085. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,479 was 11% below the state average of $25,359. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $13,279 was 35% below the state average of $20,339.

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.