New York / St Barnabas Hospital
CMS certification 330399 · Bronx, NY
St Barnabas Hospital: charges and Medicare payments
St Barnabas Hospital reported 395 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 1.87 times what it was paid — among the lower ratios in New York, number 102 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: 54 stays at an average charge of $73,906, 18% below the national average. It also billed 42 outpatient services, charging 4.41 times what Medicare paid.
- 1Medicare inpatient stays 395
- 2Charge ÷ paid, inpatient 1.87×
- 3Rank in NY (highest ratio = 1) 102 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 19 DRGs that can be compared with the national average, St Barnabas Hospital charged more than the national average in 4 (21%). 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 | 54 | $73,906 | -18% | $38,420 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 38 | $20,232 | -45% | $21,206 |
| 312 Syncope and Collapse | 37 | $31,917 | -30% | $21,275 |
| 291 Heart Failure and Shock with MCC | 27 | $56,387 | 0% | $27,390 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 27 | $194,018 | -40% | $106,658 |
| 894 Alcohol, Drug Abuse or Dependence, Left Ama | 27 | $11,372 | -60% | $16,186 |
| 313 Chest Pain | 18 | $18,939 | -53% | $16,206 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $53,079 | -28% | $34,635 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $77,396 | -9% | $36,293 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $36,435 | -4% | $21,385 |
| 638 Diabetes with CC | 15 | $35,938 | -14% | $23,066 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $59,533 | -1% | $30,213 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $340,113 | +49% | $140,168 |
| 683 Renal Failure with CC | 14 | $46,672 | +15% | $21,490 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $78,202 | -22% | $38,219 |
| 682 Renal Failure with MCC | 12 | $78,443 | +19% | $33,121 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $51,018 | -10% | $22,658 |
| 603 Cellulitis without MCC | 11 | $29,887 | -20% | $22,803 |
| 811 Red Blood Cell Disorders with MCC | 11 | $92,701 | +36% | $35,067 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 16 | $10,986 | $2,652 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 13 | $7,771 | $1,845 |
| Level 3 Musculoskeletal Procedures | 13 | $9,570 | $3,683 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Barnabas Hospital charged $73,906 on average, 37% less than the New York average of $116,930, and was paid $38,420 against a state average of $24,426. For Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC (DRG 897), St Barnabas Hospital charged $20,232 on average, 54% less than the New York average of $44,135, and was paid $21,206 against a state average of $12,090. For Syncope and Collapse (DRG 312), St Barnabas Hospital charged $31,917 on average, 45% less than the New York average of $58,334, and was paid $21,275 against a state average of $11,568. For Heart Failure and Shock with MCC (DRG 291), St Barnabas Hospital charged $56,387 on average, 31% less than the New York average of $81,161, and was paid $27,390 against a state average of $16,034. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,986 was 32% below the state average of $16,178. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,771 was 39% below the state average of $12,815. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $9,570 was 54% below the state average of $20,797.
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.