New York / St John's Riverside Hospital
CMS certification 330208 · Yonkers, NY
St John's Riverside Hospital: charges and Medicare payments
St John's Riverside Hospital reported 1,873 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 3.21 times what it was paid — mid-range in New York, number 56 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: 229 stays at an average charge of $72,065, 20% below the national average. It also billed 1,089 outpatient services, charging 4.03 times what Medicare paid.
- 1Medicare inpatient stays 1,873
- 2Charge ÷ paid, inpatient 3.21×
- 3Rank in NY (highest ratio = 1) 56 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 50 DRGs that can be compared with the national average, St John's Riverside Hospital charged more than the national average in 11 (22%). 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 | 229 | $72,065 | -20% | $20,912 |
| 291 Heart Failure and Shock with MCC | 171 | $47,047 | -17% | $13,768 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 130 | $13,408 | -64% | $9,623 |
| 690 Kidney and Urinary Tract Infections without MCC | 100 | $33,452 | -12% | $9,142 |
| 689 Kidney and Urinary Tract Infections with MCC | 80 | $41,000 | -20% | $12,805 |
| 177 Respiratory Infections and Inflammations with MCC | 77 | $63,342 | -10% | $17,835 |
| 895 Alcohol, Drug Abuse or Dependence with Rehabilitation... | 62 | $40,691 | +19% | $17,183 |
| 193 Simple Pneumonia and Pleurisy with MCC | 54 | $63,780 | +7% | $14,913 |
| 603 Cellulitis without MCC | 51 | $40,508 | +9% | $10,144 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 50 | $44,932 | -11% | $12,253 |
| 312 Syncope and Collapse | 48 | $32,706 | -28% | $9,680 |
| 894 Alcohol, Drug Abuse or Dependence, Left Ama | 45 | $9,782 | -65% | $6,863 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 41 | $31,312 | -22% | $9,067 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 37 | $54,470 | -26% | $17,161 |
| 194 Simple Pneumonia and Pleurisy with CC | 33 | $45,056 | +17% | $9,431 |
| 178 Respiratory Infections and Inflammations with CC | 32 | $49,206 | +9% | $11,190 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 30 | $162,814 | -50% | $70,533 |
| 552 Medical Back Problems without MCC | 29 | $34,106 | -30% | $9,826 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 28 | $50,121 | +27% | $9,858 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $38,926 | -35% | $14,330 |
| 057 Degenerative Nervous System Disorders without MCC | 26 | $30,588 | -46% | $14,207 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $45,892 | -5% | $11,053 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $58,155 | +1% | $13,273 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $27,759 | -25% | $8,808 |
| 683 Renal Failure with CC | 24 | $41,211 | +1% | $10,214 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $47,502 | -22% | $14,291 |
| 812 Red Blood Cell Disorders without MCC | 21 | $44,770 | +1% | $10,145 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $136,553 | -40% | $48,034 |
| 884 Organic Disturbances and Intellectual Disability | 21 | $40,596 | -35% | $16,970 |
| 394 Other Digestive System Diagnoses with CC | 20 | $36,010 | -23% | $10,580 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $36,213 | -36% | $13,241 |
| 638 Diabetes with CC | 19 | $45,299 | +9% | $10,025 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 19 | $36,766 | -23% | $10,776 |
| 300 Peripheral Vascular Disorders with CC | 18 | $38,709 | -22% | $11,978 |
| 536 Fractures of Hip and Pelvis without MCC | 18 | $31,073 | -18% | $8,736 |
| 811 Red Blood Cell Disorders with MCC | 18 | $57,676 | -15% | $15,550 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $30,574 | -15% | $8,524 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $44,851 | -41% | $15,954 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $46,492 | -5% | $11,725 |
| 100 Seizures with MCC | 13 | $52,375 | -45% | $21,348 |
| 252 Other Vascular Procedures with MCC | 13 | $74,265 | -57% | $35,628 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $88,785 | -12% | $22,479 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $52,785 | -5% | $11,522 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $58,887 | -41% | $20,613 |
| 101 Seizures without MCC | 11 | $34,657 | -29% | $10,344 |
| 192 Chronic Obstructive Pulmonary Disease without CC/MCC | 11 | $39,457 | +27% | $7,509 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $72,040 | -24% | $22,092 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $46,424 | -40% | $17,752 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $36,402 | -15% | $10,121 |
| 592 Skin Ulcers with MCC | 11 | $45,333 | -40% | $19,682 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 374 | $4,337 | $2,646 |
| Comprehensive Observation Services | 290 | $20,533 | $3,115 |
| Level 4 Urology and Related Services | 76 | $4,448 | $3,967 |
| Level 2 Neurostimulator and Related Procedures | 62 | $16,869 | $7,782 |
| Level 1 Nerve Procedures | 60 | $4,546 | $2,197 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 49 | $8,580 | $1,845 |
| Level 5 Urology and Related Services | 41 | $11,151 | $5,888 |
| Level 3 Extraocular, Repair, and Plastic Eye Procedures | 25 | $13,340 | $2,659 |
| Level 5 Musculoskeletal Procedures | 19 | $42,291 | $14,948 |
| Level 4 Musculoskeletal Procedures | 17 | $23,671 | $8,140 |
| Level 3 Musculoskeletal Procedures | 16 | $9,377 | $3,683 |
| Level 3 Vascular Procedures | 16 | $12,581 | $3,627 |
| Level 1 Laparoscopy and Related Services | 16 | $29,300 | $6,566 |
| Level 4 Gynecologic Procedures | 16 | $10,751 | $3,380 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 12 | $13,016 | $4,337 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St John's Riverside Hospital charged $72,065 on average, 38% less than the New York average of $116,930, and was paid $20,912 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), St John's Riverside Hospital charged $47,047 on average, 42% less than the New York average of $81,161, and was paid $13,768 against a state average of $16,034. For Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC (DRG 897), St John's Riverside Hospital charged $13,408 on average, 70% less than the New York average of $44,135, and was paid $9,623 against a state average of $12,090. For Kidney and Urinary Tract Infections without MCC (DRG 690), St John's Riverside Hospital charged $33,452 on average, 37% less than the New York average of $52,794, and was paid $9,142 against a state average of $10,297. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $4,337 was 73% below the state average of $16,178. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,533 was 23% below the state average of $26,675. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $4,448 was 78% below the state average of $20,339. For Level 2 Neurostimulator and Related Procedures (outpatient APC 5462), its average charge of $16,869 was 45% below the state average of $30,938.
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.