New York / Westchester Medical Center

CMS certification 330234 · Valhalla, NY · 4 entries in CMS's price-transparency list

Westchester Medical Center: charges and Medicare payments

Westchester Medical Center reported 4,024 Medicare inpatient stays across 149 DRGs in 2024. Across them it charged 9.62 times what it was paid — among the higher ratios in New York, number 1 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: 277 stays at an average charge of $262,618, 191% above the national average. It also billed 2,778 outpatient services, charging 10.72 times what Medicare paid.

1Medicare inpatient stays 4,024
2Charge ÷ paid, inpatient 9.62×
3Rank in NY (highest ratio = 1) 1 of 123
4CMS price-transparency actions 4

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

Inpatient stays

For the 149 DRGs that can be compared with the national average, Westchester Medical Center charged more than the national average in 149 (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	277	$262,618	+191%	$26,945
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	128	$253,937	+154%	$25,105
291 Heart Failure and Shock with MCC	125	$179,043	+218%	$16,650
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	81	$157,130	+182%	$12,703
481 Hip and Femur Procedures except Major Joint with CC	72	$260,870	+159%	$25,051
177 Respiratory Infections and Inflammations with MCC	66	$235,529	+234%	$22,587
193 Simple Pneumonia and Pleurisy with MCC	62	$159,475	+167%	$15,990
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	59	$144,717	+195%	$13,229
082 Traumatic Stupor and Coma >1 Hour with MCC	55	$300,740	+161%	$32,133
690 Kidney and Urinary Tract Infections without MCC	55	$118,744	+214%	$10,160
101 Seizures without MCC	54	$121,949	+150%	$12,174
470 Major Hip and Knee Joint Replacement or Reattachment of...	52	$168,503	+81%	$21,877
083 Traumatic Stupor and Coma >1 Hour with CC	51	$181,888	+148%	$17,685
023 Craniotomy with Major Device Implant or Acute Complex Cns...	50	$469,693	+67%	$66,409
057 Degenerative Nervous System Disorders without MCC	49	$149,302	+164%	$15,803
552 Medical Back Problems without MCC	49	$145,433	+198%	$11,982
689 Kidney and Urinary Tract Infections with MCC	48	$174,848	+241%	$14,329
603 Cellulitis without MCC	46	$95,978	+157%	$10,733
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	44	$124,718	+211%	$10,429
699 Other Kidney and Urinary Tract Diagnoses with CC	44	$153,537	+223%	$13,343
853 Infectious and Parasitic Diseases with O.R. Procedures with...	43	$681,804	+198%	$82,725
312 Syncope and Collapse	40	$158,907	+249%	$11,270
683 Renal Failure with CC	40	$136,242	+235%	$11,298
895 Alcohol, Drug Abuse or Dependence with Rehabilitation...	38	$150,433	+340%	$19,004
267 Endovascular Cardiac Valve Replacement and Supplement...	35	$369,966	+67%	$54,071
378 Gastrointestinal Hemorrhage with CC	35	$185,357	+282%	$13,475
682 Renal Failure with MCC	35	$212,741	+223%	$18,822
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	34	$2,468,194	+134%	$282,173
286 Circulatory Disorders except AMI, with Cardiac...	34	$364,616	+225%	$31,738
698 Other Kidney and Urinary Tract Diagnoses with MCC	34	$294,753	+301%	$27,973
025 Craniotomy and Endovascular Intracranial Procedures with MCC	33	$466,765	+102%	$52,019
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	33	$124,221	+192%	$11,341
885 Psychoses	33	$236,279	+437%	$18,040
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	32	$181,359	+178%	$16,823
377 Gastrointestinal Hemorrhage with MCC	32	$257,470	+202%	$24,953
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	32	$89,814	+142%	$9,895
812 Red Blood Cell Disorders without MCC	30	$130,623	+194%	$11,283
309 Cardiac Arrhythmia and Conduction Disorders with CC	29	$123,233	+241%	$9,290
432 Cirrhosis and Alcoholic Hepatitis with MCC	29	$360,093	+276%	$32,369
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	29	$219,437	+264%	$19,024
480 Hip and Femur Procedures except Major Joint with MCC	28	$272,287	+96%	$32,929
100 Seizures with MCC	27	$312,765	+231%	$33,018
189 Pulmonary Edema and Respiratory Failure	27	$171,896	+199%	$18,033
190 Chronic Obstructive Pulmonary Disease with MCC	27	$209,302	+314%	$18,833
280 Acute Myocardial Infarction, Discharged Alive with MCC	27	$212,892	+181%	$20,262
433 Cirrhosis and Alcoholic Hepatitis with CC	27	$198,208	+277%	$13,569
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$138,171	+273%	$9,826
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	27	$750,021	+247%	$91,753
163 Major Chest Procedures with MCC	26	$445,798	+112%	$56,246
208 Respiratory System Diagnosis with Ventilator Support <=96...	26	$290,540	+114%	$31,773
467 Revision of Hip or Knee Replacement with CC	26	$324,761	+106%	$39,549
605 Trauma To The Skin, Subcutaneous Tissue and Breast without...	26	$126,353	+172%	$11,647
084 Traumatic Stupor and Coma >1 Hour without CC/MCC	25	$121,024	+127%	$17,918
811 Red Blood Cell Disorders with MCC	25	$162,073	+138%	$17,652
178 Respiratory Infections and Inflammations with CC	24	$168,684	+272%	$13,569
194 Simple Pneumonia and Pleurisy with CC	24	$120,001	+213%	$9,646
236 Coronary Bypass without Cardiac Catheterization without MCC	24	$542,330	+157%	$46,865
274 Percutaneous and Other Intracardiac Procedures without MCC	24	$248,284	+58%	$35,964
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	24	$261,981	+156%	$26,636
066 Intracranial Hemorrhage or Cerebral Infarction without...	23	$127,260	+201%	$8,747

Showing the 60 most frequent of 149 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	366	$65,496	$3,106
Level 1 Intraocular Procedures	229	$37,365	$2,628
Level 5 Musculoskeletal Procedures	171	$90,783	$14,534
Level 2 Upper GI Procedures	164	$20,431	$2,129
Level 1 Endovascular Procedures	134	$76,022	$3,714
Level 4 Vascular Procedures	124	$30,607	$6,208
Level 5 Urology and Related Services	124	$44,524	$5,810
Level 4 Urology and Related Services	113	$43,609	$3,938
Level 3 Vascular Procedures	109	$44,630	$3,540
Level 3 Electrophysiologic Procedures	93	$216,293	$26,677
Level 3 Urology and Related Services	93	$36,113	$2,293
Level 1 Laparoscopy and Related Services	72	$47,806	$6,471
Level 2 Excision/ Biopsy/ Incision and Drainage	68	$35,029	$1,840
Level 3 Musculoskeletal Procedures	63	$41,744	$3,617
Level 2 Intraocular Procedures	61	$45,500	$4,626
Level 4 Airway Endoscopy	57	$56,179	$4,147
Level 3 Endovascular Procedures	52	$104,149	$12,278
Level 3 Extraocular, Repair, and Plastic Eye Procedures	44	$39,965	$2,610
Level 1 Nerve Procedures	43	$26,722	$2,166
Level 4 Musculoskeletal Procedures	40	$80,727	$7,936
Level 5 ENT Procedures	34	$47,176	$6,651
Level 3 Excision/ Biopsy/ Incision and Drainage	32	$41,736	$3,144
Level 2 Musculoskeletal Procedures	31	$36,522	$1,821
Level 3 Airway Endoscopy	27	$50,530	$1,874
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	27	$42,347	$3,802

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Westchester Medical Center charged $262,618 on average, 125% more than the New York average of $116,930, and was paid $26,945 against a state average of $24,426. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Westchester Medical Center charged $253,937 on average, 89% more than the New York average of $134,115, and was paid $25,105 against a state average of $25,763. For Heart Failure and Shock with MCC (DRG 291), Westchester Medical Center charged $179,043 on average, 121% more than the New York average of $81,161, and was paid $16,650 against a state average of $16,034. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Westchester Medical Center charged $157,130 on average, 119% more than the New York average of $71,616, and was paid $12,703 against a state average of $12,971. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $65,496 was 146% above the state average of $26,675. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $37,365 was 131% above the state average of $16,178. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $90,783 was 34% above the state average of $67,926. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $20,431 was 36% above the state average of $15,077.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Westchester Medical Center in Valhalla, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-05-18 (CMS case 2)
CAP Request — 2021-10-27 (CMS case 2)
Closure Notice — 2022-01-11 (CMS case 2)
Met Requirements — 2025-03-25 (CMS case 3401)

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.