Compare real prices at Mount Sinai Hospital in New York, NY. Taven tracks 164 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
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164
Procedures Tracked
with pricing data
⭐
3/5
Star Rating
CMS Care Compare
💰
4.0x
Markup Ratio
Avg = 3.0x
🏥
Grade B
Data Quality
Good data coverage
✓
CMS v3.0 Compliant
This hospital's pricing data meets the latest CMS v3.0 requirements, including actual allowed amounts from insurer remittance data.
Attested by: CRYSTAL MACNEILLOrg NPI: 1154696615
🔒 De-identification Notice: All pricing data shown on this page is derived from publicly available hospital machine-readable files and insurer transparency data as mandated by federal law. No individual patient data, protected health information (PHI), or personally identifiable information is collected, stored, or displayed. Aggregate statistics (such as allowed amount medians and percentiles) are calculated from de-identified claim payment data reported by hospitals per CMS requirements.
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Procedure Prices at Mount Sinai Hospital
164 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the New York, NY metro average. Includes actual allowed amounts from insurer remittance data (CMS v3.0).
Last updated: March 26, 2026
| Procedure | Cash Price | Avg Negotiated | Median Allowed | Range (10th–90th) | New York Avg | vs. Avg | Payers |
|---|---|---|---|---|---|---|---|
| Debridement - Subcutaneous Tissue CPT 11042 Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing. |
— | $2,684 | $2,684 | $2,684–$2,684 | $5,693 | -53% | 1 |
| Partial Mastectomy (Lumpectomy) CPT 19301 Surgical removal of a breast tumor along with a small margin of surrounding tissue. Also called a lumpectomy, this breast-conserving surgery removes the cancer while keeping most of the breast intact. |
— | $2,068 | — | — | $15,740 | -87% | 3 |
| Joint Injection (Major Joint) CPT 20610 Large joint injection — injection of medication (such as cortisone) into a large joint like the knee, shoulder, or hip to reduce pain and inflammation. |
— | $2,214 | $2,214 | $2,214–$2,214 | $5,196 | -57% | 1 |
| Shoulder Replacement (Arthroplasty) CPT 23472 Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting. |
— | $18,009 | $18,009 | $18,009–$18,009 | $16,775 | +7% | 1 |
| Total Hip Replacement CPT 27130 Total hip replacement surgery where the damaged hip joint is replaced with an artificial implant to relieve pain and improve mobility. |
— | $3,069 | — | — | $32,833 | -91% | 2 |
| Total Knee Replacement CPT 27447 Full knee replacement surgery where the damaged knee joint is replaced with artificial metal and plastic components to relieve pain and restore function. |
— | $7,985 | — | — | $33,727 | -76% | 2 |
| Bunionectomy with Metatarsal Osteotomy CPT 28296 Surgical correction of a bunion (hallux valgus) that includes cutting and realigning the metatarsal bone to straighten the big toe and relieve pain. |
— | $2,439 | — | — | $12,077 | -80% | 2 |
| Knee Arthroscopy Medial & Lateral CPT 29880 Arthroscopic knee surgery to treat torn meniscus cartilage on both the inner and outer sides of the knee. Uses a small camera and tools to trim or repair the damaged cartilage. |
— | $4,353 | — | — | $12,774 | -66% | 3 |
| Knee Arthroscopy (Meniscus Surgery) CPT 29881 Arthroscopic knee surgery to treat a torn meniscus on one side of the knee. The surgeon trims or repairs the damaged cartilage through small incisions. |
— | $3,602 | — | — | $12,568 | -71% | 2 |
| Septoplasty (Deviated Septum Repair) CPT 30520 Septoplasty (Deviated Septum Repair) — CPT code 30520 covers septoplasty (deviated septum repair) performed in a clinical or hospital setting. |
— | $2,777 | — | — | $11,089 | -75% | 4 |
| TAVR - Transcatheter Aortic Valve Replacement CPT 33361 Replacement of a diseased aortic heart valve without open-heart surgery. A new valve is delivered through a catheter (thin tube) inserted through the leg artery. |
— | $52 | $52 | $52–$52 | $10,772 | -100% | 1 |
| Mitral Valve Repair CPT 33430 Open-heart surgery to repair a damaged mitral valve — the valve between the upper and lower left chambers of the heart — restoring normal blood flow. |
— | $52 | $52 | $52–$52 | $1,924 | -97% | 1 |
| Coronary Artery Bypass (CABG) - Single CPT 33533 Coronary artery bypass surgery (CABG) using a single graft. A healthy blood vessel from another part of the body is used to reroute blood around a blocked heart artery. |
— | $52 | $52 | $52–$52 | $10,247 | -99% | 1 |
| Venipuncture (blood draw) CPT 36415 A routine blood draw where a needle is inserted into a vein (usually in the arm) to collect blood for laboratory testing. |
— | $7 | — | — | $27 | -74% | 4 |
| Tonsillectomy & Adenoidectomy (Under 12) CPT 42820 Surgical removal of the tonsils and adenoids. This procedure treats chronic infections, breathing problems, or sleep apnea caused by enlarged tonsils and adenoids. |
— | $3,350 | — | — | $12,481 | -73% | 3 |
| Upper Endoscopy (EGD) Diagnostic CPT 43235 Upper endoscopy (EGD) — a flexible tube with a camera is passed through the mouth to visually examine the esophagus, stomach, and upper intestine. |
$982 | $828 | — | — | $5,169 | -84% | 3 |
| Upper Endoscopy (EGD) with Biopsy CPT 43239 Upper endoscopy with biopsy — a flexible tube with a camera is passed through the mouth to examine the esophagus, stomach, and upper intestine, and tissue samples are taken for analysis. |
$982 | $488 | — | — | $5,104 | -90% | 3 |
| Gastric Bypass (Laparoscopic Roux-en-Y) CPT 43644 Gastric Bypass (Laparoscopic Roux-en-Y) — CPT code 43644 covers gastric bypass (laparoscopic roux-en-y) performed in a clinical or hospital setting. |
— | $1,077 | — | — | $11,962 | -91% | 2 |
| Gastric Sleeve (Laparoscopic Sleeve Gastrectomy) CPT 43775 Gastric Sleeve (Laparoscopic Sleeve Gastrectomy) — CPT code 43775 covers gastric sleeve (laparoscopic sleeve gastrectomy) performed in a clinical or hospital setting. |
— | $14,225 | — | — | $15,840 | -10% | 1 |
| Gastric Bypass - Open CPT 43846 Gastric Bypass - Open — CPT code 43846 covers gastric bypass - open performed in a clinical or hospital setting. |
— | $52 | $52 | $52–$52 | $8,734 | -99% | 1 |
| Gastric Bypass with Small Intestine CPT 43847 Gastric Bypass with Small Intestine — CPT code 43847 covers gastric bypass with small intestine performed in a clinical or hospital setting. |
— | $52 | $52 | $52–$52 | $1,899 | -97% | 1 |
| Small Bowel Resection CPT 44120 Small bowel resection �� surgical removal of a portion of the small intestine to treat disease, obstruction, or injury. |
— | $52 | $52 | $52–$52 | $1,338 | -96% | 1 |
| Colonoscopy (diagnostic) CPT 45378 Diagnostic colonoscopy — a flexible tube with a camera is inserted through the rectum to examine the entire large intestine for polyps, cancer, or other abnormalities. |
— | $915 | — | — | $5,170 | -82% | 3 |
| Colonoscopy with Biopsy CPT 45380 Colonoscopy with biopsy — examination of the large intestine with a camera, during which tissue samples are taken from suspicious areas for laboratory analysis. |
— | $621 | — | — | $5,477 | -89% | 3 |
| Colonoscopy with Polyp Removal CPT 45385 Colonoscopy with polyp removal — examination of the large intestine during which precancerous growths (polyps) are found and removed to prevent colon cancer. |
— | $6,268 | $6,268 | $6,268–$6,268 | $6,052 | +4% | 1 |
| Gallbladder Removal (Laparoscopic) CPT 47562 Minimally invasive removal of the gallbladder (laparoscopic cholecystectomy). Small incisions and a camera are used to remove the gallbladder, typically for gallstones or inflammation. |
— | $4,093 | — | — | $15,090 | -73% | 3 |
| Gallbladder Removal with Cholangiography CPT 47563 Laparoscopic gallbladder removal with X-ray imaging of the bile ducts (cholangiography) to check for gallstones in the ducts during surgery. |
— | $5,157 | — | — | $16,047 | -68% | 3 |
| Inguinal Hernia Repair CPT 49505 Inguinal hernia repair — surgical repair of a hernia in the groin area where tissue pushes through a weak spot in the abdominal muscles. |
— | $3,066 | — | — | $12,579 | -76% | 3 |
| Lithotripsy (Kidney Stone Treatment) CPT 50590 Lithotripsy — shock waves are used to break kidney stones into small pieces that can pass naturally through the urinary tract. |
— | $3,409 | — | — | $9,097 | -63% | 2 |
| TURP (Prostate Resection) CPT 52601 Transurethral resection of the prostate (TURP) — surgical removal of prostate tissue through the urethra to treat enlarged prostate and improve urinary flow. |
— | $3,694 | — | — | $12,227 | -70% | 3 |
| Prostate Biopsy CPT 55700 Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting. |
— | $2,207 | — | — | $7,135 | -69% | 1 |
| Laparoscopic Hysterectomy (250g or Less) CPT 58571 Total laparoscopic hysterectomy including removal of the cervix — minimally invasive complete removal of the uterus and cervix. |
— | $2,409 | — | — | $13,275 | -82% | 3 |
| Laparoscopic Ovarian Cyst/Adnexal Removal CPT 58661 Laparoscopic removal of the uterus (hysterectomy) — minimally invasive surgery using small incisions and a camera to remove the uterus. |
— | $2,477 | — | — | $11,527 | -79% | 3 |
| Fetal Non-Stress Test CPT 59025 Fetal non-stress test — monitoring the baby's heart rate in response to its own movements to assess fetal wellbeing. |
— | $715 | $715 | $715–$715 | $1,984 | -64% | 1 |
| Vaginal Delivery (routine, global) CPT 59400 Routine obstetric care including prenatal visits, vaginal delivery, and postpartum care — comprehensive maternity care package. |
— | $52 | $52 | $52–$52 | $3,949 | -99% | 1 |
| C-Section Delivery (global) CPT 59510 Routine obstetric care including prenatal visits, cesarean delivery, and postpartum care — comprehensive maternity care package with C-section. |
— | $52 | $52 | $52–$52 | $5,268 | -99% | 1 |
| VBAC Delivery CPT 59610 VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting. |
— | $52 | $52 | $52–$52 | $2,282 | -98% | 1 |
| Lumbar Epidural - Fluoroscopic CPT 62323 Lumbar or sacral epidural injection with imaging guidance — a precisely targeted spinal injection using X-ray or fluoroscopy for accurate placement. |
— | $1,597 | $1,597 | $1,597–$1,597 | $9,873 | -84% | 1 |
| Ear Tube Placement (Tympanostomy) CPT 69436 Ear Tube Placement (Tympanostomy) — CPT code 69436 covers ear tube placement (tympanostomy) performed in a clinical or hospital setting. |
— | $1,850 | — | — | $10,638 | -83% | 1 |
| CT Head without Contrast CPT 70450 CT scan — ct head without contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $100 | $100 | $100–$100 | $507 | -80% | 1 |
| MRI Brain with/without Contrast CPT 70553 MRI of the brain with and without contrast dye — detailed imaging of the brain using magnetic fields and radio waves to diagnose tumors, stroke, or other conditions. |
$446 | $1,156 | — | — | $1,496 | -23% | 2 |
| Chest X-Ray (single view) CPT 71045 X-ray imaging — chest x-ray (single view). A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $347 | $347 | $347–$347 | $183 | +89% | 1 |
| Chest X-Ray (2 views) CPT 71046 Chest X-ray, two views — standard imaging of the lungs and chest from front and side to evaluate for pneumonia, heart problems, or other chest conditions. |
— | $83 | $83 | $83–$83 | $181 | -54% | 1 |
| CT Chest without Contrast CPT 71250 CT scan of the chest without contrast — detailed cross-sectional imaging of the lungs, heart, and chest structures without contrast dye. |
— | $1,525 | $1,525 | $1,525–$1,525 | $588 | +159% | 1 |
| CT Chest with Contrast CPT 71260 CT scan of the chest with contrast — detailed cross-sectional imaging of the chest after injecting contrast dye to better visualize blood vessels and tissues. |
$216 | $344 | — | — | $769 | -55% | 2 |
| Lumbar Spine X-Ray CPT 72100 X-ray imaging — lumbar spine x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $337 | $337 | $337–$337 | $181 | +86% | 1 |
| MRI Lumbar Spine without Contrast CPT 72148 MRI of the lumbar spine (lower back) without contrast — detailed imaging of the lower spine to evaluate for herniated discs, spinal stenosis, or nerve compression. |
$279 | $1,849 | — | — | $1,062 | +74% | 1 |
| Shoulder X-Ray CPT 73030 X-ray imaging — shoulder x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $86 | $86 | $86–$86 | $176 | -51% | 1 |
| Hand X-Ray CPT 73130 X-ray imaging — hand x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $73 | $73 | $73–$73 | $191 | -62% | 1 |
| MRI Shoulder without Contrast CPT 73221 MRI of any joint of the upper extremity without contrast — detailed imaging of a shoulder, elbow, wrist, or hand joint. |
— | $2,915 | $2,915 | $2,915–$2,915 | $1,136 | +157% | 1 |
| Knee X-Ray CPT 73560 X-ray imaging — knee x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $83 | $83 | $83–$83 | $145 | -42% | 1 |
| MRI Knee without Contrast CPT 73721 MRI of any joint of the lower extremity without contrast — detailed imaging of a hip, knee, ankle, or foot joint using magnetic resonance. |
$279 | $667 | — | — | $941 | -29% | 1 |
| CT Abdomen/Pelvis without Contrast CPT 74176 CT scan of the abdomen and pelvis without contrast followed by with contrast — complete imaging study of the abdomen and pelvis. |
— | $2,959 | $2,959 | $2,959–$2,959 | $925 | +220% | 1 |
| CT Abdomen/Pelvis with Contrast CPT 74177 CT scan of the abdomen and pelvis with contrast — comprehensive cross-sectional imaging of the abdominal and pelvic organs after contrast injection. |
$446 | $417 | — | — | $951 | -56% | 4 |
| Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas. |
— | $709 | $709 | $709–$709 | $443 | +60% | 1 |
| Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs. |
— | $709 | $709 | $709–$709 | $668 | +6% | 1 |
| Diagnostic Mammogram (unilateral) CPT 77065 Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer. |
— | $263 | $263 | $263–$263 | $319 | -18% | 1 |
| Screening Mammogram (bilateral) CPT 77067 Screening mammogram of both breasts including computer-aided detection — enhanced breast X-ray with software assistance for improved cancer detection. |
— | $178 | — | — | $336 | -47% | 3 |
| Nuclear Stress Test (SPECT MPI) CPT 78452 Myocardial perfusion imaging (stress test with nuclear imaging) — evaluates blood flow to the heart muscle during rest and stress to detect blocked arteries. |
— | $1,238 | $1,238 | $1,238–$1,238 | $1,574 | -21% | 1 |
| BMP (Basic Metabolic Panel) CPT 80048 Basic metabolic panel — a blood test measuring 8 substances (glucose, calcium, sodium, potassium, CO2, chloride, BUN, creatinine) to assess kidney function, blood sugar, and electrolyte balance. |
— | $55 | $55 | $55–$55 | $48 | +16% | 1 |
| CMP (Comprehensive Metabolic Panel) CPT 80053 Comprehensive metabolic panel — a blood test measuring 14 substances to evaluate kidney and liver function, blood sugar, electrolytes, and protein levels. |
— | $10 | — | — | $44 | -78% | 4 |
| Lipid Panel CPT 80061 Lipid panel — a blood test measuring cholesterol levels including total cholesterol, HDL ("good"), LDL ("bad"), and triglycerides to assess heart disease risk. |
— | $309 | $309 | $309–$309 | $89 | +247% | 1 |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
— | $8 | $8 | $8–$8 | $47 | -83% | 1 |
| Urinalysis with Microscopy CPT 81001 Urinalysis with microscopy — a urine test that examines the physical, chemical, and microscopic properties of urine to detect infections, kidney disease, or other conditions. |
— | $70 | $70 | $70–$70 | $31 | +125% | 1 |
| Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting. |
— | $49 | $49 | $49–$49 | $29 | +70% | 1 |
| Hemoglobin A1C CPT 83036 Hemoglobin A1c test — a blood test that shows your average blood sugar level over the past 2-3 months, used to diagnose and monitor diabetes. |
— | $239 | $239 | $239–$239 | $79 | +203% | 1 |
| TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working. |
— | $383 | $383 | $383–$383 | $135 | +183% | 1 |
| CBC (Complete Blood Count) CPT 85025 Complete blood count (CBC) with differential — a common blood test that measures red blood cells, white blood cells, platelets, and hemoglobin to evaluate overall health. |
— | $96 | $96 | $96–$96 | $46 | +109% | 1 |
| PT/INR (Prothrombin Time) CPT 85610 PT/INR (Prothrombin Time) — CPT code 85610 covers pt/inr (prothrombin time) performed in a clinical or hospital setting. |
— | $86 | $86 | $86–$86 | $72 | +20% | 1 |
| Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting. |
— | $70 | $70 | $70–$70 | $42 | +66% | 1 |
| COVID-19 Test (PCR) CPT 87635 COVID-19 Test (PCR) — CPT code 87635 covers covid-19 test (pcr) performed in a clinical or hospital setting. |
— | $51 | $51 | $51–$51 | $134 | -62% | 1 |
| Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting. |
— | $432 | $432 | $432–$432 | $99 | +336% | 1 |
| Immunization Administration CPT 90471 Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting. |
— | $118 | $118 | $118–$118 | $927 | -87% | 1 |
| Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting. |
— | $107 | $107 | $107–$107 | $99 | +8% | 1 |
| Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting. |
— | $506 | $506 | $506–$506 | $2,258 | -78% | 1 |
| Carotid Ultrasound CPT 93880 Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $1,311 | $1,311 | $1,311–$1,311 | $922 | +42% | 1 |
| Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes. |
— | $176 | $176 | $176–$176 | $2,359 | -93% | 1 |
| IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line. |
— | $413 | $413 | $413–$413 | $1,162 | -64% | 1 |
| ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation. |
— | $244 | $244 | $244–$244 | $992 | -75% | 1 |
| ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation. |
— | $418 | $418 | $418–$418 | $1,200 | -65% | 1 |
| ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation. |
— | $709 | $709 | $709–$709 | $1,590 | -55% | 1 |
| ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life. |
— | $731 | $731 | $731–$731 | $1,692 | -57% | 1 |
| ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation. |
— | $1,943 | $1,943 | $1,943–$1,943 | $2,810 | -31% | 1 |
| Triamcinolone Injection CPT J3301 HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection. |
— | $241 | $241 | $241–$241 | $66 | +265% | 1 |
| Dexamethasone Injection CPT J1100 HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection. |
— | $55 | $55 | $55–$55 | $23 | +140% | 1 |
| Anesthesia - Head CPT 00100 Anesthesia - Head — CPT code 00100 covers anesthesia - head performed in a clinical or hospital setting. |
— | $46 | $46 | $40–$53 | $85 | -46% | 1 |
| Lysis of Abdominal Adhesions (open) CPT 44005 Enterolysis, freeing of intestinal adhesion |
— | $52 | $52 | $52–$52 | $1,477 | -96% | 1 |
| Partial Colectomy CPT 44140 Colectomy, partial, with anastomosis |
— | $52 | $52 | $52–$52 | $1,570 | -97% | 1 |
| Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications |
— | $59,806 | — | — | $56,348 | +6% | 1 |
| Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities |
— | $39,181 | — | — | $36,596 | +7% | 1 |
| Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications |
— | $36,984 | — | — | $48,495 | -24% | 1 |
| Hip and Femur Procedures without MCC CPT 480 Hip fracture repair or femur procedures without major complications |
— | $31,595 | — | — | $52,798 | -40% | 1 |
| Hip and Femur Procedures without CC/MCC CPT 481 Hip fracture repair or femur procedures without complications |
— | $43,123 | — | — | $40,995 | +5% | 1 |
| Hip and Femur Procedures with MCC CPT 479 Hip fracture repair or femur procedures with major complications |
— | $70,679 | — | — | $40,071 | +76% | 1 |
| Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications |
— | $48,384 | — | — | $45,620 | +6% | 1 |
| Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications |
— | $92,768 | — | — | $59,261 | +57% | 1 |
| Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications |
— | $95,483 | — | — | $88,449 | +8% | 1 |
| Spinal Fusion except Cervical without MCC CPT 460 Lumbar or thoracic spinal fusion without major complications |
— | $78,787 | — | — | $63,408 | +24% | 1 |
| Spinal Fusion except Cervical with MCC CPT 459 Lumbar or thoracic spinal fusion with major complications |
— | $48,658 | — | — | $45,718 | +6% | 1 |
| Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures |
— | $63,207 | — | — | $100,176 | -37% | 1 |
| Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without MCC CPT 247 Coronary stent placement without major complications |
— | $19,992 | — | — | $12,750 | +57% | 1 |
| Coronary Bypass without MCC CPT 236 CABG surgery without major complications |
— | $65,297 | — | — | $76,104 | -14% | 1 |
| Coronary Bypass with MCC CPT 235 CABG surgery with major complications |
— | $115,378 | — | — | $109,988 | +5% | 1 |
| Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications |
— | $23,939 | — | — | $23,672 | +1% | 1 |
| Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications |
— | $31,401 | — | — | $18,890 | +66% | 1 |
| Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications |
— | $170,415 | — | — | $176,488 | -3% | 1 |
| Vaginal Delivery without Complicating Diagnoses CPT 775 Normal vaginal delivery |
— | $4,786 | — | — | $5,147 | -7% | 1 |
| Vaginal Delivery with OR Procedures CPT 768 Vaginal delivery requiring operating room procedures |
— | $16,894 | — | — | $20,380 | -17% | 1 |
| Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications |
— | $31,375 | — | — | $29,033 | +8% | 1 |
| Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications |
— | $17,927 | — | — | $19,410 | -8% | 1 |
| Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications |
— | $24,579 | — | — | $24,178 | +2% | 1 |
| Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications |
— | $42,311 | — | — | $19,046 | +122% | 1 |
| Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications |
— | $12,211 | — | — | $13,596 | -10% | 1 |
| Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications |
— | $83,035 | — | — | $85,519 | -3% | 1 |
| Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications |
— | $52,475 | — | — | $46,705 | +12% | 1 |
| Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications |
— | $29,851 | — | — | $32,133 | -7% | 1 |
| GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications |
— | $49,299 | — | — | $33,682 | +46% | 1 |
| GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications |
— | $30,529 | — | — | $20,456 | +49% | 1 |
| Appendectomy without Complicated Principal Diagnosis without CC/MCC CPT 343 Simple appendectomy without complications |
— | $52,729 | — | — | $52,729 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications |
— | $65,933 | — | — | $38,295 | +72% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications |
— | $31,246 | — | — | $20,453 | +53% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications |
— | $24,157 | — | — | $15,156 | +59% | 1 |
| Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications |
— | $57,303 | — | — | $30,558 | +88% | 1 |
| Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications |
— | $17,318 | — | — | $17,723 | -2% | 1 |
| Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications |
— | $10,215 | — | — | $13,210 | -23% | 1 |
| Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support |
— | $240,789 | — | — | $127,091 | +89% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications |
— | $39,069 | — | — | $34,190 | +14% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications |
— | $19,708 | — | — | $20,009 | -2% | 1 |
| Rehabilitation with CC/MCC CPT 945 Inpatient rehabilitation with complications |
— | $63,734 | — | — | $33,781 | +89% | 1 |
| Rehabilitation without CC/MCC CPT 946 Inpatient rehabilitation without complications |
— | $83,506 | — | — | $30,307 | +176% | 1 |
| Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications |
— | $17,024 | — | — | $49,746 | -66% | 1 |
| Hip Replacement with Hip Fracture without MCC CPT 522 Hip replacement after hip fracture without major complications |
— | $37,406 | — | — | $41,027 | -9% | 1 |
| Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure |
— | $151,402 | — | — | $106,537 | +42% | 1 |
| Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure |
— | $55,351 | — | — | $47,027 | +18% | 1 |
| Septicemia/Severe Sepsis w/o MV >96hrs w MCC MS-DRG 871 Medicare Severity Diagnosis Related Group DRG-871 — Septicemia/Severe Sepsis w/o MV >96hrs w MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w mcc. |
— | $32,508 | — | — | $29,419 | +11% | 1 |
| Heart Failure and Shock w MCC MS-DRG 291 Medicare Severity Diagnosis Related Group DRG-291 — Heart Failure and Shock w MCC. Inpatient hospital payment classification for cases involving heart failure and shock w mcc. |
— | $22,530 | — | — | $20,210 | +11% | 1 |
| Respiratory Infections/Inflammations w MCC MS-DRG 177 Medicare Severity Diagnosis Related Group DRG-177 — Respiratory Infections/Inflammations w MCC. Inpatient hospital payment classification for cases involving respiratory infections/inflammations w mcc. |
— | $28,942 | — | — | $26,550 | +9% | 1 |
| Simple Pneumonia and Pleurisy w MCC MS-DRG 193 Medicare Severity Diagnosis Related Group DRG-193 — Simple Pneumonia and Pleurisy w MCC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w mcc. |
— | $20,593 | — | — | $19,084 | +8% | 1 |
| Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC MS-DRG 872 Medicare Severity Diagnosis Related Group DRG-872 — Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w/o mcc. |
— | $15,373 | — | — | $14,272 | +8% | 1 |
| Pulmonary Edema and Respiratory Failure MS-DRG 189 Medicare Severity Diagnosis Related Group DRG-189 — Pulmonary Edema and Respiratory Failure. Inpatient hospital payment classification for cases involving pulmonary edema and respiratory failure. |
— | $20,340 | — | — | $18,271 | +11% | 1 |
| Esophagitis/Gastroenteritis/Misc Digestive w/o MCC MS-DRG 392 Medicare Severity Diagnosis Related Group DRG-392 — Esophagitis/Gastroenteritis/Misc Digestive w/o MCC. Inpatient hospital payment classification for cases involving esophagitis/gastroenteritis/misc digestive w/o mcc. |
— | $12,439 | — | — | $12,101 | +3% | 1 |
| Kidney/Urinary Tract Infections w/o MCC MS-DRG 690 CT scan — kidney/urinary tract infections w/o mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $12,900 | — | — | $11,776 | +10% | 1 |
| Acute Myocardial Infarction, Discharged Alive w MCC MS-DRG 280 Medicare Severity Diagnosis Related Group DRG-280 — Acute Myocardial Infarction, Discharged Alive w MCC. Inpatient hospital payment classification for cases involving acute myocardial infarction, discharged alive w mcc. |
— | $24,180 | — | — | $22,395 | +8% | 1 |
| GI Hemorrhage w CC MS-DRG 378 Medicare Severity Diagnosis Related Group DRG-378 — GI Hemorrhage w CC. Inpatient hospital payment classification for cases involving gi hemorrhage w cc. |
— | $15,176 | — | — | $14,091 | +8% | 1 |
| Infectious/Parasitic Diseases w OR Procedures w MCC MS-DRG 853 Medicare Severity Diagnosis Related Group DRG-853 — Infectious/Parasitic Diseases w OR Procedures w MCC. Inpatient hospital payment classification for cases involving infectious/parasitic diseases w or procedures w mcc. |
— | $86,339 | — | — | $78,511 | +10% | 1 |
| Renal Failure w CC MS-DRG 683 Medicare Severity Diagnosis Related Group DRG-683 — Renal Failure w CC. Inpatient hospital payment classification for cases involving renal failure w cc. |
— | $13,605 | — | — | $12,663 | +7% | 1 |
| Renal Failure w MCC MS-DRG 682 Medicare Severity Diagnosis Related Group DRG-682 — Renal Failure w MCC. Inpatient hospital payment classification for cases involving renal failure w mcc. |
— | $24,523 | — | — | $22,870 | +7% | 1 |
| Kidney/Urinary Tract Infections w MCC MS-DRG 689 CT scan — kidney/urinary tract infections w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $20,603 | — | — | $17,863 | +15% | 1 |
| Major Hip/Knee Joint Replacement MS-DRG 470 Medicare Severity Diagnosis Related Group DRG-470 — Major Hip/Knee Joint Replacement. Inpatient hospital payment classification for cases involving major hip/knee joint replacement. |
— | $26,758 | — | — | $24,807 | +8% | 1 |
| Intracranial Hemorrhage/Cerebral Infarction w CC MS-DRG 065 Medicare Severity Diagnosis Related Group DRG-065 — Intracranial Hemorrhage/Cerebral Infarction w CC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w cc. |
— | $16,051 | — | — | $14,392 | +12% | 1 |
| Other Kidney/Urinary Tract Diagnoses w MCC MS-DRG 698 CT scan — other kidney/urinary tract diagnoses w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $27,712 | — | — | $25,054 | +11% | 1 |
| Misc Disorders of Nutrition/Metabolism/Fluids w MCC MS-DRG 640 Medicare Severity Diagnosis Related Group DRG-640 — Misc Disorders of Nutrition/Metabolism/Fluids w MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w mcc. |
— | $21,621 | — | — | $19,376 | +12% | 1 |
| Intracranial Hemorrhage/Cerebral Infarction w MCC MS-DRG 064 Medicare Severity Diagnosis Related Group DRG-064 — Intracranial Hemorrhage/Cerebral Infarction w MCC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w mcc. |
— | $38,170 | — | — | $32,903 | +16% | 1 |
| Hip/Femur Procedures Except Major Joint w CC MS-DRG 481 Medicare Severity Diagnosis Related Group DRG-481 — Hip/Femur Procedures Except Major Joint w CC. Inpatient hospital payment classification for cases involving hip/femur procedures except major joint w cc. |
— | $28,955 | — | — | $27,294 | +6% | 1 |
| Cardiac Arrhythmia/Conduction Disorders w CC MS-DRG 309 Medicare Severity Diagnosis Related Group DRG-309 — Cardiac Arrhythmia/Conduction Disorders w CC. Inpatient hospital payment classification for cases involving cardiac arrhythmia/conduction disorders w cc. |
— | $11,014 | — | — | $10,337 | +7% | 1 |
| Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC MS-DRG 641 Medicare Severity Diagnosis Related Group DRG-641 — Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w/o mcc. |
— | $11,333 | — | — | $10,850 | +4% | 1 |
| Cellulitis w/o MCC MS-DRG 603 Medicare Severity Diagnosis Related Group DRG-603 — Cellulitis w/o MCC. Inpatient hospital payment classification for cases involving cellulitis w/o mcc. |
— | $13,760 | — | — | $12,652 | +9% | 1 |
| COPD w MCC MS-DRG 190 Medicare Severity Diagnosis Related Group DRG-190 — COPD w MCC. Inpatient hospital payment classification for cases involving copd w mcc. |
— | $19,923 | — | — | $16,834 | +18% | 1 |
| Percutaneous Intracardiac Procedures w/o MCC MS-DRG 274 Medicare Severity Diagnosis Related Group DRG-274 — Percutaneous Intracardiac Procedures w/o MCC. Inpatient hospital payment classification for cases involving percutaneous intracardiac procedures w/o mcc. |
— | $45,194 | — | — | $42,235 | +7% | 1 |
| Simple Pneumonia and Pleurisy w CC MS-DRG 194 Medicare Severity Diagnosis Related Group DRG-194 — Simple Pneumonia and Pleurisy w CC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w cc. |
— | $12,524 | — | — | $11,857 | +6% | 1 |
| Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o MCC MS-DRG 247 Medicare Severity Diagnosis Related Group DRG-247 — Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o MCC. Inpatient hospital payment classification for cases involving percutaneous cardiovascular proc w drug-eluting stent w/o mcc. |
— | $26,093 | — | — | $25,234 | +3% | 1 |
| Coronary Bypass w/o Cardiac Cath w/o MCC MS-DRG 236 Medicare Severity Diagnosis Related Group DRG-236 — Coronary Bypass w/o Cardiac Cath w/o MCC. Inpatient hospital payment classification for cases involving coronary bypass w/o cardiac cath w/o mcc. |
— | $55,521 | — | — | $53,390 | +4% | 1 |
| Major Small/Large Bowel Procedures w CC MS-DRG 330 Medicare Severity Diagnosis Related Group DRG-330 — Major Small/Large Bowel Procedures w CC. Inpatient hospital payment classification for cases involving major small/large bowel procedures w cc. |
— | $36,437 | — | — | $34,197 | +7% | 1 |
| Syncope and Collapse MS-DRG 312 Medicare Severity Diagnosis Related Group DRG-312 — Syncope and Collapse. Inpatient hospital payment classification for cases involving syncope and collapse. |
— | $13,283 | — | — | $12,138 | +9% | 1 |
Prices are typical ranges based on Mount Sinai Hospital's published transparency data, including actual allowed amounts calculated from insurer remittance (ERA) data per CMS v3.0 requirements. Your actual cost depends on your specific plan, deductible status, and clinical details.
Search all procedures at Mount Sinai Hospital →
Insurance Plans with Negotiated Rates
Taven has payer-specific negotiated rate data from 4 insurers at Mount Sinai Hospital. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.
Aetna (CVS Health)
BCBS (Various Licensees)
Cigna Healthcare
UnitedHealthcare (UHC)
Negotiated rates vary by insurance plan. The prices shown are aggregated from this hospital's publicly filed machine-readable file. Your actual rate depends on your specific insurance plan and network tier. Use our price comparison tool to see payer-specific breakdowns.
Financial Assistance at Mount Sinai Hospital
As a nonprofit hospital, Mount Sinai Hospital is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").
Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care. You can apply as soon as care is received — through the hospital's financial counseling office, online portal, or billing department.
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Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.
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▸ Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Health System
Mount Sinai
Medicare Provider #
330024
Emergency Services
Yes
Metro Area
New York, NY
Procedures Tracked
164
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