County Price & Affordability Audit
6 of 15 Hospitals Priced
Pop. 1,627,788
$104,553 Median Income
New York County, NY Hospital Rates
Compare hospital price transparency compliance, fair price benchmarks, and local household charity-care eligibility across all 15 mapped hospitals in New York County.
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.46×vs. Fair Market Price
Position vs. 1.00× Fair Price+46% Above Fair Price
1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.
Typical commercial prices here are +46% above the fair benchmark (1.46×) even after accounting for local nurse/doctor wages and patient complexity.
Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · New York County Affordability & CoverageSummarizes local hospital price disclosure compliance in New York County, U.S. Census median household income, local uninsured rate, and federal 200%–400% FPL charity-care income thresholds.6 of 15 Hospitals Priced
Hospitals Priced6 of 15Number of CMS-certified hospitals located inside New York County that have published machine-readable price files out of all 15 local facilities.
Median Income$104.6k / yrU.S. Census ACS median annual household income in New York County ($104,553/yr), used to measure medical bill burden and charity-care eligibility.
Uninsured Rate4.3%Percentage of New York County residents without health insurance who rely on self-pay cash discounts and 501(r) nonprofit hospital financial assistance.
Local charity-care income cutoffs (200%–400% FPL): up to $31,920 (single) and $128,600 (family of 4) qualify for free or discounted hospital care.
County Hospital Pricing & Affordability Audit6 of 15 Local Hospitals Priced
New York County, NY Hospital Price & Affordability Summary
New York County, New York (pop. 1,627,788) has 15 CMS-certified hospitals (6 publishing verified machine-readable price files) with a local price index of 1.46× the U.S. fair price benchmark and a $104,553 median household income.
County Price Index: 1.46× Fair MarketMedian Income: $104,553/yr
Advantage
Best Value & Patient Protections in New York County
- 6 of 15 hospitals in New York County publish verified 45 CFR § 180 price files (Gracie Square Hosp, Hospital for Special Surgery, NYU Langone Hospitals).
- High-rated local clinical care: Lenox Hill Hospital (5/5 CMS Stars) and New York-Presbyterian Hospital (5/5 CMS Stars).
- Under federal 26 U.S.C. § 501(r), nonprofit hospitals must provide discounted Financial Assistance Policy (FAP) rates for New York County families earning up to $128,600/yr (400% FPL).
Watchout
Where New York County Patients Get Burned (Billing Watchouts)
- 9 facilities in New York County (Lenox Hill Hospital, New York-Presbyterian Hospital) lack an indexed MRF price schedule — always demand a written Good Faith Estimate before scheduling.
- With a 4.3% local uninsured rate and $104,553 median household income, an unnegotiated $5,000 hospital bill equals 2.5 weeks of typical New York County family take-home pay.
- Emergency department and inpatient ancillary charges vary significantly across New York counties — inspect each hospital's profile below before paying a full chargemaster bill.
County MRF Price Coverage40% Published
6 of 15 Hospitals
Includes Gracie Square Hosp & Hospital for Special Surgery.
Free Care Income Cutoff (200% FPL)Nonprofit 501(r) Rule
$31,920 – $64,300
Single ($31,920) to Family of 4 ($64,300) threshold for 100% free charity care.
Discounted Care Cutoff (400% FPL)AGB Billing Cap
Up to $128,600/yr
4-person household income cap qualifying for statutory AGB billing limits in New York County.
New York County Price & Affordability Heatmap
46 of 62 Counties with MRF Hospital Data
New York County-Level Hospital Price & Affordability Heatmap
Hospital price index, Medicare markup, and household affordability burden across 62 counties in New York
<0.94× Affordable
0.94–1.06× Near Avg
1.06–1.20× Elevated
>1.20× High-Markup
Kings County7hosps
1.04× Fair
Income $79k
Erie County6hosps
0.98× Fair
Income $71k
New York County6hosps
1.46× Fair
Income $105k
Queens County5hosps
1.03× Fair
Income $85k
Suffolk County5hosps
1.04× Fair
Income $128k
Nassau County4hosps
0.98× Fair
Income $143k
Westchester County4hosps
1.14× Fair
Income $118k
Orange County4hosps
1.84× Fair
Income $96k
Ontario County2hosps
0.83× Fair
Income $80k
Franklin County2hosps
0.90× Fair
Income $64k
Steuben County2hosps
0.91× Fair
Income $65k
Chautauqua County2hosps
0.95× Fair
Income $57k
Niagara County2hosps
0.96× Fair
Income $68k
Bronx County2hosps
1.09× Fair
Income $49k
Monroe County2hosps
1.17× Fair
Income $74k
Onondaga County2hosps
1.17× Fair
Income $75k
Albany County2hosps
1.19× Fair
Income $83k
Ulster County2hosps
1.37× Fair
Income $82k
Rockland County2hosps
1.42× Fair
Income $111k
Delaware County2hosps
2.05× Fair
Income $60k
Yates County1hosp
0.51× Fair
Income $68k
Essex County1hosp
0.74× Fair
Income $70k
Clinton County1hosp
0.79× Fair
Income $69k
Otsego County1hosp
0.83× Fair
Income $67k
Showing top 24 counties with hospital price filings of 62 total in New York
All Hospitals in New York County (15)
Select any published hospital below to inspect its procedure price list, insurer discounts, and official MRF verification links.
- Lenox Hill Hospital · New York CMS CCN 330119 · 24/7 Emergency Services5/5 CMS Stars No MRF Indexed
- New York-Presbyterian Hospital · New York CMS CCN 330101 · 24/7 Emergency Services5/5 CMS Stars No MRF Indexed
- Mount Sinai West · New York CMS CCN 330046 · 24/7 Emergency Services4/5 CMS Stars No MRF Indexed
- Mount Sinai Beth Israel · New York CMS CCN 330169 · 24/7 Emergency Services3/5 CMS Stars No MRF Indexed
- Gracie Square Hosp · New York CMS CCN 334048 · Specialty / Outpatient CareNot Rated MRF Published
- Mount Sinai Hospital · New York CMS CCN 330024 · 24/7 Emergency Services4/5 CMS Stars No MRF Indexed
- Ny Eye and Ear Infirmary of Mount Sinai · New York CMS CCN 330100 · Specialty / Outpatient CareNot Rated No MRF Indexed
- Hospital for Special Surgery · New York CMS CCN 330270 · Specialty / Outpatient Care
- Manhattan Psychiatric Center · New York CMS CCN 334054 · Specialty / Outpatient CareNot Rated No MRF Indexed
- Kirby Forensic Psychiatric Center · New York CMS CCN 334060 · Specialty / Outpatient CareNot Rated No MRF Indexed
- New York State Psychiatric Institute · New York CMS CCN 334009 · Specialty / Outpatient CareNot Rated No MRF Indexed
- NYU Langone Hospitals · New York CMS CCN 330214 · 24/7 Emergency Services
- Harlem Hospital Center · New York CMS CCN 330240 · 24/7 Emergency Services
- Metropolitan Hospital Center · New York CMS CCN 330199 · 24/7 Emergency Services
- Bellevue Hospital Center · New York CMS CCN 330204 · 24/7 Emergency Services
Compare Procedure Prices Across All New York Hospitals
View statewide surgical, imaging, colonoscopy, and ER price rankings across all New York facilities.