How many shoppable procedure prices are published for Memorial Hospital for Cancer and Allied Diseases?

Memorial Hospital for Cancer and Allied Diseases in New York, NY currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Memorial Hospital for Cancer and Allied Diseases's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Memorial Hospital for Cancer and Allied Diseases's median negotiated commercial rate is 3.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2025-12-01

Memorial Hospital for Cancer and Allied Diseases

1275 York Ave, New York, NY 10065 · 110 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

2.96×vs. Fair Market Price

Typical commercial prices here are +196% above the fair benchmark (2.96×) even after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 20% of the Time

File Completeness100

Price Logic61

Peer Alignment66

Clean Billing91

Real Cash Discount6

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Memorial Hospital for Cancer and Allied Diseases prices routine shoppable procedures near 2.2× Medicare (p50 2.23×) while skewing captive emergency, lab, and upper-quartile codes to 5.9× Medicare (p75 4.94×, +122% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#92 of 92 in NY · 98th State Percentile#3,327 of 3,385 in U.S. · 98th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.15× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 20% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (3.1×) services average 2.68× higher multiples than routine shoppable care (2.2×)
Upper-quartile procedures (Q75 4.94×) jump +122% above the median procedure ratio (Q50 2.23×)
Unnegotiated chargemaster list prices average 9.3× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER2.68× Divergence

5.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+122% Upper Tail

Q25 1.15× · Q50 2.23× · Q75 4.94×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.4× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.1× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

20% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Memorial Hospital for Cancer and Allied Diseases

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	—	$19,432	—
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$6,743	$5,233	$19,087	unverified
Total hip replacement CPT Code: `27130`	$12,950	$3,302	$13,413	0.2×
Injection procedure for pain management HCPCS Code: `G0260`	$5,406	$2,703	$855	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,700	$2,483	$6,109	0.4×
Inguinal hernia repair CPT Code: `49505`	$3,665	$2,398	$3,629	0.7×
Breast lump removal CPT Code: `19120`	$5,702	$2,160	$3,875	0.6×
Blood transfusion CPT Code: `36430`	$2,806	$1,838	$498	unverified
Colonoscopy with biopsy CPT Code: `45380`	$3,472	$1,058	$1,256	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$1,295	$844	$987	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$5,092	$816	$583	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,635	$772	$981	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$862	$672	$151	4.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$600	$618	$511	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,513	$480	$448	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$575	$450	$303	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$670	$429	$86	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$415	$402	$338	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$6,467	$401	$343	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$660	$337	$123	2.7×
MRI, knee or other leg joint CPT Code: `73721`	$5,492	$330	$369	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,068	$292	$258	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$414	$290	$123	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$655	$287	$110	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$393	$252	$86	2.9×
CT scan, chest (no contrast) CPT Code: `71250`	$2,454	$251	$167	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$383	$224	$148	1.5×
CT scan, pelvis CPT Code: `72192`	$285	$244	$163	1.5×
CT scan, sinuses CPT Code: `70486`	$2,777	$238	$166	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$295	$239	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$295	$239	$169	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$2,874	$260	$242	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$740	$234	$185	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$395	$236	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$395	$252	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$351	$228	$40	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$512	$190	$64	3.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$240	$187	$126	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$240	$192	$134	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$240	$192	$160	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$460	$199	$166	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$635	$209	$181	1.2×
Family therapy session CPT Code: `90847`	$254	$194	$173	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$484	$210	$201	1.0×
Physical therapy (gait training) CPT Code: `97116`	$351	$219	$33	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$356	$226	$38	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$460	$229	$87	unverified
Ultrasound, pelvis CPT Code: `76856`	$195	$158	$130	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,342	$179	$272	0.7×
Psychological testing by technician CPT Code: `96138`	$635	$192	$395	0.5×
Physical therapy (manual therapy) CPT Code: `97140`	$353	$212	$34	unverified
Orthotic fitting and training CPT Code: `97760`	$334	$217	$51	unverified
Psychological testing evaluation CPT Code: `96136`	$230	$147	$128	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,796	$144	$132	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$201	$157	$35	unverified
Group therapy session CPT Code: `90853`	$202	$104	$100	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$220	$124	$33	unverified
Typhoid vaccine HCPCS Code: `90675`	$759	$433	$347	1.2×
Drug screening test HCPCS Code: `G0480`	$425	$264	$116	2.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$349	$199	$203	1.0×
Blood test, vitamin D CPT Code: `82306`	$594	$161	$31	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$223	$127	$140	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$451	$152	$27	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$261	$77	$9	8.6×
Blood test, liver function panel CPT Code: `80076`	$261	$77	$9	8.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$381	$81	$11	7.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$406	$100	$19	5.3×
Blood antibody screen CPT Code: `86850`	$180	$80	$46	1.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$181	$103	$111	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$378	$88	$14	unverified
Blood test, vitamin B12 CPT Code: `82607`	$293	$89	$16	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$404	$94	$18	unverified
Flu vaccine injection HCPCS Code: `G0008`	$113	$68	$48	1.4×
X-ray, lower back CPT Code: `72110`	$1,333	$61	$112	0.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$305	$74	$14	unverified
Hepatitis C antibody test CPT Code: `86803`	$323	$82	$15	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$98	$31	$3	10.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$95	$37	$5	7.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$136	$43	$6	7.2×
Blood test, calcium CPT Code: `82310`	$127	$28	$5	5.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$141	$28	$5	5.6×
Culture, bacterial CPT Code: `87070`	$395	$49	$9	5.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$113	$68	$49	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	$113	$68	$49	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$90	$64	$56	1.1×
Blood test, amylase CPT Code: `82150`	$170	$35	$7	5.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$860	$49	$93	0.5×
X-ray, hip CPT Code: `73502`	$741	$49	$93	0.5×
Culture, blood CPT Code: `87040`	$402	$59	$11	unverified
Blood test, hemoglobin CPT Code: `85018`	$41	$21	$3	7.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$81	$24	$4	6.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$81	$23	$4	5.8×
Blood test, lipase CPT Code: `83690`	$199	$39	$7	5.6×
Blood test, potassium CPT Code: `84132`	$96	$26	$5	5.2×
Blood test, sodium CPT Code: `84295`	$98	$26	$5	5.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$43	$36	$25	1.4×
Hepatitis B vaccine HCPCS Code: `90744`	$54	$42	$37	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$54	$42	$39	1.1×
X-ray, chest (two views) CPT Code: `71046`	$647	$48	$93	0.5×
X-ray, shoulder CPT Code: `73030`	$779	$45	$92	0.5×
X-ray, chest (single view) CPT Code: `71045`	$482	$40	$92	0.4×
X-ray, hand CPT Code: `73130`	$742	$39	$93	0.4×
X-ray, ankle CPT Code: `73610`	$807	$39	$93	0.4×
X-ray, foot CPT Code: `73630`	$766	$36	$92	0.4×
X-ray, pelvis CPT Code: `72170`	$654	$40	$110	0.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$233	$53	$10	unverified
Blood test, magnesium CPT Code: `83735`	$157	$38	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$158	$38	$8	unverified

Showing top 25 high-impact procedures of 110 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.8%

Audit a Bill or Quote at Memorial Hospital for Cancer and Allied Diseases (Zero PHI Required)

CMS CCN: 330154

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $22,347

1. Amount on Your Bill or Quote ($) Pre-filled with Memorial Hospital for Cancer and Allied Diseases’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $314 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $314

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.8% of gross = $314).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Memorial Hospital for Cancer and Allied Diseases's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target Target: $19,432 Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,432).

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 131924236

Filing Period: 196201

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (34.8% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Memorial Hospital for Cancer and Allied Diseases.

Price Index: 1.08× regional baseline

Quality: 54/100 CMS composite

Median Household Income$160,938U.S. Census ACS

Local Uninsured Share1.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 66/100 · Caution CMS CCN 330154 EIN 131924236

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 330154) ↗ Verify IRS Form 990 (EIN 131924236) ↗ CMS HCRIS Cost Reports ↗

Published MRF File131924236_memorial-hospital-for-cancer-and-allied-diseases-nyc_standardcharges.json

Publication / Vintage2025-12-01 · 124.11 MB

Validated Rate Rows4,652 (CMS v3.0.0)

File Integrity Digestac6e99d5ac88636633c5…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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