How many shoppable procedure prices are published for Metropolitan Hospital Center?

Metropolitan Hospital Center in New York, NY currently has 138 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Metropolitan Hospital Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Metropolitan Hospital Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Metropolitan Hospital Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Metropolitan Hospital Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 196 Beds · urban Updated: 2025-09-05

Metropolitan Hospital Center

1901 First Avenue, New York, NY 10029 · 138 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.22×vs. Fair Market Price

Typical commercial prices here are +22% above the fair benchmark (1.22×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness85

Price Logic61

Peer Alignment61

Clean Billing88

Real Cash Discount95

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.22× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Metropolitan Hospital Center prices routine shoppable procedures near 1.6× Medicare (p50 1.13×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 1.85×, +64% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#65 of 92 in NY · 69th State Percentile#2,064 of 3,385 in U.S. · 60th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.68× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (95/100 Cash Honesty)
CMS clinical safety score (59/100 safety score) with 63% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.22× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (2.6×) & laboratory (1.0×) services average 1.25× higher multiples than routine shoppable care (1.6×)
Upper-quartile procedures (Q75 1.85×) jump +64% above the median procedure ratio (Q50 1.13×)
Unnegotiated chargemaster list prices average 4.9× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER1.25× Divergence

2.0× Medicare

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

Quantile Tail Spread+64% Upper Tail

Q25 0.68× · Q50 1.13× · Q75 1.85×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.6× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

1.5× MedicareGood

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

0% Cash Edge · 95/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 59/100Elevated

Procedure Prices at Metropolitan Hospital Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 138 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$75,867	$30,775	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$59,371	$19,432	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$4,313	$6,109	0.7×
Total hip replacement CPT Code: `27130`	—	$4,237	$13,413	0.3×
Total knee replacement CPT Code: `27447`	—	$4,237	$13,523	0.3×
Bunion correction surgery CPT Code: `28296`	—	$3,107	$3,446	0.9×
Inguinal hernia repair CPT Code: `49505`	—	$3,104	$3,629	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,896	$2,680	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$2,643	$2,975	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,429	$2,540	1.0×
Breast lump removal CPT Code: `19120`	—	$2,344	$3,875	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,175	$3,372	0.6×
Trauma team activation HCPCS Code: `G0390`	—	$1,566	$1,453	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,200	$987	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$984	$1,021	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$996	$1,256	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$931	$981	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$794	$511	1.6×
Blood transfusion CPT Code: `36430`	—	$696	$498	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	$664	$855	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$583	$272	2.1×
MRI, lower back (no contrast) CPT Code: `72148`	—	$531	$338	1.6×
MRI, brain (no contrast) CPT Code: `70551`	—	$531	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	—	$522	$369	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$421	$258	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$436	$448	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$434	$134	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$403	$303	1.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$398	$583	0.7×
CT scan, head (with contrast) CPT Code: `70460`	—	$418	$242	unverified
Residential mental health treatment HCPCS Code: `H2036`	—	—	$406	—
CT scan, chest (no contrast) CPT Code: `71250`	—	$367	$167	2.2×
CT scan, sinuses CPT Code: `70486`	—	$342	$166	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$298	$140	2.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$313	$168	1.9×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$313	$169	1.9×
CT scan, pelvis CPT Code: `72192`	—	$325	$163	unverified
Rabies immune globulin HCPCS Code: `90375`	—	—	$322	—
CT scan, head (no contrast) CPT Code: `70450`	—	$292	$160	1.8×
Ultrasound, pelvis CPT Code: `76856`	—	$248	$130	1.9×
Behavioral health assessment HCPCS Code: `H0001`	—	$243	$157	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$243	$185	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	—	$197	$86	2.3×
Behavioral health day program HCPCS Code: `H2012`	—	$200	$100	2.0×
Behavioral health living support HCPCS Code: `H2019`	—	$171	$34	5.0×
Psychological testing evaluation CPT Code: `96136`	—	$193	$128	1.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$188	$126	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$188	$132	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$193	$166	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$193	$181	1.1×
Neurobehavioral status check CPT Code: `96116`	—	$193	$231	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	—	$159	$123	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$162	$148	1.1×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$170	$269	0.6×
Psychological testing by technician CPT Code: `96138`	—	$193	$395	0.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$130	$40	3.3×
Orthotic fitting and training CPT Code: `97760`	—	$146	$51	2.9×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$154	$88	1.8×
Care planning with family CPT Code: `90887`	—	$154	$107	1.4×
Family therapy session CPT Code: `90847`	—	$161	$173	0.9×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$170	$257	0.7×
Behavioral health day treatment HCPCS Code: `H0010`	—	$160	$343	0.5×
Behavioral health residential care HCPCS Code: `H0011`	—	$160	$364	0.4×
Hepatitis B immune globulin HCPCS Code: `90371`	—	—	$151	unverified
Physical therapy (manual therapy) CPT Code: `97140`	—	$108	$34	3.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$119	$38	3.1×
Physical therapy (gait training) CPT Code: `97116`	—	$98	$33	3.0×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$98	$38	2.6×
Occupational therapy (self-care training) CPT Code: `97535`	—	$92	$38	2.4×
Prosthetic fitting and training CPT Code: `97761`	—	$100	$45	2.2×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$107	$86	1.2×
Group therapy session CPT Code: `90853`	—	$102	$100	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$112	$123	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	—	$95	$110	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$101	$201	0.5×
Review of medical records for care CPT Code: `90889`	—	—	$114	unverified
Typhoid vaccine HCPCS Code: `90675`	—	—	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	—	$203	—
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$55	$14	3.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$65	$25	2.6×
Blood test, vitamin D CPT Code: `82306`	—	$60	$31	1.9×
Blood antibody screen CPT Code: `86850`	—	$69	$46	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$65	$64	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$79	$87	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$31	$20	1.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$51	$35	1.5×
X-ray, chest (single view) CPT Code: `71045`	—	$55	$92	0.6×
X-ray, shoulder CPT Code: `73030`	—	$55	$92	0.6×
X-ray, foot CPT Code: `73630`	—	$55	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	—	$55	$93	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$55	$93	0.6×
X-ray, hand CPT Code: `73130`	—	$55	$93	0.6×
X-ray, hip CPT Code: `73502`	—	$55	$93	0.6×
X-ray, ankle CPT Code: `73610`	—	$55	$93	0.6×
X-ray, lower back CPT Code: `72110`	—	$56	$112	0.5×
X-ray, pelvis CPT Code: `72170`	—	$55	$110	0.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$29	$19	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$54	$111	0.5×
Pneumococcal vaccine HCPCS Code: `90732`	—	$66	$140	0.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	—	$56	—
Mental health services (therapy) HCPCS Code: `H0032`	—	—	$65	unverified
Hepatitis C antibody test CPT Code: `86803`	—	$28	$15	1.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$34	$33	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	—	$39	$49	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$35	$49	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	—	$39	—
Hepatitis B vaccine HCPCS Code: `90744`	—	—	$37	—
Behavioral health outpatient services HCPCS Code: `H2015`	—	$11	$16	0.7×
Flu vaccine injection HCPCS Code: `G0008`	—	$32	$48	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$9	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$14	—
Blood test, liver function panel CPT Code: `80076`	—	—	$9	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	—	$3	—
Blood test, amylase CPT Code: `82150`	—	—	$7	—
Blood test, calcium CPT Code: `82310`	—	—	$5	—
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	—
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	—
Blood test, glucose (blood sugar) CPT Code: `82947`	—	—	$4	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	—
Blood test, lipase CPT Code: `83690`	—	—	$7	—
Blood test, magnesium CPT Code: `83735`	—	—	$7	—
Blood test, potassium CPT Code: `84132`	—	—	$5	—
Blood test, sodium CPT Code: `84295`	—	—	$5	—
Blood test, thyroid (TSH) CPT Code: `84443`	—	—	$18	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$4	—
Blood test, hemoglobin CPT Code: `85018`	—	—	$3	—
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$8	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	—	$5	—
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$6	—
Culture, blood CPT Code: `87040`	—	—	$11	—
Culture, bacterial CPT Code: `87070`	—	—	$9	—
Flu vaccine (high dose) HCPCS Code: `90656`	—	—	$25	—
Speech therapy (group session) CPT Code: `92508`	—	—	$27	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	—	$35	unverified
Community mental health services HCPCS Code: `H0038`	—	—	$16	unverified

Showing top 25 high-impact procedures of 138 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Metropolitan Hospital Center (Zero PHI Required)

CMS CCN: 330199

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $75,867

1. Amount on Your Bill or Quote ($) Pre-filled with Metropolitan Hospital Center’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Metropolitan Hospital Center'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 +$151,306 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($182,081) is $151,306 above the denoised Fair BaseRate ($30,775) and 7.7× the $23,504 Medicare rate.

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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Metropolitan Hospital Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait172 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Metropolitan Hospital Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-27·administrative_or_closure
Met Requirements
Recorded
2024-11-01·administrative_or_closure
Closure Notice
Recorded
2024-09-04·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (315 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

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 Metropolitan Hospital Center.

Price Index: 1.00× regional baseline

Quality: 47/100 CMS composite

Median Household Income$104,553U.S. Census ACS

Local Uninsured Share4.3%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 77/100 · Corroborated CMS CCN 330199

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 330199) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filebellevue

Publication / Vintage2025-09-05 · 753.09 MB

Validated Rate Rows10,279 (CMS v3.0.0)

File Integrity Digest28297c6a3866efd80c8d…

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.

Submit MRF Update Correction Policy