How many shoppable procedure prices are published for NYU Langone Hospitals?

NYU Langone Hospitals in New York, NY currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do NYU Langone Hospitals's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, NYU Langone Hospitals's median negotiated commercial rate is 2.0× the regionally adjusted fair BaseRate benchmark.

What is NYU Langone Hospitals's CMS Care Compare overall star rating?

CMS Care Compare assigns NYU Langone Hospitals an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 1609 Beds · rural Updated: 2026-01-01

NYU Langone Hospitals

550 First Avenue, New York, NY 10016 · 121 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

High Markup · Shop Alternatives

1.99×vs. Fair Market Price

Typical commercial prices here are +99% above the fair benchmark (1.99×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 77% of the Time

File Completeness66

Price Logic54

Peer Alignment69

Clean Billing89

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.99× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +38% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

NYU Langone Hospitals prices routine shoppable procedures at 2.6× Medicare (median 1.98× Fair BaseRate) while upper-quartile commercial rates jump +38% to 2.73× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#85 of 92 in NY · 91st State Percentile#3,068 of 3,385 in U.S. · 90th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.24× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 77% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 75% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (31.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.99× 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.
Commercial insurance median sits at 1.98× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.73×) jump +38% above the median procedure ratio (Q50 1.98×)
Unnegotiated chargemaster list prices average 13.0× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.6× Medicare

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

Back-Door Captive & ER0.73× Divergence

1.9× Medicare

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

Quantile Tail Spread+38% Upper Tail

Q25 1.24× · Q50 1.98× · Q75 2.73×

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

2.6× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.8× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

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

3.1× MedicareFair

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

77% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 73/100Fair

Procedure Prices at NYU Langone Hospitals

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$36,895	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$36,895	$13,523	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,487	$3,372	1.9×
Bunion correction surgery CPT Code: `28296`	—	$6,487	$3,446	1.9×
Inguinal hernia repair CPT Code: `49505`	—	$6,487	$3,629	1.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$6,487	$2,540	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,971	$1,971	$6,109	unverified
Trauma team activation HCPCS Code: `G0390`	$1,427	$1,581	$1,453	1.1×
Breast lump removal CPT Code: `19120`	$1,473	$1,473	$3,875	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,075	$1,225	$511	2.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,127	$1,244	$1,021	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,233	$1,233	$855	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,338	$912	$343	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$568	$886	$272	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,202	$811	$369	2.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,003	$753	$303	2.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,568	$753	$448	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$645	$739	$583	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,258	$706	$338	2.1×
Blood transfusion CPT Code: `36430`	$667	$667	$498	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,040	$626	$258	2.4×
Rabies immune globulin HCPCS Code: `90375`	$604	$604	$322	1.9×
CT scan, head (no contrast) CPT Code: `70450`	$776	$626	$160	unverified
CT scan, head (with contrast) CPT Code: `70460`	$932	$555	$242	2.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$307	$539	$126	unverified
CT scan, sinuses CPT Code: `70486`	$796	$509	$166	3.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$327	$472	$148	3.2×
CT scan, pelvis CPT Code: `72192`	$667	$477	$163	2.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$758	$485	$169	2.9×
CT scan, chest (no contrast) CPT Code: `71250`	$845	$479	$167	2.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$757	$481	$168	2.9×
Screening mammogram (both breasts) CPT Code: `77067`	$283	$472	$123	unverified
Colonoscopy with biopsy CPT Code: `45380`	$419	$419	$1,256	unverified
Neurobehavioral status check CPT Code: `96116`	$142	$430	$231	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$100	$405	$87	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$375	$359	$132	2.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$352	$352	$981	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$375	$375	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$400	$400	$130	unverified
Family therapy session CPT Code: `90847`	$186	$376	$173	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$91	$331	$185	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$315	$315	$151	unverified
Behavioral health assessment HCPCS Code: `H0001`	$137	$259	$157	1.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$262	$270	$166	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$390	$270	$181	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$278	$278	$987	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$285	$285	$86	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$117	$222	$86	2.6×
New patient office visit (30-44 min) CPT Code: `99203`	$221	$236	$110	2.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$227	$236	$123	1.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$76	$171	$201	0.9×
Physical therapy (gait training) CPT Code: `97116`	$66	$120	$33	3.6×
Physical therapy (manual therapy) CPT Code: `97140`	$70	$120	$34	3.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$75	$120	$35	3.4×
Occupational therapy (self-care training) CPT Code: `97535`	$80	$123	$38	3.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$82	$120	$38	3.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$63	$120	$38	3.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$69	$120	$40	3.0×
Prosthetic fitting and training CPT Code: `97761`	$53	$120	$45	2.7×
Orthotic fitting and training CPT Code: `97760`	$87	$133	$51	2.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$98	$90	$64	1.4×
X-ray, shoulder CPT Code: `73030`	$151	$115	$92	1.3×
X-ray, foot CPT Code: `73630`	$80	$115	$92	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$89	$115	$93	1.2×
X-ray, hand CPT Code: `73130`	$169	$115	$93	1.2×
X-ray, ankle CPT Code: `73610`	$81	$115	$93	1.2×
X-ray, lower back CPT Code: `72110`	$92	$126	$112	1.1×
Group therapy session CPT Code: `90853`	$37	$112	$100	1.1×
X-ray, chest (single view) CPT Code: `71045`	$38	$100	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$48	$100	$93	1.1×
X-ray, hip CPT Code: `73502`	$52	$95	$93	1.0×
X-ray, pelvis CPT Code: `72170`	$70	$112	$110	1.0×
Review of medical records for care CPT Code: `90889`	$97	$97	$114	unverified
Typhoid vaccine HCPCS Code: `90675`	$706	$706	$347	unverified
Drug screening test HCPCS Code: `G0480`	$137	$161	$116	1.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$416	$135	$203	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$122	$122	$49	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$57	$65	$39	1.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$195	$65	$111	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$10	$4	2.5×
Blood test, basic metabolic panel CPT Code: `80048`	$10	$21	$9	2.3×
Speech therapy (group session) CPT Code: `92508`	$34	$34	$27	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$122	$55	$49	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$288	$59	$140	0.4×
Care planning with family CPT Code: `90887`	$36	$36	$107	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$9	$10	$4	2.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$15	$6	2.5×
Hepatitis B vaccine HCPCS Code: `90744`	$66	$35	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$83	$37	$56	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$36	$36	$14	unverified
Blood test, hemoglobin CPT Code: `85018`	$3	$6	$3	2.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$8	$5	1.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$4	$3	1.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$6	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$13	$13	$11	1.2×
Blood test, vitamin D CPT Code: `82306`	$36	$36	$31	1.2×
Blood test, calcium CPT Code: `82310`	$6	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$12	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$6	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$6	$6	$5	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$22	$22	$19	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$16	$16	$14	1.1×
Blood test, amylase CPT Code: `82150`	$8	$8	$7	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$16	$16	$14	1.1×
Blood test, lipase CPT Code: `83690`	$8	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$8	$8	$7	1.1×
Hepatitis C antibody test CPT Code: `86803`	$17	$17	$15	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$9	$9	$8	1.1×
Blood test, liver function panel CPT Code: `80076`	$10	$10	$9	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$20	$20	$18	1.1×
Culture, bacterial CPT Code: `87070`	$10	$10	$9	1.1×
Culture, blood CPT Code: `87040`	$12	$12	$11	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$122	$30	$48	0.6×
Community mental health services HCPCS Code: `H0038`	$10	$10	$16	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$47	$14	$25	0.6×
Blood antibody screen CPT Code: `86850`	$12	$25	$46	0.5×
Psychological testing evaluation CPT Code: `96136`	$12	$12	$128	0.1×
Psychological testing by technician CPT Code: `96138`	$12	$12	$395	0.0×
Blood test, vitamin B12 CPT Code: `82607`	$18	$18	$16	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$23	$23	$20	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$26	$26	$35	unverified

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 31.2%

Audit a Bill or Quote at NYU Langone Hospitals (Zero PHI Required)

CMS CCN: 330214

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $36,895

1. Amount on Your Bill or Quote ($) Pre-filled with NYU Langone Hospitals’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: $27,592 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $27,592

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.2% of gross = $27,592).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask NYU Langone Hospitals'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 +$75,135 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($88,548) is $75,135 above the denoised Fair BaseRate ($13,413) and 6.8× the $13,117 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) 501(c)(3) Nonprofit Hospital

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

EIN: 133971298

Filing Period: 199805

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 (31.2% 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 ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite73/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait206 min

Left ER Before Seen1%

30-Day Mortality vs U.S.better

Unplanned Readmissionbetter

Hip/Knee Complication Rate2.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (8,534 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for NYU Langone Hospitals.

Price Index: 1.67× regional baseline

Quality: 84/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Fidelis Care

-58.2%

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 74/100 · Corroborated CMS CCN 330214 EIN 133971298

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 330214) ↗ Verify IRS Form 990 (EIN 133971298) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-01-01

Validated Rate Rows63,757 (CMS v3.0.0)

File Integrity DigestVerified · CCN 330214

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