How many shoppable procedure prices are published for Westchester Medical Center?

Westchester Medical Center in Valhalla, NY currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Westchester Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Westchester Medical Center's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Westchester Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Westchester Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 696 Beds · rural Updated: 2026-07-28

Westchester Medical Center

100 Woods Rd, Valhalla, NY 10595 · 114 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.52×vs. Fair Market Price

Typical commercial prices here are +52% above the fair benchmark (1.52×) even after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 10% of the Time

File Completeness85

Price Logic80

Peer Alignment72

Clean Billing89

Real Cash Discount6

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.52× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Westchester Medical Center prices shoppable and inpatient services (1.8× to 1.9× Medicare, divergence 1.06×) in alignment with regional hospital peers (1.52× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#80 of 92 in NY · 85th State Percentile#2,667 of 3,385 in U.S. · 78th 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 10% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 58% patient recommendation (58/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (32.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Captive ER (1.4×) & laboratory (1.6×) services average 1.06× higher multiples than routine shoppable care (1.8×)
Upper-quartile procedures (Q75 1.86×) jump +16% above the median procedure ratio (Q50 1.60×)
Unnegotiated chargemaster list prices average 12.9× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

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

Back-Door Captive & ER1.06× Divergence

1.9× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 1.24× · Q50 1.60× · Q75 1.86×

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

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

0.8× MedicareGood

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

10% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 58/100Elevated

Procedure Prices at Westchester Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 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`	—	$12,105	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,105	$13,523	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$10,044	$6,109	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$7,370	$3,372	unverified
Breast lump removal CPT Code: `19120`	—	$6,878	$3,875	unverified
Bunion correction surgery CPT Code: `28296`	—	$6,862	$3,446	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$6,379	$2,540	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$5,804	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$5,608	$981	unverified
Inguinal hernia repair CPT Code: `49505`	$11,436	$4,559	$3,629	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$10,045	$2,680	$1,021	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$2,640	$2,640	$987	unverified
Blood transfusion CPT Code: `36430`	$3,047	$2,561	$498	unverified
Trauma team activation HCPCS Code: `G0390`	$17,492	$2,500	$1,453	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$7,506	$813	$511	1.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$9,126	$641	$583	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$11,018	$650	$448	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,310	$604	$272	unverified
MRI, brain (no contrast) CPT Code: `70551`	$6,405	$549	$343	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$4,804	$537	$369	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$667	$530	$201	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$6,405	$477	$338	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,756	$414	$258	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$3,756	$363	$242	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$6,726	$384	$303	1.3×
CT scan, sinuses CPT Code: `70486`	$2,311	$304	$166	1.8×
New patient office visit (30-44 min) CPT Code: `99203`	$345	$314	$110	unverified
CT scan, pelvis CPT Code: `72192`	$2,311	$284	$163	1.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,236	$289	$169	1.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,236	$287	$168	1.7×
CT scan, chest (no contrast) CPT Code: `71250`	$3,236	$285	$167	1.7×
Rabies immune globulin HCPCS Code: `90375`	$1,043	$281	$322	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,542	$247	$134	1.8×
Ultrasound, pelvis CPT Code: `76856`	$1,542	$231	$130	1.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,542	$231	$132	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$2,311	$245	$160	1.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,542	$202	$126	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$609	$221	$185	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,715	$193	$148	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$1,377	$160	$123	1.3×
X-ray, lower back CPT Code: `72110`	$1,542	$179	$112	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$605	$128	$86	1.5×
X-ray, shoulder CPT Code: `73030`	$1,373	$128	$92	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,099	$128	$93	1.4×
X-ray, hand CPT Code: `73130`	$1,373	$128	$93	1.4×
X-ray, ankle CPT Code: `73610`	$1,373	$128	$93	1.4×
X-ray, chest (two views) CPT Code: `71046`	$746	$126	$93	1.4×
X-ray, pelvis CPT Code: `72170`	$1,542	$133	$110	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$619	$137	$151	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$423	$147	$166	0.9×
Family therapy session CPT Code: `90847`	$1,224	$145	$173	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$609	$143	$181	0.8×
X-ray, hip CPT Code: `73502`	$1,099	$137	$93	unverified
X-ray, chest (single view) CPT Code: `71045`	$1,099	$108	$92	1.2×
X-ray, foot CPT Code: `73630`	$594	$128	$92	unverified
Group therapy session CPT Code: `90853`	$311	$88	$100	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$311	$311	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$180	$180	$111	1.6×
Drug screening test HCPCS Code: `G0480`	$1,365	$172	$116	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$95	$95	$56	1.7×
Blood test, vitamin D CPT Code: `82306`	$353	$58	$31	1.9×
Colorectal cancer screening HCPCS Code: `G0010`	$270	$81	$49	1.7×
Community mental health services HCPCS Code: `H0038`	$97	$49	$16	3.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$64	$64	$39	1.6×
Orthotic fitting and training CPT Code: `97760`	$326	$65	$51	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$708	$65	$64	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$220	$36	$19	1.9×
Prosthetic fitting and training CPT Code: `97761`	$326	$57	$45	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$340	$78	$123	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$270	$79	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$270	$83	$49	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$330	$38	$20	1.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$59	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$63	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$62	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$73	$8	$4	2.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$164	$27	$14	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$128	$21	$11	1.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$117	$19	$10	1.9×
Blood test, basic metabolic panel CPT Code: `80048`	$102	$17	$9	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$162	$26	$14	1.9×
Blood test, amylase CPT Code: `82150`	$79	$13	$7	1.9×
Blood test, lipase CPT Code: `83690`	$83	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$81	$13	$7	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$182	$29	$16	1.8×
Blood test, liver function panel CPT Code: `80076`	$99	$15	$9	1.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$976	$22	$14	1.6×
Speech therapy (group session) CPT Code: `92508`	$464	$34	$27	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$323	$47	$38	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$363	$49	$40	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$456	$46	$38	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$241	$68	$87	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$145	$46	$140	0.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$106	$53	$203	0.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$73	$8	$4	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$74	$12	$6	2.0×
Culture, bacterial CPT Code: `87070`	$104	$17	$9	1.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$95	$15	$8	1.9×
Hepatitis C antibody test CPT Code: `86803`	$172	$28	$15	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$201	$33	$18	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$361	$46	$35	1.3×
Culture, blood CPT Code: `87040`	$125	$20	$11	1.8×
Physical therapy (gait training) CPT Code: `97116`	$370	$41	$33	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$363	$45	$38	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$420	$41	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$401	$39	$34	1.1×
Blood antibody screen CPT Code: `86850`	$681	$38	$46	0.8×
Blood test, potassium CPT Code: `84132`	$59	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$59	$9	$5	1.8×
Blood test, hemoglobin CPT Code: `85018`	$44	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$53	$8	$5	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$72	$12	$25	0.5×
Hepatitis B vaccine HCPCS Code: `90744`	$15	$15	$37	unverified

Showing top 25 high-impact procedures of 114 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 32.4%

Audit a Bill or Quote at Westchester Medical Center (Zero PHI Required)

CMS CCN: 330234

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $12,105

1. Amount on Your Bill or Quote ($) Pre-filled with Westchester Medical 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 501(r) AGB Cap: $9,424 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $9,424

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (32.4% of gross = $9,424).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Westchester Medical 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 +$15,639 Above Fair BaseRate

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

Your bill ($29,052) is $15,639 above the denoised Fair BaseRate ($13,413) and 2.2× 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: 133964321

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 (32.4% 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 Overall2/5 Stars (2/5)

Safety Composite58/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)55%

Median ER Wait242 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

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

CMS Price Transparency Administrative Enforcement Log

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

2025-03-25·administrative_or_closure
Met Requirements
Recorded
2022-01-11·administrative_or_closure
Closure Notice
Recorded
2021-10-27·cap_corrective_action
CAP Request
Recorded
2021-05-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (2,793 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 Westchester Medical Center.

Price Index: 1.23× regional baseline

Quality: 51/100 CMS composite

Median Household Income$118,411U.S. Census ACS

Local Uninsured Share5.0%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 69/100 · Caution CMS CCN 330234 EIN 133964321

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 330234) ↗ Verify IRS Form 990 (EIN 133964321) ↗ CMS HCRIS Cost Reports ↗

Published MRF File133964321_WestchesterMedicalCenter_standardcharges.csv

Publication / Vintage2026-07-28 · 114.79 MB

Validated Rate Rows10,413 (CMS v3.0.0)

File Integrity Digeste79b41a4b7656928e451…

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