PayerPrice
Data Platform
Who We Serve
Use Cases
More

Data Search

ProceduresSpecialtiesHospitalsPayers

Company

About UsContact

Resources

BlogResource Hub
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Lenox Hill Hospital

Northwell Health · New York, NY

100 East 77th Street, New York, NY 10075(212) 439-2345

5 of 5

CMS star rating

450

Beds

27,865

Inpatient discharges a year

$1.7B

Net patient revenue a year

36

In-network payers

Photo 1: Jim.henderson, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Lenox Hill Hospital is a 450-bed voluntary non-profit - private hospital in New York, NY, affiliated with Northwell Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 409 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
330119
NPI
1477616571
Health system
Northwell Health
Teaching
Major teaching hospital
County
New York County
Metro area
New York-Newark-Jersey City, NY-NJ MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services Lenox Hill Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$20,667 - $32,275

from 4 insurers · median $21,859

Cigna$32,275
Insurer A*$20,667
Insurer B*$20,923
Insurer C*$22,795

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$27,619 - $34,291

from 4 insurers · median $31,243

Cigna$31,675
Insurer A*$27,619
Insurer B*$30,811
Insurer C*$34,291

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$8,328 - $25,033

from 4 insurers · median $15,191

Blue Cross$25,033
Insurer A*$8,328
Insurer B*$11,976
Insurer C*$18,405
Medicare $3,857Nearby hospitals $4,330251% above nearby hospitals

79 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$304,862 - $439,139

from 4 insurers · median $346,953

Aetna$349,997
Insurer A*$304,862
Insurer B*$343,909
Insurer C*$439,139
Medicare $105,559Nearby hospitals $240,30344% above nearby hospitals

24 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Lenox Hill Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
339%
117
Insurer B*17
308%
44
Insurer C*20
292%
77
Insurer D*24
256%
183

How we chose these services: 10 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Lenox Hill Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    5 of 5 stars

    • 184 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.01%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 47 services
    • 1,300 affiliated clinicians
    See doctors and services

  • Finances

    $1.7B net patient revenue

    • Operating margin on patient care -33.3%
    • $79.9M unreimbursed and uncompensated care
    • $60M net income
    See finances

  • Ownership and leadership

    Owned by Northwell Health Inc

    • Private (not for profit)
    • Michele L Cusack, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Lenox Hill Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
13-1624070Lenox Hill Hospital61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 56 more1477616571 Lenox Hill Hospital1487956983 Lenox Hill Hospital1073652434 Lenox Hill Hospitaland 8 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

100 East 77th Street, New York, NY 10075

(212) 439-2345

Get directions

Frequently asked questions

About Lenox Hill Hospital's rates and hospital price transparency.

How much does a CT scan cost at Lenox Hill Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lenox Hill Hospital range from $494 to $704 across 3 insurers. Aetna's rate is $494. The median at nearby comparable hospitals is $934. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Lenox Hill Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Lenox Hill Hospital range from $3,177 to $7,397 across 3 insurers. UnitedHealthcare's rate is $4,565. The median at nearby comparable hospitals is $4,351. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Lenox Hill Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Lenox Hill Hospital range from $20,667 to $32,275 across 4 insurers. Cigna's rate is $32,275. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Lenox Hill Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lenox Hill Hospital range from $196 to $273 across 3 insurers. Blue Cross Blue Shield's rate is $228. The median at nearby comparable hospitals is $337. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Lenox Hill Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Lenox Hill Hospital range from $51,536 to $72,259 across 4 insurers. Aetna's rate is $63,908. The median at nearby comparable hospitals is $46,971. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Lenox Hill Hospital's CMS star rating?

Lenox Hill Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is Lenox Hill Hospital a teaching hospital?

Yes. CMS counts 0.60 Medicare-funded residents per bed at Lenox Hill Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Lenox Hill Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Lenox Hill Hospital's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Lenox Hill Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (576 discharges), heart failure and shock with mcc (171 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (136 discharges).

What is Lenox Hill Hospital's case mix index?

Lenox Hill Hospital's Medicare case mix index is 2.40 for fiscal year 2027, higher than 92% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster