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Childrens HospitalVoluntary Non-Profit - Private

Childrens Hospital At Montefiore

Montefiore Medical Center · Bronx, NY

3415 Bainbridge Ave, Bronx, NY 10467None

3 of 5

CMS star rating

1,499

Beds

75,508

Inpatient discharges a year

$3.9B

Net patient revenue a year

Hugo L. González, CC BY-SA 4.0, via Wikimedia Commons

About this hospital

Childrens Hospital At Montefiore is a 1499-bed voluntary non-profit - private hospital in Bronx, NY, affiliated with Montefiore Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 248 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
330059
NPI
1336427574
Health system
Montefiore Medical Center
Teaching
Major teaching hospital
County
Bronx 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
2024

Prices for common services

The 24 services Childrens Hospital At Montefiore 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

$16,975 - $29,992

from 3 insurers · median $21,279

UnitedHealthcare$16,975
Insurer A*$21,279
Insurer B*$29,992

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

$32,725 - $45,023

from 3 insurers · median $38,318

UnitedHealthcare$38,318
Insurer A*$32,725
Insurer B*$45,023

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$38,318 - $90,576

from 3 insurers · median $80,399

Aetna$80,399
Insurer A*$38,318
Insurer B*$90,576
Medicare $20,267Nearby hospitals $46,97171% above nearby hospitals

165 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$38,318 - $435,198

from 3 insurers · median $434,245

Aetna$434,245
Insurer A*$38,318
Insurer B*$435,198
Medicare $115,990Nearby hospitals $238,22182% above nearby hospitals

12 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Childrens Hospital At Montefiore

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*24
376%
200
Insurer B*24
355%
129
Insurer C*17
277%
107
Insurer D*24
150%
109

How we chose these services: 9 appear in this hospital's own Medicare claims, 10 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 Childrens Hospital At Montefiore, 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

More about this hospital

  • Quality

    3 of 5 stars

    • 193 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.26%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 2,212 affiliated clinicians
    See doctors and services
  • Finances

    $3.9B net patient revenue

    • Operating margin on patient care -51.6%
    • $393.9M unreimbursed and uncompensated care
    • -$54.3M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Phillip O. Ozuah, 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 Childrens Hospital At Montefiore in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
13-1740114Montefiore Medical Center57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1063525152 Montefiore Medical Center1952476988 Montefiore Medical Center1265591168 Montefiore Medical Centerand 146 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

3415 Bainbridge Ave, Bronx, NY 10467

None

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Frequently asked questions

About Childrens Hospital At Montefiore's rates and hospital price transparency.

How much does a CT scan cost at Childrens Hospital At Montefiore?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Childrens Hospital At Montefiore range from $462 to $2,002 across 4 insurers. Blue Cross Blue Shield's rate is $988. The median at nearby comparable hospitals is $713. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Childrens Hospital At Montefiore?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Childrens Hospital At Montefiore range from $1,271 to $12,465 across 4 insurers. Cigna's rate is $1,271. The median at nearby comparable hospitals is $3,762. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Childrens Hospital At Montefiore?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Childrens Hospital At Montefiore range from $16,975 to $29,992 across 3 insurers. UnitedHealthcare's rate is $16,975. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Childrens Hospital At Montefiore?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Childrens Hospital At Montefiore range from $148 to $770 across 4 insurers. UnitedHealthcare's rate is $148. The median at nearby comparable hospitals is $272. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Childrens Hospital At Montefiore?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Childrens Hospital At Montefiore range from $38,318 to $90,576 across 3 insurers. Aetna's rate is $80,399. 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 Childrens Hospital At Montefiore's CMS star rating?

Childrens Hospital At Montefiore has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Childrens Hospital At Montefiore a teaching hospital?

Yes. CMS counts 0.86 Medicare-funded residents per bed at Childrens Hospital At Montefiore for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Childrens Hospital At Montefiore for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Childrens Hospital At Montefiore's base inpatient payments by an estimated 0.26% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Childrens Hospital At Montefiore?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (995 discharges), heart failure and shock with mcc (390 discharges), syncope and collapse (198 discharges).

What is Childrens Hospital At Montefiore's case mix index?

Childrens Hospital At Montefiore's Medicare case mix index is 2.16 for fiscal year 2027, higher than 86% of hospitals paid under the inpatient prospective payment system.

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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
      }
    ]
  }]
}
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