Montefiore Medical Center · Bronx, NY
248
Disclosed rate categories
193
Beds
2
Care quality
Childrens Hospital At Montefiore is a 193-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.
CCN (Medicare provider number)
330059
NPI
1336427574
Type
Childrens Hospital
Ownership
Voluntary Non-Profit - Private
Beds
193
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
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.
Childbirth · Inpatient
MS-DRG 807
$16,975 - $29,992
from 3 insurers · median $21,279
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
MS-DRG 788
$32,725 - $45,023
from 3 insurers · median $38,318
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
MS-DRG 470
$38,318 - $90,576
from 3 insurers · median $80,399
165 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$38,318 - $435,198
from 3 insurers · median $434,245
12 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$1,600 - $13,220
from 4 insurers · median $9,246
38 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$16,975 - $29,992
from 3 insurers · median $21,279
CMS lists this service as CPT 59610, 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
Medicine & Surgery · Inpatient
MS-DRG 460
$30,287 - $173,778
from 3 insurers · median $165,460
11 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$462 - $2,002
from 4 insurers · median $1,295
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,271 - $12,465
from 4 insurers · median $6,433
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$842 - $12,465
from 4 insurers · median $3,911
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,279 - $13,220
from 4 insurers · median $9,842
387 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$10,016 - $21,908
from 4 insurers · median $11,377
108 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,507 - $12,465
from 4 insurers · median $5,867
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$217 - $1,632
from 4 insurers · median $510
Common here, based on CMS Medicare volume
Urology
CPT 52000
$1,152 - $11,333
from 4 insurers · median $3,911
511 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$1,953 - $21,908
from 4 insurers · median $11,958
108 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$568 - $5,928
from 3 insurers · median $5,278
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$148 - $770
from 4 insurers · median $412
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,842 - $21,908
from 4 insurers · median $11,617
34 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$322 - $1,126
from 4 insurers · median $671
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$791 - $12,465
from 4 insurers · median $9,412
Typical for a hospital with this service line
CT imaging
CPT 74176
$441 - $666
from 4 insurers · median $594
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$316 - $2,339
from 4 insurers · median $891
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,104 - $21,908
from 4 insurers · median $11,888
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 376% | 20 | 0 |
| Insurer B* | 24 | 355% | 12 | 9 |
| Insurer C* | 17 | 277% | 10 | 7 |
| Insurer D* | 24 | 150% | 10 | 9 |
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.
3415 Bainbridge Ave, Bronx, NY 10467
None
The nearest hospitals of similar type and size. Their rates are compared with Childrens Hospital At Montefiore for the same insurers and services above.
St. Barnabas Hospital
▼ Rates typically 68% lower than Childrens Hospital At Montefiore (21 services)
Nyc Health + Hospitals - Jacobi
▼ Rates typically 58% lower than Childrens Hospital At Montefiore (21 services)
Englewood Hospital & Medical Center
▼ Rates typically 43% lower than Childrens Hospital At Montefiore (21 services)
The Mount Sinai Hospital
▼ Rates typically 36% lower than Childrens Hospital At Montefiore (21 services)
Lenox Hill Hospital
▼ Rates typically 33% lower than Childrens Hospital At Montefiore (21 services)
Newyork-Presbyterian Weill Cornell Medical Center
▲ Rates typically 28% higher than Childrens Hospital At Montefiore (21 services)
Blythedale Childrens Hospital
Nys Office Of Mental Health
About Childrens Hospital At Montefiore's rates and hospital price transparency.
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.
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.
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.
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.
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.
Childrens Hospital At Montefiore has 193 beds. Facility type: Childrens Hospital.
Childrens Hospital At Montefiore is located at 3415 Bainbridge Ave, Bronx, NY 10467. Its main phone number is None.
Childrens Hospital At Montefiore's CMS Certification Number (CCN), also called its Medicare provider number, is 330059.
The National Provider Identifier (NPI) on file for Childrens Hospital At Montefiore is 1336427574.
Childrens Hospital At Montefiore is affiliated with Montefiore Medical Center.
248 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"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
}
]
}]
}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