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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Montefiore New Rochelle Hospital

Montefiore Medical Center · New Rochelle, NY

16 Guion Place, New Rochelle, NY 10801(914) 632-5000

1 of 5

CMS star rating

291

Beds

5,912

Inpatient discharges a year

$176.4M

Net patient revenue a year

35

In-network payers

About this hospital

Montefiore New Rochelle Hospital is a 291-bed voluntary non-profit - private hospital in New Rochelle, NY, affiliated with Montefiore Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 268 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
330184
NPI
1720414154
Health system
Montefiore Medical Center
Teaching
Major teaching hospital
County
Westchester 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
2025

Prices for common services

The 24 services Montefiore New Rochelle 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

$15,750 - $21,193

from 3 insurers · median $20,138

Cigna$21,193
Insurer A*$15,750
Insurer B*$20,138

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

$26,250 - $28,553

from 3 insurers · median $27,847

Cigna$28,553
Insurer A*$26,250
Insurer B*$27,847

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

$57,443 - $61,242

from 3 insurers · median $58,161

Aetna$61,242
Insurer A*$57,443
Insurer B*$58,161
Medicare $16,916Nearby hospitals $32,92877% above nearby hospitals

71 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$15,750 - $21,193

from 3 insurers · median $20,138

Cigna$21,193
Insurer A*$15,750
Insurer B*$20,138

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

How the insurers pay at Montefiore New Rochelle 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*14
526%
110
Insurer B*18
444%
171
Insurer C*24
415%
200
Insurer D*24
150%
163

How we chose these services: 5 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 8 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 Montefiore New Rochelle 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

    1 of 5 stars

    • 178 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.34%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 40 services
    • 234 affiliated clinicians
    See doctors and services
  • Finances

    $176.4M net patient revenue

    • Operating margin on patient care -45.6%
    • $19.5M unreimbursed and uncompensated care
    • -$51.9M 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 Montefiore New Rochelle 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
46-2931956Montefiore New Rochelle Hospital49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 44 more1295163244 Montefiore New Rochelle Hospital1720414154 Montefiore New Rochelle Hospital1942354741 We Care Womens Health P.c.and 14 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

16 Guion Place, New Rochelle, NY 10801

(914) 632-5000

Get directions

Frequently asked questions

About Montefiore New Rochelle Hospital's rates and hospital price transparency.

How much does a CT scan cost at Montefiore New Rochelle Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Montefiore New Rochelle Hospital range from $608 to $4,015 across 4 insurers. UnitedHealthcare's rate is $828. The median at nearby comparable hospitals is $612. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Montefiore New Rochelle Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Montefiore New Rochelle Hospital range from $3,328 to $9,691 across 3 insurers. Blue Cross Blue Shield's rate is $7,110. The median at nearby comparable hospitals is $2,344. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Montefiore New Rochelle Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Montefiore New Rochelle Hospital range from $15,750 to $21,193 across 3 insurers. Cigna's rate is $21,193. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Montefiore New Rochelle Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Montefiore New Rochelle Hospital range from $153 to $600 across 4 insurers. UnitedHealthcare's rate is $217. The median at nearby comparable hospitals is $210. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Montefiore New Rochelle Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Montefiore New Rochelle Hospital range from $57,443 to $61,242 across 3 insurers. Aetna's rate is $61,242. The median at nearby comparable hospitals is $32,928. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Montefiore New Rochelle Hospital's CMS star rating?

Montefiore New Rochelle Hospital has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Montefiore New Rochelle Hospital a teaching hospital?

Yes. CMS counts 0.36 Medicare-funded residents per bed at Montefiore New Rochelle Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Montefiore New Rochelle Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Montefiore New Rochelle Hospital's base inpatient payments by an estimated 0.34% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Montefiore New Rochelle Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (191 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (101 discharges), heart failure and shock with mcc (65 discharges).

What is Montefiore New Rochelle Hospital's case mix index?

Montefiore New Rochelle Hospital's Medicare case mix index is 1.77 for fiscal year 2027, higher than 59% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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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
      }
    ]
  }]
}
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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.

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