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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Montefiore Nyack Hospital

Montefiore Medical Center · Nyack, NY

160 North Midland Avenue, Nyack, NY 10960(845) 348-2000

2 of 5

CMS star rating

257

Beds

11,428

Inpatient discharges a year

$388.9M

Net patient revenue a year

36

In-network payers

About this hospital

Montefiore Nyack Hospital is a 257-bed voluntary non-profit - other hospital in Nyack, NY, affiliated with Montefiore Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 301 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
330104
NPI
1104808062
Health system
Montefiore Medical Center
Teaching
No Medicare-funded residents
County
Rockland County
Metro area
New York-Newark-Jersey City, NY-NJ MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1989
Last CMS survey
2025

Prices for common services

The 24 services Montefiore Nyack 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

$9,916 - $19,639

from 3 insurers · median $13,779

Aetna$9,916
Insurer A*$13,779
Insurer B*$19,639

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

$13,188 - $31,726

from 3 insurers · median $19,059

Aetna$13,188
Insurer A*$19,059
Insurer B*$31,726

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

$28,657 - $60,634

from 3 insurers · median $39,790

Aetna$28,657
Insurer A*$39,790
Insurer B*$60,634
Medicare $14,687Nearby hospitals $55,76129% below nearby hospitals

78 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$9,916 - $19,639

from 3 insurers · median $13,779

Aetna$9,916
Insurer A*$13,779
Insurer B*$19,639

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 Nyack 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*12
1731%
70
Insurer B*19
366%
122
Insurer C*24
163%
012
Insurer D*24
127%
417

How we chose these services: 5 appear in this hospital's own Medicare claims, 14 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 Montefiore Nyack 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

    2 of 5 stars

    • 239 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.44%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 22 services, including trauma care
    • 511 affiliated clinicians
    See doctors and services
  • Finances

    $388.9M net patient revenue

    • Operating margin on patient care -4.9%
    • $34.4M unreimbursed and uncompensated care
    • -$14.7M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Mark E Geller, 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 Nyack 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
13-1740119Montefiore Nyack Hospital60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 55 more1104808062 Montefiore Nyack Hospital1538180559 Montefiore Nyack Hospital1073881835 Montefiore Nyack Hospitaland 4 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

160 North Midland Avenue, Nyack, NY 10960

(845) 348-2000

Get directions

Frequently asked questions

About Montefiore Nyack Hospital's rates and hospital price transparency.

How much does an MRI cost at Montefiore Nyack Hospital?

For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Montefiore Nyack Hospital range from $368 to $4,482 across 4 insurers. Cigna's rate is $4,482. The median at nearby comparable hospitals is $586. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Montefiore Nyack Hospital?

For CT head or brain without contrast (CPT 70450), published negotiated rates at Montefiore Nyack Hospital range from $135 to $1,633 across 4 insurers. Blue Cross Blue Shield's rate is $1,581. The median at nearby comparable hospitals is $262. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Montefiore Nyack Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Montefiore Nyack Hospital range from $2,348 to $5,150 across 3 insurers. UnitedHealthcare's rate is $5,150. The median at nearby comparable hospitals is $5,858. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Montefiore Nyack Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Montefiore Nyack Hospital range from $9,916 to $19,639 across 3 insurers. Aetna's rate is $9,916. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Montefiore Nyack Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Montefiore Nyack Hospital range from $155 to $321 across 3 insurers. UnitedHealthcare's rate is $155. The median at nearby comparable hospitals is $223. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Montefiore Nyack Hospital range from $28,657 to $60,634 across 3 insurers. Aetna's rate is $28,657. The median at nearby comparable hospitals is $55,761. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Montefiore Nyack Hospital's CMS star rating?

Montefiore Nyack Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Montefiore Nyack Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Montefiore Nyack Hospital for fiscal year 2027.

Does Medicare penalize Montefiore Nyack Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Montefiore Nyack Hospital's base inpatient payments by an estimated 1.44% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (527 discharges), heart failure and shock with mcc (157 discharges), respiratory infections and inflammations with mcc (123 discharges).

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.

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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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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
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