Sinai Health System · Chicago, IL
1 of 5
CMS star rating
264
Beds
9,070
Inpatient discharges a year
$253.7M
Net patient revenue a year
38
In-network payers
Mount Sinai Hospital is a 264-bed voluntary non-profit - private hospital in Chicago, IL, affiliated with Sinai Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 423 disclosed rate categories.
The 24 services Mount Sinai 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
MS-DRG 807
$5,467 - $8,917
from 4 insurers · median $6,796
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
$6,491 - $14,151
from 4 insurers · median $10,232
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 216
$78,277 - $129,436
from 4 insurers · median $101,759
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$5,467 - $8,917
from 4 insurers · median $6,796
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
$29,145 - $47,399
from 3 insurers · median $36,056
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$19,797 - $43,941
from 4 insurers · median $26,995
Hospital reports neurosurgical services to CMS
CT imaging
CPT 74177
$298 - $3,102
from 4 insurers · median $648
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$15,641 - $24,033
from 4 insurers · median $19,367
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$10,061 - $22,351
from 4 insurers · median $15,630
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 70450
$89 - $1,280
from 4 insurers · median $485
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$605 - $1,528
from 3 insurers · median $1,104
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,104 - $4,035
from 4 insurers · median $3,398
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$92 - $295
from 4 insurers · median $238
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,024 - $2,607
from 4 insurers · median $2,186
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,716 - $2,607
from 4 insurers · median $2,161
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$942 - $2,607
from 4 insurers · median $1,551
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$74 - $253
from 4 insurers · median $174
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$150 - $1,777
from 4 insurers · median $723
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$204 - $2,766
from 4 insurers · median $500
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,766 - $19,611
from 3 insurers · median $6,925
Typical for a hospital with this service line
MRI imaging
CPT 70553
$298 - $5,648
from 4 insurers · median $732
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,574 - $2,607
from 4 insurers · median $1,843
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,388 - $12,248
from 4 insurers · median $7,566
Typical for a hospital with this service line
Ultrasound
CPT 76705
$89 - $326
from 4 insurers · median $276
Common here, based on CMS Medicare volume
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* | 21 | 305% | 16 | 2 |
| Insurer B* | 24 | 215% | 16 | 1 |
| Insurer C* | 24 | 197% | 6 | 10 |
| Insurer D* | 24 | 84% | 5 | 15 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 10 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 Mount Sinai Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$253.7M net patient revenue
Ownership and leadership
Owned by Sinai Health System
The employer identification numbers (EINs) health plans and networks list for Mount Sinai Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 36-1509000Mount Sinai Hospital Medical Center | 48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 43 more | 1871581314 Mount Sinai Hospital Medical Center1518057769 Mount Sinai Hospital Medical Center1619059300 Mount Sinai Hospital Medical Centerand 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.
1500 South Fairfield Avenue, Chicago, IL 60608
(773) 542-2000
How Mount Sinai Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Mixed on 7 measures
1 better, 5 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 7 measures
0 better, 6 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
48%
Lower than 98% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.2
Higher than 90% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
200 min
Higher than 80% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
54%
Lower than 74% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 1 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | Mixed on 7 measures | |
| Readmissions | Worse on 1 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 48% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.2 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 200 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 54% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Mount Sinai Hospital's inpatient payments for its readmissions, quality and cost results.
-0.07% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.99% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Mount Sinai Hospital, beside the US median and the average of IL hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 30 cases | 4.8 | 4.1 | 4.202 | Worse than 79% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 895 cases | 4 | 3.9 | 4.052 | Worse than 51% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.78 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.39 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 25 cases | 9.2 | 8.5 | 8.223 | Worse than 68% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 57 cases | 9.8 | 11 | 10.49 | Better than 73% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 58 cases | 14 | 15.2 | 15.41 | Better than 68% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 61 cases | 9.8 | 11.6 | 11.77 | Better than 83% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,177 cases | 0.95 | 0.51 | 0.5668 | No Different Than the National Rate | Worse than 86% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 31 cases | 201 | 173 | 173 | No Different Than the National Rate | Worse than 88% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,295 cases | 0.19 | 0.2 | 0.2122 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,333 cases | 0.26 | 0.27 | 0.2728 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 296 cases | 2.13 | 2.29 | 2.301 | No Different Than the National Rate | Better than 75% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 53 cases | 2.06 | 1.63 | 1.67 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 59 cases | 13.88 | 8.88 | 9.531 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 291 cases | 3.87 | 3.4 | 3.714 | No Different Than the National Rate | Worse than 77% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 58 cases | 4.49 | 5.105 | 5.152 | No Different Than the National Rate | Better than 82% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 80 cases | 1.71 | 1.72 | 1.741 | No Different Than the National Rate | Better than 53% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 261 cases | 0.97 | 1.02 | 1.045 | No Different Than the National Rate | Better than 67% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.54 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 80 cases | 8.9 | 1.25 | 8.216 | Worse than 60% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 54 cases | 7.6 | 3.85 | 13.94 | Worse than 56% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 126 cases | 13.8 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 29 cases | 12.7 | 10.7 | 11.17 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 29 cases | 5.4 | 5.3 | 5.176 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.016 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 71 cases | 13.8 | 14.4 | 14.43 | Better than 77% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 89 cases | 20.1 | 19.8 | 20.07 | Worse than 61% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 178 cases | 20.9 | 21.3 | 21.51 | Better than 63% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 30 cases | 5.5 | 5.8 | 5.976 | Better than 65% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 156 cases | 18.4 | 17.2 | 17.5 | Worse than 85% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 1.607 | 0.172 | 0.315 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.074 | 1.504 | 2.097 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 7,152 | 1,370 | 4,356 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 6.847 | 0.9835 | 4.318 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 18 | 0 | 2.961 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 2.629 | 0.484 | 0.7494 | Worse than the National Benchmark | Worse than 99% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.492 | 0.138 | 0.2157 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.012 | 1.392 | 1.915 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 6,501 | 1,799 | 3,807 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 7.551 | 1.377 | 4.51 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 8 | 0 | 2.56 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.059 | 0.399 | 0.5759 | No Different than National Benchmark | Worse than 90% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.495 | 0.2345 | 0.3411 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.995 | 2.135 | 2.549 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 111 | 61 | 96.21 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 3.7 | 1.591 | 2.6 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 5 | 1 | 2.339 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.351 | 0.7155 | 0.9044 | No Different than National Benchmark | Worse than 81% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.033 | 0.211 | 0.3129 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.245 | 3.068 | 3.282 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 162 | 38 | 84.23 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 1.52 | 0.328 | 0.7325 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.72 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 0.658 | 0.812 | 0.899 | No Different than National Benchmark | Better than 62% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.671 | 0.193 | 0.1945 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.035 | 1.855 | 2.01 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 60,246 | 14,451 | 38,381 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 4.563 | 0.567 | 2.311 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 7 | 0 | 1.305 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 1.534 | 0.597 | 0.5504 | No Different than National Benchmark | Worse than 93% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.257 | 0.127 | 0.1833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.738 | 0.747 | 1.212 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 56,332 | 13,646 | 35,800 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 31.06 | 5.683 | 19.22 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 14 | 2 | 7.192 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.451 | 0.279 | 0.4067 | Better than the National Benchmark | Worse than 72% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 416 cases | 53 | 73 | 72.75 | Worse than 99% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 416 cases | 18 | 8 | 9.158 | Worse than 96% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 416 cases | 29 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 416 cases | 77 | 87 | 85.64 | Worse than 97% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 416 cases | 1 | 4 | 3.195 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 416 cases | 70 | 80 | 79.29 | Worse than 95% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 416 cases | 86 | 91 | 90.92 | Worse than 96% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 416 cases | 10 | 4 | 4.576 | Worse than 97% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 416 cases | 1 | 3 | 3.305 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 416 cases | 20 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 416 cases | 72 | 79 | 78.82 | Worse than 91% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 416 cases | 88 | 91 | 90.1 | Worse than 83% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 416 cases | 8 | 5 | 5.823 | Worse than 84% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 416 cases | 2 | 3 | 2.89 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 416 cases | 20 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 416 cases | 53 | 61 | 61.18 | Worse than 90% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 416 cases | 70 | 77 | 76.11 | Worse than 93% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 416 cases | 29 | 19 | 19.8 | Worse than 95% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 416 cases | 1 | 3 | 2.559 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 416 cases | 18 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 416 cases | 78 | 86 | 85.26 | Worse than 95% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 416 cases | 21 | 13 | 13.92 | Worse than 94% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 416 cases | 2 | 3 | 3.237 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 416 cases | 79 | 87 | 86.08 | Worse than 94% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 416 cases | 21 | 14 | 14.8 | Worse than 88% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 416 cases | 79 | 86 | 85.2 | Worse than 88% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 416 cases | 67 | 74 | 73.24 | Worse than 89% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 416 cases | 10 | 7 | 7.369 | Worse than 84% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 416 cases | 23 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 416 cases | 71 | 77 | 76.95 | Worse than 86% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 416 cases | 9 | 6 | 6.199 | Worse than 86% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 416 cases | 20 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 416 cases | 77 | 85 | 84.2 | Worse than 95% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 416 cases | 5 | 3 | 3.979 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 416 cases | 18 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 416 cases | 17 | 8 | 8.937 | Worse than 96% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 416 cases | 30 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 416 cases | 53 | 72 | 70.19 | Worse than 97% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 416 cases | 81 | 88 | 87.19 | Worse than 95% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 416 cases | 2 | 3 | 3.136 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 416 cases | 68 | 74 | 73.94 | Worse than 86% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 416 cases | 16 | 9 | 9.858 | Worse than 94% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 416 cases | 16 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 416 cases | 68 | 75 | 74.61 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 416 cases | 11 | 5 | 5.915 | Worse than 95% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 416 cases | 21 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 416 cases | 68 | 77 | 76.32 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 416 cases | 10 | 4 | 4.894 | Worse than 95% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 416 cases | 22 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 416 cases | 74 | 86 | 84.9 | Worse than 98% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 416 cases | 8 | 3 | 3.085 | Worse than 97% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 416 cases | 18 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 416 cases | 48 | 59 | 59.03 | Worse than 84% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 416 cases | 23 | 9 | 10.03 | Worse than 96% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 416 cases | 29 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 416 cases | 73 | 82 | 81.16 | Worse than 91% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 416 cases | 2 | 3 | 3.237 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 416 cases | 14 | 5 | 6.753 | Worse than 96% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 416 cases | 48 | 71 | 68.65 | Worse than 98% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 416 cases | 76 | 87 | 85.89 | Worse than 97% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 416 cases | 38 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 416 cases | 1 | 4 | 3.458 | The lowest rating, shared by 3% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 416 cases | 37 | 47 | 46.95 | Worse than 93% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 416 cases | 42 | 30 | 30.69 | Worse than 95% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 416 cases | 21 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 416 cases | 2 | 3 | 3.119 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 416 cases | 22 | 12 | 13.09 | Worse than 97% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 416 cases | 78 | 88 | 86.91 | Worse than 97% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 14,742 cases | 11 | 8 | 8.656 | Worse than 70% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 2,167 cases | 2 | 1 | 1.114 | Worse than 72% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 4,661 cases | 1 | 0 | 0.2258 | Worse than 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,453 cases | 98 | 79 | 83.65 | Better than 96% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 395 cases | 205 | 154 | 183 | Worse than 80% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 369 cases | 200 | 148 | 175 | Worse than 80% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 24 cases | 302 | 247 | 304 | Worse than 68% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 315 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 41,938 cases | 1 | 1 | 2.469 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 15 cases | 67 | 74 | 78.84 | Worse than 63% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 46 cases | 98 | 97 | 94.09 | Better than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 90 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 40.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,197 cases | 6 | 15 | 15.81 | Better than 95% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 533 cases | 54 | 65 | 62.57 | Worse than 74% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 190 cases | 61 | 73 | 71.03 | Worse than 75% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 103 cases | 91 | 88 | 85.26 | Better than 57% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 534 cases | 75 | 82 | 79.02 | Worse than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 280 cases | 94 | 94 | 92.05 | Worse than 49% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 52 cases | 96 | 98 | 97 | Worse than 66% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 75.87 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 76 cases | 95 | 94 | 94.02 | Better than 54% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 4,288 cases | 84 | 90 | 81.77 | Worse than 63% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 893 cases | 93 | 97 | 94.61 | Worse than 73% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.3 | 5 | 6.493 | Better than 82% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 0.4 | 6.6 | 7.806 | Better than 99% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.99 | 0.99 | 0.9996 | Worse than 47% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 61.49 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 35.96 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 8,981 cases | 0.4 | 0.05 | 0.399 | Better than 84% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 8,981 cases | 0 | 0.03 | 0.09122 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 331 cases | 58 | 87 | 78.18 | Worse than 80% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 76.67 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 64 cases | 21.7 | 19.1 | 20.08 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 400 cases | 84 | 92 | 82.91 | Worse than 68% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 23 cases | 57 | 74 | 63.93 | Worse than 66% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 17 cases | 29 | 81 | 72.61 | Worse than 89% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 45 cases | 47 | 77 | 69.11 | Worse than 78% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 45 cases | 29 | 56 | 55.13 | Worse than 76% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 24 cases | 25 | 64 | 55.46 | Worse than 76% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 24 cases | 8 | 4 | 24.33 | Better than 57% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 600 cases | 0 | 77 | 54.33 | The worst result, shared by 12% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 25 | 20 | 28.09 | Better than 59% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 6.25 | 5 | 7.071 | Better than 58% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 13.71 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 3.521 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 20 | 34 | 34.29 | Worse than 78% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 5 | 8.75 | 8.88 | Worse than 78% of US hospitals | |
| VBP safety domain scoreFY 2026 | 13.33 | 40 | 36.66 | Worse than 93% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 3.333 | 10 | 9.377 | Worse than 93% of US hospitals | |
| VBP total performance scoreFY 2026 | 14.58 | 29.5 | 28.2 | Worse than 96% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 40 | 42.5 | 30 | 17.5 | 25 |
| VBP clinical outcomes weighted domain score | 10 | 10.63 | 7.5 | 4.375 | 6.25 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 40 | 20 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 10 | 5 | 0 |
| VBP person and community engagement domain score | 11 | Not Available | Not Available | 0 | 20 |
| VBP person and community engagement weighted domain score | 2.75 | Not Available | Not Available | 0 | 5 |
| VBP safety domain score | 20 | Not Available | Not Available | 40 | 13.33 |
| VBP safety weighted domain score | 5 | Not Available | Not Available | 10 | 3.333 |
| VBP total performance score | 17.75 | Not Available | Not Available | 19.38 | 14.58 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.976 | 0.9995 | 1.015 | Better than 66% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.026 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 36 cases | 1.044 | 0.9969 | 1.009 | Worse than 83% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 104 cases | 0.9868 | 0.9983 | 1.013 | Better than 59% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.055 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 1.019 | 0.9955 | 1.018 | Worse than 65% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.13 | 1.152 | 1.109 | 1.079 | 1.009 | 0.976 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9913 | 1.04 | 1.04 | 1.021 | 1.066 | 1.044 |
| READM-30-HF-HRRP | 0.9812 | 1.011 | 1.003 | 1.01 | 1.009 | 0.9868 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.059 | 1.065 | 1.08 | 1.015 | 1.001 | 1.019 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Mount Sinai Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.933 | 0.489 | 0.5958 | Worse than 84% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.78 | 0.346 | 0.436 | Worse than 90% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.784 | 0.559 | 0.7638 | Worse than 97% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 2.048 | 0.6405 | 0.6364 | Worse than 97% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.205 | 0.9628 | 0.9883 | Worse than 90% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.126 | 0.7945 | 0.9041 | Worse than 71% of US hospitals | |
| Total HAC scoreFY 2026 | 1.489 | -0.0453 | 0.07842 | Worse than 98% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | No | Yes | Yes |
| Total HAC score | 1.091 | 0.476 | 0 | 0.3425 | 0.6432 | 1.489 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2024)
Accreditation
Major
Medical school affiliation
Private (not for profit)
Ownership type
431
Medicare-certified beds
398
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Mount Sinai Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
9,070
Inpatient discharges
Medicare 8%, Medicaid 11%
53,474
Inpatient days
62% of available bed days used
1,240
Employees (full-time equivalent)
112
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844401). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Mount Sinai Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,533 | 5,910 | 44,031 | 53,474 |
| Discharges | 760 | 983 | 7,327 | 9,070 |
| Average length of stay | 4.6 days | 6.0 days | 6.0 days | 5.9 days |
| Average daily census | 9.7 | 16.2 | 120.6 | 146.5 |
9,195
Medicare Advantage days
1,497 discharges
19,647
Medicaid managed care days
3,605 discharges
5,585
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 182 | 41,049 | 1,760 | 62% |
| Intensive care unit | 15 | 2,613 | 585 | 48% |
| Coronary care unit | 14 | 3,827 | 1,188 | 78% |
| Nursery | 2,093 | |||
| Subprovider - ipf | 28 | 5,680 | 285 | 62% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844401, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Mount Sinai Hospital treats Medicare patients for most often, in 2024. 215 Medicare discharges in 11 published DRGs; 10% surgical; 83% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 59 | $70,759 | $22,609 | $17,902 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 34 | $44,871 | $15,774 | $11,352 | 1.28 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 21 | $185,037 | $51,102 | $46,814 | 5.00 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 15 | $72,959 | $21,601 | $18,459 | 1.65 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 14 | $62,513 | $13,475 | $15,816 | 1.02 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 13 | $45,859 | $15,663 | $11,602 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $44,043 | $14,486 | $11,143 | 1.23 |
| Syncope and collapseMS-DRG 312, medical | 12 | $31,168 | $12,509 | $7,886 | 0.86 |
| Renal failure with CCMS-DRG 683, medical | 12 | $51,087 | $12,916 | $12,925 | 0.90 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 12 | $237,228 | $67,358 | $60,019 | 6.96 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 11 | $104,575 | $19,961 | $26,457 | 1.79 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Mount Sinai Hospital billed Medicare for most in 2024: 297 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 158 | 144 | $19,794 | $2,042 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 53 | 33 | $17,986 | $1,726 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 36 | 35 | $7,805 | $1,225 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 21 | 18 | $11,987 | $1,541 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 16 | $21,217 | $2,411 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 12 | 11 | $14,396 | $2,145 | $2,141 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Mount Sinai Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,926 in 2020 to 2,009 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 60623 | 570 | 28% | 3,632 | $45.2M | 26% | 24% |
| 60624 | 273 | 14% | 1,630 | $19M | 16% | 17% |
| 60632 | 177 | 9% | 1,093 | $16.5M | 11% | 7% |
| 60629 | 164 | 8% | 1,091 | $12.8M | 5% | 4% |
| 60608 | 142 | 7% | 717 | $10.8M | 8% | 8% |
| 60612 | 126 | 6% | 815 | $9.9M | 11% | 10% |
| 60644 | 104 | 5% | 581 | $7.2M | 5% | 3% |
| 60636 | 81 | 4% | 604 | $8.3M | 5% | 4% |
| 60609 | 76 | 4% | 448 | $5.8M | 4% | 4% |
| 60620 | 39 | 2% | 203 | $2.7M | 1% | 1% |
| 60651 | 38 | 2% | 212 | $3.8M | 2% | 2% |
| 60638 | 30 | 1% | 207 | $2.7M | 1% | 1% |
| 60804 | 28 | 1% | 114 | $1.5M | 2% | 1% |
| 60621 | 26 | 1% | 147 | $1.7M | 2% | 2% |
| 60637 | 22 | 1% | 122 | $1.6M | 1% | 1% |
| 60619 | 21 | 1% | 183 | $2.4M | 1% | 1% |
| 60616 | 17 | 1% | 80 | $1.2M | 1% | 1% |
| 60628 | 16 | 1% | 68 | $1.1M | 0% | 1% |
| 60639 | 12 | 1% | 66 | $1.3M | 1% | 0% |
| 60641 | 12 | 1% | 84 | $1.1M | 1% | |
| 60649 | 12 | 1% | 76 | $869,250 | 1% | 1% |
| 60652 | 12 | 1% | 99 | $1.1M | 1% | |
| 60617 | 11 | 1% | 55 | $524,062 | 0% | 0% |
Source: CMS Hospital Service Area file. Shares are of the 2,009 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Mount Sinai Hospital reported at its latest Medicare certification survey (2020). Counts are people, not full-time equivalents.
10
Operating rooms
3
Endoscopy rooms
2
Cardiac catheterization rooms
28
Psychiatric unit beds
3
Off-site locations
398
Registered nurses
3
Licensed practical nurses
163
Physicians
86
Resident physicians
20
Nurse practitioners
4
Physician assistants
21
Pharmacists
23
Respiratory therapists
2
Physical therapists
3
Occupational therapists
14
Radiology technicians
2
Nuclear medicine technicians
7
Laboratory technicians
746
Other personnel
Source: CMS Provider of Services file.
334 clinicians who bill Medicare list Mount Sinai Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Mohammed Khadir, M.D.
Vascular & Interventional Radiology Physician
NPI 1679862296
See commercial rates for Mohammed Khadir, M.D.Telly Psaradellis, M.D.
Orthopaedic Surgery Physician
NPI 1336110022
See commercial rates for Telly Psaradellis, M.D.Aziz Ahmed, M.D.
Interventional Cardiology Physician
NPI 1962403998
See commercial rates for Aziz Ahmed, M.D.Maria Fernandez, MD
Ophthalmology Physician
NPI 1235652207
See commercial rates for Maria Fernandez, MDStephany Mazur, M.D.
Diagnostic Radiology Physician
NPI 1023544186
See commercial rates for Stephany Mazur, M.D.Nitin Nadkarni, M.D.
Specialist
NPI 1841262961
See commercial rates for Nitin Nadkarni, M.D.Shilpa Iyer
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI 1508181140
See commercial rates for Shilpa IyerChristopher Skelly
Vascular Surgery Physician
NPI 1225193063
See commercial rates for Christopher SkellySandeep Khosla, M.D.
Interventional Cardiology Physician
NPI 1376544312
See commercial rates for Sandeep Khosla, M.D.Adam Rudd, M.D.
Diagnostic Radiology Physician
NPI 1598144644
See commercial rates for Adam Rudd, M.D.Prakash Selvaraj, M.D.
Ophthalmology Physician
NPI 1467454124
See commercial rates for Prakash Selvaraj, M.D.Gopal Lalmalani, MD
Cardiovascular Disease Physician
NPI 1942221981
See commercial rates for Gopal Lalmalani, MDJill Zaveri, M.D.
Ophthalmology Physician
NPI 1740543958
See commercial rates for Jill Zaveri, M.D.Thomas Sullivan, M.D.
Diagnostic Radiology Physician
NPI 1154687549
See commercial rates for Thomas Sullivan, M.D.Rizwan Ahmed, D.O
Diagnostic Radiology Physician
NPI 1821353475
See commercial rates for Rizwan Ahmed, D.OSze Wong, M.D.
Family Medicine Physician
NPI 1053404343
See commercial rates for Sze Wong, M.D.Puneet Grewal, M.D.
Cardiovascular Disease Physician
NPI 1003048745
See commercial rates for Puneet Grewal, M.D.Mairaj Uddin, M.D.M.P.H.
Diagnostic Radiology Physician
NPI 1689037855
See commercial rates for Mairaj Uddin, M.D.M.P.H.Danny Choy, D.O
Internal Medicine Physician
NPI 1376526954
See commercial rates for Danny Choy, D.OAlfred Allen, MD
Internal Medicine Physician
NPI 1144538430
See commercial rates for Alfred Allen, MDAshish Mukherjee, M.D., F.A.C.C.
Cardiovascular Disease Physician
NPI 1710997259
See commercial rates for Ashish Mukherjee, M.D., F.A.C.C.Manish Shukla, MD
Family Medicine Physician
NPI 1619983558
See commercial rates for Manish Shukla, MDMichael Yu, MD
Hospitalist Physician
NPI 1255993291
See commercial rates for Michael Yu, MDBrennan Barrett, D.O.
Diagnostic Radiology Physician
NPI 1669847307
See commercial rates for Brennan Barrett, D.O.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Mount Sinai Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.4B | 559.2% |
| Inpatient | $698.1M | 275.1% |
| Outpatient | $720.7M | 284.1% |
| Contractual allowances and discounts | -$1.2B | -459.2% |
| Net patient revenue | $253.7M | 100.0% |
| Operating expenses | -$482.7M | -190.3% |
| Operating income from patient care | -$229M | -90.3% |
| Other income | $187.5M | 73.9% |
| Investment income | $1.5M | 0.6% |
| Other | $186M | 73.3% |
| Net income | -$41.4M | -16.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $79.4M | 5.6% |
| Medicaid (including managed care) | $822.6M | 58.0% |
| Other payers and self-pay | $516.8M | 36.4% |
| Total charges | $1.4B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844401, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Mount Sinai Hospital's latest cost report.
-90.3%
Operating margin
Operating income from patient care / net patient revenue
-9.4%
Total margin
Net income / net patient revenue plus other income
-5.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$43.59
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-11.9%
Return on assets
Net income for a year / total assets
0.39
Current ratio
Current assets / current liabilities
0.23
Quick ratio
Cash, temporary investments and net receivables / current liabilities
7 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
70 days
Days in patient receivables
Net patient receivables / daily net patient revenue
192 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.27
Asset turnover
Total revenue for a year / total assets
28.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 844401, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Mount Sinai Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $348.7M in total assets and a -$68.9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $9.3M | 2.7% |
| Patient receivables, net | $48.3M | 13.9% |
| Inventory | $5.4M | 1.5% |
| Total current assets | $98M | 28.1% |
| Property and equipment, net of depreciation | $61.3M | 17.6% |
| Investments and other assets | $189.4M | 54.3% |
| Total assets | $348.7M | 100.0% |
| Current liabilities | $249.3M | 71.5% |
| Long-term debt | $47M | 13.5% |
| Total liabilities | $417.6M | 119.8% |
| Fund balance (net assets) | -$68.9M | -19.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844401, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Mount Sinai Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$36.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$22.3M
Bad debt
Patient bills written off as uncollectible, at charges
-$37.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$41.8M
Total unreimbursed and uncompensated care
8.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 844401, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Mount Sinai Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $192.9M | $317.7M | $338.9M | $346.3M | $346.3M | $253.7M |
| Operating expenses | $322.1M | $356.3M | $406M | $428.8M | $469.7M | $482.7M |
| Operating margin | -67.0% | -12.2% | -19.8% | -23.8% | -35.7% | -90.3% |
| Net income | $27.7M | $28.8M | -$8.6M | $20M | -$20.9M | -$41.4M |
| Total assets | $301.1M | $336.5M | $314.1M | $306.4M | $306.4M | $348.7M |
| Discharges | 9,642 | 9,470 | 8,743 | 8,011 | 8,313 | 9,070 |
| Inpatient days | 53,677 | 55,077 | 55,408 | 50,024 | 50,666 | 53,474 |
| Medicare Advantage days | 5,509 | 6,191 | 8,009 | 7,409 | 7,967 | 9,195 |
| Beds | 264 | 264 | 264 | 264 | 264 | 264 |
| Employees (FTE) | 1,361 | 1,362 | 1,171 | 1,153 | 1,240 | 1,240 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844401, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Mount Sinai Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $21.3M | $27.3M | $90.8M | 0.30 | 25,635 |
| Laboratory | $1.1M | $22M | $145.3M | 0.15 | 23,443 |
| Drugs charged to patients | $21.2M | $194.4M | 0.11 | ||
| Emergency | $10.7M | $20.2M | $144.1M | 0.14 | 6,250 |
| Radiology-diagnostic | $10.4M | $16.2M | $78.1M | 0.21 | 15,259 |
| Medical supplies charged to patient | $14.5M | $36.6M | 0.40 | ||
| Impl. dev. charged to patients | $12M | $30.1M | 0.40 | ||
| Outpatient chemotherapy | $2.6M | $11.8M | $9.4M | 1.25 | |
| Delivery room & labor room | $4.1M | $9.1M | $20.2M | 0.45 | 5,934 |
| Observation beds (non-distinct part | $8.8M | $12.1M | 0.72 | ||
| Respiratory therapy | $4.3M | $7.4M | $34.2M | 0.22 | 3,570 |
| Renal dialysis | $2.1M | $6.8M | $26.3M | 0.26 | 1,283 |
| Msh op behavioral health | $3M | $5.3M | $4.8M | 1.11 | |
| Ct scan | $1.8M | $4.9M | $126.2M | 0.04 | 949 |
| Gi clinic at ogden | $1.5M | $4.3M | $35M | 0.12 | |
| Cardiac catheterization | $1.5M | $3.6M | $41.4M | 0.09 | 2,068 |
| Electrocardiology | $1.6M | $3M | $39.8M | 0.08 | 3,719 |
| Whole blood & packed red blood cell | $2.8M | $3.9M | 0.72 | 801 | |
| Recovery room | $1.3M | $2.7M | $28.7M | 0.09 | 1,255 |
| Radiology-therapeutic | $1.1M | $2.7M | $10.9M | 0.24 | 3,568 |
| Under the rainbow | $1.3M | $2M | $2.4M | 0.81 | |
| Wound care clinic | $307,692 | $1.4M | $5.1M | 0.27 | |
| Spasticity clinic | $181,491 | $1.3M | $783,933 | 1.71 | |
| Physical therapy | $528,096 | $1.3M | $3.4M | 0.39 | 2,596 |
| Mri | $441,124 | $1.3M | $15.6M | 0.08 | 1,006 |
| Occupational therapy | $431,058 | $1.3M | $3.9M | 0.33 | 3,032 |
| Radioisotope | $286,694 | $1.2M | $11.5M | 0.10 | 2,374 |
| Msh specialty clinic at schwab | $513,662 | $1.1M | $2.5M | 0.43 | |
| Anesthesiology | $8.6M | $1.1M | $49M | 0.02 | 1,745 |
| Ent clinic | $613,280 | $968,811 | $2.8M | 0.35 | |
| Electroencephalography | $376,812 | $908,540 | $3M | 0.30 | 1,239 |
| Resident clinic | $185,014 | $487,083 | $1.2M | 0.41 | |
| Speech pathology | $217,647 | $484,351 | $1.8M | 0.28 | 693 |
| Endocrine clinic | $228,504 | $390,257 | $1.6M | 0.24 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $40.2M | $73.1M | $120.7M | 0.61 | 96,022 |
| Intensive care unit | $5.8M | $11.3M | $26.1M | 0.43 | 5,541 |
| Coronary care unit | $4.8M | $10.4M | $23.2M | 0.45 | 6,394 |
| Subprovider - ipf | $5.7M | $8.4M | $13.1M | 0.64 | 10,897 |
| Neonatal intensive care unit | $5.5M | $13.2M | 0.41 | 1,770 | |
| Nursery | $3.8M | $2.2M | $5.5M | 0.39 | 1,397 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Other administrative and general | $6.8M | $62.7M | 34,625 | ||
| Pharmacy | $5.2M | $22.9M | 112,603 | $48.23 | 2,898 |
| Employee benefits department | $232 | $21.2M | 2,187 | ||
| Operation of plant | $2.6M | $16.8M | 68,576 | $38.18 | 6,165 |
| Cashiering/accounts receivable | $13.9M | 1,567 | |||
| Cap rel costs-bldg & fixt | $13.8M | 373,626 | |||
| Cap rel costs-mvble equip | $9.2M | ||||
| Housekeeping | $7.1M | 704 | |||
| I&r services-salary & fringes apprv | $10.1M | $6.2M | |||
| Cafeteria | $3.8M | 17,738 | |||
| I&r services-other prgm costs apprv | $3.8M | ||||
| Dietary | $2.7M | 2,419 | |||
| Nursing administration | $2.5M | $2.2M | 33,366 | $48.47 | 6,980 |
| Social service | $16,418 | $1.6M | 14,013 | $1.17 | 2,117 |
| Laundry & linen service | $1.3M | 10,762 | |||
| Admitting | $1.4M | $1.1M | 994 | ||
| Central services & supply | $654,555 | $617,610 | 27,449 | $23.85 | 20,705 |
| Nonpatient telephones | $537,410 | $539,023 | 396 | ||
| Outpatient accounting | $332,742 | 4,367 | |||
| Purchasing receiving and stores | $208,781 | 5,519 | |||
| Pharmacy residency program | $274,689 | $66,173 | |||
| Medical records & library | $917 | 3,593 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844401, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Mount Sinai Hospital for an inpatient stay.
2.00
Case mix index
Higher than 78% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.50 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
66.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
776
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.79 | 1.79 | 1.98 | 2.20 | 2.07 | 2.22 | 2.00 |
| Wage index | 1.035 | 1.033 | 1.038 | 1.021 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -0.40% | -0.39% | -0.47% | -0.27% | -0.17% | -0.08% | -0.07% |
| Value-based purchasing adjustment | -0.72% | -0.86% | -0.86% | -0.67% | -0.16% | 0.00% | -0.99% |
| Medicare inpatient stays | 1,319 | 1,319 | 1,067 | 877 | 706 | 714 | 776 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Mount Sinai Hospital reports to Medicare as owners or with operational control.
Sinai Health System
5% or greater direct ownership interest, 100%, since 1981
Sources: CMS Hospital All Owners.
The officers and board members on Mount Sinai Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
Mount Sinai Hospital Medical Center files the Form 990 for the tax ID insurers list for Mount Sinai Hospital, so these people may lead the wider organization rather than Mount Sinai Hospital alone.
| Name | Title |
|---|---|
| Karen Teitelbaum | President & CEO - Thru Dec. 2022 |
| Airica Steed | Chief Operating Officer |
| Gary Krugel | CFO - Thru Apr. 2023 |
| Russell Fiorella | System Chief Medical Officer |
| Jason Spigner | Chief Human Resources Officer |
| Elizabeth Connolly | General Counsel |
| Ngozi Ezike MD | President & CEO - Beg. June 2023 |
| Dimas Ortega | CFO, Interim - Beg. June 2022 |
| Kenneth Slawkowski | Chief Information Officer |
| Michele Mazurek | Site President |
| Brian Dolan | Director & Chairman |
| Alejandra Garza | Director & Vice Chair |
| Kenneth Avner | Director & Treasurer |
| Leslie Davis | Director & Secretary |
| David Capone | CFO, Interim 01/2023 Thru 04/2023 |
| William Foley | COO, Interim - 10/2022 To 10/2023 |
Board members: Leslie Mitchel-Bond, Anne Donnelly, Michael R Davenport MD, Onyinyechi Daniel, Roxanne J Decyk, Vivian Funches, Fr William Grogan, Avery Hart MD, Michael J Hayes, Nakisha Hobbs, Wayne M Lerner, Robert Markin, Bret Maxwell, Lee Miller, Wilbur Milhouse, Abraham Morgan, Stephen A Morales, Katya Nuques, Alex Pissios, and 2 more on the return.
Source: IRS Form 990 Part VII filed by Mount Sinai Hospital Medical Center (EIN 36-1509000), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2004
340B ID DSH140018, registered as a disproportionate share hospital; 9 registered outpatient sites; 119 active contract pharmacies. Authorizing official: Sameer Shah, President, Mount Sinai Hospital Medical Center.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Mount sinai hospital medical center
CCN 14S018, certified 1984, Medicare prospective payment
Mount sinai hospital medical center
CCN 142302, certified 2004
Source: Worksheet S-2 Part I of Mount Sinai Hospital's latest Medicare cost report (HCRIS).
About Mount Sinai Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mount Sinai Hospital range from $298 to $5,648 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $5,648. The median at nearby comparable hospitals is $516. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mount Sinai Hospital range from $298 to $3,102 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $3,102. The median at nearby comparable hospitals is $493. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mount Sinai Hospital range from $1,024 to $2,607 across 4 insurers. Cigna's rate is $1,970. The median at nearby comparable hospitals is $1,674. 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 Mount Sinai Hospital range from $5,467 to $8,917 across 4 insurers. UnitedHealthcare's rate is $5,528. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mount Sinai Hospital range from $92 to $295 across 4 insurers. UnitedHealthcare's rate is $92. The median at nearby comparable hospitals is $124. 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 Mount Sinai Hospital range from $15,641 to $24,033 across 4 insurers. Aetna's rate is $24,033. The median at nearby comparable hospitals is $22,025. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mount Sinai 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.
Yes. CMS counts 0.50 Medicare-funded residents per bed at Mount Sinai Hospital for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mount Sinai Hospital's base inpatient payments by an estimated 0.07% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (59 discharges), heart failure and shock with mcc (34 discharges), infectious and parasitic diseases with o.r. procedures with mcc (21 discharges).
Mount Sinai Hospital's Medicare case mix index is 2.00 for fiscal year 2027, higher than 78% of hospitals paid under the inpatient prospective payment system.
Mount Sinai Hospital reported 9,070 inpatient discharges and 53,474 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Mount Sinai Hospital reported 1,240 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Mount Sinai Hospital reported $253.7M in net patient revenue on $1.4B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -90.3%, and net income of -$41.4M.
Mount Sinai Hospital reported $41.8M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $36.7M of charity care at cost.
Insurers' price transparency files list Mount Sinai Hospital under employer identification number 36-1509000 (Mount Sinai Hospital Medical Center). 48 health plans and networks list 36-1509000 for it.
Yes. HRSA's 340B database lists Mount Sinai Hospital (340B ID DSH140018) as a participating disproportionate share hospital since 2004, with 119 active contract pharmacies.
334 clinicians who bill Medicare list Mount Sinai Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (41), internal medicine physician (39), physician assistant (33).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Mount Sinai Hospital, effective 2024.
In its Medicare enrollment, Mount Sinai Hospital reports Sinai Health System as 5% or greater direct ownership interest (100%).
CMS lists 42 services at Mount Sinai Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Mount Sinai Hospital came from ZIP codes 60623 (570), 60624 (273), 60632 (177).
Mount Sinai Hospital has 264 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 431 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Mount Sinai Hospital is located at 1500 South Fairfield Avenue, Chicago, IL 60608. Its main phone number is (773) 542-2000.
Mount Sinai Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 140018.
The National Provider Identifier (NPI) on file for Mount Sinai Hospital is 1871581314.
Mount Sinai Hospital is affiliated with Sinai Health System.
Mount Sinai Hospital lists 38 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
423 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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