New York Presbyterian Healthcare System · New York, NY
180
Beds
13
In-network payers
New York Presbyterian Lower Manhattan Hospital is a 180-bed hospital in New York, NY, affiliated with New York Presbyterian Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 13 in-network payers and 55 disclosed rate categories.
The 24 services New York Presbyterian Lower Manhattan 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.
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Childbirth · Inpatient
MS-DRG 807
$25,732 - $26,329
from 3 insurers · median $26,298
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
$34,486 - $36,336
from 3 insurers · median $35,588
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
$366,052 - $405,757
from 3 insurers · median $377,669
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$25,732 - $26,329
from 3 insurers · median $26,298
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
Digestive procedures
CPT 43239
$3,173 - $6,966
from 2 insurers · median $5,069
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 460
$114,663 - $143,212
from 3 insurers · median $126,658
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45385
$3,876 - $6,488
from 2 insurers · median $5,182
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,106 - $6,488
from 2 insurers · median $4,797
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 473
$93,951 - $105,589
from 3 insurers · median $96,048
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$74,311 - $79,632
from 3 insurers · median $76,115
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45378
$3,154 - $6,488
from 2 insurers · median $4,821
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$5,737 - $7,690
from 2 insurers · median $6,713
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$3,912 - $3,927
from 2 insurers · median $3,919
Typical for a hospital with this service line
Gynecology
CPT 58571
$8,977 - $12,371
from 2 insurers · median $10,674
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$5,583 - $6,966
from 2 insurers · median $6,274
Typical for a hospital with this service line
Gynecology
CPT 58661
$8,910 - $12,371
from 2 insurers · median $10,640
Typical for a hospital with this service line
Gynecology
CPT 58558
$5,798 - $7,690
from 2 insurers · median $6,744
Typical for a hospital with this service line
Skin and soft tissue
CPT 10005
$5,078 - $5,672
from 2 insurers · median $5,375
Typical for a hospital with this service line
Gynecology
CPT 58662
$7,467 - $12,371
from 2 insurers · median $9,919
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$556 - $7,216
from 2 insurers · median $3,886
Typical for a hospital with this service line
Urology
CPT 52000
$5,078 - $5,693
from 2 insurers · median $5,386
Typical for a hospital with this service line
Urology
CPT 50590
$5,919 - $12,371
from 2 insurers · median $9,145
Typical for a hospital with this service line
CT imaging
CPT 74177
$273
negotiated rate
Typical for a hospital with this service line
Orthopedics and pain
CPT 64721
$5,758 - $7,690
from 2 insurers · median $6,724
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 8 | 823% | 5 | 0 |
| Insurer B* | 22 | 439% | 18 | 0 |
| Insurer C* | 24 | 254% | 17 | 2 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 New York Presbyterian Lower Manhattan Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Doctors and services
38 services
See doctors and services170 William St, New York, NY 10038
2123125000
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
About New York Presbyterian Lower Manhattan Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at New York Presbyterian Lower Manhattan Hospital range from $273 to $273 across 1 insurers. Aetna's rate is $273. The median at nearby comparable hospitals is $544. 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 New York Presbyterian Lower Manhattan Hospital range from $3,876 to $6,488 across 2 insurers. UnitedHealthcare's rate is $6,488. The median at nearby comparable hospitals is $3,069. 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 New York Presbyterian Lower Manhattan Hospital range from $25,732 to $26,329 across 3 insurers. Cigna's rate is $26,329. 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 New York Presbyterian Lower Manhattan Hospital range from $74,311 to $79,632 across 3 insurers. Aetna's rate is $74,311. The median at nearby comparable hospitals is $31,892. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS lists 38 services at New York Presbyterian Lower Manhattan Hospital, including Acute Renal Dialysis, Anesthesia, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
New York Presbyterian Lower Manhattan Hospital has 180 beds. Facility type: Short Term Acute Care Hospital.
New York Presbyterian Lower Manhattan Hospital is located at 170 William St, New York, NY 10038. Its main phone number is 2123125000.
New York Presbyterian Lower Manhattan Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 330064.
The National Provider Identifier (NPI) on file for New York Presbyterian Lower Manhattan Hospital is 1053413989.
New York Presbyterian Lower Manhattan Hospital is affiliated with New York Presbyterian Healthcare System.
New York Presbyterian Lower Manhattan Hospital lists 13 in-network payers, including Aetna, Avera Health Plans, Centene, Group Health Cooperative of South Central Wisconsin, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
55 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers