New York City Health and Hospitals Corporation · New York, NY
32
In-network payers
297
Disclosed rate categories
268
Beds
1
Care quality
Nyc Health + Hospitals - Harlem is a 268-bed government - local hospital in New York, NY, affiliated with New York City Health and Hospitals Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 297 disclosed rate categories.
CCN (Medicare provider number)
330240
NPI
1033124961
Type
Short Term Acute Care Hospital
Ownership
Government - Local
Beds
268
Care Quality
1
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Nyc Health + Hospitals - Harlem most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$12,241 - $15,770
from 3 insurers · median $12,489
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
$14,329 - $22,427
from 3 insurers · median $17,181
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
$160,011 - $249,938
from 3 insurers · median $182,784
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$12,241 - $15,770
from 3 insurers · median $12,489
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
$67,059 - $90,049
from 3 insurers · median $68,872
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$41,639 - $62,957
from 3 insurers · median $46,540
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$35,960 - $49,165
from 3 insurers · median $37,218
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$22,369 - $30,855
from 3 insurers · median $22,604
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$450 - $1,056
from 4 insurers · median $666
Common here, based on CMS Medicare volume
Urology
CPT 52000
$1,162 - $4,285
from 4 insurers · median $2,214
17 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,315 - $4,285
from 4 insurers · median $2,431
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$209 - $1,056
from 4 insurers · median $448
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,284 - $3,119
from 3 insurers · median $2,443
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,342 - $4,285
from 4 insurers · median $2,385
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,446 - $4,285
from 4 insurers · median $2,780
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$291 - $1,056
from 4 insurers · median $498
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$229 - $1,698
from 4 insurers · median $415
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$528 - $1,056
from 4 insurers · median $660
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$142 - $229
from 4 insurers · median $209
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,246 - $5,754
from 3 insurers · median $5,356
Typical for a hospital with this service line
MRI imaging
CPT 70553
$753 - $1,285
from 4 insurers · median $921
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$447 - $1,285
from 4 insurers · median $778
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,109 - $2,042
from 3 insurers · median $1,697
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$1,388 - $4,285
from 4 insurers · median $2,831
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* | 22 | 397% | 16 | 2 |
| Insurer B* | 24 | 241% | 7 | 13 |
| Insurer C* | 16 | 192% | 2 | 14 |
| Insurer D* | 23 | 183% | 11 | 9 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 13 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 Nyc Health + Hospitals - Harlem.
506 Lenox Avenue, New York, NY 10037
(212) 939-1000
The nearest hospitals of similar type and size. Their rates are compared with Nyc Health + Hospitals - Harlem for the same insurers and services above.
Bronxcare Hospital Center
▼ Rates typically 28% lower than Nyc Health + Hospitals - Harlem (21 services)
Palisades Medical Center
▲ Rates typically 52% higher than Nyc Health + Hospitals - Harlem (21 services)
St. Barnabas Hospital
▼ Rates typically 43% lower than Nyc Health + Hospitals - Harlem (21 services)
Mount Sinai West
▲ Rates typically 22% higher than Nyc Health + Hospitals - Harlem (21 services)
Holy Name Hospital
▲ Rates typically 20% higher than Nyc Health + Hospitals - Harlem (21 services)
Englewood Hospital & Medical Center
▲ Rates typically 45% higher than Nyc Health + Hospitals - Harlem (21 services)
Nyc Health + Hospitals - Bellevue
Nyc Health + Hospitals - Metropolitan
Lenox Hill Hospital
Nyu Langone Orthopedic Hospital
About Nyc Health + Hospitals - Harlem's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Nyc Health + Hospitals - Harlem range from $753 to $1,285 across 4 insurers. Aetna's rate is $1,034. The median at nearby comparable hospitals is $888. 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 Nyc Health + Hospitals - Harlem range from $450 to $1,056 across 4 insurers. Blue Cross Blue Shield's rate is $627. The median at nearby comparable hospitals is $682. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Nyc Health + Hospitals - Harlem range from $1,284 to $3,119 across 3 insurers. UnitedHealthcare's rate is $3,119. The median at nearby comparable hospitals is $3,631. 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 Nyc Health + Hospitals - Harlem range from $12,241 to $15,770 across 3 insurers. Cigna's rate is $12,241. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Nyc Health + Hospitals - Harlem range from $142 to $229 across 4 insurers. UnitedHealthcare's rate is $142. The median at nearby comparable hospitals is $294. 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 Nyc Health + Hospitals - Harlem range from $35,960 to $49,165 across 3 insurers. Aetna's rate is $37,218. The median at nearby comparable hospitals is $28,829. What a patient pays depends on their plan's deductible, coinsurance and network status.
Nyc Health + Hospitals - Harlem has 268 beds. Facility type: Short Term Acute Care Hospital.
Nyc Health + Hospitals - Harlem is located at 506 Lenox Avenue, New York, NY 10037. Its main phone number is (212) 939-1000.
Nyc Health + Hospitals - Harlem's CMS Certification Number (CCN), also called its Medicare provider number, is 330240.
The National Provider Identifier (NPI) on file for Nyc Health + Hospitals - Harlem is 1033124961.
Nyc Health + Hospitals - Harlem is affiliated with New York City Health and Hospitals Corporation.
Nyc Health + Hospitals - Harlem lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
297 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