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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Phelps Memorial Hospital Center

Northwell Health · Sleepy Hollow, NY

701 North Broadway, Sleepy Hollow, NY 10591(914) 366-3000

4 of 5

CMS star rating

168

Beds

7,026

Inpatient discharges a year

$431.7M

Net patient revenue a year

32

In-network payers

About this hospital

Phelps Memorial Hospital Center is a 168-bed voluntary non-profit - other hospital in Sleepy Hollow, NY, affiliated with Northwell Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 330 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
330261
NPI
1720185267
Health system
Northwell Health
Teaching
Teaching hospital
County
Westchester County
Metro area
New York-Newark-Jersey City, NY-NJ MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Phelps Memorial Hospital Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$17,951 - $22,257

from 4 insurers · median $20,226

Cigna$22,257
Insurer A*$17,951
Insurer B*$20,095
Insurer C*$20,357

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$24,118 - $31,652

from 4 insurers · median $30,033

Cigna$31,652
Insurer A*$24,118
Insurer B*$28,577
Insurer C*$31,489

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

Spinal fusion except cervical without MCC

MS-DRG 460

$94,885 - $118,556

from 3 insurers · median $96,044

Aetna$118,556
Insurer A*$94,885
Insurer B*$96,044
Medicare $34,098Nearby hospitals $96,697In line with nearby hospitals

16 Medicare discharges for this DRG in CMS hospital data

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$9,438 - $22,807

from 3 insurers · median $9,689

UnitedHealthcare$9,689
Insurer A*$9,438
Insurer B*$22,807
Medicare $3,871Nearby hospitals $4,207130% above nearby hospitals

13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Phelps Memorial Hospital Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
767%
182
Insurer B*20
407%
133
Insurer C*23
312%
134
Insurer D*10
261%
14

How we chose these services: 8 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 6 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 Phelps Memorial Hospital Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    4 of 5 stars

    • 202 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 52 services
    • 720 affiliated clinicians
    See doctors and services
  • Finances

    $431.7M net patient revenue

    • Operating margin on patient care -30.3%
    • $23.5M unreimbursed and uncompensated care
    • $25.5M net income
    See finances
  • Ownership and leadership

    Owned by Northwell Health Inc

    • Private (not for profit)
    • Michele L Cusack, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Phelps Memorial Hospital Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
13-1725076Phelps Memorial Hospital49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 44 more1720185267 Phelps Memorial Hospital Association1497917918 Phelps Memorial Hospital Association1114189636 Phelps Memorial Hospital Associationand 12 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

701 North Broadway, Sleepy Hollow, NY 10591

(914) 366-3000

Get directions

Frequently asked questions

About Phelps Memorial Hospital Center's rates and hospital price transparency.

How much does a CT scan cost at Phelps Memorial Hospital Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Phelps Memorial Hospital Center range from $623 to $4,929 across 3 insurers. Aetna's rate is $4,929. The median at nearby comparable hospitals is $820. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Phelps Memorial Hospital Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Phelps Memorial Hospital Center range from $3,177 to $9,421 across 3 insurers. Blue Cross Blue Shield's rate is $3,177. The median at nearby comparable hospitals is $3,967. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Phelps Memorial Hospital Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Phelps Memorial Hospital Center range from $17,951 to $22,257 across 4 insurers. Cigna's rate is $22,257. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Phelps Memorial Hospital Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Phelps Memorial Hospital Center range from $230 to $946 across 3 insurers. Cigna's rate is $329. The median at nearby comparable hospitals is $344. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Phelps Memorial Hospital Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Phelps Memorial Hospital Center range from $56,784 to $74,635 across 4 insurers. Aetna's rate is $74,635. The median at nearby comparable hospitals is $57,896. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Phelps Memorial Hospital Center's CMS star rating?

Phelps Memorial Hospital Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Phelps Memorial Hospital Center a teaching hospital?

Yes. CMS counts 0.22 Medicare-funded residents per bed at Phelps Memorial Hospital Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Phelps Memorial Hospital Center for readmissions?

No. Phelps Memorial Hospital Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Phelps Memorial Hospital Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (332 discharges), heart failure and shock with mcc (96 discharges), respiratory infections and inflammations with mcc (79 discharges).

What is Phelps Memorial Hospital Center's case mix index?

Phelps Memorial Hospital Center's Medicare case mix index is 1.75 for fiscal year 2027, higher than 57% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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