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Short Term Acute Care HospitalVoluntary Non-Profit - Private

St. Barnabas Hospital

SBH Health System · Bronx, NY

4422 Third Avenue, Bronx, NY 10457(212) 960-9000

1 of 5

CMS star rating

332

Beds

12,949

Inpatient discharges a year

$522.8M

Net patient revenue a year

31

In-network payers

Photo 1: Hugo L. González, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

St. Barnabas Hospital is a 332-bed voluntary non-profit - private hospital in Bronx, NY, affiliated with SBH Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 258 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
330399
NPI
1548367873
Website
sbhny.org
Health system
SBH Health System
Teaching
Major teaching hospital
County
Bronx County
Metro area
New York-Newark-Jersey City, NY-NJ MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1986
Last CMS survey
2022

Prices for common services

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

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

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$10,586 - $20,860

from 4 insurers · median $12,071

Cigna$10,586
Insurer A*$10,734
Insurer B*$13,408
Insurer C*$20,860

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

$11,773 - $16,008

from 4 insurers · median $15,670

Cigna$15,775
Insurer A*$11,773
Insurer B*$15,565
Insurer C*$16,008

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

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$10,586 - $20,860

from 4 insurers · median $12,071

Cigna$10,586
Insurer A*$10,734
Insurer B*$13,408
Insurer C*$20,860

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

Spinal fusion except cervical without MCC

MS-DRG 460

$44,799 - $73,820

from 3 insurers · median $63,141

Aetna$44,799
Insurer A*$63,141
Insurer B*$73,820
Medicare $27,950Nearby hospitals $68,8728% below nearby hospitals

Hospital reports neurosurgical services to CMS

How the insurers pay at St. Barnabas Hospital

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

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
153%
218
Insurer B*21
133%
59
Insurer C*20
90%
215
Insurer D*24
74%
219

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 St. Barnabas Hospital, or start a free trial.

Insurance Accepted

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

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

More about this hospital

  • Quality

    1 of 5 stars

    • 301 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.07%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 43 services, including trauma care
    • 222 affiliated clinicians
    See doctors and services
  • Finances

    $522.8M net patient revenue

    • Operating margin on patient care -22.1%
    • $37.4M unreimbursed and uncompensated care
    • $37.9M net income
    See finances
  • Ownership and leadership

    Owned by St Barnabas Community Enterprises

    • Private (not for profit)
    • David Perlstein, 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 St. Barnabas Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
13-1740122St Barnabas Hospital62Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 57 more1548367873 St. Barnabas Hospital1215038096 St. Barnabas Hospital1326148669 St. Barnabas Hospitaland 15 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

4422 Third Avenue, Bronx, NY 10457

(212) 960-9000

Get directions

Frequently asked questions

About St. Barnabas Hospital's rates and hospital price transparency.

How much does a CT scan cost at St. Barnabas Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Barnabas Hospital range from $240 to $578 across 4 insurers. Blue Cross Blue Shield's rate is $494. The median at nearby comparable hospitals is $689. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at St. Barnabas Hospital?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at St. Barnabas Hospital range from $1,262 to $2,861 across 3 insurers. UnitedHealthcare's rate is $1,524. The median at nearby comparable hospitals is $3,119. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at St. Barnabas Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. Barnabas Hospital range from $10,586 to $20,860 across 4 insurers. Cigna's rate is $10,586. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at St. Barnabas Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Barnabas Hospital range from $83 to $154 across 3 insurers. Aetna's rate is $117. The median at nearby comparable hospitals is $198. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at St. Barnabas Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St. Barnabas Hospital range from $21,606 to $31,736 across 4 insurers. Aetna's rate is $26,351. The median at nearby comparable hospitals is $37,218. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is St. Barnabas Hospital's CMS star rating?

St. Barnabas 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.

Is St. Barnabas Hospital a teaching hospital?

Yes. CMS counts 1.01 Medicare-funded residents per bed at St. Barnabas Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize St. Barnabas Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. Barnabas Hospital's base inpatient payments by an estimated 0.07% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at St. Barnabas Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (54 discharges), alcohol, drug abuse or dependence without rehabilitation therapy without mcc (38 discharges), syncope and collapse (37 discharges).

What is St. Barnabas Hospital's case mix index?

St. Barnabas Hospital's Medicare case mix index is 1.92 for fiscal year 2027, higher than 72% 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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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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