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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Westchester Medical Center

Westchester Medical Center · Valhalla, NY

100 Woods Road, Valhalla, NY 10595(914) 493-7000

2 of 5

CMS star rating

888

Beds

31,095

Inpatient discharges a year

$2.1B

Net patient revenue a year

32

In-network payers

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

About this hospital

Westchester Medical Center is an 888-bed government - hospital district or authority hospital in Valhalla, NY, affiliated with Westchester Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 360 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
330234
NPI
1932280666
Health system
Westchester Medical Center
Teaching
Major 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
2023

Prices for common services

The 24 services Westchester Medical 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

$19,156 - $33,968

from 4 insurers · median $25,345

UnitedHealthcare$19,156
Insurer A*$22,508
Insurer B*$28,182
Insurer C*$33,968

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

$25,933 - $42,519

from 4 insurers · median $35,587

UnitedHealthcare$25,933
Insurer A*$30,630
Insurer B*$40,543
Insurer C*$42,519

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

Major lower-extremity joint replacement without MCC

MS-DRG 470

$66,589 - $88,841

from 4 insurers · median $76,270

Aetna$72,751
Insurer A*$66,589
Insurer B*$79,788
Insurer C*$88,841
Medicare $17,928Nearby hospitals $29,329160% above nearby hospitals

65 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$337,717 - $451,530

from 4 insurers · median $396,111

Aetna$362,487
Insurer A*$337,717
Insurer B*$429,735
Insurer C*$451,530
Medicare $159,971Nearby hospitals $146,212171% above nearby hospitals

12 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Westchester Medical 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*17
370%
110
Insurer B*20
335%
143
Insurer C*13
323%
55
Insurer D*23
249%
180

How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 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 Westchester Medical 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

    2 of 5 stars

    • 235 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.14%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Major teaching hospital
    • 49 services, including trauma & transplant care
    • 1,069 affiliated clinicians
    See doctors and services
  • Finances

    $2.1B net patient revenue

    • Operating margin on patient care 5.9%
    • $35.9M unreimbursed and uncompensated care
    • $173.3M net income
    See finances
  • Ownership and leadership

    Other

    • David Lubarsky, 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 Westchester Medical 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
13-3964321Westchester County Health Care CORP55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 50 more1598181091 Westchester County Health Care Corporation1932280666 Westchester County Health Care Corporation1437575040 Westchester County Health Care Corporationand 23 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

100 Woods Road, Valhalla, NY 10595

(914) 493-7000

Get directions

Frequently asked questions

About Westchester Medical Center's rates and hospital price transparency.

How much does an MRI cost at Westchester Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Westchester Medical Center range from $573 to $4,351 across 3 insurers. Cigna's rate is $1,153. The median at nearby comparable hospitals is $712. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Westchester Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Westchester Medical Center range from $722 to $883 across 2 insurers. Cigna's rate is $883. The median at nearby comparable hospitals is $850. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Westchester Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Westchester Medical Center range from $4,942 to $6,822 across 3 insurers. Blue Cross Blue Shield's rate is $4,942. The median at nearby comparable hospitals is $2,402. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Westchester Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Westchester Medical Center range from $19,156 to $33,968 across 4 insurers. UnitedHealthcare's rate is $19,156. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Westchester Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Westchester Medical Center range from $296 to $373 across 2 insurers. Cigna's rate is $373. The median at nearby comparable hospitals is $315. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Westchester Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Westchester Medical Center range from $66,589 to $88,841 across 4 insurers. Aetna's rate is $72,751. The median at nearby comparable hospitals is $29,329. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Westchester Medical Center's CMS star rating?

Westchester Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Westchester Medical Center a teaching hospital?

Yes. CMS counts 0.51 Medicare-funded residents per bed at Westchester Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Westchester Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Westchester Medical Center's base inpatient payments by an estimated 0.14% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Westchester Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (277 discharges), intracranial hemorrhage or cerebral infarction with mcc (128 discharges), heart failure and shock with mcc (125 discharges).

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
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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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