Mount Sinai Morningside and Mount Sinai West Price Transparency
The Mount Sinai Health System is committed to price transparency and to helping you understand your out-of-pocket costs. This page includes links to machine-readable files with standard charges for the range of items and services provided by Mount Sinai Morningside & Mount Sinai West.
Mount Sinai Morningside & Mount Sinai West’s machine-readable files include standard charges for items and services we provide.
However, standard charges don’t easily translate into the price of your expected care. Costs vary based on a variety of factors, including:
- The exact combination of services received
- How much you have spent this year on health care (due to insurance deductibles and out-of-pocket maximums)
For the best estimate of your out-of-pocket costs, you can contact your insurance company.
If you don’t have health insurance, or are underinsured, you may qualify for financial assistance. You can speak with our patient financial advocates to learn more about our financial assistance program and other subsidized health insurance programs here.
Mount Sinai Morningside & Mount Sinai West
Frequently Asked Questions
Our patients often have additional concerns about how the chargemaster works. Below, we list some of the most common questions and their answers.
The chargemaster is a list of gross charges for the services provided by the hospital. It includes medical procedures, lab tests, supplies, medications, and other goods and services. The chargemaster provides the gross prices, which are often higher than the price you will pay.
Please note that the figures listed in the chargemaster are not static. Prices and items change over time, for a variety of reasons. The prices quoted in the chargemaster are valid as of the date listed. We regularly post price updates.
The attachment also includes the hospital’s average charges by Medicare Severity Diagnosis Groups (MS-DRGs). MS-DRGs are a system of classifying inpatient cases based on medical diagnoses and human body systems.
Yes, gross charges are standard for every service whether or not you have insurance. The total charges on your patient bill will reflect the actual services that you receive. The charges on your bill may be different than the gross charges for a number of reasons including:
- Your length of stay
- The time it takes to complete your procedure
- Medications and products you receive
- Other health conditions you have that might make your care more complicated
In addition, your out-of-pocket expenses will depend on your specific insurance coverage and/or whether you are eligible for the hospital’s financial assistance policy.
The hospital chargemaster reflects hospital services only. It does not contain any professional fees such as physician services, and it may not include certain ancillary services. These costs are billed separately, based on the price at the time of service. Please contact your insurance company for estimated professional fees and to check if your physician is in-network for your health insurance plan.
Please note that some costs are subject to provider invoicing at the time of service. These can include certain costs associated with items such as blood products, implants, medications, and organ acquisition.
Our machine-readable files are based on the services we provided at each of our facilities over the past 12 months. If neither Mount Sinai Morningside nor Mount Sinai West provided a certain service over the previous year, it might not be on the list.
Hospitals set their gross charges for services and items based on their costs, which vary among hospitals. For example, charges may vary based on issues such as:
- Hospital location
- Availability of specialized services such as trauma and transplant services
- Whether it is a teaching hospital
- Level of underpayment from the Medicare and Medicaid programs
- Services provided to the uninsured
Regardless, insurance companies and patients without insurance may pay a different fee than the gross price.
Some chargemaster codes may include a number of items. For instance, one code may include a number of different medical supplies, lab tests, or medications. Each individual supply, test, or drug may have its own price. There could be a number of reasons for this difference, including varying dosages.
If insurance companies and patients without health insurance don’t pay the chargemaster prices, what do they pay?
Insurance companies have contracts with the hospital for discounts based on these gross charges. In addition, patients with health insurance are responsible for certain fees including deductibles, copayments, and/or coinsurance. These fees may vary from one insurance plan to another.
If you do not have health insurance, you can apply for support through the hospital to either receive insurance coverage (if eligible) or reduced costs through the hospital’s financial assistance policy. These programs will lower your costs.
Mount Sinai’s financial assistance program also contains contact information for each of the hospital’s Patient Financial Services Departments. These departments can give you a cost estimate and help you figure out if you are eligible for subsidized health insurance through programs such as Medicaid.
If you have any additional questions, email us and we will do our best to respond promptly.