Bronx-Lebanon Hospital Center

Charges

It is always wise to understand your potential medical expenses before you receive a service.

For your convenience, we have provided below, for Medicaid (APR) and for All Other (MS) types of benefit plans, a list of the 25 most common reasons for an inpatient admission and the applicable average charges for them (this does not include the physician fees).

 

Top 25 Medicaid (APR) DRG's for 2015 Discharges

DRG CodeDescriptionAverage Charge
198Angina Pectoris & Coronary Atherosclerosis$10,087.31
225Appendectomy$15,111.18
141Asthma$8,976.47
138Bronchiolitis & RSV Pneumonia$9,036.52
201Cardiac Arrhythmia & Conduction Disorders$12,174.25
383Cellulitis & Other Bacterial Skin Infections$12,201.76
540Cesarean Delivery$11,995.52
203Chest Pain$8,781.40
140Chronic Obstructive Pulmonary Disease$13,283.92
420Diabetes$13,370.31
194Heart Failure$15,851.12
463Kidney & Urinary Tract Infections$12,759.53
640Neonate, Bwt > 2499g, Normal Newborn Or Neonate W Other Problem$6,340.44
249Non-Bacterial Gastroenteritis, Nausea & Vomiting$10,222.47
566Other Antepartum Diagnoses$10,157.83
351Other Musculoskeletal System & Connective Tissue Diagnoses$12,119.79
139Other Pneumonia$13,097.13
241Peptic Ulcer & Gastritis$10,756.09
460Renal Failure$18,338.78
144Respiratory System Signs, Symptoms & Other Diagnoses$9,468.72
053Seizure$12,028.57
720Septicemia & Disseminated Infections$29,551.88
204Syncope & Collapse$10,252.83
816Toxic Effects Of Non-Medicinal Substances$10,645.25
560Vaginal Delivery$9,273.06

 

Top 25 All Other (MS) DRG's for 2015 Discharges

DRG CodeDescriptionAverage Charge
202BRONCHITIS & ASTHMA W CC/MCC$11,183.92
309CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$12,848.64
603CELLULITIS W/O MCC$12,749.00
847CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC$10,353.73
313CHEST PAIN$9,062.39
191CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$12,963.58
190CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$15,197.52
638DIABETES W CC$14,277.10
149DYSEQUILIBRIUM$10,643.81
392ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$11,229.38
292HEART FAILURE & SHOCK W CC$15,993.70
291HEART FAILURE & SHOCK W MCC$21,303.33
293HEART FAILURE & SHOCK W/O CC/MCC$10,559.56
690KIDNEY & URINARY TRACT INFECTIONS W/O MCC$12,949.57
470MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W$28,077.64
641MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W$13,850.82
918POISONING & TOXIC EFFECTS OF DRUGS W/O MCCg$10,301.54
885PSYCHOSES$29,037.70
189PULMONARY EDEMA & RESPIRATORY FAILURE$19,337.06
683RENAL FAILURE W CC$15,811.97
682RENAL FAILURE W MCC$18,558.84
101SEIZURES W/O MCC$10,969.59
871SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$27,411.17
194SIMPLE PNEUMONIA & PLEURISY W CC$14,486.64
312SYNCOPE & COLLAPSE$12,038.87
 

 

We have also provided a list of the top 100 radiology services and the applicable charge. 

Top 100 Radiology Services and Charge

CPT codeTypeDescriptionCharge
74160CT ScanABDOMEN CT WITH CONTRAST$624.58
74150CT ScanABDOMEN CT WITHOUT CONTRAST$311.15
70450CT ScanBRAIN CT WITHOUT CONTRAST$311.15
72125CT ScanCERVICAL SPINE CT WITHOUT CONT$311.15
71250CT ScanCHEST CT WITHOUT CONTRAST$311.15
71260CT ScanCHEST CT WITH CONTRAST$624.58
74176CT ScanCT ABD & PELVIS W/O CONTRAST$614.04
74178CT ScanCT ABD&PELVIS 1+SECTION/REGNS$973.63
74177CT ScanCT ABDOMEN & PELVIS W/CONTRAST $973.63
77012CT ScanCT GUIDED  BIOPSY$141.99
70480CT ScanEARS CT WITHOUT CONTRAST$311.15
70486CT ScanFACIAL BONES CT WITHOUT CONTRA$311.15
73700CT ScanLOWER EXTREMITY CT WITHOUT CON$311.15
72131CT ScanLUMBAR SPINE CT WITHOUT CONT$311.15
70491CT ScanNECK SOFT TISSUE CT WITH CONTR$624.58
70480CT ScanORBITS CT WITHOUT CONTRAST$311.15
70486CT ScanSINUSES CT WITHOUT CONTRAST$311.15
78815CT ScanTUMOR IMAGE PET/CT SKUL-THIGH$3,334.47
73200CT ScanUPPER EXTREMITY CT WITHOUT CON$311.15
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74183MRIABDOMEN MRI WITH AND WITHOUT$1,252.35
74185MRIABDOMEN MRCP$222.55
70553MRIBRAIN MRI WITH AND WITHOUT CON$1,252.35
70551MRIBRAIN MRI WITHOUT CONTRAST$742.50
70553MRIBRAIN/INTER AUDITORY CANAL MRI$1,252.35
77059MRIBREAST MRI W&W/O CONTRAST BILA$1,252.35
72141MRICERVICAL SPINE  MRI WITHOUT CO$742.50
76819MRIFETL BIOPHYS PROFILE; W/O NST_$349.58
73721MRILOWER EXTREMITY JOINT WITHOUT $742.50
73718MRILOWER EXTREMITY NON-JOINT MRI$742.50
72148MRILUMBAR SPINE  MRI WITHOUT CONT$742.50
72197MRIPELVIS MRI WITH AND WITHOUT$1,252.35
73221MRI     UPPER EXTREMITY JOINT WITHOU$742.50
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74000RadiologyABDOMEN AP/ KUB$153.91
74022RadiologyABDOMEN FLAT & UPRIGHT/SERIES$246.33
74020RadiologyABDOMEN COMPLETE$246.33
73600RadiologyANKLE AP & LAT$246.33
73610RadiologyANKLE COMPLETE$246.33
74280RadiologyBARIUM ENEMA WITH AIR$391.42
72040RadiologyCERVICAL SPINE 2 VIEWS$246.33
72050RadiologyCERVICAL SPINE COMPLETE 4 VIEW$246.33
72052RadiologyCERVICAL SPINE FLEXION & EXTEN $246.33
72052RadiologyCERVICAL SPINE OBLIQUE$246.33
71010RadiologyCHEST 1 VIEW  AP/ PA$153.91
71030RadiologyCHEST COMPLETE$246.33
71020RadiologyCHEST PA & LAT$153.91
71111RadiologyCHEST PA & RIBS BILATERAL$246.33
71101RadiologyCHEST PA & RIBS UNILATERAL$246.33
73000RadiologyCLAVICLE$153.91
77052RadiologyCOMP SCREEN MAMMOGRAM ADD-ON$15.16
77051RadiologyCOMPUTER DX MAMMOGRAM ADD-ON$15.16
77080RadiologyDEXA BONE DENSITY / BMD$246.33
73070RadiologyELBOW AP & LAT$153.91
73080RadiologyELBOW COMPLETE$153.91
73550RadiologyFEMUR$153.91
73140RadiologyFINGERS$153.91
76001RadiologyFLUOROSCOPY > 1HOUR INTRAOPERA$94.12
73620RadiologyFOOT AP & LAT$153.91
73630RadiologyFOOT COMPLETE$153.91
73090RadiologyFOREARM$153.91
73130RadiologyHAND$153.91
73510RadiologyHIP UNILATERAL$153.91
73060RadiologyHUMERUS$153.91
74740RadiologyHYSTEROSALPINGOGRAPHY$873.73
73560RadiologyKNEE  AP & LAT$153.91
73562RadiologyKNEE  AP LAT OBL$246.33
73564RadiologyKNEE COMPLETE/PATELLA$246.33
72114RadiologyLUMBAR SPINE FLEXION & EXTENSI$246.33
72110RadiologyLUMBAR SPINE OBLIQUE COMPLETE$246.33
77057RadiologyMAMMOGRAM  SCREENING$255.88
77056RadiologyMAMMOGRAM DIAGNOSTIC BILATERAL$308.24
77055RadiologyMAMMOGRAM DIAGNOSTIC UNILATERA$242.11
70110RadiologyMANDIBLE COMPLETE$246.33
70360RadiologyNECK SOFT TISSUES$153.91
72170RadiologyPELVIS$246.33
71100RadiologyRIBS UNILATERAL$153.91
72090RadiologySCOLIOSIS STUDY$246.33
73030RadiologySHOULDER COMP.$246.33
72070RadiologyTHORACIC SPINE AP & LAT$246.33
72074RadiologyTHORACIC SPINE COMPLETE$246.33
73590RadiologyTIBIA-FIBULA$153.91
73660RadiologyTOES$153.91
73100RadiologyWRIST AP & LAT$153.91
73110RadiologyWRIST COMPLETE$153.91
73520RadiologyXRAY-HIPBILAT/PELIVS$246.33
72100RadiologyXRAY-L SPINE 2/3 VIEW$246.33
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76700UltrasoundABDOMEN COMPLETE US$349.58
76705UltrasoundABDOMEN LIMITED (SINGLE ORGAN)$349.58
76818UltrasoundFETAL BIOPHYS PROFILE US$349.58
76536UltrasoundNECK/ SOFT TISSUE ULTRASOUND$349.58
76813UltrasoundOB US; NUCHAL MEAS; 1 GEST$349.58
76856UltrasoundPELVIS COMPLETE ULTRASOUND$349.58
76801UltrasoundPREG UTERUS >1ST TRIM US$349.58
76811UltrasoundPREG UTERUS FETAL ANATOMIC EXA$491.57
76817UltrasoundPREG UTERUS/TRANSVAGINAL US $349.58
76816UltrasoundPREGNANT UTERUS /FOLLOW UP  US$237.71
76805UltrasoundPREGNANT UTERUS >14 WEEKS / CO$349.58
76815UltrasoundPREGNANT UTERUS/LIMITED/EVAL O$349.58
76815UltrasoundPREGNANT UTERUS/LIMITED/EVALUA$349.58
76830UltrasoundTRANSVAGINAL  US$349.58
76641UltrasoundULTRASND BREAST; COMPLETE UNIL$237.71
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If you have questions about the amount that we charge for particular services provided at our hospital, please call (914) 233-1645, and one of our staff members can help you identify the right service and our standard charge for that service. If you would like to see a complete list of all Medicaid (APR) DRGs and average charges, click here. If you would like to see a complete list of All Other (MS) DRGs and average charges, click here. If you would like to see a complete list of All Hospital Charges, click here.

Please be aware that the charge is typically not the amount that we are paid for a service. For example, if you are enrolled in a government program such as Medicare or Medicaid, we are paid an amount determined by law. If you are enrolled with a benefit program issued by a health plan that we participate with, our payment will be an amount we negotiated with the health plan. And, if you are not covered by a government program or a benefit program, but you qualify under our Financial Aid/Charity Care Policy, your payment will be reduced as determined under that policy.