BronxCare Health System

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 2017 Discharges  (Download .XLS)

DRGDRG DESCRIPTION AVERAGE CHARGE
775ALCOHOL ABUSE & DEPENDENCE $22,066.81
772ALCOHOL/DRUG DEP W/REHAB DETOX $29,814.07
198ANGINA PECTORIS & CORON ATHERO $21,846.36
141ASTHMA $ 9,181.95
753BIPOLAR DISORDERS $44,274.23
383CELLULITIS/OTH BACT SKN INFCNS $22,316.89
540CESAREAN DELIVERY $25,299.09
203CHEST PAIN $18,574.20
140CHRONIC OBSTRUCTIVE PULM DIS $13,160.97
774COCAINE ABUSE & DEPENDENCE $17,824.84
754DEPRESSIVE EXC MAJ DEPR DISORD $29,027.13
420DIABETES $12,891.15
770DRUG & ALCOHOL ABUSE/DEP/AMA $15,625.26
194HEART FAILURE $28,371.47
463KIDNEY & URINARY TRCT INFCNS $23,751.74
640NEONATE BWT >2499G NORMAL NB $13,275.43
249NON-FACT GASTROENT NAUS/VOMIT $10,651.77
773OPIOID ABUSE & DEPENDENCE $15,643.36
566OTH ANTEPARTUM DIAGNOSIS $10,833.82
139OTHER PNEUMONIA $10,738.63
750SCHIZOPHRENIA $56,614.79
053SEIZURE $11,123.83
720SEPTICEMIA & DISSEMINTED INFCN $23,825.14
816TOXIC EFF NON-MEDICINAL SUBSTN $11,459.53
560VAGINAL DELIVERY $19,638.60

Top 25 All Other (MS) DRG's for 2017 Discharges   (Download .XLS)

DRGDRG DESCRIPTION AVERAGE CHARGE
897A/D ABU DEP W/O REH THR W/O MC $ 8,929.39
895ALC/DRG ABS/DEP W REHAB THERAP $15,226.59
202BRONCHITIS & ASTHMA W CC/MCC $10,576.64
203BRONCHITIS & ASTHMA W/O CC/MCC $ 9,213.54
309CARD ARRH & COND DISO W CC $12,989.61
603CELLULITIS W/O MCC $12,264.19
313CHEST PAIN $ 9,452.11
847CHM W/O AL AS SEC DIAG W CC $11,400.86
190CHRON OBST PULM DISEASE W MCC $15,833.86
191CHRON OBST PULM DISEASE W/ CC $11,925.65
638DIABETES W CC $13,663.08
392ESO GST & MISC DIG DISO W/O MC $10,928.85
291HEART FAILURE & SHOCK W MCC $19,066.87
292HEART FAILURE & SHOCK WITH CC $14,604.69
305HYPERTENSION W/O MCC $10,898.03
853INF & PAR DIS W O.R. PRC W MCC $56,596.89
690K & U TRCT INFEC W/O MCC $12,664.70
470MAJ JNT REP/REAT LWR XT WO MCC $25,151.81
885PSYCHOSES $32,482.69
189PULMONARY EDEMA & RESP FAILURE $19,774.65
683RENAL FAILURE W CC $15,798.12
101SEIZURES WITHOUT MCC $12,501.47
871SEPTI W/O MV 96+ HRS W MCC $25,056.42
194SIMPLE PNEU & PLEURISY W CC $12,741.07
312SYNCOPE & COLLAPSE $11,180.10

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

Top 100 Radiology Services and Charge   (Download .XLS)

CPT CODETYPEDESCRIPTION CHARGE
74150CT SCANSABDOMEN CT WITHOUT CONTRAST $301.28
70498CT SCANSANGIOGRAPHY /NECK CT W&W/O CON $640.68
70450CT SCANSBRAIN CT WITHOUT CONTRAST $301.34
72125CT SCANSCERVICAL SPINE CT WITHOUT CONT $301.33
71250CT SCANSCHEST CT WITHOUT CONTRAST $301.30
71260CT SCANSCHEST CT WITH CONTRAST $641.77
74176CT SCANSCT ABD & PELVIS W/O CONTRAST $522.69
74178CT SCANSCT ABD&PELVIS 1+SECTION/REGNS $954.70
74177CT SCANSCT ABDOMEN & PELVIS W/CONTRAST $910.55
74175CT SCANSCT ANGIOGRAPHY /ABDOMEN W & W/ $639.82
71275CT SCANSCT ANGIOGRAPHY/CHEST W & W/O C $641.18
70496CT SCANSCT ANGIOGRAPHY/HEAD W&W/O CONT $642.58
70450CT SCANSCT HEAD W/O CONTRAST; STROKE P $301.28
71275CT SCANSCTA CHEST W/ CONTRAST; PE PROT $640.94
70486CT SCANSFACIAL BONES CT WITHOUT CONTRA $301.34
73700CT SCANSLOWER EXTREMITY CT WITHOUT CON $301.34
72131CT SCANSLUMBAR SPINE CT WITHOUT CONT $301.30
70490CT SCANSNECK SOFT TISSUE CT WITHOUT C $301.32
70491CT SCANSNECK SOFT TISSUE CT WITH CONTR $641.16
72192CT SCANSPELVIS CT WITHOUT CONTRAST $301.27
    
    
74183MRIABDOMEN MRI WITH AND WITHOUT $1,210.46
74185MRIABDOMEN MRCP $222.88
70553MRIBRAIN MRI WITH AND WITHOUT CON $1,206.66
70551MRIBRAIN MRI WITHOUT CONTRAST $720.38
77059MRIBREAST MRI W&W/O CONTRAST BILA $1,203.57
72141MRICERVICAL SPINE MRI WITHOUT CO $713.98
70544MRIHEAD MRA WITHOUT CONTRAST_____ $721.15
73720MRILOWER EXTREM NON-JOINT MRI W&W $1,209.44
73721MRILOWER EXTREMITY JOINT WITHOUT $718.15
73718MRILOWER EXTREMITY NON-JOINT MRI $718.39
72158MRILUMBAR SPINE MRI W&W/O CONTRA $1,210.41
72148MRILUMBAR SPINE MRI WITHOUT CONT $717.03
72197MRIPELVIS MRI WITH AND WITHOUT $1,203.72
72146MRITHORACIC SPINE MRI WITHOUT CO $716.57
78815MRITUMOR IMAGE PET/CT SKUL-THIGH $3,455.12
73221MRIUPPER EXTREMITTY JOINT WITHOU $720.55
    
    
74018RADIOLOGY ABDOMEN AP/ KUB 1 VIEW $162.57
74022RADIOLOGY ABDOMEN FLAT / UPRIGHT/SERIES $272.54
74021RADIOLOGY ABDOMENCOMPLETE $162.61
73600RADIOLOGY ANKLE AP / LAT 2 VIEWS $162.73
73610RADIOLOGY ANKLE COMPLETE 3+ VIEWS $162.68
72040RADIOLOGY CERVICAL SPINE 2-3 VIEWS $260.82
72050RADIOLOGY CERVICAL SPINE COMPLETE 4 -5 V $271.55
72052RADIOLOGY CERVICAL SPINE FLEXION/EXTENSI $273.69
72052RADIOLOGY CERVICAL SPINE OBLIQUE 6+ VIEW $271.94
71045RADIOLOGY CHEST 1 VIEW AP/ PA $162.57
71048RADIOLOGY CHEST COMPLETE 4+ VIEWS $162.71
71046RADIOLOGY CHEST PA / LAT 2 VIEWS $162.61
77080RADIOLOGY DEXA BONE DENSITY / BMD 1+ SIT $272.94
77066RADIOLOGY DX MAMMO INCL CAD BI $191.53
77065RADIOLOGY DX MAMMO INCL CAD UNI $160.91
77065RADIOLOGY DX MAMMO INCL CAD/UNI $151.34
73070RADIOLOGY ELBOW AP / LAT 2+ VIEWS $162.62
73080RADIOLOGY ELBOW COMPLETE 3+ VIEWS $162.71
73140RADIOLOGY FINGERS 2+ VIEWS $162.67
76001RADIOLOGY FLUOROSCOPY > 1HOUR INTRAOPERA $91.58
76000RADIOLOGY FLUOROSCOPY UP TO 1HOUR INTRA $520.43
73620RADIOLOGY FOOT AP / LAT 2 VIEWS $162.63
73630RADIOLOGY FOOT COMPLETE 3+ VIEWS $162.68
73090RADIOLOGY FOREARM 2 VIEWS $162.70
73130RADIOLOGY HAND 3+ VIEWS $162.70
73060RADIOLOGY HUMERUS 2+ VIEWS $162.64
73560RADIOLOGY KNEE AP / LAT 1-2 VIEWS $162.66
73562RADIOLOGY KNEE AP, LAT, OBL 3 VIEWS $162.68
73564RADIOLOGY KNEE COMPLETE /PATELLA 4+ VIEW $272.77
73565RADIOLOGY KNEE STANDING / BOTH $162.68
72114RADIOLOGY LUMBAR SPINE FLEXION / EXTENSI $272.61
72110RADIOLOGY LUMBAR SPINE OBLIQUE COMPLETE $272.60
70110RADIOLOGY MANDIBLE COMPLETE 4+ VIEWS $272.18
70360RADIOLOGY NECK SOFT TISSUES $162.67
72170RADIOLOGY PELVIS 1-2 VIEW $272.09
71100RADIOLOGY RIBS UNILATERAL 2 VIEWS $162.58
77067RADIOLOGY SCR MAMMO BI INCL CAD $147.08
73030RADIOLOGY SHOULDER COMP 2+ VIEWS $162.66
70260RADIOLOGY SKULL COMPLETE 4+ VIEW $272.71
72070RADIOLOGY THORACIC SPINE AP / LAT 2 VIEW $271.78
72074RADIOLOGY THORACIC SPINE COMPLETE 4+ VIE $273.12
73590RADIOLOGY TIBIA-FIBULA 2 VIEWS $162.68
73660RADIOLOGY TOES 2+ VIEWS $162.77
73100RADIOLOGY WRIST AP / LAT 2 VIEWS $162.71
73110RADIOLOGY WRIST COMPLETE 3+ VIEWS $162.67
73502RADIOLOGY X-RAY EXAM HIP UNI 2-3 VIEWS $162.61
73521RADIOLOGY X-RAY EXAM HIPS BI 2 VIEWS $272.14
73552RADIOLOGY X-RAY EXAM OF FEMUR 2+> $162.76
72100RADIOLOGY XRAY-L SPINE 2/3 VIEW $272.41
    
    
76700ULTRASOUNDABDOMEN COMPLETE US $399.31
76705ULTRASOUNDABDOMEN LIMITED (SINGLE ORGAN) $399.53
76818ULTRASOUNDFETAL BIOPHYS PROFILE US $392.31
76536ULTRASOUNDNECK/ SOFT TISSUE ULTRASOUND $393.63
76813ULTRASOUNDOB US; NUCHAL MEAS; 1 GEST $252.24
76856ULTRASOUNDPELVIS COMPLETE ULTRASOUND $401.30
76801ULTRASOUNDPREG UTERUS >1ST TRIM US $402.41
76817ULTRASOUNDPREG UTERUS/TRANSVAGINAL US $400.57
76816ULTRASOUNDPREGNANT UTERUS /FOLLOW UP US $255.04
76805ULTRASOUNDPREGNANT UTERUS >14 WEEKS / CO $396.44
76815ULTRASOUNDPREGNANT UTERUS/LIMITED/EVAL O $403.49
76815ULTRASOUNDPREGNANT UTERUS/LIMITED/EVALUA $401.48
76870ULTRASOUNDSCROTUM US $398.83
76830ULTRASOUNDTRANSVAGINAL US $397.70
76641ULTRASOUNDULTRASND BREAST; COMPLETE UNIL $262.26

If you have questions about the amount that we charge for particular services provided at our hospital, please call (718) 579-7438, 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 for PDF or click here to download the .XLS. If you would like to see a complete list of All Other (MS) DRGs and average charges, click here for PDF or click here to download the .XLS. If you would like to see a complete list of All Hospital Charges, click here for PDF or click here to download the .XLS.

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.