Price vs. cost — where the margin lives

Commercial prices against each hospital’s estimated cost to deliver, built from the same federal cost reports (HCRIS) regulators use. Statewide, the median hospital prices commercial care at 1.8× its estimated cost.

Median price as a multiple of estimated cost 1× = price equals cost

By health system

NYU Langone2 hospitals
5.3×
WMCHealth3 hospitals
4.6×
NewYork-Presbyterian3 hospitals
4.5×
Rochester Regional Health2 hospitals
4.3×
Trinity Health3 hospitals
3.4×
Albany Med Health4 hospitals
2.7×
Catholic Health (Long Island)6 hospitals
2.7×
Montefiore Einstein5 hospitals
2.0×
SUNY3 hospitals
1.9×
NYC Health + Hospitals10 hospitals
1.5×
Independent & other31 hospitals
1.5×
Catholic Health (Buffalo)4 hospitals
1.4×
Bassett Healthcare2 hospitals
0.9×

By hospital (click headers to sort)

HospitalSystem Price / est. costProcedures
Long Island Community HospitalNYU Langone5.9×35
Healthalliance Hospital Marys Avenue CampusWMCHealth5.5×24
New York-Presbyterian/QueensNewYork-Presbyterian5.0×21
Nyu Langone HospitalsNYU Langone4.8×35
Good Samaritan Hospital Of SuffernWMCHealth4.6×18
New York-Presbyterian HospitalNewYork-Presbyterian4.5×24
Albany Medical Center HospitalAlbany Med Health4.4×32
St Peter'S HospitalTrinity Health4.4×18
St Anthony Community HospitalRochester Regional Health4.4×24
Bon Secours Community HospitalRochester Regional Health4.1×18
Westchester Medical CenterWMCHealth4.1×24
Samaritan Hospital Of Troy, New YorkTrinity Health3.4×15
Ellis HospitalIndependent & other3.2×32
Good Samaritan Hospital Medical CenterCatholic Health (Long Island)3.2×24
St Francis Hospital - The Heart CenterCatholic Health (Long Island)3.1×24
Saratoga HospitalAlbany Med Health3.0×36
Hudson Valley Hospital CenterNewYork-Presbyterian2.9×22
Montefiore St Luke'S CornwallMontefiore Einstein2.8×12
St Catherine Of Siena HospitalCatholic Health (Long Island)2.8×24
Westfield Memorial HospitalIndependent & other2.7×18
Brooklyn Hospital Center - Downtown CampusIndependent & other2.7×33
St Charles HospitalCatholic Health (Long Island)2.6×24
Montefiore Medical CenterMontefiore Einstein2.6×40
Chsli St Joseph HospitalCatholic Health (Long Island)2.5×24
Hospital For Special SurgeryIndependent & other2.5×7
Mercy Medical CenterCatholic Health (Long Island)2.5×24
Columbia Memorial HospitalAlbany Med Health2.4×35
Corning HospitalIndependent & other2.4×51
St Joseph'S Hospital Health CenterTrinity Health2.3×18
The University Of Vermont Health Network - ChamplUVM Health Network2.1×21
Samaritan Medical CenterIndependent & other2.1×26
Glens Falls HospitalAlbany Med Health2.1×37
Nyack HospitalMontefiore Einstein2.0×14
Oswego HospitalIndependent & other2.0×25
Richmond University Medical CenterIndependent & other2.0×26
Nassau University Medical CenterIndependent & other1.9×26
Adirondack Medical Center - Saranac LakeIndependent & other1.9×37
Wynn HospitalIndependent & other1.9×63
Auburn Community HospitalIndependent & other1.9×33
University Hospital S U N Y Health Science CenterSUNY1.9×29
Suny/Stony Brook University HospitalSUNY1.9×40
Suny/Downstate University Hospital Of BrooklynSUNY1.8×30
Kings County Hospital CenterNYC Health + Hospitals1.8×42
Montefiore Mount Vernon HospitalMontefiore Einstein1.7×18
Jamaica Hospital Medical CenterIndependent & other1.7×30
South Brooklyn HealthNYC Health + Hospitals1.7×42
Geneva General HospitalIndependent & other1.6×23
Elmhurst Hospital CenterNYC Health + Hospitals1.6×42
Arnot Ogden Medical CenterArnot Health1.6×23
Bellevue Hospital CenterNYC Health + Hospitals1.6×42
Upmc Chautauqua At WcaIndependent & other1.6×26
Cayuga Medical Center At IthacaCayuga Health1.5×27
Harlem Hospital CenterNYC Health + Hospitals1.5×42
Niagara Falls Memorial Medical CenterIndependent & other1.5×33
St John'S Riverside HospitalIndependent & other1.4×27
Sisters Of Charity HospitalCatholic Health (Buffalo)1.4×51
Jacobi Medical CenterNYC Health + Hospitals1.4×42
Montefiore New Rochelle HospitalMontefiore Einstein1.4×19
Kenmore Mercy HospitalCatholic Health (Buffalo)1.4×51
Lincoln Medical & Mental Health CenterNYC Health + Hospitals1.4×42
Queens Hospital CenterNYC Health + Hospitals1.4×42
Mount St. Mary'S Hospital & Health CenterCatholic Health (Buffalo)1.3×51
St Barnabas HospitalIndependent & other1.3×36
Mercy Hospital Of BuffaloCatholic Health (Buffalo)1.3×51
Guthrie Cortland Regional Medical CenterIndependent & other1.2×54
Metropolitan Hospital CenterNYC Health + Hospitals1.2×42
Woodhull Medical & Mental Health CenterNYC Health + Hospitals1.2×42
Bertrand Chaffee HospitalIndependent & other1.2×11
Oneida Health HospitalIndependent & other1.1×31
St John'S Episcopal Hospital At South ShoreIndependent & other1.1×16
Erie County Medical CenterIndependent & other1.1×22
Our Lady Of Lourdes Memorial HospitalIndependent & other1.1×59
White Plains Hospital CenterIndependent & other1.1×22
Wyckoff Heights Medical CenterIndependent & other1.1×32
Flushing Hospital Medical CenterIndependent & other1.0×28
Bronxcare Hospital CenterIndependent & other1.0×60
Bassett HealthcareBassett Healthcare0.9×43
Phelps HospitalNorthwell Health0.9×15
Brookdale Hospital Medical CenterIndependent & other0.8×65
Aurelia Osborn Fox Memorial HospitalBassett Healthcare0.8×35
St Joseph'S Medical CenterIndependent & other0.8×20
Rome Memorial HospitalIndependent & other0.6×35
Cost estimates multiply published gross charges by each hospital’s operating cost-to-charge ratio from CMS cost reports — the standard MedPAC/NASHP method. They are estimates, not accounting truth: imaging and lab cells (where the hospital-level ratio is least precise) and data-flagged cells are excluded here, and hospitals with fewer than 5 usable cells are not shown. System attribution is name-based and approximate — corrections welcome at andrew@rexroadanalytics.com. Department-level cost ratios are a planned upgrade. Method details on the methodology page.
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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 28 – October 6, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →