Information about Charges - Montefiore Mount Vernon Hospital
A Member of the
Montefiore Health System
montefiore.org
Montefiore Medical Center
New Rochelle
Mount Vernon
Schaffer Extended Care Center
Montefiore School of Nursing
Mount Vernon
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Montefiore Health System
Mount Vernon
Patient Information
Paying for Your Care
Determining Your Out-Of-Pocket Expenses
We know that paying for healthcare is a big concern for many. We are committed to providing you with as much
information as possible regarding what you can expect in terms of cost, to help you make informed decisions
about your care.
Your out-of-pocket costs depend on several factors including:
The services or procedures you receive
Your insurance provider
Your specific health benefits policy including expenses such as your deductible, co-insurance, co-payment,
and the limit of out-of-pocket expense requirements
Your eligibility for financial assistance
No Surprise Balance Billing Protection
Our
price estimation tool
can help you determine any out-of-pocket expenses for the most common services BEFORE you proceed with your care. For more detailed information regarding your estimated out-of-pocket expense for any procedure, we recommend that you contact one of our managers who can assist you further by providing a comprehensive estimate based on your insurance and benefits information and/or your personal financial situation.
They
can be reached at 914-378-6445 or by email
pricetransparency@montefiore.org
Standard Rates
The Centers for Medicare & Medicaid Services’ Hospital Price Transparency Rule requires all
hospitals to post a list of standard rates that represent the pricing information for all medical items and
services that Montefiore provides, as well as negotiated rates with insurance companies. It is important to
note that the list of pricing information required by this rule does not necessarily reflect your
out-of-pocket financial responsibility for your hospital visit. Why? The most common reasons are:
We are required to list the price paid by your insurer—but this does not necessarily reflect your
out-of-pocket cost.
The medical services provided may vary from what was originally planned based on necessary circumstances
at the time of your care.
You may also receive services from physicians or practitioners who are not employed by this hospital;
their fees are not reflected in this listing.
It is also important for you to know that this price listing does not guarantee coverage, benefits, or
payments. Since your financial liability may vary based on the particular terms of your insurance policy and
the status of your health insurance benefits (i.e., deductibles, out-of-pocket maximum, co-insurance, and
copays) at the time you receive care, your eligibility and the amount of your coverage will ultimately be
determined by your health insurance provider. It is for this reason; Montefiore utilizes a price estimator
tool that provides consumers with out-of-pocket cost estimates based on their personalized health plan
benefits. We encourage you to utilize our
consumer-friendly
tool
and/or take advantage of speaking with one of our Managers at
914-378-6445
We are committed to being transparent and compliant with the Centers for Medicare & Medicaid Services
rules, and are providing the following link to our machine-readable file. As stated earlier, the price
information contained in this file is NOT an estimate of your out-of-pocket costs nor an accurate
representation of charges since each episode of care is unique and charges are based on the actual services
received. Additionally, while the file is posted based on the Centers for Medicare and Medicaid Services
reporting requirements, it may be too large for consumers to open without special software. We again encourage
you to utilize our
consumer-friendly
tool
and/or take advantage of speaking with one of our Managers at
914-378-6445
You may view or download the
standard rates file
(file last updated 4/1/26).
Information about Charges
For healthcare services provided at Montefiore, you may receive bills reflecting both professional charges
from providers such as anesthesiologists, pathologists, oncologists or other specialists who have contributed
to your care as well as hospital charges which  include the cost of providing all other aspects of your
care which are billed separately from professional services such as hospital stay, support staff, supplies,
and medications. In addition, if your care was provided by a doctor who is affiliated with Montefiore, but
also has a private practice, you may also receive separate bills from this doctor as is typical billing
practice.
What are hospital and professional charges and how do they impact you?
Charges are the dollar amount a provider sets for services provided before negotiating any discounts. The
charge is different from the amount paid.  Patients covered by Medicare, Medicaid, Commercial insurance
plans, and uninsured patients who qualify for financial assistance never pay full charges.  For patients
who do not qualify for financial assistance, but are uninsured, we also offer steeply discounted rates.
Financial Resources
At Montefiore we are committed to helping people understand the best options available to pay for their
medical care. Our staff can help you understand what is covered by your specific health insurance benefits
policy, expenses such as deductibles, so-insurance, co-payment and out-of-pocket expense limits.  In
addition, if you do not have insurance, we can assist you with determining your eligibility for free or
low-cost insurance, as well as governmental assistance. Our financial services counselors can also help assess
if you may qualify for financial assistance. You can learn more
here
Participating Insurance Plans
A list of insurance plans participating with Montefiore is provided for you
here
Please
note that some providers who may be involved in your care may not participate in the same insurance plans
covering care at Montefiore. Therefore, we recommend you check with the physician arranging for hospital
services to determine if the physician participates in a plan that covers your care.  A list of
physicians who provide services at Montefiore facilities is available for you
here
In This Section
Mount Vernon
Patient Information
Financial Services
Financial Aid Policy
Insurance Plans
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Paying for
Your Care
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Montefiore | Mount Vernon
12 North Seventh Avenue
Mount Vernon, NY 10550
Directions
Price
Transparency
Montefiore School
of Nursing
53 Valentine Street
Mount Vernon, NY
10550
Compliance
Hotline
Montefiore Medical Center
111 East 210th Street
Bronx,
NY 10467
montefioreeinstein.org