Two independent web search results confirm this: one explicitly mentions a House Republican railing against NewYork-Presbyterian being classified as a 'rural' medical center, and another from Johns Hopkins notes that New York-Presbyterian topped the list of urban hospitals increasingly reclassified as rural.

Multiple sources confirm that hospitals generally receive higher reimbursement rates than independent physician practices. One source explicitly states hospitals negotiate higher reimbursements, and another discusses the 'payment differentials' between hospital outpatient departments and independent practices.