Hospitals in New York are far too liberal in their reliance on C-sections, which are both more risky and more costly than traditional birth, according to a new report released by the Leapfrog Group, a national organization that promotes hospital transparency. In New York, 28.5% of births at the 42 hospitals that submitted data were C-sections, according to the 2015 Leapfrog Hospital Survey. That exceeds the target rate of 23.9% established by the federal government’s HealthyPeople 2020 Initiative. Of the 1,122 hospitals surveyed nationally, 60% currently exceed the target. New York ranked 26 out of the 33 states that submitted sufficient C-section data. (Utah, ranked No. 1, had the lowest average C-section rate at 18.3%.) St. Catherine of Siena Medical Center, which had the highest rate in New York, reported that more than half its births are C-sections. As a result of the survey, the Northeast Business Group on Health sent out a memo advising New York employers to use “your relationships with hospitals and health plans to push for greater transparency on C-sections, and hold them accountable.” The group also chastised local hospitals for not reporting their C-section information to Leapfrog, thereby offering transparent and accessible data to consumers and employers. In New York, only 42 out of 188 hospitals reported the data.