Exploring the haunting ruins of New York’s Smallpox Hospital on Roosevelt Island offers a rare blend of history, architecture, and photography. For $129 per person, you’ll spend two hours with a professional photographer guiding you through a captivating site that’s perfect for shutterbugs and history buffs alike. Led by an expert who’s also a licensed guide, this tour in English or Spanish takes you to the eerie, roofless remains of a Gothic Revival hospital that once housed victims of smallpox and other contagious diseases.
What makes this experience stand out? First, we love the chance to walk around and photograph the striking Gothic architecture, which still retains a ghostly charm despite decades of decay. Second, the stunning views of Manhattan across the East River provide a compelling backdrop, making this a perfect setting for creative photography and memorable snapshots.
A possible consideration is that the tour is relatively short—just two hours—and focused on a specific site. If your main goal is to explore multiple parts of New York City, this experience is best viewed as a specialized excursion.
This tour is ideal for photography enthusiasts, history lovers with an eye for visual storytelling, or anyone interested in the city’s more unusual landmarks. It’s especially well-suited for travelers who want a more intimate, small-group experience rather than large, generic tours.
Key Points

- Historic Site: The Smallpox Hospital is a rare ruin with Gothic Revival architecture by James Renwick Jr.
- Photogenic Setting: The ruins, combined with panoramic views of Manhattan, make for compelling photos.
- Expert Guidance: A professional photographer helps improve your technique and guides your creative eye.
- Flexible Languages: Tours are available in both English and Spanish.
- Small Groups: Limited to six participants for a personalized experience.
- Inclusive Experience: Focuses on photography and history without additional costs for transportation or food.
A Practical Guide to the Smallpox Hospital Photo Tour

If you’re visiting New York City and have even a passing interest in photography, history, or architecture, this tour offers a unique way to spend a couple of hours. It’s not only about snapping pictures; it’s about understanding a forgotten chapter of NYC’s past, told through the crumbling walls and gothic arches that have silently watched over Roosevelt Island since the 19th century.
For broader city exploration in New York City, we've covered these other tours
The Site Itself
The Smallpox Hospital on Roosevelt Island, designed by James Renwick Jr.—the same architect behind St. Patrick’s Cathedral—begins as a striking visual. Though abandoned, the structure’s Gothic Revival style instantly evokes a sense of decay and grandeur. After its closure in 1875, when it ceased to house patients, the building became a haunting reminder of the city’s efforts to combat contagious diseases.
Walking around the ruins, you’ll notice the stark contrast between the once-pristine architecture and the ravages of time. The roofless, crumbling walls are perfect for atmospheric photos, especially with the city skyline in the background. Your guide, a professional photographer, will share tips on framing shots, playing with light and shadow, and capturing the ghostly beauty of decay.
The Photography Experience
As you explore the site, your guide will help you see the details that make this location extraordinary—stone gargoyles, Gothic arches, and the textures of weathered brick and peeling plaster. They’ll also teach you how to leverage the natural light, which shifts dramatically through the day, creating different moods in your photos.
Participants often find their skills improving quickly, thanks to personalized advice and the chance to experiment in a small group. The tour isn’t about taking hundreds of pictures; it’s about finding a few compelling images that tell a story, whether it’s of the building’s eerie silence or the city’s vibrant backdrop.
The Views and Surroundings
One of the tour’s biggest highlights? The stunning views of Manhattan across the East River. From the island, you can capture iconic skyline silhouettes, including the Empire State Building, Chrysler Building, and the dense cluster of skyscrapers that define NYC’s character. This scenic backdrop elevates your photographs and offers a tangible reminder of the city’s resilience and growth.
More Great Tours NearbyThe Historical Context
Your guide will also share stories about the hospital’s past, including its role in housing those who were unvaccinated or ill, and its reputation as a site of suffering and quarantine. When you stand among the ruins, this history adds layers of meaning to your photos, transforming them from simple snapshots into visual narratives.
Want to capture memories? We've looked into these other photo experiences in New York City
- Brooklyn: Personal Travel and Vacation Photographer
- Ferry, Lower Manhattan, SoHo & Midtown grand tour & photos
- New York: 1-hour Photoshoot in Iconic Locations
- New York City: Photoshoot – Times Square
- New York: Photoshoot in NYC Central Park 5th Ave
- New York City: Personal Travel and Vacation Photographer
Practical Details and Value
The tour, priced at $129, includes a dedicated two-hour session with a professional photographer and licensed guide. The small group size (up to 6 participants) ensures plenty of personal attention and space to experiment. Meeting at East 59th Street and 2nd Avenue, near the Roosevelt Island Tram station, makes it convenient for most visitors.
While transportation isn’t included, the tram ride itself is an experience—riding over the East River offers fantastic city views and is an easy, budget-friendly way to reach the island.
The tour’s balance of history, architecture, and hands-on photography makes it a worthwhile investment, especially for those keen to improve their skills or capture that perfect shot of a truly unique site.
Who Will Love This Tour?

This experience is perfect for photographers of all levels eager to practice their craft in an atmospheric setting. History buffs will appreciate the storytelling aspect, while those with an interest in architecture will find plenty of details to focus on. It’s also a great choice for travelers who prefer intimate, small-group tours over large bus-based excursions.
If you’re visiting New York and looking for a way to see a different side of the city—one that combines urban decay, stunning skyline views, and engaging instruction—this tour offers a compelling option.
Final Thoughts

The Smallpox Hospital Photo Tour on Roosevelt Island offers an unusual peek into New York’s past, beautifully framed by the sun and sky that create dramatic shadows on the ruins. For just over two hours, you get a mix of history, architecture, and photography that’s hard to find elsewhere. It’s an experience that appeals to travelers wanting a more personal, creative connection with the city.
While the site itself is somewhat remote, the tram ride and small group size make for an intimate, manageable outing. The combination of professional guidance, historical storytelling, and scenic views makes this a memorable addition to any NYC itinerary—especially if bringing home great photos is part of your travel goals.
Whether you’re a seasoned shutterbug or just want to learn how to capture spooky, atmospheric shots, this tour offers a meaningful, visually stimulating experience that’s worth the price.
FAQ

Is transportation to the meeting point included?
No, transportation isn’t included. You’ll need to get yourself to East 59th Street and 2nd Avenue, where the tram to Roosevelt Island departs. The tram ride itself is quick and offers excellent views of the East River and skyline.
What languages are available for the tour?
The tour is available in both English and Spanish, making it accessible for a broader range of visitors.
How long is the tour?
The tour lasts approximately two hours, giving plenty of time for photography and storytelling without feeling rushed.
Is this tour suitable for beginners?
Absolutely. The guide is a professional photographer who offers tips suitable for all skill levels. It’s a great chance to learn and practice in a real-world setting.
What should I bring?
Bring your camera or smartphone, and wear comfortable shoes suitable for walking around the ruins. If you have a favorite lens or tripod, feel free to bring it along.
Can I cancel the tour?
Yes, you can cancel up to 24 hours in advance for a full refund. This flexibility makes it a low-risk option for planning your trip.
Will I get good photo opportunities?
Yes, the site’s architecture combined with the city views provides excellent opportunities for atmospheric, striking images. The guide’s tips will help you make the most of these moments.
In sum, the Smallpox Hospital Photo Tour offers a distinctive way to explore a slice of New York’s history and skyline through the lens. It’s a worthwhile choice for those looking for an enriching, visually rewarding experience that combines storytelling with practical photography skills.
You can check availability for your dates here:More City Tours in New York City
More Tours in New York City
- New York City: Full-Day Washington DC City Highlights Tour
- NYC: The Superhero Walking Tour of New York
- NYC: Contrasts Tour of Harlem, The Bronx, Queens & Brooklyn
- NYC: Private Marvelous Mrs. Maisel Sites Tour
- Hudson Valley Wine Tour: NY’s only sommelier-guided tour!
- NYC: Night Tour and Viewpoints of New York
More Tour Reviews in New York City
- New York: Escape Game Through Iconic Places
- New York City: Full-Day Washington DC City Highlights Tour
- NYC: The Superhero Walking Tour of New York
- NYC: Contrasts Tour of Harlem, The Bronx, Queens & Brooklyn
- NYC: Private Marvelous Mrs. Maisel Sites Tour
- Hudson Valley Wine Tour: NY’s only sommelier-guided tour!
More New York City experiences we've covered
- New York City: Smallpox Hospital Photo Tour
- New York City: Full-Day Washington DC City Highlights Tour
- NYC: The Superhero Walking Tour of New York
- NYC: Contrasts Tour of Harlem, The Bronx, Queens & Brooklyn
- NYC: Private Marvelous Mrs. Maisel Sites Tour
- Hudson Valley Wine Tour: NY’s only sommelier-guided tour!
- NYC: Night Tour and Viewpoints of New York
- Luci e Ponti di New York- Night Tour in Italiano
- NYC: City Lights Yacht Cruise with Drink Included
- “Culinary Tour of Chinatown and Lord Ganesha Temple”
- NYC: Guggenheim Ticket & Carnegie Hill Digital Tour
- NYC: Hudson Yards & High Line Tour with Optional Edge Ticket
