New York / Glen Cove Hospital
CMS certification 330181 · Glen Cove, NY · 4 entries in CMS's price-transparency list
Glen Cove Hospital: charges and Medicare payments
Glen Cove Hospital reported 1,284 Medicare inpatient stays across 46 DRGs in 2024. Across them it charged 4.79 times what it was paid — among the higher ratios in New York, number 37 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 301 stays at an average charge of $94,142, 4% above the national average. It also billed 614 outpatient services, charging 6.21 times what Medicare paid.
- 1Medicare inpatient stays 1,284
- 2Charge ÷ paid, inpatient 4.79×
- 3Rank in NY (highest ratio = 1) 37 of 123
- 4CMS price-transparency actions 4
Inpatient stays
For the 46 DRGs that can be compared with the national average, Glen Cove Hospital charged more than the national average in 26 (57%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 301 | $94,142 | +4% | $20,376 |
| 291 Heart Failure and Shock with MCC | 57 | $77,839 | +38% | $13,097 |
| 177 Respiratory Infections and Inflammations with MCC | 50 | $92,288 | +31% | $16,910 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 50 | $49,532 | +1% | $10,860 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $83,014 | +39% | $15,904 |
| 312 Syncope and Collapse | 38 | $45,273 | -1% | $8,793 |
| 689 Kidney and Urinary Tract Infections with MCC | 37 | $53,169 | +4% | $11,906 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $43,727 | +16% | $8,458 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 31 | $174,015 | -24% | $47,131 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $42,620 | +6% | $8,450 |
| 682 Renal Failure with MCC | 27 | $96,286 | +46% | $17,098 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 27 | $71,610 | -2% | $15,897 |
| 069 Transient Ischemia without Thrombolytic | 26 | $46,789 | -7% | $8,143 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $62,037 | +28% | $10,093 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $86,392 | -14% | $20,704 |
| 683 Renal Failure with CC | 26 | $60,719 | +49% | $9,832 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $60,383 | 0% | $12,783 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $100,018 | +74% | $12,726 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $48,303 | +30% | $7,910 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $93,501 | +9% | $16,354 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $69,142 | -9% | $15,532 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 20 | $45,820 | +27% | $7,834 |
| 552 Medical Back Problems without MCC | 19 | $37,433 | -23% | $9,896 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 18 | $80,064 | -20% | $17,504 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $47,068 | -16% | $9,752 |
| 389 Gastrointestinal Obstruction with CC | 18 | $43,754 | +12% | $8,406 |
| 394 Other Digestive System Diagnoses with CC | 17 | $45,369 | -4% | $12,263 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $87,917 | -14% | $20,794 |
| 603 Cellulitis without MCC | 16 | $46,201 | +24% | $9,165 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $66,190 | +8% | $13,059 |
| 811 Red Blood Cell Disorders with MCC | 14 | $70,370 | +3% | $14,237 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $51,297 | -9% | $13,613 |
| 313 Chest Pain | 13 | $36,620 | -8% | $9,423 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $160,397 | -25% | $40,113 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $103,064 | -26% | $28,648 |
| 536 Fractures of Hip and Pelvis without MCC | 13 | $33,736 | -10% | $7,688 |
| 100 Seizures with MCC | 12 | $64,225 | -32% | $17,027 |
| 388 Gastrointestinal Obstruction with MCC | 12 | $70,661 | +3% | $14,513 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $49,206 | +15% | $8,632 |
| 884 Organic Disturbances and Intellectual Disability | 12 | $65,694 | +5% | $15,946 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $64,005 | +13% | $13,583 |
| 202 Bronchitis and Asthma with CC/MCC | 11 | $68,079 | +48% | $11,385 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $145,635 | +7% | $20,585 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $41,663 | -17% | $9,339 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $63,769 | -17% | $16,471 |
| 951 Other Factors Influencing Health Status | 11 | $29,487 | +15% | $6,345 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 115 | $12,802 | $2,608 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 60 | $22,922 | $4,147 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 57 | $19,271 | $3,887 |
| Comprehensive Observation Services | 55 | $36,014 | $3,031 |
| Level 4 Urology and Related Services | 49 | $17,378 | $3,839 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 47 | $28,301 | $7,348 |
| Level 1 Laparoscopy and Related Services | 31 | $24,597 | $6,341 |
| Level 4 Musculoskeletal Procedures | 30 | $21,607 | $7,675 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 26 | $17,547 | $3,202 |
| Level 5 ENT Procedures | 24 | $21,757 | $6,117 |
| Level 5 Urology and Related Services | 22 | $22,462 | $5,830 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 20 | $17,948 | $1,754 |
| Level 3 Breast/Lymphatic Surgery and Related Procedures | 20 | $55,135 | $10,611 |
| Level 3 Musculoskeletal Procedures | 18 | $16,800 | $3,615 |
| Level 3 Airway Endoscopy | 14 | $11,665 | $1,891 |
| Level 4 Airway Endoscopy | 14 | $16,981 | $4,124 |
| Level 4 Gynecologic Procedures | 12 | $15,102 | $3,523 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Glen Cove Hospital charged $94,142 on average, 19% less than the New York average of $116,930, and was paid $20,376 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Glen Cove Hospital charged $77,839 on average, 4% less than the New York average of $81,161, and was paid $13,097 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Glen Cove Hospital charged $92,288 on average, 2% less than the New York average of $94,371, and was paid $16,910 against a state average of $19,472. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Glen Cove Hospital charged $49,532 on average, 19% less than the New York average of $61,129, and was paid $10,860 against a state average of $12,692. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,802 was 21% below the state average of $16,178. For Level 1 Breast/Lymphatic Surgery and Related Procedures (outpatient APC 5091), its average charge of $22,922 was 14% below the state average of $26,582. For Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (outpatient APC 5341), its average charge of $19,271 was 20% below the state average of $23,948. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,014 was 35% above the state average of $26,675.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Glen Cove Hospital in Glen Cove, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 703)
- CAP Request — 2022-05-04 (CMS case 703)
- Closure Notice — 2023-05-24 (CMS case 703)
- Met Requirements — 2025-04-21 (CMS case 3985)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.