New York / Good Samaritan Hospital Medical Center

CMS certification 330286 · West Islip, NY · 4 entries in CMS's price-transparency list

Good Samaritan Hospital Medical Center: charges and Medicare payments

Good Samaritan Hospital Medical Center reported 5,930 Medicare inpatient stays across 160 DRGs in 2024. Across them it charged 5.74 times what it was paid — among the higher ratios in New York, number 19 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: 556 stays at an average charge of $105,793, 17% above the national average. It also billed 4,419 outpatient services, charging 7.83 times what Medicare paid.

1Medicare inpatient stays 5,930
2Charge ÷ paid, inpatient 5.74×
3Rank in NY (highest ratio = 1) 19 of 123
4CMS price-transparency actions 4

Average charge per stay at Good Samaritan Hospital Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 160 DRGs that can be compared with the national average, Good Samaritan Hospital Medical Center charged more than the national average in 140 (88%). 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	556	$105,793	+17%	$18,963
291 Heart Failure and Shock with MCC	234	$70,154	+24%	$12,457
274 Percutaneous and Other Intracardiac Procedures without MCC	164	$186,489	+19%	$30,215
177 Respiratory Infections and Inflammations with MCC	146	$92,448	+31%	$16,069
189 Pulmonary Edema and Respiratory Failure	127	$75,687	+31%	$12,206
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	124	$44,807	+12%	$8,637
690 Kidney and Urinary Tract Infections without MCC	116	$43,149	+14%	$7,894
193 Simple Pneumonia and Pleurisy with MCC	115	$73,598	+23%	$12,699
377 Gastrointestinal Hemorrhage with MCC	106	$112,072	+31%	$16,893
689 Kidney and Urinary Tract Infections with MCC	96	$54,812	+7%	$11,505
378 Gastrointestinal Hemorrhage with CC	92	$61,873	+27%	$9,536
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	92	$63,625	+30%	$10,154
811 Red Blood Cell Disorders with MCC	90	$72,817	+7%	$13,780
683 Renal Failure with CC	88	$55,080	+35%	$8,578
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	86	$130,523	+31%	$19,366
603 Cellulitis without MCC	86	$44,956	+21%	$9,420
853 Infectious and Parasitic Diseases with O.R. Procedures with...	82	$281,612	+23%	$49,565
698 Other Kidney and Urinary Tract Diagnoses with MCC	78	$88,604	+21%	$14,953
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	73	$41,112	+11%	$7,840
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	70	$81,095	+46%	$10,150
552 Medical Back Problems without MCC	69	$48,998	0%	$10,291
682 Renal Failure with MCC	68	$87,285	+32%	$14,374
481 Hip and Femur Procedures except Major Joint with CC	67	$125,811	+25%	$19,561
267 Endovascular Cardiac Valve Replacement and Supplement...	63	$295,608	+34%	$43,479
280 Acute Myocardial Infarction, Discharged Alive with MCC	62	$93,152	+23%	$15,330
069 Transient Ischemia without Thrombolytic	57	$61,546	+22%	$8,507
194 Simple Pneumonia and Pleurisy with CC	56	$47,101	+23%	$8,592
322 Percutaneous Cardiovascular Procedures with Intraluminal...	56	$136,940	+20%	$20,302
190 Chronic Obstructive Pulmonary Disease with MCC	50	$68,213	+35%	$10,942
309 Cardiac Arrhythmia and Conduction Disorders with CC	49	$47,253	+31%	$8,312
870 Septicemia or Severe Sepsis with MV >96 Hours	49	$298,557	-8%	$69,517
101 Seizures without MCC	48	$51,299	+5%	$9,595
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	47	$75,720	+26%	$13,288
812 Red Blood Cell Disorders without MCC	45	$53,820	+21%	$9,081
286 Circulatory Disorders except AMI, with Cardiac...	42	$116,964	+4%	$21,517
699 Other Kidney and Urinary Tract Diagnoses with CC	42	$42,950	-10%	$9,601
394 Other Digestive System Diagnoses with CC	41	$53,491	+14%	$9,024
287 Circulatory Disorders except AMI, with Cardiac...	40	$72,925	+14%	$11,010
321 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$204,519	+25%	$32,526
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	37	$86,088	+41%	$12,602
312 Syncope and Collapse	36	$56,916	+25%	$8,737
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	35	$129,742	+27%	$19,311
178 Respiratory Infections and Inflammations with CC	34	$80,065	+77%	$9,789
208 Respiratory System Diagnosis with Ventilator Support <=96...	34	$144,439	+6%	$26,515
389 Gastrointestinal Obstruction with CC	34	$48,526	+25%	$7,957
308 Cardiac Arrhythmia and Conduction Disorders with MCC	33	$71,072	+25%	$11,276
638 Diabetes with CC	33	$48,618	+17%	$9,130
100 Seizures with MCC	32	$105,569	+12%	$19,314
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	32	$96,830	+49%	$13,284
041 Peripheral, Cranial Nerve and Other Nervous System...	31	$153,939	+33%	$24,187
236 Coronary Bypass without Cardiac Catheterization without MCC	31	$255,911	+21%	$44,731
023 Craniotomy with Major Device Implant or Acute Complex Cns...	28	$321,067	+14%	$58,570
039 Extracranial Procedures without CC/MCC	28	$72,001	+13%	$10,682
184 Major Chest Trauma with CC	28	$60,404	+9%	$11,358
253 Other Vascular Procedures with CC	28	$139,852	+6%	$27,281
068 Precerebral Occlusion without Infarction without MCC	27	$67,887	+29%	$10,874
884 Organic Disturbances and Intellectual Disability	27	$57,916	-7%	$15,094
092 Other Disorders of Nervous System with CC	26	$65,638	+27%	$9,726
470 Major Hip and Knee Joint Replacement or Reattachment of...	26	$107,542	+15%	$19,034
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	26	$48,492	+31%	$9,580

Showing the 60 most frequent of 160 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,153	$28,477	$3,027
Level 1 Endovascular Procedures	407	$28,351	$3,613
Level 3 Endovascular Procedures	258	$91,194	$12,196
Level 2 Pacemaker and Similar Procedures	202	$63,149	$9,290
Level 2 Excision/ Biopsy/ Incision and Drainage	162	$12,456	$1,794
Level 1 Laparoscopy and Related Services	153	$24,689	$6,344
Level 4 Vascular Procedures	148	$17,112	$6,050
Level 5 Musculoskeletal Procedures	139	$83,220	$14,579
Level 1 Nerve Procedures	131	$14,901	$2,157
Level 3 Electrophysiologic Procedures	129	$193,574	$26,451
Level 5 Urology and Related Services	128	$27,407	$5,732
Level 3 Pacemaker and Similar Procedures	106	$71,588	$11,814
Level 2 Upper GI Procedures	97	$10,609	$2,087
Level 4 Urology and Related Services	89	$20,297	$3,859
Level 4 Gynecologic Procedures	85	$15,299	$3,492
Level 3 Vascular Procedures	80	$26,999	$3,525
Level 4 Endovascular Procedures	80	$129,618	$19,314
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	80	$19,860	$3,792
Level 4 Musculoskeletal Procedures	73	$33,418	$7,816
Level 3 Excision/ Biopsy/ Incision and Drainage	59	$18,624	$3,174
Level 4 Airway Endoscopy	54	$38,630	$4,121
Level 3 Musculoskeletal Procedures	53	$19,302	$3,615
Level 2 Endovascular Procedures	47	$49,962	$6,276
Level 1 Breast/Lymphatic Surgery and Related Procedures	42	$25,930	$4,257
Level 2 ICD and Similar Procedures	42	$233,257	$36,628

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Good Samaritan Hospital Medical Center charged $105,793 on average, 10% less than the New York average of $116,930, and was paid $18,963 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Good Samaritan Hospital Medical Center charged $70,154 on average, 14% less than the New York average of $81,161, and was paid $12,457 against a state average of $16,034. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Good Samaritan Hospital Medical Center charged $186,489 on average, 11% more than the New York average of $167,911, and was paid $30,215 against a state average of $36,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Good Samaritan Hospital Medical Center charged $92,448 on average, 2% less than the New York average of $94,371, and was paid $16,069 against a state average of $19,472. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,477 was 7% above the state average of $26,675. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,351 was 12% above the state average of $25,359. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $91,194 was 29% above the state average of $70,682. For Level 2 Pacemaker and Similar Procedures (outpatient APC 5222), its average charge of $63,149 was 15% above the state average of $54,748.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Good Samaritan Hospital Medical Center in West Islip, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2024-10-31 (CMS case 2874)
Closure Notice — 2024-11-14 (CMS case 2874)
Warning Notice — 2026-02-13 (CMS case 7022)
Closure Notice — 2026-05-15 (CMS case 7022)

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.