New York / Jamaica Hospital Medical Center
CMS certification 330014 · Jamaica, NY · 2 entries in CMS's price-transparency list
Jamaica Hospital Medical Center: charges and Medicare payments
Jamaica Hospital Medical Center reported 932 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 1.7 times what it was paid — among the lower ratios in New York, number 107 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: 190 stays at an average charge of $45,146, 50% below the national average. It also billed 347 outpatient services, charging 4.21 times what Medicare paid.
- 1Medicare inpatient stays 932
- 2Charge ÷ paid, inpatient 1.7×
- 3Rank in NY (highest ratio = 1) 107 of 123
- 4CMS price-transparency actions 2
Inpatient stays
For the 34 DRGs that can be compared with the national average, Jamaica Hospital Medical Center charged more than the national average in 0 (0%). 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 | 190 | $45,146 | -50% | $28,131 |
| 291 Heart Failure and Shock with MCC | 73 | $26,796 | -52% | $19,884 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 50 | $22,517 | -70% | $21,526 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 36 | $33,921 | -33% | $16,456 |
| 481 Hip and Femur Procedures except Major Joint with CC | 32 | $44,566 | -56% | $27,660 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 31 | $33,989 | -39% | $15,809 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $22,289 | -40% | $12,754 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 30 | $50,958 | -49% | $30,524 |
| 312 Syncope and Collapse | 30 | $18,445 | -59% | $13,792 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $38,307 | -36% | $20,322 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $20,488 | -46% | $12,553 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $178,308 | -22% | $65,681 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 26 | $115,213 | -64% | $77,087 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $29,166 | -41% | $16,011 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $28,840 | -52% | $19,157 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $34,986 | -50% | $24,575 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $19,507 | -61% | $14,856 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $36,088 | -30% | $19,923 |
| 101 Seizures without MCC | 16 | $18,371 | -62% | $14,191 |
| 683 Renal Failure with CC | 16 | $19,479 | -52% | $13,633 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 15 | $294,476 | -52% | $139,360 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $39,125 | -62% | $27,088 |
| 603 Cellulitis without MCC | 15 | $28,900 | -22% | $15,297 |
| 069 Transient Ischemia without Thrombolytic | 14 | $17,101 | -66% | $12,906 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $44,288 | -48% | $26,224 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $37,460 | -49% | $23,504 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 13 | $120,104 | -57% | $77,308 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $42,341 | -26% | $18,086 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $22,788 | -53% | $15,389 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 12 | $26,605 | -58% | $16,795 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $15,131 | -62% | $12,837 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 11 | $34,317 | -53% | $19,993 |
| 305 Hypertension without MCC | 11 | $20,890 | -48% | $12,837 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $21,956 | -42% | $13,227 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 243 | $11,073 | $3,081 |
| Level 2 Musculoskeletal Procedures | 17 | $8,522 | $1,829 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 16 | $4,631 | $1,845 |
| Level 1 Endovascular Procedures | 16 | $10,424 | $3,714 |
| Level 3 Pacemaker and Similar Procedures | 16 | $35,812 | $12,134 |
| Level 3 Vascular Procedures | 15 | $14,163 | $3,627 |
| Level 2 Pacemaker and Similar Procedures | 13 | $32,255 | $9,661 |
| Level 3 Musculoskeletal Procedures | 11 | $6,524 | $3,683 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jamaica Hospital Medical Center charged $45,146 on average, 61% less than the New York average of $116,930, and was paid $28,131 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Jamaica Hospital Medical Center charged $26,796 on average, 67% less than the New York average of $81,161, and was paid $19,884 against a state average of $16,034. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Jamaica Hospital Medical Center charged $22,517 on average, 78% less than the New York average of $102,833, and was paid $21,526 against a state average of $21,127. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Jamaica Hospital Medical Center charged $33,921 on average, 48% less than the New York average of $64,680, and was paid $16,456 against a state average of $14,203. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,073 was 58% below the state average of $26,675. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $8,522 was 35% below the state average of $13,038. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,631 was 64% below the state average of $12,815. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $10,424 was 59% below the state average of $25,359.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Jamaica Hospital Medical Center in Jamaica, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-18 (CMS case 3101)
- Closure Notice — 2025-05-20 (CMS case 3101)
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.