Long Island Community Hospital: charges and Medicare payments

Long Island Community Hospital reported 2,996 Medicare inpatient stays across 80 DRGs in 2024. Across them it charged 9.12 times what it was paid — among the higher ratios in New York, number 2 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: 748 stays at an average charge of $167,334, 85% above the national average. It also billed 1,607 outpatient services, charging 17.16 times what Medicare paid.

1Medicare inpatient stays 2,996
2Charge ÷ paid, inpatient 9.12×
3Rank in NY (highest ratio = 1) 2 of 123
4CMS price-transparency actions 0

Average charge per stay at Long Island Community Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 80 DRGs that can be compared with the national average, Long Island Community Hospital charged more than the national average in 80 (100%). 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	748	$167,334	+85%	$18,535
291 Heart Failure and Shock with MCC	116	$100,150	+78%	$12,267
280 Acute Myocardial Infarction, Discharged Alive with MCC	98	$147,923	+95%	$15,494
853 Infectious and Parasitic Diseases with O.R. Procedures with...	90	$416,803	+82%	$47,272
177 Respiratory Infections and Inflammations with MCC	70	$145,551	+106%	$15,922
870 Septicemia or Severe Sepsis with MV >96 Hours	65	$505,404	+56%	$59,126
189 Pulmonary Edema and Respiratory Failure	64	$96,053	+67%	$12,150
698 Other Kidney and Urinary Tract Diagnoses with MCC	64	$134,622	+83%	$15,900
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	60	$89,128	+82%	$10,510
193 Simple Pneumonia and Pleurisy with MCC	59	$104,867	+75%	$12,845
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	54	$88,715	+121%	$7,882
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	48	$173,124	+73%	$17,691
682 Renal Failure with MCC	46	$130,873	+98%	$14,729
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	45	$106,220	+76%	$12,228
552 Medical Back Problems without MCC	42	$100,024	+105%	$9,708
377 Gastrointestinal Hemorrhage with MCC	41	$182,155	+113%	$16,739
689 Kidney and Urinary Tract Infections with MCC	40	$101,910	+99%	$10,694
690 Kidney and Urinary Tract Infections without MCC	40	$74,654	+97%	$8,019
312 Syncope and Collapse	38	$98,751	+117%	$8,581
281 Acute Myocardial Infarction, Discharged Alive with CC	35	$95,473	+89%	$8,904
069 Transient Ischemia without Thrombolytic	33	$96,445	+91%	$7,899
378 Gastrointestinal Hemorrhage with CC	30	$117,226	+141%	$9,599
603 Cellulitis without MCC	30	$79,992	+115%	$9,438
100 Seizures with MCC	29	$138,728	+47%	$17,692
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	29	$82,940	+95%	$8,891
637 Diabetes with MCC	29	$146,259	+120%	$13,878
481 Hip and Femur Procedures except Major Joint with CC	28	$204,503	+103%	$18,926
683 Renal Failure with CC	28	$77,435	+90%	$8,526
149 Dysequilibrium	26	$93,921	+112%	$7,445
309 Cardiac Arrhythmia and Conduction Disorders with CC	26	$75,008	+108%	$8,029
092 Other Disorders of Nervous System with CC	25	$86,848	+68%	$10,106
389 Gastrointestinal Obstruction with CC	25	$83,276	+114%	$7,993
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	24	$116,152	+108%	$9,862
190 Chronic Obstructive Pulmonary Disease with MCC	24	$94,778	+87%	$10,262
057 Degenerative Nervous System Disorders without MCC	23	$94,250	+66%	$12,701
418 Laparoscopic Cholecystectomy without C.D.E. with CC	23	$172,632	+85%	$16,889
287 Circulatory Disorders except AMI, with Cardiac...	22	$97,522	+53%	$10,510
322 Percutaneous Cardiovascular Procedures with Intraluminal...	22	$135,699	+18%	$17,196
917 Poisoning and Toxic Effects of Drugs with MCC	22	$150,420	+101%	$14,640
091 Other Disorders of Nervous System with MCC	21	$144,872	+75%	$16,550
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	21	$252,599	+147%	$19,934
699 Other Kidney and Urinary Tract Diagnoses with CC	21	$90,234	+90%	$9,788
551 Medical Back Problems with MCC	20	$113,601	+44%	$15,250
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	20	$74,438	+101%	$7,249
673 Other Kidney and Urinary Tract Procedures with MCC	20	$208,924	+21%	$35,368
178 Respiratory Infections and Inflammations with CC	19	$83,085	+83%	$9,632
393 Other Digestive System Diagnoses with MCC	19	$141,172	+84%	$15,830
638 Diabetes with CC	19	$75,373	+81%	$8,616
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	18	$140,101	+115%	$13,225
314 Other Circulatory System Diagnoses with MCC	18	$165,110	+74%	$19,062
470 Major Hip and Knee Joint Replacement or Reattachment of...	18	$243,304	+161%	$17,711
884 Organic Disturbances and Intellectual Disability	18	$104,783	+68%	$15,781
070 Other Cerebrovascular Disorders with MCC	17	$143,637	+89%	$17,998
194 Simple Pneumonia and Pleurisy with CC	17	$86,369	+125%	$8,244
202 Bronchitis and Asthma with CC/MCC	17	$76,795	+66%	$9,478
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	17	$107,759	+77%	$12,423
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	17	$308,123	+128%	$25,653
811 Red Blood Cell Disorders with MCC	17	$127,403	+87%	$12,839
308 Cardiac Arrhythmia and Conduction Disorders with MCC	16	$96,918	+71%	$11,654
812 Red Blood Cell Disorders without MCC	16	$107,847	+143%	$9,023

Showing the 60 most frequent of 80 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	427	$47,915	$2,985
Level 1 Intraocular Procedures	155	$40,830	$2,589
Level 2 Excision/ Biopsy/ Incision and Drainage	120	$26,273	$1,799
Level 1 Endovascular Procedures	89	$47,323	$3,616
Level 2 Musculoskeletal Procedures	65	$35,598	$1,773
Level 1 Laparoscopy and Related Services	64	$100,067	$6,364
Level 4 Musculoskeletal Procedures	60	$109,387	$7,884
Level 3 Musculoskeletal Procedures	56	$36,500	$3,615
Level 5 Musculoskeletal Procedures	50	$205,162	$14,672
Level 3 Vascular Procedures	49	$65,479	$3,415
Level 2 Pacemaker and Similar Procedures	48	$130,929	$9,483
Level 4 Urology and Related Services	46	$45,636	$3,894
Level 3 Endovascular Procedures	39	$112,785	$11,997
Level 2 Upper GI Procedures	37	$31,786	$2,125
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	36	$74,580	$3,864
Level 5 Urology and Related Services	35	$68,867	$5,779
Level 2 Breast/Lymphatic Surgery and Related Procedures	33	$83,909	$7,107
Level 3 Urology and Related Services	31	$27,676	$2,275
Level 3 Excision/ Biopsy/ Incision and Drainage	23	$34,402	$3,064
Level 3 Pacemaker and Similar Procedures	23	$160,581	$11,910
Level 1 Nerve Procedures	22	$34,378	$2,156
Level 1 Breast/Lymphatic Surgery and Related Procedures	20	$45,239	$4,088
Level 3 Lower GI Procedures	19	$30,810	$3,136
Level 4 Gynecologic Procedures	19	$33,648	$3,492
Level 2 Endovascular Procedures	16	$59,926	$6,384

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Long Island Community Hospital charged $167,334 on average, 43% more than the New York average of $116,930, and was paid $18,535 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Long Island Community Hospital charged $100,150 on average, 23% more than the New York average of $81,161, and was paid $12,267 against a state average of $16,034. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Long Island Community Hospital charged $147,923 on average, 44% more than the New York average of $102,833, and was paid $15,494 against a state average of $21,127. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Long Island Community Hospital charged $416,803 on average, 44% more than the New York average of $288,832, and was paid $47,272 against a state average of $63,023. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $47,915 was 80% above the state average of $26,675. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $40,830 was 152% above the state average of $16,178. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $26,273 was 105% above the state average of $12,815. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $47,323 was 87% above the state average of $25,359.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.