New York / Long Island Jewish Medical Center
CMS certification 330195 · New Hyde Park, NY · 4 entries in CMS's price-transparency list
Long Island Jewish Medical Center: charges and Medicare payments
Long Island Jewish Medical Center reported 10,061 Medicare inpatient stays across 207 DRGs in 2024. Across them it charged 6.17 times what it was paid — among the higher ratios in New York, number 13 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: 1307 stays at an average charge of $155,760, 72% above the national average. It also billed 4,133 outpatient services, charging 7.52 times what Medicare paid.
- 1Medicare inpatient stays 10,061
- 2Charge ÷ paid, inpatient 6.17×
- 3Rank in NY (highest ratio = 1) 13 of 123
- 4CMS price-transparency actions 4
Inpatient stays
For the 207 DRGs that can be compared with the national average, Long Island Jewish Medical Center charged more than the national average in 201 (97%). 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 | 1307 | $155,760 | +72% | $24,561 |
| 291 Heart Failure and Shock with MCC | 412 | $119,142 | +111% | $16,233 |
| 177 Respiratory Infections and Inflammations with MCC | 224 | $133,780 | +90% | $20,347 |
| 689 Kidney and Urinary Tract Infections with MCC | 224 | $107,337 | +109% | $15,991 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 201 | $79,623 | +62% | $13,289 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 184 | $95,061 | +2% | $24,326 |
| 312 Syncope and Collapse | 171 | $71,031 | +56% | $11,149 |
| 682 Renal Failure with MCC | 166 | $119,835 | +82% | $19,197 |
| 884 Organic Disturbances and Intellectual Disability | 163 | $145,725 | +134% | $22,726 |
| 690 Kidney and Urinary Tract Infections without MCC | 161 | $66,190 | +75% | $10,415 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 155 | $133,938 | +82% | $21,193 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 152 | $117,486 | +95% | $17,365 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 138 | $359,356 | +57% | $60,770 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 137 | $65,981 | +64% | $10,192 |
| 189 Pulmonary Edema and Respiratory Failure | 132 | $126,069 | +119% | $16,604 |
| 193 Simple Pneumonia and Pleurisy with MCC | 127 | $110,334 | +85% | $16,822 |
| 683 Renal Failure with CC | 115 | $78,793 | +94% | $11,680 |
| 552 Medical Back Problems without MCC | 105 | $80,393 | +65% | $11,876 |
| 378 Gastrointestinal Hemorrhage with CC | 101 | $81,082 | +67% | $12,615 |
| 377 Gastrointestinal Hemorrhage with MCC | 99 | $134,213 | +57% | $21,304 |
| 603 Cellulitis without MCC | 94 | $73,495 | +97% | $11,173 |
| 164 Major Chest Procedures with CC | 91 | $143,861 | +13% | $31,870 |
| 057 Degenerative Nervous System Disorders without MCC | 88 | $108,000 | +91% | $17,152 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 84 | $176,185 | +76% | $25,851 |
| 885 Psychoses | 83 | $132,157 | +200% | $18,478 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 82 | $70,622 | +96% | $9,854 |
| 313 Chest Pain | 82 | $68,350 | +71% | $10,167 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 77 | $126,054 | +66% | $18,604 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 77 | $85,485 | +40% | $16,145 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 75 | $106,020 | +90% | $13,313 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 75 | $72,901 | +97% | $9,987 |
| 393 Other Digestive System Diagnoses with MCC | 72 | $144,719 | +88% | $22,938 |
| 481 Hip and Femur Procedures except Major Joint with CC | 72 | $135,884 | +35% | $23,603 |
| 056 Degenerative Nervous System Disorders with MCC | 70 | $151,751 | +58% | $26,609 |
| 329 Major Small and Large Bowel Procedures with MCC | 69 | $245,691 | +14% | $53,941 |
| 300 Peripheral Vascular Disorders with CC | 64 | $78,502 | +59% | $12,860 |
| 637 Diabetes with MCC | 63 | $117,781 | +77% | $20,211 |
| 069 Transient Ischemia without Thrombolytic | 61 | $74,586 | +48% | $10,324 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 61 | $124,036 | +145% | $16,117 |
| 101 Seizures without MCC | 60 | $74,460 | +53% | $12,667 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 60 | $89,971 | +89% | $13,462 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 60 | $576,938 | +78% | $92,328 |
| 951 Other Factors Influencing Health Status | 58 | $47,164 | +84% | $7,580 |
| 165 Major Chest Procedures without CC/MCC | 57 | $95,001 | -8% | $21,936 |
| 314 Other Circulatory System Diagnoses with MCC | 57 | $147,911 | +56% | $25,246 |
| 638 Diabetes with CC | 57 | $81,177 | +95% | $11,698 |
| 812 Red Blood Cell Disorders without MCC | 57 | $94,536 | +113% | $13,929 |
| 149 Dysequilibrium | 53 | $73,734 | +66% | $10,420 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 52 | $73,498 | +73% | $11,620 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 51 | $128,193 | +97% | $17,227 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 51 | $188,562 | +68% | $31,618 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 50 | $208,469 | +54% | $31,003 |
| 305 Hypertension without MCC | 50 | $65,640 | +64% | $8,994 |
| 163 Major Chest Procedures with MCC | 49 | $265,033 | +26% | $57,291 |
| 194 Simple Pneumonia and Pleurisy with CC | 49 | $79,605 | +107% | $10,750 |
| 811 Red Blood Cell Disorders with MCC | 49 | $140,669 | +106% | $18,818 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 48 | $82,225 | +29% | $13,393 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 48 | $114,125 | +102% | $16,345 |
| 178 Respiratory Infections and Inflammations with CC | 47 | $89,868 | +98% | $13,008 |
| 330 Major Small and Large Bowel Procedures with CC | 47 | $143,638 | +21% | $28,330 |
Showing the 60 most frequent of 207 DRGs.
Outpatient services
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Long Island Jewish Medical Center charged $155,760 on average, 33% more than the New York average of $116,930, and was paid $24,561 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Long Island Jewish Medical Center charged $119,142 on average, 47% more than the New York average of $81,161, and was paid $16,233 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Long Island Jewish Medical Center charged $133,780 on average, 42% more than the New York average of $94,371, and was paid $20,347 against a state average of $19,472. For Kidney and Urinary Tract Infections with MCC (DRG 689), Long Island Jewish Medical Center charged $107,337 on average, 42% more than the New York average of $75,577, and was paid $15,991 against a state average of $14,604. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $31,305 was 17% above the state average of $26,675. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $30,308 was 14% below the state average of $35,085. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,070 was 7% below the state average of $15,077. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,528 was 37% above the state average of $12,815.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Long Island Jewish Medical Center in New Hyde Park, 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 489)
- CAP Request — 2022-05-04 (CMS case 489)
- Closure Notice — 2023-05-24 (CMS case 489)
- Met Requirements — 2025-03-27 (CMS case 3455)
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.