New York / Nassau University Medical Center
CMS certification 330027 · East Meadow, NY · 6 entries in CMS's price-transparency list
Nassau University Medical Center: charges and Medicare payments
Nassau University Medical Center reported 1,442 Medicare inpatient stays across 51 DRGs in 2024. Across them it charged 3.67 times what it was paid — mid-range in New York, number 51 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: 153 stays at an average charge of $116,396, 29% above the national average. It also billed 183 outpatient services, charging 4.61 times what Medicare paid.
- 1Medicare inpatient stays 1,442
- 2Charge ÷ paid, inpatient 3.67×
- 3Rank in NY (highest ratio = 1) 51 of 123
- 4CMS price-transparency actions 6
Inpatient stays
For the 51 DRGs that can be compared with the national average, Nassau University Medical Center charged more than the national average in 40 (78%). 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 | 153 | $116,396 | +29% | $31,248 |
| 690 Kidney and Urinary Tract Infections without MCC | 97 | $56,222 | +49% | $14,164 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 71 | $68,186 | +84% | $18,832 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 70 | $36,281 | -2% | $13,976 |
| 884 Organic Disturbances and Intellectual Disability | 64 | $93,384 | +50% | $27,331 |
| 312 Syncope and Collapse | 48 | $41,898 | -8% | $14,647 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $86,174 | +76% | $19,325 |
| 885 Psychoses | 37 | $69,058 | +57% | $24,374 |
| 689 Kidney and Urinary Tract Infections with MCC | 36 | $112,945 | +120% | $23,303 |
| 101 Seizures without MCC | 34 | $45,553 | -7% | $14,134 |
| 291 Heart Failure and Shock with MCC | 33 | $90,371 | +60% | $20,236 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $63,373 | +5% | $20,059 |
| 057 Degenerative Nervous System Disorders without MCC | 32 | $158,684 | +180% | $26,030 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $39,990 | 0% | $12,938 |
| 603 Cellulitis without MCC | 31 | $49,233 | +32% | $14,320 |
| 605 Trauma To The Skin, Subcutaneous Tissue and Breast without... | 30 | $49,896 | +8% | $13,545 |
| 313 Chest Pain | 26 | $30,366 | -24% | $11,870 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 25 | $67,121 | +33% | $17,407 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 25 | $59,370 | +39% | $15,182 |
| 638 Diabetes with CC | 25 | $56,252 | +35% | $15,210 |
| 552 Medical Back Problems without MCC | 24 | $65,982 | +35% | $15,784 |
| 918 Poisoning and Toxic Effects of Drugs without MCC | 24 | $53,302 | +32% | $15,084 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $91,876 | +54% | $20,759 |
| 092 Other Disorders of Nervous System with CC | 22 | $63,001 | +22% | $17,150 |
| 069 Transient Ischemia without Thrombolytic | 21 | $40,344 | -20% | $12,471 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $102,132 | +1% | $28,505 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $97,520 | +33% | $25,302 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 21 | $211,282 | -35% | $81,658 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 20 | $66,843 | +41% | $17,266 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $118,300 | +18% | $29,115 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $57,039 | +2% | $16,716 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $33,913 | -6% | $12,088 |
| 177 Respiratory Infections and Inflammations with MCC | 17 | $112,476 | +59% | $24,631 |
| 894 Alcohol, Drug Abuse or Dependence, Left Ama | 17 | $16,339 | -42% | $9,940 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $91,980 | +8% | $26,732 |
| 683 Renal Failure with CC | 15 | $66,663 | +64% | $15,763 |
| 948 Signs and Symptoms without MCC | 14 | $45,254 | +19% | $12,154 |
| 091 Other Disorders of Nervous System with MCC | 13 | $72,346 | -13% | $27,331 |
| 184 Major Chest Trauma with CC | 13 | $75,209 | +36% | $15,379 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $45,900 | +20% | $14,127 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 13 | $77,480 | +3% | $24,795 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $57,428 | +27% | $16,283 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $107,943 | +5% | $28,482 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $358,434 | +57% | $89,184 |
| 880 Acute Adjustment Reaction and Psychosocial Dysfunction | 12 | $56,948 | +24% | $15,088 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $86,804 | +14% | $24,055 |
| 300 Peripheral Vascular Disorders with CC | 11 | $54,660 | +11% | $16,693 |
| 305 Hypertension without MCC | 11 | $29,992 | -25% | $12,294 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $152,703 | +170% | $30,104 |
| 394 Other Digestive System Diagnoses with CC | 11 | $80,850 | +72% | $19,156 |
| 556 Signs and Symptoms of Musculoskeletal System and Connective... | 11 | $46,662 | +16% | $14,074 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 51 | $7,894 | $2,626 |
| Comprehensive Observation Services | 48 | $17,824 | $3,037 |
| Level 3 Vascular Procedures | 27 | $14,824 | $3,592 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 21 | $7,092 | $1,827 |
| Level 4 Musculoskeletal Procedures | 21 | $16,604 | $8,061 |
| Level 3 Musculoskeletal Procedures | 15 | $12,607 | $3,647 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Nassau University Medical Center charged $116,396 on average, 0% less than the New York average of $116,930, and was paid $31,248 against a state average of $24,426. For Kidney and Urinary Tract Infections without MCC (DRG 690), Nassau University Medical Center charged $56,222 on average, 6% more than the New York average of $52,794, and was paid $14,164 against a state average of $10,297. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (DRG 641), Nassau University Medical Center charged $68,186 on average, 49% more than the New York average of $45,769, and was paid $18,832 against a state average of $10,057. For Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC (DRG 897), Nassau University Medical Center charged $36,281 on average, 18% less than the New York average of $44,135, and was paid $13,976 against a state average of $12,090. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,894 was 51% below the state average of $16,178. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,824 was 33% below the state average of $26,675. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $14,824 was 20% below the state average of $18,520. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,092 was 45% below the state average of $12,815.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Nassau University Medical Center in East Meadow, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-09 (CMS case 1195)
- CAP Request — 2024-05-16 (CMS case 1195)
- Closure Notice — 2024-06-05 (CMS case 1195)
- Warning Notice — 2025-08-06 (CMS case 6173)
- CAP Request — 2025-11-12 (CMS case 6173)
- Closure Notice — 2025-11-20 (CMS case 6173)
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.