New York / North Shore University Hospital
CMS certification 330106 · Manhasset, NY · 4 entries in CMS's price-transparency list
North Shore University Hospital: charges and Medicare payments
North Shore University Hospital reported 12,259 Medicare inpatient stays across 245 DRGs in 2024. Across them it charged 6.65 times what it was paid — among the higher ratios in New York, number 11 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: 1177 stays at an average charge of $179,219, 98% above the national average. It also billed 8,874 outpatient services, charging 6.48 times what Medicare paid.
- 1Medicare inpatient stays 12,259
- 2Charge ÷ paid, inpatient 6.65×
- 3Rank in NY (highest ratio = 1) 11 of 123
- 4CMS price-transparency actions 4
Inpatient stays
For the 245 DRGs that can be compared with the national average, North Shore University Hospital charged more than the national average in 242 (99%). 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 | 1177 | $179,219 | +98% | $25,215 |
| 291 Heart Failure and Shock with MCC | 455 | $144,582 | +156% | $17,928 |
| 177 Respiratory Infections and Inflammations with MCC | 286 | $154,010 | +118% | $20,740 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 242 | $94,640 | +2% | $26,043 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 237 | $92,271 | +88% | $13,496 |
| 690 Kidney and Urinary Tract Infections without MCC | 212 | $81,954 | +117% | $10,705 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 202 | $69,362 | +73% | $9,726 |
| 689 Kidney and Urinary Tract Infections with MCC | 194 | $113,073 | +120% | $14,476 |
| 312 Syncope and Collapse | 190 | $87,147 | +91% | $11,193 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 174 | $152,840 | +108% | $20,891 |
| 481 Hip and Femur Procedures except Major Joint with CC | 162 | $131,967 | +31% | $23,170 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 153 | $249,893 | +13% | $53,304 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 153 | $404,800 | +77% | $67,872 |
| 552 Medical Back Problems without MCC | 149 | $84,974 | +74% | $12,222 |
| 378 Gastrointestinal Hemorrhage with CC | 145 | $87,413 | +80% | $12,219 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 141 | $132,579 | +16% | $26,797 |
| 193 Simple Pneumonia and Pleurisy with MCC | 137 | $112,788 | +89% | $16,655 |
| 603 Cellulitis without MCC | 136 | $75,725 | +103% | $11,550 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 122 | $198,683 | +99% | $26,133 |
| 682 Renal Failure with MCC | 121 | $167,706 | +154% | $20,481 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 113 | $90,858 | +42% | $14,844 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 113 | $136,988 | +127% | $17,437 |
| 314 Other Circulatory System Diagnoses with MCC | 112 | $191,879 | +102% | $26,528 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 109 | $230,794 | +106% | $31,186 |
| 189 Pulmonary Edema and Respiratory Failure | 108 | $158,699 | +176% | $17,357 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 105 | $68,483 | +85% | $9,766 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 103 | $104,585 | +120% | $13,052 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 101 | $76,149 | +111% | $9,970 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 101 | $123,371 | +102% | $16,139 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 95 | $206,335 | +32% | $35,297 |
| 330 Major Small and Large Bowel Procedures with CC | 94 | $131,763 | +11% | $27,345 |
| 377 Gastrointestinal Hemorrhage with MCC | 89 | $148,246 | +74% | $21,537 |
| 057 Degenerative Nervous System Disorders without MCC | 87 | $114,887 | +103% | $16,144 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 85 | $171,935 | +164% | $19,752 |
| 313 Chest Pain | 85 | $64,492 | +61% | $9,373 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 83 | $227,039 | +39% | $37,349 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 82 | $113,346 | +100% | $15,166 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 82 | $72,066 | +69% | $10,808 |
| 683 Renal Failure with CC | 81 | $102,963 | +153% | $12,242 |
| 101 Seizures without MCC | 80 | $145,203 | +198% | $13,312 |
| 329 Major Small and Large Bowel Procedures with MCC | 80 | $316,010 | +47% | $59,751 |
| 884 Organic Disturbances and Intellectual Disability | 80 | $114,559 | +84% | $20,351 |
| 194 Simple Pneumonia and Pleurisy with CC | 74 | $80,488 | +110% | $10,101 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 71 | $387,966 | +68% | $58,436 |
| 394 Other Digestive System Diagnoses with CC | 69 | $83,027 | +76% | $12,307 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 69 | $138,280 | +35% | $26,809 |
| 056 Degenerative Nervous System Disorders with MCC | 66 | $169,764 | +77% | $29,894 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 66 | $145,131 | +187% | $14,898 |
| 178 Respiratory Infections and Inflammations with CC | 64 | $92,820 | +105% | $12,755 |
| 092 Other Disorders of Nervous System with CC | 61 | $95,128 | +84% | $12,349 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 60 | $108,477 | +95% | $13,325 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 60 | $475,214 | +67% | $81,251 |
| 202 Bronchitis and Asthma with CC/MCC | 59 | $99,882 | +116% | $11,364 |
| 393 Other Digestive System Diagnoses with MCC | 59 | $143,644 | +87% | $20,449 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 57 | $356,689 | +65% | $57,260 |
| 551 Medical Back Problems with MCC | 54 | $133,212 | +69% | $20,868 |
| 811 Red Blood Cell Disorders with MCC | 53 | $137,570 | +102% | $19,320 |
| 149 Dysequilibrium | 52 | $67,180 | +51% | $9,983 |
| 951 Other Factors Influencing Health Status | 52 | $91,894 | +259% | $8,066 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 51 | $167,556 | +121% | $21,297 |
Showing the 60 most frequent of 245 DRGs.
Outpatient services
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), North Shore University Hospital charged $179,219 on average, 53% more than the New York average of $116,930, and was paid $25,215 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), North Shore University Hospital charged $144,582 on average, 78% more than the New York average of $81,161, and was paid $17,928 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), North Shore University Hospital charged $154,010 on average, 63% more than the New York average of $94,371, and was paid $20,740 against a state average of $19,472. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), North Shore University Hospital charged $94,640 on average, 12% less than the New York average of $107,202, and was paid $26,043 against a state average of $23,235. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $4,078 was 19% above the state average of $3,429. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,266 was 20% below the state average of $12,815. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,737 was 30% below the state average of $25,359. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,981 was 31% below the state average of $13,044.
Price-transparency record
CMS's enforcement list records these actions for a hospital named North Shore University Hospital in Manhasset, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 347)
- CAP Request — 2023-02-16 (CMS case 347)
- Closure Notice — 2023-05-24 (CMS case 347)
- Met Requirements — 2025-04-01 (CMS case 3496)
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.