New York / Plainview Hospital
CMS certification 330331 · Plainview, NY · 1 entry in CMS's price-transparency list
Plainview Hospital: charges and Medicare payments
Plainview Hospital reported 3,043 Medicare inpatient stays across 75 DRGs in 2024. Across them it charged 5.04 times what it was paid — among the higher ratios in New York, number 33 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: 532 stays at an average charge of $103,356, 14% above the national average. It also billed 824 outpatient services, charging 5.62 times what Medicare paid.
- 1Medicare inpatient stays 3,043
- 2Charge ÷ paid, inpatient 5.04×
- 3Rank in NY (highest ratio = 1) 33 of 123
- 4CMS price-transparency actions 1
Inpatient stays
For the 75 DRGs that can be compared with the national average, Plainview Hospital charged more than the national average in 50 (67%). 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 | 532 | $103,356 | +14% | $20,748 |
| 291 Heart Failure and Shock with MCC | 214 | $80,230 | +42% | $13,643 |
| 177 Respiratory Infections and Inflammations with MCC | 168 | $95,479 | +35% | $17,500 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 83 | $59,111 | +21% | $10,997 |
| 690 Kidney and Urinary Tract Infections without MCC | 79 | $47,073 | +24% | $8,267 |
| 193 Simple Pneumonia and Pleurisy with MCC | 77 | $79,476 | +33% | $13,599 |
| 603 Cellulitis without MCC | 76 | $44,254 | +19% | $9,159 |
| 689 Kidney and Urinary Tract Infections with MCC | 73 | $59,717 | +16% | $12,552 |
| 682 Renal Failure with MCC | 59 | $80,760 | +22% | $15,909 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 59 | $70,677 | -4% | $17,030 |
| 683 Renal Failure with CC | 58 | $52,348 | +29% | $9,522 |
| 312 Syncope and Collapse | 53 | $52,909 | +16% | $9,759 |
| 378 Gastrointestinal Hemorrhage with CC | 52 | $66,077 | +36% | $10,385 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 50 | $42,699 | +6% | $8,831 |
| 552 Medical Back Problems without MCC | 50 | $45,354 | -7% | $10,422 |
| 069 Transient Ischemia without Thrombolytic | 49 | $52,007 | +3% | $8,603 |
| 178 Respiratory Infections and Inflammations with CC | 48 | $60,499 | +34% | $10,520 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 45 | $164,412 | -28% | $45,739 |
| 189 Pulmonary Edema and Respiratory Failure | 41 | $78,143 | +36% | $14,619 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 40 | $50,719 | +40% | $8,174 |
| 377 Gastrointestinal Hemorrhage with MCC | 40 | $108,247 | +27% | $18,732 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 38 | $61,991 | +11% | $10,732 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 36 | $69,322 | +15% | $14,909 |
| 536 Fractures of Hip and Pelvis without MCC | 33 | $34,041 | -10% | $6,929 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 31 | $44,331 | +4% | $9,129 |
| 884 Organic Disturbances and Intellectual Disability | 30 | $58,845 | -6% | $15,537 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $69,765 | +14% | $13,048 |
| 812 Red Blood Cell Disorders without MCC | 29 | $53,865 | +21% | $9,194 |
| 149 Dysequilibrium | 27 | $51,621 | +16% | $8,555 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $65,983 | +30% | $11,062 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 27 | $46,918 | -1% | $11,681 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 26 | $72,576 | -4% | $14,835 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 26 | $69,109 | +22% | $11,763 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 25 | $84,882 | -15% | $19,804 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $89,988 | -11% | $20,745 |
| 951 Other Factors Influencing Health Status | 25 | $28,894 | +13% | $6,142 |
| 057 Degenerative Nervous System Disorders without MCC | 24 | $54,949 | -3% | $14,100 |
| 101 Seizures without MCC | 24 | $55,958 | +15% | $10,075 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 23 | $81,862 | -12% | $18,833 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $55,105 | +44% | $8,778 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 22 | $56,852 | +13% | $10,023 |
| 394 Other Digestive System Diagnoses with CC | 22 | $48,308 | +3% | $10,685 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $34,997 | -6% | $8,909 |
| 176 Pulmonary Embolism without MCC | 21 | $47,259 | +14% | $9,129 |
| 811 Red Blood Cell Disorders with MCC | 21 | $72,355 | +6% | $14,407 |
| 299 Peripheral Vascular Disorders with MCC | 20 | $88,103 | +17% | $16,511 |
| 305 Hypertension without MCC | 20 | $39,214 | -2% | $7,886 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $109,241 | -5% | $21,093 |
| 602 Cellulitis with MCC | 19 | $72,338 | +20% | $14,895 |
| 638 Diabetes with CC | 19 | $48,338 | +16% | $8,568 |
| 948 Signs and Symptoms without MCC | 19 | $38,083 | 0% | $8,152 |
| 314 Other Circulatory System Diagnoses with MCC | 18 | $111,643 | +18% | $21,796 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 17 | $99,413 | +53% | $17,926 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 17 | $63,727 | 0% | $13,549 |
| 389 Gastrointestinal Obstruction with CC | 17 | $48,787 | +25% | $7,931 |
| 202 Bronchitis and Asthma with CC/MCC | 16 | $48,635 | +5% | $9,512 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $113,471 | -5% | $27,890 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $102,700 | -26% | $27,307 |
| 637 Diabetes with MCC | 16 | $61,266 | -8% | $14,712 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 16 | $327,741 | +1% | $74,617 |
Showing the 60 most frequent of 75 DRGs.
Outpatient services
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Plainview Hospital charged $103,356 on average, 12% less than the New York average of $116,930, and was paid $20,748 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Plainview Hospital charged $80,230 on average, 1% less than the New York average of $81,161, and was paid $13,643 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Plainview Hospital charged $95,479 on average, 1% more than the New York average of $94,371, and was paid $17,500 against a state average of $19,472. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Plainview Hospital charged $59,111 on average, 3% less than the New York average of $61,129, and was paid $10,997 against a state average of $12,692. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $28,756 was 18% below the state average of $35,085. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,864 was 22% below the state average of $25,359. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,054 was 6% below the state average of $12,815. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $22,962 was 19% below the state average of $28,292.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Plainview Hospital in Plainview, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-22 (CMS case 3979)
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.