New York / Queens Hospital Center
CMS certification 330231 · Jamaica, NY · 1 entry in CMS's price-transparency list
Queens Hospital Center: charges and Medicare payments
Queens Hospital Center reported 570 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 1.22 times what it was paid — among the lower ratios in New York, number 121 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: 159 stays at an average charge of $85,244, 6% below the national average. It also billed 248 outpatient services, charging 5.15 times what Medicare paid.
- 1Medicare inpatient stays 570
- 2Charge ÷ paid, inpatient 1.22×
- 3Rank in NY (highest ratio = 1) 121 of 123
- 4CMS price-transparency actions 1
Inpatient stays
For the 21 DRGs that can be compared with the national average, Queens Hospital Center charged more than the national average in 2 (10%). 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 | 159 | $85,244 | -6% | $64,510 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 73 | $51,896 | -32% | $49,493 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $34,191 | -32% | $41,305 |
| 291 Heart Failure and Shock with MCC | 27 | $44,741 | -21% | $50,901 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $56,758 | -6% | $43,322 |
| 193 Simple Pneumonia and Pleurisy with MCC | 25 | $41,787 | -30% | $41,422 |
| 884 Organic Disturbances and Intellectual Disability | 23 | $81,976 | +31% | $60,779 |
| 057 Degenerative Nervous System Disorders without MCC | 21 | $37,626 | -34% | $61,596 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 20 | $247,692 | -23% | $122,106 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 19 | $24,501 | -51% | $36,382 |
| 682 Renal Failure with MCC | 19 | $58,736 | -11% | $46,109 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $39,055 | -24% | $41,613 |
| 100 Seizures with MCC | 14 | $47,162 | -50% | $54,548 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $221,934 | -3% | $130,353 |
| 101 Seizures without MCC | 13 | $29,533 | -39% | $41,417 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $57,450 | -19% | $45,790 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $21,379 | -43% | $36,422 |
| 069 Transient Ischemia without Thrombolytic | 12 | $31,266 | -38% | $34,738 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $25,087 | -31% | $38,767 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $89,528 | +22% | $48,733 |
| 811 Red Blood Cell Disorders with MCC | 11 | $37,263 | -45% | $49,616 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 116 | $14,469 | $3,034 |
| Level 1 Intraocular Procedures | 46 | $7,816 | $2,652 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 26 | $7,178 | $1,846 |
| Level 3 Urology and Related Services | 21 | $7,242 | $2,318 |
| Level 3 Vascular Procedures | 16 | $12,052 | $3,401 |
| Level 2 Intraocular Procedures | 12 | $15,622 | $4,627 |
| Level 2 Urology and Related Services | 11 | $3,812 | $777 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Queens Hospital Center charged $85,244 on average, 27% less than the New York average of $116,930, and was paid $64,510 against a state average of $24,426. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Queens Hospital Center charged $51,896 on average, 50% less than the New York average of $102,833, and was paid $49,493 against a state average of $21,127. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Queens Hospital Center charged $34,191 on average, 47% less than the New York average of $64,680, and was paid $41,305 against a state average of $14,203. For Heart Failure and Shock with MCC (DRG 291), Queens Hospital Center charged $44,741 on average, 45% less than the New York average of $81,161, and was paid $50,901 against a state average of $16,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,469 was 46% below the state average of $26,675. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,816 was 52% below the state average of $16,178. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,178 was 44% below the state average of $12,815. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,242 was 44% below the state average of $13,044.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Queens Hospital Center in Jamaica, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-09-02 (CMS case 6415)
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.