New York / South Shore University Hospital

CMS certification 330043 · Bay Shore, NY · 1 entry in CMS's price-transparency list

South Shore University Hospital: charges and Medicare payments

South Shore University Hospital reported 4,520 Medicare inpatient stays across 133 DRGs in 2024. Across them it charged 6.04 times what it was paid — among the higher ratios in New York, number 17 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: 527 stays at an average charge of $137,408, 52% above the national average. It also billed 1,832 outpatient services, charging 7.63 times what Medicare paid.

1Medicare inpatient stays 4,520
2Charge ÷ paid, inpatient 6.04×
3Rank in NY (highest ratio = 1) 17 of 123
4CMS price-transparency actions 1

Average charge per stay at South Shore University Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 133 DRGs that can be compared with the national average, South Shore University Hospital charged more than the national average in 111 (83%). 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	527	$137,408	+52%	$20,174
291 Heart Failure and Shock with MCC	180	$101,073	+79%	$12,977
177 Respiratory Infections and Inflammations with MCC	130	$118,561	+68%	$17,208
470 Major Hip and Knee Joint Replacement or Reattachment of...	102	$78,826	-15%	$28,653
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	96	$155,343	+56%	$21,874
689 Kidney and Urinary Tract Infections with MCC	93	$80,938	+58%	$11,255
193 Simple Pneumonia and Pleurisy with MCC	81	$88,759	+49%	$13,867
267 Endovascular Cardiac Valve Replacement and Supplement...	74	$231,533	+5%	$48,051
853 Infectious and Parasitic Diseases with O.R. Procedures with...	72	$287,613	+26%	$53,495
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	72	$74,543	+52%	$11,057
690 Kidney and Urinary Tract Infections without MCC	70	$64,346	+70%	$8,080
698 Other Kidney and Urinary Tract Diagnoses with MCC	70	$108,275	+47%	$16,199
286 Circulatory Disorders except AMI, with Cardiac...	68	$149,678	+33%	$23,072
378 Gastrointestinal Hemorrhage with CC	65	$76,213	+57%	$9,322
377 Gastrointestinal Hemorrhage with MCC	64	$133,350	+56%	$18,294
481 Hip and Femur Procedures except Major Joint with CC	64	$106,294	+5%	$19,667
189 Pulmonary Edema and Respiratory Failure	62	$105,562	+83%	$12,907
682 Renal Failure with MCC	59	$89,141	+35%	$14,710
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	57	$85,009	+41%	$14,000
274 Percutaneous and Other Intracardiac Procedures without MCC	55	$156,624	0%	$39,171
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	53	$57,227	+42%	$9,141
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	51	$92,864	+67%	$10,881
236 Coronary Bypass without Cardiac Catheterization without MCC	49	$197,931	-6%	$40,990
683 Renal Failure with CC	45	$67,414	+66%	$9,155
280 Acute Myocardial Infarction, Discharged Alive with MCC	43	$135,839	+79%	$15,400
309 Cardiac Arrhythmia and Conduction Disorders with CC	42	$56,387	+56%	$7,416
266 Endovascular Cardiac Valve Replacement and Supplement...	37	$295,789	+4%	$56,117
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	37	$102,811	0%	$20,473
552 Medical Back Problems without MCC	37	$72,829	+49%	$9,587
812 Red Blood Cell Disorders without MCC	37	$62,352	+40%	$9,369
321 Percutaneous Cardiovascular Procedures with Intraluminal...	36	$176,540	+8%	$27,090
208 Respiratory System Diagnosis with Ventilator Support <=96...	35	$177,918	+31%	$29,203
287 Circulatory Disorders except AMI, with Cardiac...	35	$77,500	+21%	$10,910
023 Craniotomy with Major Device Implant or Acute Complex Cns...	34	$292,922	+4%	$53,783
329 Major Small and Large Bowel Procedures with MCC	34	$217,147	+1%	$38,704
884 Organic Disturbances and Intellectual Disability	34	$85,105	+36%	$14,801
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	33	$101,286	+55%	$15,586
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	33	$84,805	+39%	$13,236
637 Diabetes with MCC	33	$130,467	+96%	$20,865
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$56,442	+52%	$7,634
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	33	$223,983	+4%	$41,597
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	32	$364,243	-9%	$63,165
308 Cardiac Arrhythmia and Conduction Disorders with MCC	32	$78,732	+39%	$12,301
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	32	$48,950	+15%	$8,871
603 Cellulitis without MCC	32	$62,740	+68%	$9,209
322 Percutaneous Cardiovascular Procedures with Intraluminal...	31	$112,641	-2%	$22,099
082 Traumatic Stupor and Coma >1 Hour with MCC	30	$131,365	+14%	$24,110
101 Seizures without MCC	29	$76,557	+57%	$9,437
699 Other Kidney and Urinary Tract Diagnoses with CC	29	$63,853	+34%	$11,703
057 Degenerative Nervous System Disorders without MCC	28	$85,511	+51%	$12,977
264 Other Circulatory System O.R. Procedures	28	$245,242	+64%	$34,441
235 Coronary Bypass without Cardiac Catheterization with MCC	27	$278,183	-5%	$51,118
025 Craniotomy and Endovascular Intracranial Procedures with MCC	25	$266,609	+15%	$39,464
314 Other Circulatory System Diagnoses with MCC	25	$128,121	+35%	$20,208
638 Diabetes with CC	25	$58,291	+40%	$9,949
312 Syncope and Collapse	24	$78,867	+73%	$9,926
951 Other Factors Influencing Health Status	24	$40,732	+59%	$5,598
100 Seizures with MCC	23	$233,259	+147%	$22,859
164 Major Chest Procedures with CC	23	$129,970	+2%	$24,809
467 Revision of Hip or Knee Replacement with CC	23	$140,146	-11%	$31,096

Showing the 60 most frequent of 133 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	555	$27,290	$2,937
Level 1 Endovascular Procedures	285	$16,906	$3,374
Level 2 Upper GI Procedures	115	$11,908	$1,876
Level 4 Vascular Procedures	92	$23,369	$3,309
Level 1 Laparoscopy and Related Services	61	$34,706	$6,409
Level 2 Excision/ Biopsy/ Incision and Drainage	56	$13,448	$1,721
Level 4 Gynecologic Procedures	54	$16,835	$3,155
Level 2 Pacemaker and Similar Procedures	50	$57,705	$9,238
Level 5 Urology and Related Services	44	$20,950	$5,612
Level 4 Airway Endoscopy	38	$18,786	$4,108
Level 2 Endovascular Procedures	38	$23,253	$6,270
Level 2 Musculoskeletal Procedures	37	$12,966	$1,762
Level 4 Musculoskeletal Procedures	36	$28,714	$7,694
Level 3 Upper GI Procedures	32	$17,205	$4,095
Level 4 Urology and Related Services	26	$16,054	$3,779
Level 3 Musculoskeletal Procedures	25	$15,739	$3,062
Level 3 Vascular Procedures	25	$17,672	$3,244
Level 3 Endovascular Procedures	25	$41,165	$12,363
Level 2 Vascular Procedures	22	$11,108	$1,802
Level 3 Urology and Related Services	21	$13,727	$2,238
Level 3 Excision/ Biopsy/ Incision and Drainage	20	$22,521	$3,198
Level 3 Airway Endoscopy	20	$13,836	$1,682
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	20	$26,154	$3,738
Complex GI Procedures	19	$24,284	$6,414
Level 2 Laparoscopy and Related Services	19	$45,889	$10,008

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), South Shore University Hospital charged $137,408 on average, 18% more than the New York average of $116,930, and was paid $20,174 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), South Shore University Hospital charged $101,073 on average, 25% more than the New York average of $81,161, and was paid $12,977 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), South Shore University Hospital charged $118,561 on average, 26% more than the New York average of $94,371, and was paid $17,208 against a state average of $19,472. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), South Shore University Hospital charged $78,826 on average, 26% less than the New York average of $107,202, and was paid $28,653 against a state average of $23,235. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,290 was 2% above the state average of $26,675. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,906 was 33% below the state average of $25,359. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,908 was 21% below the state average of $15,077. For Level 4 Vascular Procedures (outpatient APC 5184), its average charge of $23,369 was 23% below the state average of $30,440.

Price-transparency record

CMS's enforcement list records these actions for a hospital named South Shore University Hospital in Bay Shore, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2025-04-23 (CMS case 3978)

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.