St Francis Hospital, Roslyn: charges and Medicare payments

St Francis Hospital, Roslyn reported 10,053 Medicare inpatient stays across 200 DRGs in 2024. Across them it charged 6.08 times what it was paid — among the higher ratios in New York, number 15 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 644 stays at an average charge of $74,872, 33% above the national average. It also billed 8,943 outpatient services, charging 7.75 times what Medicare paid.

1Medicare inpatient stays 10,053
2Charge ÷ paid, inpatient 6.08×
3Rank in NY (highest ratio = 1) 15 of 123
4CMS price-transparency actions 0

Average charge per stay at St Francis Hospital, Roslyn, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 200 DRGs that can be compared with the national average, St Francis Hospital, Roslyn charged more than the national average in 157 (79%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
291 Heart Failure and Shock with MCC	644	$74,872	+33%	$11,541
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	571	$111,780	+24%	$18,197
274 Percutaneous and Other Intracardiac Procedures without MCC	368	$189,957	+21%	$30,105
267 Endovascular Cardiac Valve Replacement and Supplement...	367	$313,509	+42%	$43,979
470 Major Hip and Knee Joint Replacement or Reattachment of...	329	$89,229	-4%	$18,232
690 Kidney and Urinary Tract Infections without MCC	208	$45,436	+20%	$7,324
177 Respiratory Infections and Inflammations with MCC	187	$85,025	+20%	$15,052
287 Circulatory Disorders except AMI, with Cardiac...	183	$67,813	+6%	$9,940
322 Percutaneous Cardiovascular Procedures with Intraluminal...	178	$130,309	+14%	$16,517
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	177	$43,656	+9%	$7,397
286 Circulatory Disorders except AMI, with Cardiac...	170	$116,843	+4%	$20,251
378 Gastrointestinal Hemorrhage with CC	162	$65,539	+35%	$9,116
193 Simple Pneumonia and Pleurisy with MCC	157	$79,110	+32%	$12,050
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	151	$63,833	+30%	$10,021
266 Endovascular Cardiac Valve Replacement and Supplement...	140	$423,030	+48%	$60,011
309 Cardiac Arrhythmia and Conduction Disorders with CC	121	$49,378	+37%	$7,139
194 Simple Pneumonia and Pleurisy with CC	117	$49,887	+30%	$7,932
321 Percutaneous Cardiovascular Procedures with Intraluminal...	117	$180,127	+10%	$29,581
552 Medical Back Problems without MCC	115	$54,964	+13%	$8,687
683 Renal Failure with CC	103	$54,146	+33%	$8,368
178 Respiratory Infections and Inflammations with CC	101	$58,674	+29%	$8,689
377 Gastrointestinal Hemorrhage with MCC	99	$121,425	+42%	$18,117
243 Permanent Cardiac Pacemaker Implant with CC	97	$136,698	+23%	$21,412
603 Cellulitis without MCC	97	$45,423	+22%	$8,939
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	94	$41,495	+12%	$7,874
308 Cardiac Arrhythmia and Conduction Disorders with MCC	93	$88,384	+56%	$12,714
853 Infectious and Parasitic Diseases with O.R. Procedures with...	93	$249,004	+9%	$46,382
312 Syncope and Collapse	91	$60,935	+34%	$8,183
202 Bronchitis and Asthma with CC/MCC	88	$51,596	+12%	$8,902
811 Red Blood Cell Disorders with MCC	86	$93,893	+38%	$13,128
234 Coronary Bypass with Cardiac Catheterization or Open...	80	$248,362	-8%	$44,519
689 Kidney and Urinary Tract Infections with MCC	77	$69,273	+35%	$10,153
253 Other Vascular Procedures with CC	76	$150,652	+14%	$23,457
273 Percutaneous and Other Intracardiac Procedures with MCC	76	$225,935	+5%	$37,932
682 Renal Failure with MCC	75	$99,943	+52%	$13,929
190 Chronic Obstructive Pulmonary Disease with MCC	69	$76,581	+51%	$10,648
330 Major Small and Large Bowel Procedures with CC	65	$112,784	-5%	$23,426
698 Other Kidney and Urinary Tract Diagnoses with MCC	65	$81,283	+11%	$13,905
277 Cardiac Defibrillator Implant without MCC	61	$274,619	+17%	$47,369
280 Acute Myocardial Infarction, Discharged Alive with MCC	61	$89,128	+18%	$14,131
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	61	$87,057	+44%	$12,825
300 Peripheral Vascular Disorders with CC	58	$58,025	+17%	$10,396
394 Other Digestive System Diagnoses with CC	57	$57,875	+23%	$9,200
233 Coronary Bypass with Cardiac Catheterization or Open...	56	$297,607	-23%	$68,025
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	55	$37,603	+31%	$6,088
812 Red Blood Cell Disorders without MCC	55	$67,090	+51%	$7,906
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	54	$70,560	+27%	$10,338
481 Hip and Femur Procedures except Major Joint with CC	53	$104,364	+4%	$17,783
252 Other Vascular Procedures with MCC	50	$160,670	-6%	$31,037
092 Other Disorders of Nervous System with CC	47	$61,579	+19%	$9,400
242 Permanent Cardiac Pacemaker Implant with MCC	46	$182,226	+13%	$30,342
236 Coronary Bypass without Cardiac Catheterization without MCC	45	$217,940	+3%	$41,882
314 Other Circulatory System Diagnoses with MCC	45	$106,652	+12%	$18,860
229 Other Cardiothoracic Procedures without MCC	44	$210,389	+27%	$27,773
191 Chronic Obstructive Pulmonary Disease with CC	40	$52,634	+33%	$8,438
216 Cardiac Valve and Other Major Cardiothoracic Procedures with...	40	$475,238	-3%	$91,487
299 Peripheral Vascular Disorders with MCC	40	$74,523	-1%	$14,979
454 Combined Anterior and Posterior Spinal Fusion with CC	40	$323,184	+16%	$70,040
057 Degenerative Nervous System Disorders without MCC	39	$53,082	-6%	$12,675
699 Other Kidney and Urinary Tract Diagnoses with CC	38	$45,402	-4%	$9,659

Showing the 60 most frequent of 200 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	1,889	$25,500	$3,657
Comprehensive Observation Services	1,743	$25,230	$3,053
Level 3 Endovascular Procedures	858	$83,928	$12,229
Level 3 Electrophysiologic Procedures	613	$212,810	$26,563
Level 1 Intraocular Procedures	391	$14,928	$2,626
Level 2 Upper GI Procedures	366	$11,757	$2,135
Level 2 Excision/ Biopsy/ Incision and Drainage	263	$12,826	$1,787
Level 2 Endovascular Procedures	230	$53,494	$6,263
Level 1 Laparoscopy and Related Services	206	$33,516	$6,477
Level 4 Endovascular Procedures	188	$126,692	$19,615
Level 5 Musculoskeletal Procedures	163	$69,098	$14,721
Level 3 Pacemaker and Similar Procedures	163	$64,000	$12,016
Level 2 ICD and Similar Procedures	158	$200,978	$36,729
Level 2 Electrophysiologic Procedures	155	$60,492	$8,370
Level 3 Excision/ Biopsy/ Incision and Drainage	149	$19,301	$3,185
Level 4 Urology and Related Services	133	$20,385	$3,928
Level 5 Urology and Related Services	124	$29,158	$5,759
Level 3 Vascular Procedures	119	$20,662	$3,592
Level 4 Musculoskeletal Procedures	90	$35,382	$7,971
Level 4 Pacemaker and Similar Procedures	88	$105,892	$21,899
Level 3 Urology and Related Services	86	$18,966	$2,274
Level 2 Breast/Lymphatic Surgery and Related Procedures	81	$53,722	$7,348
Level 1 Breast/Lymphatic Surgery and Related Procedures	72	$26,571	$4,247
Level 6 Musculoskeletal Procedures	67	$102,243	$20,946
Level 3 Upper GI Procedures	51	$16,189	$4,315

Against the New York average

For Heart Failure and Shock with MCC (DRG 291), St Francis Hospital, Roslyn charged $74,872 on average, 8% less than the New York average of $81,161, and was paid $11,541 against a state average of $16,034. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Francis Hospital, Roslyn charged $111,780 on average, 4% less than the New York average of $116,930, and was paid $18,197 against a state average of $24,426. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), St Francis Hospital, Roslyn charged $189,957 on average, 13% more than the New York average of $167,911, and was paid $30,105 against a state average of $36,556. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), St Francis Hospital, Roslyn charged $313,509 on average, 39% more than the New York average of $225,176, and was paid $43,979 against a state average of $54,006. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,500 was 1% above the state average of $25,359. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,230 was 5% below the state average of $26,675. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $83,928 was 19% above the state average of $70,682. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $212,810 was 27% above the state average of $168,194.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.