New York / St John's Episcopal Hospital at South Shore
CMS certification 330395 · Far Rockaway, NY
St John's Episcopal Hospital at South Shore: charges and Medicare payments
St John's Episcopal Hospital at South Shore reported 1,507 Medicare inpatient stays across 44 DRGs in 2024. Across them it charged 2.51 times what it was paid — mid-range in New York, number 73 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: 301 stays at an average charge of $84,459, 6% below the national average. It also billed 158 outpatient services, charging 8.98 times what Medicare paid.
- 1Medicare inpatient stays 1,507
- 2Charge ÷ paid, inpatient 2.51×
- 3Rank in NY (highest ratio = 1) 73 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 44 DRGs that can be compared with the national average, St John's Episcopal Hospital at South Shore charged more than the national average in 26 (59%). 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 | 301 | $84,459 | -6% | $34,334 |
| 312 Syncope and Collapse | 81 | $36,688 | -19% | $14,896 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 76 | $53,060 | +8% | $19,169 |
| 690 Kidney and Urinary Tract Infections without MCC | 74 | $41,892 | +11% | $15,254 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 55 | $171,595 | -47% | $98,528 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 54 | $61,150 | +1% | $22,513 |
| 291 Heart Failure and Shock with MCC | 53 | $84,748 | +50% | $25,793 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 49 | $42,644 | +15% | $14,714 |
| 101 Seizures without MCC | 43 | $37,185 | -24% | $15,699 |
| 948 Signs and Symptoms without MCC | 34 | $38,889 | +2% | $14,322 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $39,826 | -1% | $13,885 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $66,948 | +16% | $21,474 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $65,901 | +36% | $22,209 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 29 | $59,091 | +17% | $21,083 |
| 313 Chest Pain | 29 | $29,744 | -26% | $12,666 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $54,314 | +6% | $19,812 |
| 812 Red Blood Cell Disorders without MCC | 28 | $50,185 | +13% | $18,283 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 26 | $53,375 | +35% | $15,817 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $178,114 | -22% | $77,692 |
| 683 Renal Failure with CC | 24 | $52,307 | +29% | $17,689 |
| 603 Cellulitis without MCC | 23 | $36,280 | -3% | $14,463 |
| 305 Hypertension without MCC | 22 | $43,360 | +8% | $14,443 |
| 638 Diabetes with CC | 22 | $49,123 | +18% | $16,528 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $40,829 | +6% | $15,051 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $51,175 | +42% | $14,839 |
| 639 Diabetes without CC/MCC | 20 | $28,437 | -6% | $11,558 |
| 394 Other Digestive System Diagnoses with CC | 19 | $44,032 | -6% | $17,173 |
| 682 Renal Failure with MCC | 19 | $90,040 | +37% | $25,643 |
| 192 Chronic Obstructive Pulmonary Disease without CC/MCC | 18 | $37,892 | +22% | $12,009 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 18 | $102,133 | +35% | $28,746 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $58,188 | +4% | $17,182 |
| 177 Respiratory Infections and Inflammations with MCC | 17 | $60,672 | -14% | $28,268 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 17 | $151,760 | -48% | $90,090 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $65,742 | -31% | $32,043 |
| 811 Red Blood Cell Disorders with MCC | 16 | $51,667 | -24% | $23,703 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 15 | $96,715 | -29% | $40,608 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $90,830 | +6% | $30,773 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 15 | $73,386 | 0% | $24,603 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $78,306 | +31% | $22,730 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $62,889 | +39% | $19,360 |
| 202 Bronchitis and Asthma with CC/MCC | 13 | $39,917 | -14% | $15,100 |
| 552 Medical Back Problems without MCC | 12 | $44,556 | -9% | $16,678 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 12 | $46,356 | +25% | $14,650 |
| 300 Peripheral Vascular Disorders with CC | 11 | $53,369 | +8% | $18,511 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 84 | $23,748 | $3,115 |
| Level 1 Intraocular Procedures | 51 | $18,770 | $2,652 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 23 | $6,107 | $1,573 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St John's Episcopal Hospital at South Shore charged $84,459 on average, 28% less than the New York average of $116,930, and was paid $34,334 against a state average of $24,426. For Syncope and Collapse (DRG 312), St John's Episcopal Hospital at South Shore charged $36,688 on average, 37% less than the New York average of $58,334, and was paid $14,896 against a state average of $11,568. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St John's Episcopal Hospital at South Shore charged $53,060 on average, 13% less than the New York average of $61,129, and was paid $19,169 against a state average of $12,692. For Kidney and Urinary Tract Infections without MCC (DRG 690), St John's Episcopal Hospital at South Shore charged $41,892 on average, 21% less than the New York average of $52,794, and was paid $15,254 against a state average of $10,297. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,748 was 11% below the state average of $26,675. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $18,770 was 16% above the state average of $16,178. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,107 was 52% below the state average of $12,815.
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.