New York / St Joseph Hospital
CMS certification 330332 · Bethpage, NY
St Joseph Hospital: charges and Medicare payments
St Joseph Hospital reported 2,317 Medicare inpatient stays across 69 DRGs in 2024. Across them it charged 5.54 times what it was paid — among the higher ratios in New York, number 24 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: 263 stays at an average charge of $91,866, 2% above the national average. It also billed 1,208 outpatient services, charging 8.16 times what Medicare paid.
- 1Medicare inpatient stays 2,317
- 2Charge ÷ paid, inpatient 5.54×
- 3Rank in NY (highest ratio = 1) 24 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 69 DRGs that can be compared with the national average, St Joseph Hospital charged more than the national average in 40 (58%). 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 | 263 | $91,866 | +2% | $16,592 |
| 291 Heart Failure and Shock with MCC | 125 | $57,811 | +3% | $10,821 |
| 690 Kidney and Urinary Tract Infections without MCC | 90 | $38,211 | +1% | $7,092 |
| 603 Cellulitis without MCC | 88 | $41,984 | +13% | $7,767 |
| 177 Respiratory Infections and Inflammations with MCC | 75 | $73,007 | +3% | $14,127 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 69 | $56,181 | +15% | $9,399 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 64 | $42,971 | +7% | $7,009 |
| 193 Simple Pneumonia and Pleurisy with MCC | 63 | $57,285 | -4% | $11,674 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 56 | $52,157 | +3% | $9,306 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 55 | $76,711 | +1% | $13,385 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 54 | $67,723 | -8% | $14,261 |
| 689 Kidney and Urinary Tract Infections with MCC | 51 | $51,256 | 0% | $9,589 |
| 189 Pulmonary Edema and Respiratory Failure | 50 | $86,974 | +51% | $10,418 |
| 378 Gastrointestinal Hemorrhage with CC | 48 | $61,023 | +26% | $8,208 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 43 | $207,935 | -9% | $45,460 |
| 552 Medical Back Problems without MCC | 40 | $43,549 | -11% | $8,411 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $42,703 | +15% | $6,970 |
| 178 Respiratory Infections and Inflammations with CC | 38 | $51,865 | +14% | $8,199 |
| 683 Renal Failure with CC | 36 | $45,409 | +12% | $7,902 |
| 202 Bronchitis and Asthma with CC/MCC | 34 | $53,052 | +15% | $9,632 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 34 | $55,033 | -3% | $10,198 |
| 312 Syncope and Collapse | 34 | $52,463 | +15% | $7,454 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 33 | $59,299 | +6% | $9,635 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $56,743 | -7% | $10,861 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $83,466 | +38% | $11,928 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 28 | $43,944 | +11% | $7,692 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $98,632 | +16% | $15,087 |
| 481 Hip and Femur Procedures except Major Joint with CC | 28 | $90,293 | -10% | $17,360 |
| 194 Simple Pneumonia and Pleurisy with CC | 27 | $42,435 | +11% | $7,854 |
| 682 Renal Failure with MCC | 27 | $62,500 | -5% | $13,426 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 25 | $45,417 | +7% | $7,655 |
| 811 Red Blood Cell Disorders with MCC | 24 | $72,743 | +7% | $11,909 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 24 | $298,210 | -8% | $60,078 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $110,177 | +8% | $17,662 |
| 638 Diabetes with CC | 23 | $51,003 | +22% | $7,667 |
| 637 Diabetes with MCC | 22 | $80,850 | +22% | $14,166 |
| 884 Organic Disturbances and Intellectual Disability | 22 | $51,293 | -18% | $14,946 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $49,183 | -3% | $7,636 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $81,005 | -19% | $17,037 |
| 394 Other Digestive System Diagnoses with CC | 19 | $50,309 | +7% | $8,680 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $36,727 | +2% | $6,380 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $133,129 | +16% | $19,175 |
| 389 Gastrointestinal Obstruction with CC | 18 | $38,654 | -1% | $7,363 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $98,934 | +6% | $15,882 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 18 | $40,615 | -14% | $8,608 |
| 057 Degenerative Nervous System Disorders without MCC | 17 | $41,291 | -27% | $11,382 |
| 329 Major Small and Large Bowel Procedures with MCC | 16 | $242,573 | +13% | $35,992 |
| 195 Simple Pneumonia and Pleurisy without CC/MCC | 15 | $35,123 | +16% | $5,330 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $31,285 | +9% | $4,874 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 15 | $63,630 | -18% | $13,430 |
| 069 Transient Ischemia without Thrombolytic | 14 | $54,823 | +9% | $8,114 |
| 176 Pulmonary Embolism without MCC | 14 | $52,936 | +28% | $7,834 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $202,543 | +24% | $28,781 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 14 | $53,566 | +13% | $8,752 |
| 390 Gastrointestinal Obstruction without CC/MCC | 14 | $30,137 | +8% | $5,310 |
| 536 Fractures of Hip and Pelvis without MCC | 14 | $36,707 | -3% | $6,682 |
| 602 Cellulitis with MCC | 14 | $47,717 | -21% | $12,224 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 13 | $42,555 | +1% | $6,580 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $130,794 | -4% | $22,662 |
| 444 Disorders of The Biliary Tract with MCC | 13 | $70,069 | -16% | $13,823 |
Showing the 60 most frequent of 69 DRGs.
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 662 | $25,644 | $3,022 |
| Level 5 Urology and Related Services | 92 | $26,706 | $5,780 |
| Level 4 Urology and Related Services | 72 | $19,096 | $3,928 |
| Level 5 Musculoskeletal Procedures | 59 | $75,417 | $14,579 |
| Level 3 Musculoskeletal Procedures | 51 | $16,620 | $3,593 |
| Level 4 Musculoskeletal Procedures | 46 | $34,845 | $8,061 |
| Level 1 Endovascular Procedures | 39 | $27,721 | $3,542 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 29 | $11,280 | $1,827 |
| Level 3 Endovascular Procedures | 27 | $90,946 | $11,980 |
| Level 1 Laparoscopy and Related Services | 26 | $42,066 | $6,502 |
| Level 2 Musculoskeletal Procedures | 23 | $13,249 | $1,811 |
| Level 3 Urology and Related Services | 23 | $13,054 | $2,295 |
| Level 2 Upper GI Procedures | 18 | $12,105 | $2,143 |
| Level 2 Vascular Procedures | 16 | $9,668 | $1,715 |
| Level 2 Endovascular Procedures | 13 | $44,835 | $6,440 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 12 | $41,107 | $7,348 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Joseph Hospital charged $91,866 on average, 21% less than the New York average of $116,930, and was paid $16,592 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), St Joseph Hospital charged $57,811 on average, 29% less than the New York average of $81,161, and was paid $10,821 against a state average of $16,034. For Kidney and Urinary Tract Infections without MCC (DRG 690), St Joseph Hospital charged $38,211 on average, 28% less than the New York average of $52,794, and was paid $7,092 against a state average of $10,297. For Cellulitis without MCC (DRG 603), St Joseph Hospital charged $41,984 on average, 18% less than the New York average of $51,153, and was paid $7,767 against a state average of $11,221. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,644 was 4% below the state average of $26,675. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $26,706 was 6% below the state average of $28,292. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $19,096 was 6% below the state average of $20,339. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $75,417 was 11% above the state average of $67,926.
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.