Staten Island University Hospital: charges and Medicare payments

Staten Island University Hospital reported 7,127 Medicare inpatient stays across 168 DRGs in 2024. Across them it charged 4.77 times what it was paid — among the higher ratios in New York, number 38 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: 814 stays at an average charge of $107,086, 19% above the national average. It also billed 4,616 outpatient services, charging 6.41 times what Medicare paid.

1Medicare inpatient stays 7,127
2Charge ÷ paid, inpatient 4.77×
3Rank in NY (highest ratio = 1) 38 of 123
4CMS price-transparency actions 0

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

Inpatient stays

For the 168 DRGs that can be compared with the national average, Staten Island University Hospital charged more than the national average in 135 (80%). 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	814	$107,086	+19%	$23,914
291 Heart Failure and Shock with MCC	375	$93,853	+66%	$16,335
177 Respiratory Infections and Inflammations with MCC	162	$93,510	+32%	$20,558
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	140	$48,611	+21%	$9,528
690 Kidney and Urinary Tract Infections without MCC	135	$43,182	+14%	$9,733
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	134	$52,186	+6%	$13,259
280 Acute Myocardial Infarction, Discharged Alive with MCC	119	$105,412	+39%	$18,314
689 Kidney and Urinary Tract Infections with MCC	116	$67,981	+32%	$14,627
853 Infectious and Parasitic Diseases with O.R. Procedures with...	116	$246,897	+8%	$57,670
312 Syncope and Collapse	114	$59,218	+30%	$10,202
603 Cellulitis without MCC	105	$39,068	+5%	$10,323
698 Other Kidney and Urinary Tract Diagnoses with MCC	98	$111,386	+52%	$22,857
189 Pulmonary Edema and Respiratory Failure	95	$89,681	+56%	$16,162
193 Simple Pneumonia and Pleurisy with MCC	95	$66,412	+11%	$14,638
683 Renal Failure with CC	89	$61,892	+52%	$11,414
682 Renal Failure with MCC	85	$88,298	+34%	$17,812
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	82	$93,587	+55%	$17,336
552 Medical Back Problems without MCC	78	$48,389	-1%	$11,605
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	78	$49,152	+33%	$9,660
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	74	$136,809	+37%	$24,502
309 Cardiac Arrhythmia and Conduction Disorders with CC	74	$62,588	+73%	$9,184
322 Percutaneous Cardiovascular Procedures with Intraluminal...	73	$129,696	+13%	$23,585
378 Gastrointestinal Hemorrhage with CC	73	$68,538	+41%	$12,284
481 Hip and Femur Procedures except Major Joint with CC	72	$111,214	+10%	$24,191
884 Organic Disturbances and Intellectual Disability	72	$79,260	+27%	$21,730
870 Septicemia or Severe Sepsis with MV >96 Hours	65	$362,485	+12%	$85,888
377 Gastrointestinal Hemorrhage with MCC	62	$142,859	+67%	$21,667
057 Degenerative Nervous System Disorders without MCC	59	$70,548	+25%	$16,309
394 Other Digestive System Diagnoses with CC	59	$62,729	+33%	$11,469
190 Chronic Obstructive Pulmonary Disease with MCC	58	$73,907	+46%	$13,172
092 Other Disorders of Nervous System with CC	57	$60,993	+18%	$12,511
101 Seizures without MCC	56	$79,847	+64%	$10,825
314 Other Circulatory System Diagnoses with MCC	55	$130,386	+37%	$25,837
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	51	$79,189	+30%	$16,222
812 Red Blood Cell Disorders without MCC	51	$59,423	+34%	$10,768
699 Other Kidney and Urinary Tract Diagnoses with CC	50	$50,795	+7%	$12,380
194 Simple Pneumonia and Pleurisy with CC	47	$52,120	+36%	$9,958
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	46	$88,971	+60%	$12,156
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	46	$117,224	+15%	$24,835
543 Pathological Fractures and Musculoskeletal and Connective...	45	$51,012	+4%	$12,560
389 Gastrointestinal Obstruction with CC	43	$55,842	+43%	$10,316
638 Diabetes with CC	43	$48,129	+15%	$11,262
207 Respiratory System Diagnosis with Ventilator Support >96...	42	$284,180	-3%	$74,670
274 Percutaneous and Other Intracardiac Procedures without MCC	42	$182,292	+16%	$37,151
178 Respiratory Infections and Inflammations with CC	41	$60,459	+33%	$12,108
267 Endovascular Cardiac Valve Replacement and Supplement...	41	$217,911	-2%	$53,974
329 Major Small and Large Bowel Procedures with MCC	41	$192,681	-10%	$54,243
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	41	$49,428	+16%	$10,596
229 Other Cardiothoracic Procedures without MCC	40	$199,963	+21%	$40,419
308 Cardiac Arrhythmia and Conduction Disorders with MCC	40	$98,880	+75%	$17,249
313 Chest Pain	40	$48,017	+20%	$8,918
393 Other Digestive System Diagnoses with MCC	40	$94,594	+23%	$19,670
287 Circulatory Disorders except AMI, with Cardiac...	39	$97,110	+52%	$12,831
300 Peripheral Vascular Disorders with CC	39	$53,952	+9%	$13,294
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	38	$283,364	+31%	$57,825
100 Seizures with MCC	36	$142,706	+51%	$25,413
202 Bronchitis and Asthma with CC/MCC	36	$51,906	+12%	$11,450
264 Other Circulatory System O.R. Procedures	36	$180,085	+21%	$38,915
281 Acute Myocardial Infarction, Discharged Alive with CC	36	$74,692	+48%	$11,294
208 Respiratory System Diagnosis with Ventilator Support <=96...	35	$176,097	+30%	$32,029

Showing the 60 most frequent of 168 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	990	$14,573	$2,573
Comprehensive Observation Services	352	$22,980	$3,062
Level 1 Endovascular Procedures	265	$29,492	$3,633
Level 2 Excision/ Biopsy/ Incision and Drainage	212	$10,545	$1,778
Level 3 Endovascular Procedures	197	$82,039	$12,335
Level 4 Urology and Related Services	183	$18,248	$3,898
Level 1 Laparoscopy and Related Services	174	$30,287	$6,444
Level 2 Upper GI Procedures	158	$14,338	$2,121
Level 2 Urology and Related Services	153	$7,086	$777
Level 5 Musculoskeletal Procedures	148	$53,206	$14,498
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	130	$20,439	$3,818
Level 2 Musculoskeletal Procedures	125	$12,932	$1,817
Level 4 Musculoskeletal Procedures	109	$32,439	$8,006
Level 3 Musculoskeletal Procedures	107	$17,158	$3,305
Level 2 Endovascular Procedures	107	$31,919	$6,456
Level 3 Vascular Procedures	98	$14,626	$3,531
Level 5 Urology and Related Services	95	$24,909	$5,789
Level 3 Excision/ Biopsy/ Incision and Drainage	88	$23,107	$3,066
Level 1 Nerve Procedures	80	$15,483	$2,153
Level 4 Endovascular Procedures	77	$87,659	$19,409
Level 1 Breast/Lymphatic Surgery and Related Procedures	72	$24,502	$4,193
Level 2 Pacemaker and Similar Procedures	68	$56,082	$9,543
Level 2 Laparoscopy and Related Services	64	$45,752	$11,699
Level 3 Urology and Related Services	64	$14,652	$2,271
Level 3 Lower GI Procedures	52	$19,127	$3,062

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Staten Island University Hospital charged $107,086 on average, 8% less than the New York average of $116,930, and was paid $23,914 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Staten Island University Hospital charged $93,853 on average, 16% more than the New York average of $81,161, and was paid $16,335 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Staten Island University Hospital charged $93,510 on average, 1% less than the New York average of $94,371, and was paid $20,558 against a state average of $19,472. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Staten Island University Hospital charged $48,611 on average, 3% less than the New York average of $50,017, and was paid $9,528 against a state average of $9,945. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,573 was 10% below the state average of $16,178. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,980 was 14% below the state average of $26,675. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,492 was 16% above the state average of $25,359. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,545 was 18% 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.