John T Mather Memorial Hospital of Port Jefferson
John T Mather Memorial Hospital of Port Jefferson charges 7.2x the Medicare reimbursement rate across 94 analyzed procedures, with only 4% classified as pricing outliers.
Port Jefferson, NY 11777 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
7.21x
Charge / Medicare rate
Max markup
12.95x
Worst procedure
Procedures analyzed
94
With pricing data
Outlier procedures
4.3%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $93,425 | $46,712 | — | 13x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $46,134 | $23,067 | — | 12.7x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $68,081 | $34,040 | — | 12.1x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $93,407 | $46,704 | — | 11.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $56,697 | $28,348 | — | 10.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $44,080 | $22,040 | — | 10.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $53,676 | $26,838 | — | 10.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $73,346 | $36,673 | — | 9.9x |
| HYPERTENSION WITHOUT MCC | 305 | $51,948 | $25,974 | — | 9.7x |
| CELLULITIS WITHOUT MCC | 603 | $61,939 | $30,970 | — | 9.6x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $47,844 | $23,922 | — | 9.6x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $49,974 | $24,987 | — | 9.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $90,190 | $45,095 | — | 9.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $56,890 | $28,445 | — | 9.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $54,616 | $27,308 | — | 9.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $61,724 | $30,862 | — | 9.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $63,789 | $31,894 | — | 8.9x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $55,672 | $27,836 | — | 8.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $67,654 | $33,827 | — | 8.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $50,791 | $25,396 | — | 8.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $56,855 | $28,427 | — | 8.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $54,821 | $27,411 | — | 8.4x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $101,886 | $50,943 | — | 8.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $43,662 | $21,831 | — | 8.2x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $77,962 | $38,981 | — | 8.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $76,509 | $38,254 | — | 8.1x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $62,573 | $31,287 | — | 8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $63,345 | $31,672 | — | 7.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $100,381 | $50,191 | — | 7.8x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $68,213 | $34,107 | — | 7.6x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $94,175 | $47,087 | — | 7.5x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $138,427 | $69,213 | — | 7.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $160,460 | $80,230 | — | 7.4x |
| RENAL FAILURE WITH CC | 683 | $52,589 | $26,295 | — | 7.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $79,868 | $39,934 | — | 7.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $66,966 | $33,483 | — | 7.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $41,689 | $20,845 | — | 7.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $107,942 | $53,971 | — | 7.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $69,479 | $34,740 | — | 7.1x |
| DIABETES WITH CC | 638 | $47,534 | $23,767 | — | 7.1x |
| ENDOCRINE DISORDERS WITH CC | 644 | $62,415 | $31,208 | — | 7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $131,610 | $65,805 | — | 7x |
| RENAL FAILURE WITH MCC | 682 | $99,374 | $49,687 | — | 6.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $60,964 | $30,482 | — | 6.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $158,627 | $79,313 | — | 6.8x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $153,800 | $76,900 | — | 6.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $65,388 | $32,694 | — | 6.8x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $40,089 | $20,044 | — | 6.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $114,027 | $57,014 | — | 6.7x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $70,595 | $35,298 | — | 6.7x |
Showing 50 of 94 procedures
How JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use