Long Island Community Hospital
Long Island Community Hospital in Patchogue, NY charges 11.7x the Medicare reimbursement rate across 70 analyzed procedures, with 84% showing significant price variations.
Patchogue, NY 11772 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
F
Very high
Avg markup vs Medicare
11.73x
Charge / Medicare rate
Max markup
17.95x
Worst procedure
Procedures analyzed
70
With pricing data
Outlier procedures
84.3%
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 |
|---|---|---|---|---|---|
| SYNCOPE AND COLLAPSE | 312 | $128,017 | $64,009 | — | 18x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $107,664 | $53,832 | — | 17x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $110,755 | $55,377 | — | 16.1x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $195,667 | $97,833 | — | 15.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $108,201 | $54,101 | — | 15.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $88,641 | $44,321 | — | 15.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $128,884 | $64,442 | — | 15.1x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $102,612 | $51,306 | — | 15.1x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $94,844 | $47,422 | — | 15.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $246,343 | $123,172 | — | 15x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $135,398 | $67,699 | — | 14.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $84,370 | $42,185 | — | 14x |
| RENAL FAILURE WITH CC | 683 | $99,794 | $49,897 | — | 14x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $97,146 | $48,573 | — | 13.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $80,817 | $40,408 | — | 13.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $199,876 | $99,938 | — | 13.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $242,418 | $121,209 | — | 13.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $109,184 | $54,592 | — | 12.9x |
| CELLULITIS WITHOUT MCC | 603 | $86,670 | $43,335 | — | 12.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $302,655 | $151,327 | — | 12.8x |
| DIABETES WITH CC | 638 | $87,275 | $43,638 | — | 12.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $100,006 | $50,003 | — | 12.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $103,864 | $51,932 | — | 12.7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $107,387 | $53,694 | — | 12.6x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $79,248 | $39,624 | — | 12.3x |
| SEIZURES WITHOUT MCC | 101 | $79,370 | $39,685 | — | 12.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $211,230 | $105,615 | — | 12.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $126,702 | $63,351 | — | 11.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $66,483 | $33,241 | — | 11.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $112,934 | $56,467 | — | 11.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $262,259 | $131,129 | — | 11.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $114,398 | $57,199 | — | 11.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $119,987 | $59,994 | — | 11.5x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $87,153 | $43,577 | — | 11.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $100,134 | $50,067 | — | 11.4x |
| DIABETES WITH MCC | 637 | $126,921 | $63,460 | — | 11.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $65,985 | $32,993 | — | 11.4x |
| CHEST PAIN | 313 | $60,091 | $30,046 | — | 11.4x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $122,308 | $61,154 | — | 11x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $114,294 | $57,147 | — | 11x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $131,682 | $65,841 | — | 11x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $67,865 | $33,933 | — | 11x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $134,313 | $67,157 | — | 11x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $76,986 | $38,493 | — | 10.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $89,634 | $44,817 | — | 10.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $203,725 | $101,862 | — | 10.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $253,124 | $126,562 | — | 10.7x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $189,072 | $94,536 | — | 10.7x |
| RENAL FAILURE WITH MCC | 682 | $143,434 | $71,717 | — | 10.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $147,918 | $73,959 | — | 10.5x |
Showing 50 of 70 procedures
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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