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Nassau University Medical Center

NASSAU UNIVERSITY MEDICAL CENTER in East Meadow, NY charges 3.8x the Medicare reimbursement rate across 56 analyzed procedures at this government-owned facility.

East Meadow, NY 11554 · Acute Care Hospitals · CMS Rating: 1/5

By Michael Glenn , Healthcare Data Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

56 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.0x1.5x15.0x
3.8x
Medicare markup ratio
NY lowestNassau University Medi...NY highest
3.8x
Avg markup ratio
3.8x
Median markup
56
Procedures
5%
Outlier procedures
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Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

C

Average

Avg markup vs Medicare

3.78x

Charge / Medicare rate

Max markup

6.2x

Worst procedure

Procedures analyzed

56

With pricing data

Outlier procedures

5.4%

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
DIABETES WITH CC638$95,785$47,8926.2x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$79,912$39,9565.9x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$78,784$39,3925.7x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$105,664$52,8325.6x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$129,650$64,8255.6x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$73,972$36,9864.8x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$53,368$26,6844.8x
MAJOR CHEST TRAUMA WITH CC184$63,961$31,9814.7x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$77,129$38,5654.7x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$264,480$132,2404.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$86,744$43,3724.5x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$57,411$28,7054.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$56,407$28,2034.4x
MEDICAL BACK PROBLEMS WITHOUT MCC552$52,487$26,2434.4x
RENAL FAILURE WITH CC683$47,999$23,9994.3x
RENAL FAILURE WITH MCC682$87,154$43,5774.3x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$45,302$22,6514.3x
ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION880$60,338$30,1694.2x
PSYCHOSES885$75,853$37,9274.2x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$104,880$52,4404.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$67,964$33,9824x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$109,137$54,5694x
MEDICAL BACK PROBLEMS WITH MCC551$94,065$47,0334x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$45,142$22,5714x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$100,303$50,1524x
SEIZURES WITH MCC100$91,501$45,7503.9x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$92,690$46,3453.9x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$116,150$58,0753.8x
HEART FAILURE AND SHOCK WITH MCC291$62,408$31,2043.8x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$39,705$19,8523.8x
HYPERTENSION WITHOUT MCC305$36,037$18,0183.7x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$93,083$46,5423.6x
POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC918$40,674$20,3373.6x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$51,279$25,6403.6x
CELLULITIS WITHOUT MCC603$38,545$19,2733.4x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC179$39,139$19,5703.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$34,453$17,2273.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$59,891$29,9463.3x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$32,128$16,0643.3x
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY884$63,839$31,9203.2x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$55,555$27,7773.2x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$244,909$122,4543.2x
SEIZURES WITHOUT MCC101$37,634$18,8173.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$22,111$11,0553x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$39,109$19,5542.9x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$94,460$47,2302.9x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$30,129$15,0652.8x
RED BLOOD CELL DISORDERS WITHOUT MCC812$33,024$16,5122.8x
TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC605$32,063$16,0312.7x
SYNCOPE AND COLLAPSE312$29,167$14,5842.6x

Showing 50 of 56 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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

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