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
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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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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| DIABETES WITH CC | 638 | $95,785 | $47,892 | — | 6.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $79,912 | $39,956 | — | 5.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $78,784 | $39,392 | — | 5.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $105,664 | $52,832 | — | 5.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $129,650 | $64,825 | — | 5.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $73,972 | $36,986 | — | 4.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $53,368 | $26,684 | — | 4.8x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $63,961 | $31,981 | — | 4.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $77,129 | $38,565 | — | 4.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $264,480 | $132,240 | — | 4.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $86,744 | $43,372 | — | 4.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $57,411 | $28,705 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $56,407 | $28,203 | — | 4.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $52,487 | $26,243 | — | 4.4x |
| RENAL FAILURE WITH CC | 683 | $47,999 | $23,999 | — | 4.3x |
| RENAL FAILURE WITH MCC | 682 | $87,154 | $43,577 | — | 4.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $45,302 | $22,651 | — | 4.3x |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | 880 | $60,338 | $30,169 | — | 4.2x |
| PSYCHOSES | 885 | $75,853 | $37,927 | — | 4.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $104,880 | $52,440 | — | 4.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $67,964 | $33,982 | — | 4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $109,137 | $54,569 | — | 4x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $94,065 | $47,033 | — | 4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $45,142 | $22,571 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $100,303 | $50,152 | — | 4x |
| SEIZURES WITH MCC | 100 | $91,501 | $45,750 | — | 3.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $92,690 | $46,345 | — | 3.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $116,150 | $58,075 | — | 3.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $62,408 | $31,204 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $39,705 | $19,852 | — | 3.8x |
| HYPERTENSION WITHOUT MCC | 305 | $36,037 | $18,018 | — | 3.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $93,083 | $46,542 | — | 3.6x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | 918 | $40,674 | $20,337 | — | 3.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $51,279 | $25,640 | — | 3.6x |
| CELLULITIS WITHOUT MCC | 603 | $38,545 | $19,273 | — | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $39,139 | $19,570 | — | 3.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $34,453 | $17,227 | — | 3.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $59,891 | $29,946 | — | 3.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $32,128 | $16,064 | — | 3.3x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $63,839 | $31,920 | — | 3.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $55,555 | $27,777 | — | 3.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $244,909 | $122,454 | — | 3.2x |
| SEIZURES WITHOUT MCC | 101 | $37,634 | $18,817 | — | 3.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,111 | $11,055 | — | 3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $39,109 | $19,554 | — | 2.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $94,460 | $47,230 | — | 2.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $30,129 | $15,065 | — | 2.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $33,024 | $16,512 | — | 2.8x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $32,063 | $16,031 | — | 2.7x |
| SYNCOPE AND COLLAPSE | 312 | $29,167 | $14,584 | — | 2.6x |
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.
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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