NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030 · Acute Care Hospitals
250 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
250
With CMS pricing data
Avg Charge-to-Medicare Ratio
8.5x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
50%
Compared to NY hospitals
Understanding Your Costs
When you receive a bill from NORTH SHORE UNIVERSITY HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, NORTH SHORE UNIVERSITY HOSPITAL lists chargemaster rates that average 8.5x the corresponding Medicare reimbursement amount across 250 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in NY has a chargemaster-to-Medicare ratio of 3.8x, with ratios across the state ranging from 1.1x to 12.4x. At 8.5x, this facility’s average ratio is above the state median. 124 hospitals in NY report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at NORTH SHORE UNIVERSITY HOSPITAL is OTHER FACTORS INFLUENCING HEALTH STATUS (DRG 951). The listed chargemaster rate is $80,585, while Medicare reimburses $5,210 for the same procedure — a ratio of 15.5x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
126 of 250 procedures (50%) at this facility have listed rates above the 90th percentile compared to other NY hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
NORTH SHORE UNIVERSITY HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $80,585 | $5,210 | 15.5x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $116,977 | $7,992 | 14.6x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $69,127 | $4,947 | 14.0x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $58,355 | $4,199 | 13.9x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $120,978 | $8,918 | 13.6x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $92,990 | $7,169 | 13.0x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $86,970 | $6,848 | 12.7x | 1th | Compare your bill |
| VIRAL ILLNESS WITHOUT MCC | 866 | $91,340 | $7,223 | 12.7x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $54,239 | $4,306 | 12.6x | 1th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $119,890 | $9,585 | 12.5x | 1th | Compare your bill |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $95,961 | $7,930 | 12.1x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $123,749 | $10,236 | 12.1x | 1th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $71,750 | $6,017 | 11.9x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $77,191 | $6,504 | 11.9x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $73,631 | $6,221 | 11.8x | 1th | Compare your bill |
| OTHER DISORDERS OF THE EYE WITHOUT MCC | 125 | $85,771 | $7,271 | 11.8x | 1th | Compare your bill |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $74,999 | $6,422 | 11.7x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $330,529 | $28,446 | 11.6x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | 918 | $82,427 | $7,139 | 11.6x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | 555 | $142,700 | $12,441 | 11.5x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $159,317 | $14,041 | 11.3x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | 395 | $58,846 | $5,187 | 11.3x | 1th | Compare your bill |
| DIABETES WITH CC | 638 | $86,664 | $7,690 | 11.3x | 1th | Compare your bill |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $103,857 | $9,229 | 11.3x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $208,668 | $18,705 | 11.2x | 1th | Compare your bill |
| URINARY STONES WITHOUT MCC | 694 | $70,923 | $6,368 | 11.1x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $205,614 | $18,645 | 11.0x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $126,758 | $11,586 | 10.9x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $99,113 | $9,100 | 10.9x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $71,653 | $6,636 | 10.8x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $79,916 | $7,447 | 10.7x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $103,749 | $9,665 | 10.7x | 1th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $83,013 | $7,804 | 10.6x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $247,838 | $23,343 | 10.6x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $133,031 | $12,613 | 10.6x | 1th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $79,411 | $7,605 | 10.4x | 1th | Compare your bill |
| OTITIS MEDIA AND URI WITHOUT MCC | 153 | $60,941 | $5,864 | 10.4x | 1th | Compare your bill |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $191,092 | $18,433 | 10.4x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $163,198 | $15,739 | 10.4x | 1th | Compare your bill |
| CELLULITIS WITH MCC | 602 | $131,716 | $12,745 | 10.3x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $85,631 | $8,289 | 10.3x | 1th | Compare your bill |
| PSYCHOSES | 885 | $134,700 | $13,127 | 10.3x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $242,777 | $23,741 | 10.2x | 1th | Compare your bill |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $81,851 | $8,006 | 10.2x | 1th | Compare your bill |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $78,577 | $7,705 | 10.2x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $139,217 | $13,676 | 10.2x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $44,744 | $4,400 | 10.2x | 1th | Compare your bill |
| RENAL FAILURE WITH CC | 683 | $83,452 | $8,210 | 10.2x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $135,382 | $13,414 | 10.1x | 1th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $134,299 | $13,320 | 10.1x | 1th | Compare your bill |
Showing 50 of 250 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across NY hospitals
124 hospitals in NY report pricing data to CMS. This facility's average ratio of 8.5x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About NORTH SHORE UNIVERSITY HOSPITAL
How much does NORTH SHORE UNIVERSITY HOSPITAL charge compared to Medicare?
According to CMS IPPS data, NORTH SHORE UNIVERSITY HOSPITAL's listed chargemaster rates average 8.5x the Medicare reimbursement amount across 250 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at NORTH SHORE UNIVERSITY HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at NORTH SHORE UNIVERSITY HOSPITAL is OTHER FACTORS INFLUENCING HEALTH STATUS (DRG 951), with a listed charge of $80,585 compared to Medicare reimbursement of $5,210 — a ratio of 15.5x. Source: CMS IPPS Provider Summary.
Is NORTH SHORE UNIVERSITY HOSPITAL expensive compared to other NY hospitals?
NORTH SHORE UNIVERSITY HOSPITAL's average chargemaster-to-Medicare ratio is 8.5x. Ratios vary significantly across NY hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for NORTH SHORE UNIVERSITY HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from NORTH SHORE UNIVERSITY HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does NORTH SHORE UNIVERSITY HOSPITAL in MANHASSET, NY accept Medicare?
NORTH SHORE UNIVERSITY HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact NORTH SHORE UNIVERSITY HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.