Northwell Hospital Glen Cove
NORTHWELL HOSPITAL GLEN COVE in Glen Cove, NY charges 5.4x the Medicare reimbursement rate across 44 analyzed procedures, representing a typical markup for nonprofit private hospitals in the region.
Glen Cove, NY 11542 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.42x
Charge / Medicare rate
Max markup
8.23x
Worst procedure
Procedures analyzed
44
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $70,156 | $35,078 | — | 8.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $52,900 | $26,450 | — | 7.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $76,234 | $38,117 | — | 7.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $55,331 | $27,665 | — | 7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $51,425 | $25,713 | — | 6.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $46,961 | $23,480 | — | 6.7x |
| DYSEQUILIBRIUM | 149 | $39,274 | $19,637 | — | 6.6x |
| CHEST PAIN | 313 | $36,437 | $18,218 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $35,117 | $17,558 | — | 6.4x |
| RENAL FAILURE WITH CC | 683 | $46,233 | $23,116 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $40,250 | $20,125 | — | 6.3x |
| CELLULITIS WITHOUT MCC | 603 | $42,749 | $21,374 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $25,445 | $12,723 | — | 6.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $69,115 | $34,558 | — | 6.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $39,056 | $19,528 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $51,976 | $25,988 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $95,569 | $47,785 | — | 5.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $67,156 | $33,578 | — | 5.8x |
| SYNCOPE AND COLLAPSE | 312 | $41,404 | $20,702 | — | 5.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $45,667 | $22,833 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $43,919 | $21,960 | — | 5.4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $33,714 | $16,857 | — | 5.4x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $27,049 | $13,525 | — | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $64,801 | $32,401 | — | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $57,011 | $28,505 | — | 5.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $48,080 | $24,040 | — | 5x |
| SEIZURES WITHOUT MCC | 101 | $40,707 | $20,354 | — | 5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $82,139 | $41,070 | — | 4.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $48,776 | $24,388 | — | 4.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $40,869 | $20,435 | — | 4.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $37,828 | $18,914 | — | 4.6x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $47,078 | $23,539 | — | 4.6x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $31,905 | $15,953 | — | 4.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $222,617 | $111,308 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $78,800 | $39,400 | — | 4.5x |
| RENAL FAILURE WITH MCC | 682 | $57,633 | $28,817 | — | 4.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $47,942 | $23,971 | — | 4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $71,469 | $35,734 | — | 4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $56,880 | $28,440 | — | 3.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $73,576 | $36,788 | — | 3.9x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $50,819 | $25,409 | — | 3.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $38,970 | $19,485 | — | 3.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $66,751 | $33,375 | — | 3.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $96,799 | $48,399 | — | 3.8x |
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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