Ns/lij Hs Southside Hospital
NS/LIJ HS Southside Hospital in Bay Shore, NY charges 7.2x the Medicare reimbursement rate across 125 analyzed procedures, with 10% showing significant pricing variations.
Bay Shore, NY 11706 · Acute Care Hospitals · CMS Rating: 3/5
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
D
High
Avg markup vs Medicare
7.18x
Charge / Medicare rate
Max markup
12.49x
Worst procedure
Procedures analyzed
125
With pricing data
Outlier procedures
10.4%
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 |
|---|---|---|---|---|---|
| HYPERTENSION WITHOUT MCC | 305 | $63,894 | $31,947 | — | 12.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $98,066 | $49,033 | — | 11.6x |
| DYSEQUILIBRIUM | 149 | $65,160 | $32,580 | — | 11.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $93,595 | $46,798 | — | 11.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $67,196 | $33,598 | — | 11.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $41,546 | $20,773 | — | 10.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $78,916 | $39,458 | — | 10.7x |
| SEIZURES WITHOUT MCC | 101 | $75,189 | $37,595 | — | 10.5x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $60,641 | $30,320 | — | 10.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $144,779 | $72,389 | — | 10x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $65,547 | $32,773 | — | 10x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $74,968 | $37,484 | — | 9.6x |
| CHEST PAIN | 313 | $52,563 | $26,281 | — | 9.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $104,558 | $52,279 | — | 9.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $53,875 | $26,938 | — | 9.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $67,251 | $33,625 | — | 9.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $74,414 | $37,207 | — | 9.1x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $130,171 | $65,085 | — | 9.1x |
| SYNCOPE AND COLLAPSE | 312 | $60,631 | $30,315 | — | 9.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $72,347 | $36,174 | — | 9.1x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $115,619 | $57,810 | — | 9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $50,387 | $25,194 | — | 9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $69,052 | $34,526 | — | 9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $101,608 | $50,804 | — | 8.9x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $86,310 | $43,155 | — | 8.9x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $70,740 | $35,370 | — | 8.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $77,319 | $38,660 | — | 8.7x |
| SEIZURES WITH MCC | 100 | $186,412 | $93,206 | — | 8.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $89,139 | $44,569 | — | 8.6x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $118,126 | $59,063 | — | 8.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $64,576 | $32,288 | — | 8.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $60,445 | $30,222 | — | 8.4x |
| CELLULITIS WITHOUT MCC | 603 | $60,294 | $30,147 | — | 8.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $139,482 | $69,741 | — | 8.2x |
| RENAL FAILURE WITH MCC | 682 | $101,821 | $50,910 | — | 8.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $52,606 | $26,303 | — | 8.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $100,593 | $50,296 | — | 8.1x |
| RENAL FAILURE WITH CC | 683 | $59,597 | $29,798 | — | 8.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $92,069 | $46,034 | — | 8x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $131,981 | $65,990 | — | 8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $123,292 | $61,646 | — | 8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $91,257 | $45,629 | — | 8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $66,123 | $33,062 | — | 7.9x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $64,663 | $32,331 | — | 7.8x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $50,770 | $25,385 | — | 7.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $79,001 | $39,500 | — | 7.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $143,573 | $71,786 | — | 7.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $49,701 | $24,850 | — | 7.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $99,639 | $49,819 | — | 7.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $84,375 | $42,188 | — | 7.6x |
Showing 50 of 125 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