St Catherine of Siena Hospital
ST CATHERINE OF SIENA HOSPITAL in Smithtown, NY charges 7.0x the Medicare reimbursement rate across 91 analyzed procedures, reflecting typical pricing patterns for nonprofit religious healthcare facilities.
Smithtown, NY 11787 · Acute Care Hospitals · CMS Rating: 4/5
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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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
6.99x
Charge / Medicare rate
Max markup
11.07x
Worst procedure
Procedures analyzed
91
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 |
|---|---|---|---|---|---|
| DYSEQUILIBRIUM | 149 | $55,453 | $27,726 | — | 11.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $133,760 | $66,880 | — | 10.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $32,743 | $16,371 | — | 10.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $50,298 | $25,149 | — | 10.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $47,226 | $23,613 | — | 10.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $52,637 | $26,318 | — | 10x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | 395 | $33,574 | $16,787 | — | 9.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $64,846 | $32,423 | — | 9.6x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $171,131 | $85,565 | — | 9.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $40,769 | $20,384 | — | 9.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $62,873 | $31,436 | — | 9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $95,077 | $47,538 | — | 8.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $55,548 | $27,774 | — | 8.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $41,320 | $20,660 | — | 8.7x |
| HYPERTENSION WITHOUT MCC | 305 | $36,091 | $18,045 | — | 8.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $45,572 | $22,786 | — | 8.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $167,969 | $83,984 | — | 8.4x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $47,939 | $23,970 | — | 8.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $35,392 | $17,696 | — | 8.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $38,077 | $19,039 | — | 8.3x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $43,392 | $21,696 | — | 8.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $71,815 | $35,907 | — | 8.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $45,512 | $22,756 | — | 8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $44,314 | $22,157 | — | 7.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $46,334 | $23,167 | — | 7.8x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $39,829 | $19,915 | — | 7.8x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | 918 | $38,673 | $19,337 | — | 7.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $43,056 | $21,528 | — | 7.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $56,710 | $28,355 | — | 7.6x |
| SEIZURES WITHOUT MCC | 101 | $43,589 | $21,795 | — | 7.5x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $52,066 | $26,033 | — | 7.5x |
| DIABETES WITH CC | 638 | $40,043 | $20,021 | — | 7.4x |
| COAGULATION DISORDERS | 813 | $79,862 | $39,931 | — | 7.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $63,460 | $31,730 | — | 7.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $40,863 | $20,432 | — | 7.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $44,880 | $22,440 | — | 7.3x |
| RENAL FAILURE WITH CC | 683 | $43,842 | $21,921 | — | 7.3x |
| CHEST PAIN | 313 | $33,770 | $16,885 | — | 7.2x |
| CELLULITIS WITHOUT MCC | 603 | $37,095 | $18,548 | — | 7.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $41,912 | $20,956 | — | 7.1x |
| RENAL FAILURE WITH MCC | 682 | $74,999 | $37,499 | — | 6.9x |
| SYNCOPE AND COLLAPSE | 312 | $39,860 | $19,930 | — | 6.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $94,382 | $47,191 | — | 6.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $59,269 | $29,634 | — | 6.8x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $47,840 | $23,920 | — | 6.8x |
| TRAUMATIC INJURY WITHOUT MCC | 914 | $38,495 | $19,247 | — | 6.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $126,067 | $63,033 | — | 6.8x |
| PSYCHOSES | 885 | $58,453 | $29,226 | — | 6.8x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $47,139 | $23,570 | — | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $52,663 | $26,332 | — | 6.7x |
Showing 50 of 91 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.
FAQ — nonprofit-religious hospital billing
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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