St Francis Hospital - the Heart Center
St. Francis Hospital - The Heart Center in Roslyn, NY charges 7.7x the Medicare reimbursement rate on average across 203 analyzed procedures at this nonprofit-religious facility.
Roslyn, NY 11576 · Acute Care Hospitals · CMS Rating: 5/5
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 — 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
7.71x
Charge / Medicare rate
Max markup
13.36x
Worst procedure
Procedures analyzed
203
With pricing data
Outlier procedures
3%
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 |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $167,250 | $83,625 | — | 13.4x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $123,206 | $61,603 | — | 12.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $49,632 | $24,816 | — | 12.5x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $57,746 | $28,873 | — | 11.9x |
| DYSEQUILIBRIUM | 149 | $54,151 | $27,075 | — | 11.7x |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $42,117 | $21,059 | — | 11.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $35,018 | $17,509 | — | 11.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $32,294 | $16,147 | — | 10.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $45,641 | $22,820 | — | 10.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $65,138 | $32,569 | — | 10.6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $187,526 | $93,763 | — | 10.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $136,852 | $68,426 | — | 10.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $36,747 | $18,373 | — | 10.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 192 | $37,065 | $18,533 | — | 10.4x |
| SYNCOPE AND COLLAPSE | 312 | $59,644 | $29,822 | — | 10.3x |
| HEADACHES WITHOUT MCC | 103 | $48,739 | $24,369 | — | 10.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $131,712 | $65,856 | — | 10.1x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $102,651 | $51,326 | — | 10.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $50,166 | $25,083 | — | 9.9x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $66,779 | $33,389 | — | 9.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $53,594 | $26,797 | — | 9.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | 395 | $33,716 | $16,858 | — | 9.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $47,600 | $23,800 | — | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $42,956 | $21,478 | — | 9.6x |
| ENDOCRINE DISORDERS WITH CC | 644 | $68,066 | $34,033 | — | 9.6x |
| HYPERTENSION WITHOUT MCC | 305 | $45,610 | $22,805 | — | 9.5x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $141,029 | $70,515 | — | 9.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $62,235 | $31,118 | — | 9.2x |
| RENAL FAILURE WITH CC | 683 | $55,782 | $27,891 | — | 9.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $63,079 | $31,540 | — | 9.2x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $49,359 | $24,680 | — | 9.1x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $49,283 | $24,642 | — | 9.1x |
| URINARY STONES WITHOUT MCC | 694 | $44,987 | $22,493 | — | 9x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $186,390 | $93,195 | — | 9x |
| BRONCHITIS AND ASTHMA WITHOUT CC/MCC | 203 | $36,250 | $18,125 | — | 9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $62,314 | $31,157 | — | 8.9x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $261,790 | $130,895 | — | 8.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $82,224 | $41,112 | — | 8.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $53,304 | $26,652 | — | 8.7x |
| RESPIRATORY SIGNS AND SYMPTOMS | 204 | $46,231 | $23,116 | — | 8.7x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $110,205 | $55,102 | — | 8.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $49,644 | $24,822 | — | 8.6x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $98,699 | $49,350 | — | 8.6x |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $53,133 | $26,566 | — | 8.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $45,839 | $22,919 | — | 8.6x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $124,268 | $62,134 | — | 8.6x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $44,116 | $22,058 | — | 8.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $144,269 | $72,135 | — | 8.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $56,817 | $28,409 | — | 8.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $63,223 | $31,612 | — | 8.5x |
Showing 50 of 203 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