St John's Episcopal Hospital at South Shore
St. John's Episcopal Hospital at South Shore in Far Rockaway, NY charges 3.8x the Medicare reimbursement rate across 54 analyzed procedures at this nonprofit facility.
Far Rockaway, NY 11691 · Acute Care Hospitals · CMS Rating: 1/5
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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Pricing grade
C
Average
Avg markup vs Medicare
3.77x
Charge / Medicare rate
Max markup
5.96x
Worst procedure
Procedures analyzed
54
With pricing data
Outlier procedures
1.9%
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 |
|---|---|---|---|---|---|
| RENAL FAILURE WITH CC | 683 | $62,391 | $31,195 | — | 6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $62,223 | $31,112 | — | 5.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $65,208 | $32,604 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $76,058 | $38,029 | — | 5.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $56,621 | $28,311 | — | 5.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $48,524 | $24,262 | — | 4.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $41,507 | $20,753 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $61,113 | $30,556 | — | 4.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $46,481 | $23,241 | — | 4.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 192 | $35,553 | $17,777 | — | 4.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $53,113 | $26,557 | — | 4.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $46,375 | $23,188 | — | 4.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $95,284 | $47,642 | — | 4.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $45,825 | $22,913 | — | 4.3x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $37,244 | $18,622 | — | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $50,538 | $25,269 | — | 4.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $95,584 | $47,792 | — | 4.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $43,863 | $21,932 | — | 4.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $37,840 | $18,920 | — | 4.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $59,151 | $29,575 | — | 4x |
| CHEST PAIN | 313 | $32,677 | $16,338 | — | 4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $61,272 | $30,636 | — | 3.9x |
| DIABETES WITH MCC | 637 | $63,315 | $31,657 | — | 3.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $35,558 | $17,779 | — | 3.9x |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $30,784 | $15,392 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $47,767 | $23,883 | — | 3.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $92,263 | $46,131 | — | 3.8x |
| SYNCOPE AND COLLAPSE | 312 | $38,137 | $19,069 | — | 3.8x |
| DIABETES WITH CC | 638 | $40,262 | $20,131 | — | 3.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $96,899 | $48,450 | — | 3.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $56,235 | $28,118 | — | 3.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $54,909 | $27,454 | — | 3.6x |
| RENAL FAILURE WITH MCC | 682 | $65,244 | $32,622 | — | 3.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $39,926 | $19,963 | — | 3.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $60,645 | $30,322 | — | 3.4x |
| HYPERTENSION WITHOUT MCC | 305 | $29,210 | $14,605 | — | 3.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $79,459 | $39,729 | — | 3.4x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $31,342 | $15,671 | — | 3.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $78,882 | $39,441 | — | 3.3x |
| CELLULITIS WITHOUT MCC | 603 | $32,190 | $16,095 | — | 3.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $54,365 | $27,183 | — | 3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $72,006 | $36,003 | — | 3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $49,780 | $24,890 | — | 3x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $47,684 | $23,842 | — | 2.8x |
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $447,285 | $223,642 | — | 2.8x |
| SEIZURES WITHOUT MCC | 101 | $28,046 | $14,023 | — | 2.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $52,653 | $26,326 | — | 2.7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $32,579 | $16,290 | — | 2.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $160,355 | $80,177 | — | 2.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $57,262 | $28,631 | — | 2.6x |
Showing 50 of 54 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