Suny/stony Brook University Hospital
SUNY/Stony Brook University Hospital in Stony Brook, NY charges 6.2x the Medicare reimbursement rate across 258 analyzed procedures, with 17% showing significantly higher markups than typical government hospital pricing.
Stony Brook, NY 11794 · 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.
No credit card required. Results in 60 seconds.
Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
D
High
Avg markup vs Medicare
6.22x
Charge / Medicare rate
Max markup
12.19x
Worst procedure
Procedures analyzed
258
With pricing data
Outlier procedures
17.1%
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 |
|---|---|---|---|---|---|
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | 440 | $57,540 | $28,770 | — | 12.2x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | 895 | $194,165 | $97,082 | — | 11.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $70,098 | $35,049 | — | 10.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $130,075 | $65,037 | — | 10.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $97,967 | $48,983 | — | 9.8x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $134,611 | $67,306 | — | 9.7x |
| KIDNEY TRANSPLANT | 652 | $298,106 | $149,053 | — | 9.6x |
| PNEUMOTHORAX WITH CC | 200 | $104,912 | $52,456 | — | 9.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $73,464 | $36,732 | — | 9.4x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $95,176 | $47,588 | — | 9.2x |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $54,289 | $27,144 | — | 8.9x |
| TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 558 | $76,155 | $38,078 | — | 8.9x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $77,867 | $38,934 | — | 8.8x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $140,916 | $70,458 | — | 8.7x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 542 | $158,639 | $79,320 | — | 8.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $97,329 | $48,665 | — | 8.6x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $120,806 | $60,403 | — | 8.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $45,943 | $22,972 | — | 8.6x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | 918 | $71,080 | $35,540 | — | 8.5x |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $88,749 | $44,374 | — | 8.4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $66,230 | $33,115 | — | 8.4x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $112,867 | $56,434 | — | 8.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $66,254 | $33,127 | — | 8.3x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $87,987 | $43,993 | — | 8.3x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $134,153 | $67,076 | — | 8.2x |
| DIABETES WITH CC | 638 | $72,964 | $36,482 | — | 8.2x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $78,034 | $39,017 | — | 8.2x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $66,202 | $33,101 | — | 8x |
| DYSEQUILIBRIUM | 149 | $60,734 | $30,367 | — | 8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $64,390 | $32,195 | — | 7.8x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $122,593 | $61,296 | — | 7.8x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $312,173 | $156,087 | — | 7.8x |
| RENAL FAILURE WITH MCC | 682 | $129,141 | $64,570 | — | 7.8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $134,967 | $67,484 | — | 7.8x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $70,575 | $35,288 | — | 7.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $78,618 | $39,309 | — | 7.7x |
| FRACTURES OF HIP AND PELVIS WITH MCC | 535 | $103,976 | $51,988 | — | 7.7x |
| RENAL FAILURE WITH CC | 683 | $68,998 | $34,499 | — | 7.7x |
| PSYCHOSES | 885 | $131,499 | $65,749 | — | 7.6x |
| SEIZURES WITHOUT MCC | 101 | $71,552 | $35,776 | — | 7.6x |
| URINARY STONES WITHOUT MCC | 694 | $62,157 | $31,079 | — | 7.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $72,478 | $36,239 | — | 7.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $67,233 | $33,616 | — | 7.5x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $82,448 | $41,224 | — | 7.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $170,114 | $85,057 | — | 7.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $73,406 | $36,703 | — | 7.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $60,986 | $30,493 | — | 7.4x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $157,742 | $78,871 | — | 7.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $60,087 | $30,044 | — | 7.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $150,697 | $75,349 | — | 7.4x |
Showing 50 of 258 procedures
Got a bill from SUNY/STONY BROOK UNIVERSITY HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — government hospital billing
How do government hospital billing rates compare to Medicare benchmarks?
Why do government hospitals charge above Medicare rates if they're publicly owned?
What should I expect when reviewing a government hospital bill?
Are there potential billing differences between government hospitals and other facility types?
Related pricing data
Got a bill from Suny/stony Brook University Hospital?
Free guides to help you take action
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