All published prices at Long Island Jewish Medical Center
250 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
38 | $19,731 | $4,223 | -10% |
|
Kidney and Ureter Procedures for Neoplasm with Complications
MS-DRG 657 · Inpatient stay |
37 | $105,827 | $21,861 | +18% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
37 | $34,890 | $10,037 | -22% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
36 | $114,855 | $18,188 | +100% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
36 | $75,492 | $10,816 | +141% |
|
Bone Diseases and Arthropathies without Major Complications
MS-DRG 554 · Inpatient stay |
36 | $71,451 | $10,816 | +122% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
36 | $28,419 | $6,277 | -5% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
35 | $252,100 | $41,156 | +74% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
35 | $130,323 | $24,659 | +51% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
35 | $83,768 | $12,372 | +113% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
35 | $58,398 | $14,797 | -7% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
34 | $160,555 | $21,557 | +116% |
|
Stomach, Esophageal and Duodenal Procedures with Major Complications
MS-DRG 326 · Inpatient stay |
34 | $337,783 | $76,541 | +51% |
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay |
34 | $63,342 | $13,748 | +43% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
33 | $189,746 | $32,386 | +61% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
32 | $96,313 | $12,877 | +114% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
32 | $77,358 | $11,080 | +121% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
31 | $152,363 | $22,066 | +113% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major
MS-DRG 562 · Inpatient stay |
31 | $112,726 | $17,631 | +110% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
30 | $49,948 | $7,938 | +98% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
30 | $57,386 | $9,923 | +75% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
30 | $160,321 | $21,381 | +96% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
30 | $148,020 | $23,889 | +98% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
29 | $115,595 | $17,769 | +125% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
29 | $26,855 | $6,261 | -22% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
28 | $278,792 | $43,436 | +81% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
28 | $85,736 | $12,154 | +163% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
28 | $193,996 | $47,461 | +34% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
28 | $17,802 | $2,175 | +57% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
27 | $83,898 | $13,276 | +92% |
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay |
27 | $146,267 | $26,683 | +97% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
27 | $203,237 | $25,988 | +208% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
27 | $155,268 | $22,078 | +136% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
27 | $52,300 | $5,971 | +45% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
26 | $129,955 | $21,318 | +28% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
26 | $42,545 | $8,293 | +77% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
25 | $98,046 | $22,511 | +38% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
25 | $114,315 | $19,543 | +39% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
25 | $183,991 | $40,722 | +42% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
24 | $103,450 | $15,617 | +169% |
|
Lymphoma and Non-acute Leukemia with Major Complications
MS-DRG 840 · Inpatient stay |
24 | $257,780 | $42,342 | +80% |
|
Acute Adjustment Reaction and Psychosocial Dysfunction
MS-DRG 880 · Inpatient stay |
24 | $113,301 | $13,419 | +176% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
24 | $38,640 | $5,417 | +29% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
23 | $145,066 | $20,298 | +119% |
|
Hypertension with Major Complications
MS-DRG 304 · Inpatient stay |
23 | $115,532 | $16,165 | +132% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
23 | $108,401 | $17,727 | +95% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
23 | $83,586 | $10,524 | +151% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
23 | $255,758 | $39,088 | +127% |
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay |
23 | $81,884 | $16,343 | +72% |
|
Pleural Effusion with Major Complications
MS-DRG 186 · Inpatient stay |
23 | $140,515 | $20,387 | +98% |
|
Digestive Malignancy with Complications
MS-DRG 375 · Inpatient stay |
23 | $97,993 | $14,937 | +84% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
23 | $132,406 | $43,603 | +22% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
22 | $109,032 | $18,321 | +61% |
|
Stomach, Esophageal and Duodenal Procedures without Complications/mcc
MS-DRG 328 · Inpatient stay |
22 | $101,960 | $18,623 | +34% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
21 | $283,483 | $47,516 | +26% |
|
Tendonitis, Myositis and Bursitis without Major Complications
MS-DRG 558 · Inpatient stay |
21 | $82,899 | $10,841 | +142% |
|
Other Digestive System Diagnoses without Complications/mcc
MS-DRG 395 · Inpatient stay |
21 | $54,216 | $9,092 | +50% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
20 | $205,341 | $29,817 | +147% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
20 | $93,877 | $19,768 | +26% |
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay |
20 | $610,542 | $88,469 | +138% |
|
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc
MS-DRG 419 · Inpatient stay |
20 | $85,337 | $18,621 | +22% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
20 | $161,521 | $20,040 | +136% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
20 | $192,769 | $36,939 | +30% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
19 | $62,209 | $11,591 | +50% |
|
Gastrointestinal Bleeding (uncomplicated)
MS-DRG 379 · Inpatient stay |
19 | $51,460 | $8,999 | +65% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
19 | $126,724 | $22,674 | +58% |
|
Pancreas, Liver and Shunt Procedures with Major Complications
MS-DRG 405 · Inpatient stay |
19 | $416,276 | $77,421 | +59% |
|
Pancreas, Liver and Shunt Procedures with Complications
MS-DRG 406 · Inpatient stay |
19 | $183,829 | $33,244 | +30% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
19 | $94,258 | $13,605 | +83% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications
MS-DRG 371 · Inpatient stay |
19 | $193,315 | $27,445 | +182% |
|
Kidney and Ureter Procedures for Non-neoplasm with Major Complications
MS-DRG 659 · Inpatient stay |
19 | $235,786 | $33,316 | +140% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
19 | $127,038 | $18,665 | +94% |
|
Peripheral Vascular Disorders without Complications/mcc
MS-DRG 301 · Inpatient stay |
19 | $66,633 | $10,229 | +93% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
18 | $157,269 | $25,677 | +68% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
18 | $245,086 | $38,257 | +71% |
|
Other Respiratory System Diagnoses with Major Complications
MS-DRG 205 · Inpatient stay |
17 | $92,749 | $20,984 | +21% |
|
Percutaneous and Other Intracardiac Procedures with Major Complications
MS-DRG 273 · Inpatient stay |
17 | $355,572 | $46,788 | +92% |
|
Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications
MS-DRG 040 · Inpatient stay |
17 | $243,779 | $56,226 | +30% |
|
Minor Skin Disorders without Major Complications
MS-DRG 607 · Inpatient stay |
17 | $64,316 | $11,306 | +69% |
|
Kidney and Urinary Tract Signs and Symptoms without Major Complications
MS-DRG 696 · Inpatient stay |
17 | $49,626 | $9,775 | +102% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
16 | $109,977 | $18,841 | +60% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
16 | $89,771 | $14,923 | +102% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
16 | $169,692 | $25,804 | +112% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
16 | $167,944 | $23,576 | +121% |
|
Other Kidney and Urinary Tract Procedures with Complications
MS-DRG 674 · Inpatient stay |
16 | $191,355 | $29,256 | +96% |
|
Pneumonia (uncomplicated)
MS-DRG 195 · Inpatient stay |
16 | $57,587 | $7,759 | +118% |
|
Other Respiratory System Diagnoses without Major Complications
MS-DRG 206 · Inpatient stay |
16 | $49,224 | $10,764 | +7% |
|
Peripheral, Cranial Nerve and Other Nervous System Procedures with Complications or
MS-DRG 041 · Inpatient stay |
16 | $145,734 | $24,909 | +41% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
16 | $9,115 | $769 | +191% |
|
Cochlear Implant Procedure
APC 5166 · Hospital outpatient visit |
16 | $189,586 | $35,401 | +55% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
15 | $191,339 | $35,168 | +38% |
|
Other Respiratory System Operating Room Procedures with Complications
MS-DRG 167 · Inpatient stay |
15 | $142,324 | $22,044 | +84% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
15 | $109,514 | $28,520 | +7% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures without
MS-DRG 517 · Inpatient stay |
15 | $89,980 | $17,738 | +22% |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
15 | $318,075 | $52,798 | +134% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
15 | $125,736 | $13,414 | +204% |
|
Other Cardiothoracic Procedures with Major Complications
MS-DRG 228 · Inpatient stay |
15 | $379,323 | $63,481 | +68% |
|
Thyroid, Parathyroid and Thyroglossal Procedures with Complications
MS-DRG 626 · Inpatient stay |
15 | $84,288 | $19,884 | +12% |
|
Uterine and Adnexa Procedures for Non-ovarian and Non-adnexal Malignancy with
MS-DRG 740 · Inpatient stay |
15 | $114,754 | $20,230 | +20% |
|
Thyroid, Parathyroid and Thyroglossal Procedures without Complications/mcc
MS-DRG 627 · Inpatient stay |
15 | $47,009 | $15,195 | -39% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.