15/100
#2,295 nationally
Mount Sinai South Nassau
One Healthy Way, Oceanside, NY 11572 · (516) 632-3000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Mount Sinai South Nassau billed $7.59 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 7.6x
- volume-weighted across all its priced work
- Procedures priced
- 155
- inpatient and outpatient combined
- Rank in NY
- #117
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 14% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 12% of U.S. hospitals.
Better than 14% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,130 | $66,163 | $3,076 | +240% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
1,110 | $149,635 | $20,621 | +129% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
253 | $107,526 | $12,873 | +148% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
229 | $16,478 | $1,827 | +63% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
221 | $117,895 | $12,378 | +74% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
215 | $40,502 | $3,641 | +60% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
178 | $26,593 | $2,122 | +126% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
177 | $122,690 | $16,806 | +123% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
175 | $60,856 | $14,652 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
167 | $89,346 | $11,230 | +128% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$12,503 | $770 | +299% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$66,163 | $3,076 | +240% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$187,013 | $8,772 | +216% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$24,927 | $1,805 | +191% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$86,327 | $9,021 | +190% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
$196,713 | $18,693 | +183% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$99,491 | $7,274 | +178% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$122,692 | $11,065 | +169% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$113,288 | $26,685 | -15% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
$35,688 | $8,513 | -13% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$57,950 | $11,584 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$60,856 | $14,652 | about average |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$29,645 | $5,605 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$42,820 | $8,061 | +7% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$88,131 | $24,581 | +9% |
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay |
$108,112 | $23,371 | +11% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.