25/100
#2,025 nationally
North Shore University Hospital
300 Community Drive, Manhasset, NY 11030 · (516) 562-0100
Charges far above the national norm
For every $1 of care Medicare actually paid for here, North Shore University Hospital billed $6.51 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
- 6.5x
- volume-weighted across all its priced work
- Procedures priced
- 294
- inpatient and outpatient combined
- Rank in NY
- #110
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 17% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 11% of U.S. hospitals.
Better than 6% 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 |
|---|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
1,623 | $4,078 | $750 | +30% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
1,177 | $179,219 | $25,215 | +175% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
1,154 | $10,266 | $1,769 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
669 | $17,737 | $3,571 | -30% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
651 | $8,981 | $2,252 | -31% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
455 | $144,582 | $17,928 | +233% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
388 | $58,780 | $11,810 | -13% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
374 | $19,615 | $4,379 | -5% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
320 | $57,623 | $14,004 | -8% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
304 | $30,671 | $3,008 | +58% |
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 |
|---|---|---|---|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$391,729 | $49,557 | +390% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
$91,894 | $8,066 | +319% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$134,827 | $18,204 | +274% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 809 · Inpatient stay |
$203,521 | $23,933 | +270% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$145,203 | $13,312 | +256% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$145,131 | $14,898 | +247% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$246,602 | $33,649 | +247% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$117,814 | $13,168 | +241% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$8,981 | $2,252 | -31% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$17,737 | $3,571 | -30% |
|
Level 3 Neurostimulator and Related Procedures
APC 5463 · Hospital outpatient visit |
$42,199 | $13,879 | -28% |
|
Implantation Wireless Pa Pressure Monitor
APC 5200 · Hospital outpatient visit |
$111,405 | $32,608 | -18% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$32,054 | $6,826 | -17% |
|
Cardiac Pacemaker Revision Except Device Replacement with Major Complications
MS-DRG 260 · Inpatient stay |
$206,025 | $34,775 | -17% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$37,947 | $9,821 | -15% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$58,780 | $11,810 | -13% |
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.