28/100
#1,938 nationally
Ns/Lij Hs Southside Hospital
301 East Main Street, Bay Shore, NY 11706 · (631) 968-3000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Ns/Lij Hs Southside Hospital billed $6.04 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
- 6.0x
- volume-weighted across all its priced work
- Procedures priced
- 165
- inpatient and outpatient combined
- Rank in NY
- #106
- 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 20% of U.S. hospitals.
Better than 51% of U.S. hospitals.
Better than 21% of U.S. hospitals.
Better than 18% 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 |
555 | $27,290 | $2,937 | +40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
527 | $137,408 | $20,174 | +111% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
285 | $16,906 | $3,374 | -33% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
180 | $101,073 | $12,977 | +133% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
130 | $118,561 | $17,208 | +115% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
115 | $11,908 | $1,876 | about average |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
102 | $78,826 | $28,653 | about average |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
96 | $155,343 | $21,874 | +104% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
93 | $80,938 | $11,255 | +99% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
92 | $23,369 | $3,309 | -35% |
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 |
|---|---|---|---|
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$233,259 | $22,859 | +189% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$104,505 | $11,081 | +150% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
$86,273 | $8,672 | +146% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$101,073 | $12,977 | +133% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$130,467 | $20,865 | +131% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$130,193 | $17,102 | +131% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
$96,884 | $12,682 | +126% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$135,839 | $15,400 | +121% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$25,482 | $9,194 | -43% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$41,165 | $12,363 | -39% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$24,768 | $7,702 | -36% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$23,369 | $3,309 | -35% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$16,906 | $3,374 | -33% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$23,253 | $6,270 | -33% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$28,714 | $7,694 | -28% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$45,379 | $12,760 | -27% |
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.