34/100
#1,778 nationally
Peconic Bay Medical Center
1 Heros Way, Riverhead, NY 11901 · (631) 548-6000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Peconic Bay Medical Center billed $5.59 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
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 123
- inpatient and outpatient combined
- Rank in NY
- #95
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 25% of U.S. hospitals.
Better than 54% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 35% 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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
886 | $14,300 | $2,363 | +22% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
598 | $35,187 | $2,841 | +81% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
448 | $108,715 | $19,348 | +67% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
348 | $52,092 | $13,252 | -17% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
229 | $72,227 | $18,856 | -10% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
209 | $21,955 | $3,407 | -13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
207 | $73,323 | $12,575 | +69% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
129 | $64,681 | $10,251 | +65% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
126 | $50,765 | $7,958 | +70% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
114 | $27,370 | $5,949 | -22% |
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 |
|---|---|---|---|
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$109,349 | $16,206 | +99% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$92,276 | $12,890 | +98% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$79,323 | $10,956 | +90% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$60,593 | $8,764 | +84% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$57,750 | $8,375 | +82% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
$59,963 | $9,018 | +81% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$35,187 | $2,841 | +81% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$62,534 | $9,827 | +81% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$34,681 | $11,483 | -42% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$20,872 | $6,541 | -39% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$17,245 | $3,676 | -26% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$75,635 | $19,634 | -26% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$14,425 | $3,160 | -25% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$27,370 | $5,949 | -22% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
$107,927 | $33,183 | -17% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$16,938 | $3,615 | -17% |
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.