43/100
#1,495 nationally
Plainview Hospital
888 Old Country Road, Plainview, NY 11803 · (516) 719-3000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Plainview Hospital billed $5.00 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
- 5.0x
- volume-weighted across all its priced work
- Procedures priced
- 94
- inpatient and outpatient combined
- Rank in NY
- #84
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 30% of U.S. hospitals.
Better than 76% of U.S. hospitals.
Better than 31% of U.S. hospitals.
Better than 39% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
532 | $103,356 | $20,748 | +58% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
214 | $80,230 | $13,643 | +85% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
168 | $95,479 | $17,500 | +74% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
126 | $28,756 | $6,164 | -18% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
98 | $19,864 | $3,467 | -21% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
83 | $59,111 | $10,997 | +51% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
79 | $47,073 | $8,267 | +58% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
77 | $79,476 | $13,599 | +71% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
76 | $44,254 | $9,159 | +45% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
73 | $59,717 | $12,552 | +47% |
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 |
|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$80,230 | $13,643 | +85% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$99,413 | $17,926 | +82% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$95,479 | $17,500 | +74% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$55,105 | $8,778 | +74% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$79,476 | $13,599 | +71% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$50,719 | $8,174 | +66% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$60,499 | $10,520 | +63% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$78,143 | $14,619 | +61% |
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 |
$24,024 | $9,298 | -46% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$12,196 | $3,461 | -40% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,362 | $1,729 | -37% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$12,165 | $3,435 | -36% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$30,933 | $7,983 | -22% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$19,864 | $3,467 | -21% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$27,148 | $6,304 | -21% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$28,756 | $6,164 | -18% |
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.