38/100
#1,661 nationally
St Charles Hospital
200 Belle Terre Road, Port Jefferson, NY 11777 · (631) 474-6000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, St Charles Hospital billed $5.07 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
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 63
- inpatient and outpatient combined
- Rank in NY
- #89
- 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 30% of U.S. hospitals.
Better than 64% of U.S. hospitals.
Better than 30% of U.S. hospitals.
Better than 21% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
284 | $65,199 | $14,443 | +4% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
218 | $25,641 | $3,046 | +32% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
195 | $84,142 | $19,584 | +29% |
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
136 | $90,867 | $14,452 | +159% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
133 | $13,389 | $2,156 | +18% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
98 | $41,911 | $6,444 | +19% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
89 | $33,083 | $7,990 | -17% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
88 | $26,602 | $5,727 | -3% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
79 | $17,125 | $3,854 | -17% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
79 | $11,123 | $1,795 | about average |
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 |
|---|---|---|---|
|
Alcohol, Drug Abuse or Dependence, Left Ama
MS-DRG 894 · Inpatient stay |
$51,280 | $7,688 | +267% |
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
$90,867 | $14,452 | +159% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$95,307 | $13,194 | +69% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$299,679 | $56,109 | +68% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$187,813 | $32,052 | +67% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$50,714 | $8,523 | +54% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$123,151 | $18,088 | +53% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$65,124 | $11,993 | +50% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$37,237 | $14,366 | -25% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$17,125 | $3,854 | -17% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$33,083 | $7,990 | -17% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$12,465 | $2,610 | -14% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$15,878 | $3,174 | -10% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$17,072 | $3,492 | -6% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
$39,391 | $8,670 | -4% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$80,256 | $20,762 | -3% |
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.