25/100
#2,038 nationally
Suny/Stony Brook University Hospital
Health Sciences Center Suny, Stony Brook, NY 11794 · (631) 444-4000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Suny/Stony Brook University Hospital billed $5.46 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
- 5.5x
- volume-weighted across all its priced work
- Procedures priced
- 312
- inpatient and outpatient combined
- Rank in NY
- #111
- 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 28% of U.S. hospitals.
Better than 45% of U.S. hospitals.
Better than 13% of U.S. hospitals.
Better than 5% 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 |
2,025 | $44,619 | $3,013 | +130% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
979 | $151,020 | $27,648 | +131% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
889 | $16,036 | $2,598 | +36% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
614 | $15,715 | $2,251 | +22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
608 | $16,211 | $1,791 | +61% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
534 | $23,207 | $3,626 | -8% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
514 | $107,742 | $18,615 | +148% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
460 | $5,350 | $755 | +71% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
452 | $68,910 | $23,872 | -14% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
424 | $23,108 | $3,857 | +12% |
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 with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
$261,262 | $29,073 | +645% |
|
Alcohol, Drug Abuse or Dependence, Left Ama
MS-DRG 894 · Inpatient stay |
$80,210 | $10,039 | +473% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$191,021 | $27,550 | +429% |
|
Poisoning and Toxic Effects of Drugs without Major Complications
MS-DRG 918 · Inpatient stay |
$134,433 | $25,387 | +279% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$285,893 | $45,866 | +275% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$116,491 | $14,073 | +272% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
$247,740 | $32,455 | +261% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$177,918 | $30,519 | +256% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$51,861 | $23,707 | -36% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$24,951 | $5,796 | -31% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
$61,123 | $22,471 | -29% |
|
Level 4 Breast/lymphatic Surgery and Related Procedures
APC 5094 · Hospital outpatient visit |
$69,593 | $19,634 | -27% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$45,384 | $14,033 | -27% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$85,484 | $31,813 | -21% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$90,351 | $34,573 | -20% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$154,278 | $58,268 | -19% |
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.