Hospital · CCN 330043
South Shore University Hospital
301 East Main Street, Bay Shore, NY 11706 · Suffolk County
Part of Northwell Health · 312 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
133 admission types 51 outpatient services 1 Medicare-file findings
Billed per dollar paid, all admissions
6.04×
$606.0M billed against $100.3M paid across 4,520 Medicare discharges; the national figure is 5.03×.
—
of adults in Suffolk County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
5.7%
uninsured in the county · state 5.7%
$123K
median household income
5.7×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
29.7%
obesity in the countyⓘ
10.0%
diagnosed diabetes (PLACES)
5.7%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
527
$137,408
$20,174
6.8× st 4.8×
291
Heart failure and shock with mcc
180
$101,073
$12,977
7.8× st 5.1×
177
Respiratory infections and inflammations with mcc
130
$118,561
$17,208
6.9× st 4.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
102
$78,826
$28,653
2.8× st 4.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
96
$155,343
$21,874
7.1× st 5.4×
689
Kidney and urinary tract infections with mcc
93
$80,938
$11,255
7.2× st 5.3×
193
Simple pneumonia and pleurisy with mcc
81
$88,759
$13,867
6.4× st 4.9×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
74
$231,533
$48,051
4.8× st 4.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
72
$74,543
$11,057
6.7× st 4.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
72
$287,613
$53,495
5.4× st 4.7×
690
Kidney and urinary tract infections without mcc
70
$64,346
$8,080
8.0× st 5.2×
698
Other kidney and urinary tract diagnoses with mcc
70
$108,275
$16,199
6.7× st 4.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
68
$149,678
$23,072
6.5× st 5.7×
378
Gastrointestinal hemorrhage with cc
65
$76,213
$9,322
8.2× st 5.5×
481
Hip and femur procedures except major joint with cc
64
$106,294
$19,667
5.4× st 4.8×
377
Gastrointestinal hemorrhage with mcc
64
$133,350
$18,294
7.3× st 5.3×
189
Pulmonary edema and respiratory failure
62
$105,562
$12,907
8.2× st 5.0×
682
Renal failure with mcc
59
$89,141
$14,710
6.1× st 5.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
57
$85,009
$14,000
6.1× st 4.8×
274
Percutaneous and other intracardiac procedures without mcc
55
$156,624
$39,171
4.0× st 4.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
53
$57,227
$9,141
6.3× st 5.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
51
$92,864
$10,881
8.5× st 5.7×
236
Coronary bypass without cardiac catheterization without mcc
49
$197,931
$40,990
4.8× st 4.5×
683
Renal failure with cc
45
$67,414
$9,155
7.4× st 5.0×
280
Acute myocardial infarction, discharged alive with mcc
43
$135,839
$15,400
8.8× st 4.9×
309
Cardiac arrhythmia and conduction disorders with cc
42
$56,387
$7,416
7.6× st 5.1×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
37
$295,789
$56,117
5.3× st 4.6×
812
Red blood cell disorders without mcc
37
$62,352
$9,369
6.7× st 5.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
37
$102,811
$20,473
5.0× st 4.8×
552
Medical back problems without mcc
37
$72,829
$9,587
7.6× st 5.3×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
36
$176,540
$27,090
6.5× st 4.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
35
$77,500
$10,910
7.1× st 5.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
35
$177,918
$29,203
6.1× st 4.8×
329
Major small and large bowel procedures with mcc
34
$217,147
$38,704
5.6× st 5.0×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
34
$292,922
$53,783
5.4× st 4.7×
884
Organic disturbances and intellectual disability
34
$85,105
$14,801
5.8× st 4.3×
637
Diabetes with mcc
33
$130,467
$20,865
6.3× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
33
$56,442
$7,634
7.4× st 4.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
33
$84,805
$13,236
6.4× st 5.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
33
$101,286
$15,586
6.5× st 6.1×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
33
$223,983
$41,597
5.4× st 5.0×
308
Cardiac arrhythmia and conduction disorders with mcc
32
$78,732
$12,301
6.4× st 5.4×
603
Cellulitis without mcc
32
$62,740
$9,209
6.8× st 4.7×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
32
$364,243
$63,165
5.8× st 4.2×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
32
$48,950
$8,871
5.5× st 5.2×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
31
$112,641
$22,099
5.1× st 4.6×
082
Traumatic stupor and coma >1 hour with mcc
30
$131,365
$24,110
5.4× st 5.5×
699
Other kidney and urinary tract diagnoses with cc
29
$63,853
$11,703
5.5× st 5.4×
101
Seizures without mcc
29
$76,557
$9,437
8.1× st 5.3×
264
Other circulatory system o.r. procedures
28
$245,242
$34,441
7.1× st 5.7×
057
Degenerative nervous system disorders without mcc
28
$85,511
$12,977
6.6× st 4.7×
235
Coronary bypass without cardiac catheterization with mcc
27
$278,183
$51,118
5.4× st 4.3×
025
Craniotomy and endovascular intracranial procedures with mcc
25
$266,609
$39,464
6.8× st 4.9×
638
Diabetes with cc
25
$58,291
$9,949
5.9× st 4.9×
314
Other circulatory system diagnoses with mcc
25
$128,121
$20,208
6.3× st 5.1×
951
Other factors influencing health status
24
$40,732
$5,598
7.3× st 5.0×
312
Syncope and collapse
24
$78,867
$9,926
7.9× st 5.2×
467
Revision of hip or knee replacement with cc
23
$140,146
$31,096
4.5× st 4.3×
551
Medical back problems with mcc
23
$107,040
$15,674
6.8× st 5.6×
100
Seizures with mcc
23
$233,259
$22,859
10.2× st 4.8×
164
Major chest procedures with cc
23
$129,970
$24,809
5.2× st 4.8×
480
Hip and femur procedures except major joint with mcc
22
$131,549
$26,487
5.0× st 5.3×
190
Chronic obstructive pulmonary disease with mcc
22
$104,505
$11,081
9.4× st 4.7×
273
Percutaneous and other intracardiac procedures with mcc
22
$274,738
$37,235
7.4× st 5.2×
919
Complications of treatment with mcc
21
$131,413
$17,836
7.4× st 5.2×
472
Cervical spinal fusion with cc
21
$135,659
$26,628
5.1× st 4.4×
184
Major chest trauma with cc
21
$68,786
$10,960
6.3× st 5.8×
393
Other digestive system diagnoses with mcc
21
$107,575
$15,802
6.8× st 5.4×
056
Degenerative nervous system disorders with mcc
21
$160,944
$21,251
7.6× st 5.3×
435
Malignancy of hepatobiliary system or pancreas with mcc
21
$129,484
$16,386
7.9× st 6.1×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
21
$139,944
$20,527
6.8× st 6.2×
394
Other digestive system diagnoses with cc
20
$67,123
$7,883
8.5× st 5.4×
163
Major chest procedures with mcc
20
$202,296
$40,505
5.0× st 4.6×
083
Traumatic stupor and coma >1 hour with cc
20
$95,068
$14,342
6.6× st 5.2×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
20
$134,344
$24,498
5.5× st 5.3×
917
Poisoning and toxic effects of drugs with mcc
20
$129,903
$20,307
6.4× st 4.9×
870
Septicemia or severe sepsis with mv >96 hours
19
$386,627
$75,618
5.1× st 4.3×
813
Coagulation disorders
19
$99,740
$16,746
6.0× st 5.4×
054
Nervous system neoplasms with mcc
19
$80,292
$14,438
5.6× st 6.5×
432
Cirrhosis and alcoholic hepatitis with mcc
18
$112,096
$20,831
5.4× st 6.6×
643
Endocrine disorders with mcc
18
$113,989
$15,497
7.4× st 5.8×
811
Red blood cell disorders with mcc
18
$130,193
$17,102
7.6× st 5.4×
330
Major small and large bowel procedures with cc
18
$145,332
$23,453
6.2× st 4.9×
854
Infectious and parasitic diseases with o.r. procedures with cc
18
$115,045
$19,297
6.0× st 5.0×
243
Permanent cardiac pacemaker implant with cc
17
$110,786
$30,815
3.6× st 5.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
17
$129,187
$18,617
6.9× st 5.7×
069
Transient ischemia without thrombolytic
16
$75,534
$8,042
9.4× st 6.2×
270
Other major cardiovascular procedures with mcc
16
$255,196
$62,026
4.1× st 5.0×
536
Fractures of hip and pelvis without mcc
15
$62,720
$8,003
7.8× st 6.0×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
15
$161,301
$32,711
4.9× st 5.2×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
15
$186,972
$33,461
5.6× st 6.0×
196
Interstitial lung disease with mcc
15
$137,518
$18,070
7.6× st 5.9×
194
Simple pneumonia and pleurisy with cc
15
$55,288
$8,164
6.8× st 4.9×
092
Other disorders of nervous system with cc
15
$76,730
$9,654
7.9× st 5.8×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
15
$210,062
$37,998
5.5× st 5.3×
086
Traumatic stupor and coma <1 hour with cc
15
$78,126
$14,767
5.3× st 5.7×
252
Other vascular procedures with mcc
14
$185,555
$32,083
5.8× st 4.8×
178
Respiratory infections and inflammations with cc
14
$67,906
$9,668
7.0× st 5.6×
166
Other respiratory system o.r. procedures with mcc
14
$298,792
$45,787
6.5× st 5.3×
165
Major chest procedures without cc/mcc
14
$62,669
$20,936
3.0× st 4.9×
389
Gastrointestinal obstruction with cc
14
$51,958
$7,929
6.6× st 5.7×
091
Other disorders of nervous system with mcc
14
$126,164
$15,681
8.0× st 5.5×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
14
$86,761
$17,460
5.0× st 5.0×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
13
$1,313,498
$222,975
5.9× st 5.2×
085
Traumatic stupor and coma <1 hour with mcc
13
$109,385
$22,438
4.9× st 5.6×
948
Signs and symptoms without mcc
13
$52,138
$7,809
6.7× st 5.7×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
13
$68,859
$8,968
7.7× st 3.7×
374
Digestive malignancy with mcc
13
$158,524
$22,091
7.2× st 6.4×
602
Cellulitis with mcc
13
$104,268
$15,034
6.9× st 5.6×
460
Spinal fusion except cervical without mcc
13
$160,256
$41,354
3.9× st 4.1×
445
Disorders of the biliary tract with cc
13
$79,811
$10,437
7.6× st 5.8×
261
Cardiac pacemaker revision except device replacement with cc
13
$107,168
$17,694
6.1× st 6.5×
519
Back and neck procedures except spinal fusion with cc
13
$83,495
$16,081
5.2× st 4.6×
673
Other kidney and urinary tract procedures with mcc
13
$242,145
$37,836
6.4× st 5.4×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
12
$117,180
$22,380
5.2× st 5.2×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
12
$143,910
$23,039
6.2× st 5.9×
963
Other multiple significant trauma with mcc
12
$155,992
$24,552
6.4× st 5.6×
444
Disorders of the biliary tract with mcc
12
$115,858
$15,530
7.5× st 5.9×
862
Postoperative and post-traumatic infections with mcc
12
$140,505
$18,732
7.5× st 5.5×
176
Pulmonary embolism without mcc
12
$86,273
$8,672
9.9× st 6.0×
327
Stomach, esophageal and duodenal procedures with cc
12
$128,034
$22,543
5.7× st 5.2×
300
Peripheral vascular disorders with cc
12
$96,884
$12,682
7.6× st 5.3×
299
Peripheral vascular disorders with mcc
12
$86,992
$16,059
5.4× st 5.6×
281
Acute myocardial infarction, discharged alive with cc
12
$64,617
$10,211
6.3× st 5.1×
271
Other major cardiovascular procedures with cc
12
$191,886
$34,080
5.6× st 4.1×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
12
$221,338
$47,866
4.6× st 4.4×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
12
$806,019
$166,479
4.8× st 4.6×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
12
$384,235
$67,607
5.7× st 4.2×
071
Other cerebrovascular disorders with cc
11
$77,759
$10,688
7.3× st 5.4×
454
Combined anterior and posterior spinal fusion with cc
11
$210,017
$45,892
4.6× st 4.0×
253
Other vascular procedures with cc
11
$130,665
$25,411
5.1× st 4.8×
242
Permanent cardiac pacemaker implant with mcc
11
$232,450
$31,813
7.3× st 5.0×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
11
$76,893
$9,495
8.1× st 4.9×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
555
$27,290
$2,937
9.3×
5191
Level 1 Endovascular Procedures
285
$16,906
$3,374
5.0×
5302
Level 2 Upper GI Procedures
115
$11,908
$1,876
6.3×
5184
Level 4 Vascular Procedures
92
$23,369
$3,309
7.1×
5361
Level 1 Laparoscopy and Related Services
61
$34,706
$6,409
5.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
56
$13,448
$1,721
7.8×
5414
Level 4 Gynecologic Procedures
54
$16,835
$3,155
5.3×
5222
Level 2 Pacemaker and Similar Procedures
50
$57,705
$9,238
6.2×
5375
Level 5 Urology and Related Services
44
$20,950
$5,612
3.7×
5154
Level 4 Airway Endoscopy
38
$18,786
$4,108
4.6×
5192
Level 2 Endovascular Procedures
38
$23,253
$6,270
3.7×
5112
Level 2 Musculoskeletal Procedures
37
$12,966
$1,762
7.4×
5114
Level 4 Musculoskeletal Procedures
36
$28,714
$7,694
3.7×
5303
Level 3 Upper GI Procedures
32
$17,205
$4,095
4.2×
5374
Level 4 Urology and Related Services
26
$16,054
$3,779
4.2×
5113
Level 3 Musculoskeletal Procedures
25
$15,739
$3,062
5.1×
5183
Level 3 Vascular Procedures
25
$17,672
$3,244
5.4×
5193
Level 3 Endovascular Procedures
25
$41,165
$12,363
3.3×
5182
Level 2 Vascular Procedures
22
$11,108
$1,802
6.2×
5373
Level 3 Urology and Related Services
21
$13,727
$2,238
6.1×
5153
Level 3 Airway Endoscopy
20
$13,836
$1,682
8.2×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
20
$26,154
$3,738
7.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
20
$22,521
$3,198
7.0×
5362
Level 2 Laparoscopy and Related Services
19
$45,889
$10,008
4.6×
5331
Complex GI Procedures
19
$24,284
$6,414
3.8×
5155
Level 5 Airway Endoscopy
16
$24,768
$7,702
3.2×
5376
Level 6 Urology and Related Services
15
$25,482
$9,194
2.8×
5313
Level 3 Lower GI Procedures
15
$17,689
$2,907
6.1×
5431
Level 1 Nerve Procedures
14
$10,101
$1,242
8.1×
5223
Level 3 Pacemaker and Similar Procedures
13
$56,493
$10,406
5.4×
5115
Level 5 Musculoskeletal Procedures
13
$45,379
$12,760
3.6×
5213
Level 3 Electrophysiologic Procedures
11
$163,748
$24,378
6.7×
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
03 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 100
info
inp_charge_10x_payment
average charge $233,259 is 10.2× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.