Hospital · CCN 330107
Peconic Bay Medical Center
1 Heros Way, Riverhead, NY 11901 · Suffolk County
Part of Northwell Health · 130 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
93 admission types 52 outpatient services price file: failed
Billed per dollar paid, all admissions
5.51×
$267.2M billed against $48.5M paid across 3,478 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
448
$108,715
$19,348
5.6× st 4.8×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
229
$72,227
$18,856
3.8× st 4.7×
291
Heart failure and shock with mcc
207
$73,323
$12,575
5.8× st 5.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
129
$64,681
$10,251
6.3× st 4.9×
690
Kidney and urinary tract infections without mcc
126
$50,765
$7,958
6.4× st 5.2×
193
Simple pneumonia and pleurisy with mcc
85
$92,276
$12,890
7.2× st 4.9×
689
Kidney and urinary tract infections with mcc
78
$64,126
$11,549
5.6× st 5.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
76
$42,434
$8,233
5.2× st 5.2×
603
Cellulitis without mcc
74
$41,305
$8,584
4.8× st 4.7×
177
Respiratory infections and inflammations with mcc
73
$109,349
$16,206
6.7× st 4.9×
378
Gastrointestinal hemorrhage with cc
71
$59,808
$9,689
6.2× st 5.5×
312
Syncope and collapse
66
$47,862
$8,854
5.4× st 5.2×
683
Renal failure with cc
62
$60,593
$8,764
6.9× st 5.0×
190
Chronic obstructive pulmonary disease with mcc
59
$79,323
$10,956
7.2× st 4.7×
682
Renal failure with mcc
51
$76,202
$14,223
5.4× st 5.1×
698
Other kidney and urinary tract diagnoses with mcc
49
$80,975
$15,144
5.3× st 4.9×
552
Medical back problems without mcc
49
$56,381
$9,467
6.0× st 5.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
47
$74,254
$13,251
5.6× st 4.8×
377
Gastrointestinal hemorrhage with mcc
43
$89,065
$16,851
5.3× st 5.3×
309
Cardiac arrhythmia and conduction disorders with cc
41
$46,232
$7,193
6.4× st 5.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
40
$51,894
$8,436
6.2× st 5.2×
481
Hip and femur procedures except major joint with cc
39
$100,299
$18,571
5.4× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
39
$48,117
$9,041
5.3× st 4.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
38
$75,635
$19,634
3.9× st 4.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
37
$59,735
$11,379
5.3× st 5.6×
699
Other kidney and urinary tract diagnoses with cc
33
$49,639
$9,918
5.0× st 5.4×
189
Pulmonary edema and respiratory failure
33
$79,756
$12,859
6.2× st 5.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
33
$77,322
$10,467
7.4× st 5.7×
194
Simple pneumonia and pleurisy with cc
33
$57,750
$8,375
6.9× st 4.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
30
$179,323
$45,367
4.0× st 4.7×
638
Diabetes with cc
29
$62,534
$9,827
6.4× st 4.9×
948
Signs and symptoms without mcc
28
$38,712
$7,805
5.0× st 5.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
26
$100,004
$16,590
6.0× st 5.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
26
$105,301
$17,879
5.9× st 4.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
26
$105,553
$18,750
5.6× st 5.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
25
$32,363
$5,363
6.0× st 5.4×
069
Transient ischemia without thrombolytic
25
$54,900
$7,894
7.0× st 6.2×
178
Respiratory infections and inflammations with cc
24
$63,767
$8,944
7.1× st 5.6×
191
Chronic obstructive pulmonary disease with cc
24
$57,772
$8,413
6.9× st 4.8×
812
Red blood cell disorders without mcc
23
$48,854
$8,251
5.9× st 5.2×
308
Cardiac arrhythmia and conduction disorders with mcc
23
$69,106
$10,819
6.4× st 5.4×
536
Fractures of hip and pelvis without mcc
23
$51,572
$7,247
7.1× st 6.0×
329
Major small and large bowel procedures with mcc
22
$231,157
$38,653
6.0× st 5.0×
394
Other digestive system diagnoses with cc
22
$66,862
$10,019
6.7× st 5.4×
149
Dysequilibrium
21
$43,358
$7,257
6.0× st 6.4×
176
Pulmonary embolism without mcc
21
$47,806
$7,398
6.5× st 6.0×
467
Revision of hip or knee replacement with cc
20
$107,927
$33,183
3.3× st 4.3×
313
Chest pain
20
$31,838
$7,496
4.2× st 4.9×
305
Hypertension without mcc
20
$44,795
$7,186
6.2× st 5.3×
811
Red blood cell disorders with mcc
20
$72,874
$13,350
5.5× st 5.4×
389
Gastrointestinal obstruction with cc
20
$56,053
$8,408
6.7× st 5.7×
100
Seizures with mcc
19
$93,456
$18,189
5.1× st 4.8×
057
Degenerative nervous system disorders without mcc
19
$85,986
$13,100
6.6× st 4.7×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
18
$48,078
$8,704
5.5× st 4.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
18
$67,780
$13,587
5.0× st 5.4×
393
Other digestive system diagnoses with mcc
18
$77,930
$16,964
4.6× st 5.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$82,672
$12,218
6.8× st 6.1×
101
Seizures without mcc
17
$59,228
$9,498
6.2× st 5.3×
092
Other disorders of nervous system with cc
17
$52,941
$11,757
4.5× st 5.8×
884
Organic disturbances and intellectual disability
16
$60,023
$15,431
3.9× st 4.3×
315
Other circulatory system diagnoses with cc
15
$57,931
$9,867
5.9× st 6.1×
180
Respiratory neoplasms with mcc
15
$110,942
$15,941
7.0× st 5.9×
331
Major small and large bowel procedures without cc/mcc
15
$77,677
$16,043
4.8× st 4.1×
330
Major small and large bowel procedures with cc
15
$118,706
$24,339
4.9× st 4.9×
184
Major chest trauma with cc
15
$64,891
$8,620
7.5× st 5.8×
280
Acute myocardial infarction, discharged alive with mcc
15
$83,667
$14,985
5.6× st 4.9×
551
Medical back problems with mcc
14
$100,349
$14,199
7.1× st 5.6×
195
Simple pneumonia and pleurisy without cc/mcc
14
$47,629
$6,425
7.4× st 6.0×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
13
$61,243
$10,211
6.0× st 5.2×
637
Diabetes with mcc
13
$75,698
$12,367
6.1× st 4.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
13
$59,960
$6,147
9.8× st 6.2×
482
Hip and femur procedures except major joint without cc/mcc
13
$90,766
$15,425
5.9× st 5.1×
390
Gastrointestinal obstruction without cc/mcc
13
$31,032
$5,454
5.7× st 5.5×
300
Peripheral vascular disorders with cc
13
$61,161
$10,102
6.1× st 5.3×
299
Peripheral vascular disorders with mcc
13
$66,283
$15,884
4.2× st 5.6×
292
Heart failure and shock with cc
13
$59,963
$9,018
6.6× st 6.4×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$202,481
$42,789
4.7× st 5.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$156,452
$27,358
5.7× st 4.8×
602
Cellulitis with mcc
12
$68,829
$12,822
5.4× st 5.6×
282
Acute myocardial infarction, discharged alive without cc/mcc
12
$54,412
$7,140
7.6× st 4.9×
202
Bronchitis and asthma with cc/mcc
11
$49,412
$8,809
5.6× st 5.4×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
11
$48,117
$9,134
5.3× st 3.7×
460
Spinal fusion except cervical without mcc
11
$159,453
$41,219
3.9× st 4.1×
462
Bilateral or multiple major joint procedures of lower extremity without mcc
11
$111,184
$31,226
3.6× st 3.8×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
11
$68,879
$12,414
5.5× st 5.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
11
$125,347
$29,247
4.3× st 4.9×
103
Headaches without mcc
11
$63,671
$7,933
8.0× st 6.8×
314
Other circulatory system diagnoses with mcc
11
$79,980
$21,176
3.8× st 5.1×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
11
$66,134
$10,052
6.6× st 5.6×
521
Hip replacement with principal diagnosis of hip fracture with mcc
11
$169,851
$27,936
6.1× st 5.9×
252
Other vascular procedures with mcc
11
$194,349
$36,941
5.3× st 4.8×
244
Permanent cardiac pacemaker implant without cc/mcc
11
$89,895
$14,502
6.2× st 4.9×
281
Acute myocardial infarction, discharged alive with cc
11
$62,869
$9,417
6.7× st 5.1×
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
5491
Level 1 Intraocular Procedures
886
$14,300
$2,363
6.1×
8011
Comprehensive Observation Services
598
$35,187
$2,841
12.4×
5115
Level 5 Musculoskeletal Procedures
348
$52,092
$13,252
3.9×
5191
Level 1 Endovascular Procedures
209
$21,955
$3,407
6.4×
5361
Level 1 Laparoscopy and Related Services
114
$27,370
$5,949
4.6×
5112
Level 2 Musculoskeletal Procedures
87
$12,470
$1,694
7.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
74
$16,774
$1,631
10.3×
5222
Level 2 Pacemaker and Similar Procedures
68
$53,216
$8,755
6.1×
5431
Level 1 Nerve Procedures
59
$10,281
$1,953
5.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
49
$17,245
$3,676
4.7×
5193
Level 3 Endovascular Procedures
49
$60,185
$11,276
5.3×
5374
Level 4 Urology and Related Services
49
$21,458
$3,640
5.9×
5183
Level 3 Vascular Procedures
44
$14,425
$3,160
4.6×
5114
Level 4 Musculoskeletal Procedures
42
$35,092
$7,440
4.7×
5375
Level 5 Urology and Related Services
40
$29,718
$5,779
5.1×
5223
Level 3 Pacemaker and Similar Procedures
29
$61,869
$8,721
7.1×
5373
Level 3 Urology and Related Services
28
$10,791
$2,249
4.8×
5302
Level 2 Upper GI Procedures
27
$10,425
$2,086
5.0×
5113
Level 3 Musculoskeletal Procedures
25
$16,938
$3,615
4.7×
5414
Level 4 Gynecologic Procedures
25
$18,204
$3,380
5.4×
5116
Level 6 Musculoskeletal Procedures
24
$93,145
$19,965
4.7×
5313
Level 3 Lower GI Procedures
23
$15,706
$2,710
5.8×
5194
Level 4 Endovascular Procedures
20
$88,862
$17,747
5.0×
5182
Level 2 Vascular Procedures
19
$8,926
$1,714
5.2×
5192
Level 2 Endovascular Procedures
18
$35,633
$6,101
5.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
17
$19,999
$2,876
7.0×
5200
Implantation Wireless PA Pressure Monitor
14
$153,660
$30,167
5.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
14
$27,986
$3,378
8.3×
5362
Level 2 Laparoscopy and Related Services
12
$34,681
$11,483
3.0×
5165
Level 5 ENT Procedures
12
$20,872
$6,541
3.2×
5303
Level 3 Upper GI Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5213
Level 3 Electrophysiologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
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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)
- · fetched 2026-08-23 · blocked
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 · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.