Long Island Community Hospital
101 Hospital Road, Patchogue, NY 11772 · 122 Priced Procedures · 49% Patient Recommendation
Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 0.88× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Long Island Community Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.89× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.94× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 12% below peer Fair BaseRate (0.88×)
- Self-pay cash beats commercial insurance on 71% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 49% patient recommendation (55/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (9.5% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Commercial insurance median sits at 0.89× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.9× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 14.0× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Long Island Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $18,816 | 1.0× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $17,879 | 0.9× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $17,337 | 1.0× |
| Total hip replacement CPT Code: 27130 | $12,540 | 0.9× |
| Total knee replacement CPT Code: 27447 | $12,540 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $7,695 | 0.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,551 | 1.1× |
| Breast lump removal CPT Code: 19120 | $4,901 | 1.3× |
| Inguinal hernia repair CPT Code: 49505 | $3,296 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,084 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $3,084 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,220 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $2,206 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,851 | 1.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,464 | 1.5× |
| Trauma team activation HCPCS Code: G0390 | $1,304 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $996 | 1.0× |
| Injection procedure for pain management HCPCS Code: G0260 | $703 | 0.8× |
| Blood transfusion CPT Code: 36430 | $414 | 0.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $366 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $366 | 0.7× |
| Neurobehavioral status check CPT Code: 96116 | $299 | 1.3× |
| Rabies immune globulin HCPCS Code: 90375 | $288 | 0.9× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $266 | unverified |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $220 | 1.8× |
Audit a Bill or Quote at Long Island Community Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $4,290
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (9.5% of gross = $4,290).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Long Island Community Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($45,158) is $26,071 above the denoised Fair BaseRate ($19,087) and 3.2× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (9.5% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (776 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Long Island Community Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.