How many shoppable procedure prices are published for Nassau University Medical Center?

Nassau University Medical Center in East Meadow, NY currently has 142 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Nassau University Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Nassau University Medical Center's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Nassau University Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Nassau University Medical Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - State 326 Beds · urban Updated: 2025-10-28

Nassau University Medical Center

2201 Hempstead Turnpike, East Meadow, NY 11554 · 142 Priced Procedures · 49% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.78×vs. Fair Market Price

Typical commercial prices here are 22% below the fair benchmark (0.78×) after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 21% of the Time

File Completeness73

Price Logic89

Peer Alignment67

Clean Billing90

Real Cash Discount100

Regional Benchmark Tier

1-Star CMS clinical quality rating paired with 0.78× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Nassau University Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.83× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.99× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#5 of 92 in NY · 4th State Percentile#237 of 3,385 in U.S. · 6th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 22% below peer Fair BaseRate (0.78×)
Self-pay cash beats commercial insurance on 21% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 49% patient recommendation (44/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.78× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.6×) & laboratory (0.8×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Upper-quartile procedures (Q75 0.99×) jump +19% above the median procedure ratio (Q50 0.83×)
Unnegotiated chargemaster list prices average 6.2× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.11× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+19% Upper Tail

Q25 0.68× · Q50 0.83× · Q75 0.99×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

21% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 44/100Watchout

Procedure Prices at Nassau University Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 142 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$37,440	$30,775	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$23,809	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,877	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$21,950	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,467	$8,223	1.2×
C-section delivery (full package) CPT Code: `59510`	—	$3,243	$2,975	1.1×
Total hip replacement CPT Code: `27130`	$3,557	$2,954	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$3,550	$2,954	$13,523	0.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,896	$2,680	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,861	$2,216	$6,109	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,516	$2,006	$3,372	0.6×
Inguinal hernia repair CPT Code: `49505`	$1,477	$2,006	$3,629	0.6×
Trauma team activation HCPCS Code: `G0390`	$3,161	$1,620	$1,453	1.1×
Bunion correction surgery CPT Code: `28296`	$2,387	$1,633	$3,446	0.5×
Breast lump removal CPT Code: `19120`	—	$1,633	$3,875	0.4×
Cataract surgery with lens implant CPT Code: `66984`	$1,433	$1,433	$2,540	0.6×
Colonoscopy with biopsy CPT Code: `45380`	$1,177	$1,340	$1,256	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,026	$1,109	$987	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,281	$1,052	$981	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	—	$820	$855	1.0×
Behavioral health day treatment HCPCS Code: `H0010`	—	$771	$343	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$734	$269	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$642	$1,021	0.6×
Behavioral health residential care HCPCS Code: `H0011`	—	$519	$364	1.4×
Residential mental health treatment HCPCS Code: `H2036`	—	$541	$406	1.3×
Blood transfusion CPT Code: `36430`	$1,120	$517	$498	1.0×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$397	$257	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,160	$405	$511	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,012	$351	$448	0.8×
Rabies immune globulin HCPCS Code: `90375`	$764	$290	$322	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,484	$264	$343	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,622	$258	$338	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,433	$274	$369	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$983	$206	$258	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$825	$213	$303	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$802	$181	$242	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$206	$206	$86	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$400	$180	$166	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,381	$203	$583	0.3×
New patient office visit (30-44 min) CPT Code: `99203`	$244	$153	$110	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$332	$153	$123	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$336	$177	$181	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$352	$143	$151	0.9×
Family therapy session CPT Code: `90847`	$400	$154	$173	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$440	$161	$185	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$641	$185	$272	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$242	$153	$87	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$466	$127	$148	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$480	$104	$123	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$340	$112	$134	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$294	$107	$132	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$657	$126	$160	0.8×
Ultrasound, pelvis CPT Code: `76856`	$294	$102	$130	0.8×
CT scan, pelvis CPT Code: `72192`	$825	$126	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$697	$127	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$834	$127	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$835	$127	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$834	$127	$169	0.8×
Behavioral health assessment HCPCS Code: `H0001`	—	$109	$157	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$203	$81	$86	0.9×
Care planning with family CPT Code: `90887`	$88	$88	$107	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$294	$84	$126	0.7×
Neurobehavioral status check CPT Code: `96116`	$769	$91	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$975	$318	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$212	$212	$116	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$86	$55	$49	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$158	$69	$64	1.1×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$66	$88	0.8×
Group therapy session CPT Code: `90853`	$209	$71	$100	0.7×
Review of medical records for care CPT Code: `90889`	$78	$78	$114	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$75	$75	$140	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$91	$91	$203	0.4×
Psychological testing evaluation CPT Code: `96136`	$319	$61	$128	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$526	$67	$201	0.3×
Psychological testing by technician CPT Code: `96138`	$1,037	$61	$395	0.2×
Flu vaccine injection HCPCS Code: `G0008`	$117	$78	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$117	$82	$49	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$34	$33	1.0×
Speech therapy (group session) CPT Code: `92508`	$70	$27	$27	1.0×
Physical therapy (gait training) CPT Code: `97116`	$83	$33	$33	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$112	$40	$40	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$83	$14	$14	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$100	$37	$38	1.0×
Blood test, vitamin D CPT Code: `82306`	$266	$30	$31	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$101	$36	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$78	$33	$35	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$61	$33	$35	0.9×
Orthotic fitting and training CPT Code: `97760`	$142	$47	$51	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$72	$31	$34	0.9×
Prosthetic fitting and training CPT Code: `97761`	$113	$41	$45	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$63	$32	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$38	$36	$56	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$50	$50	$111	0.5×
Mental health services (assessment) HCPCS Code: `H0031`	—	$49	$140	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$23	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$50	$8	$9	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$19	$22	$25	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$23	$27	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$50	$17	$20	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$37	$32	$39	0.8×
X-ray, hip CPT Code: `73502`	$239	$47	$93	0.5×
X-ray, lower back CPT Code: `72110`	$602	$51	$112	0.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$56	$14	$14	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$577	$39	$93	0.4×
Hepatitis C antibody test CPT Code: `86803`	$114	$12	$15	0.8×
X-ray, shoulder CPT Code: `73030`	$490	$34	$92	0.4×
Culture, blood CPT Code: `87040`	$52	$8	$11	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$56	$17	$25	0.7×
Community mental health services HCPCS Code: `H0038`	—	$9	$16	0.6×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$9	$16	0.6×
X-ray, chest (two views) CPT Code: `71046`	$334	$33	$93	0.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$43	$4	$4	1.0×
Blood test, potassium CPT Code: `84132`	$19	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$19	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$33	$4	$4	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$73	$18	$19	0.9×
Blood test, lipase CPT Code: `83690`	$34	$6	$7	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$35	$13	$16	0.8×
X-ray, hand CPT Code: `73130`	$656	$37	$93	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$35	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$39	$5	$5	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$31	$11	$14	0.8×
X-ray, ankle CPT Code: `73610`	$239	$36	$93	0.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$48	$5	$5	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$24	$10	$10	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$195	$10	$11	0.9×
X-ray, foot CPT Code: `73630`	$239	$33	$92	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$13	$4	$5	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$76	$7	$9	0.8×
Blood test, liver function panel CPT Code: `80076`	$39	$7	$9	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$68	$14	$18	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$90	$6	$8	0.8×
Blood test, amylase CPT Code: `82150`	$171	$5	$7	0.7×
Blood test, magnesium CPT Code: `83735`	$83	$5	$7	0.7×
Blood test, hemoglobin CPT Code: `85018`	$8	$2	$3	0.7×
Behavioral health living support HCPCS Code: `H2019`	—	$12	$34	0.4×
Mental health services (therapy) HCPCS Code: `H0032`	—	$19	$65	0.3×
Blood antibody screen CPT Code: `86850`	$138	$12	$46	0.3×
X-ray, chest (single view) CPT Code: `71045`	$334	$23	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$294	$27	$110	0.2×
Behavioral health day program HCPCS Code: `H2012`	—	$24	$100	0.2×

Showing top 25 high-impact procedures of 142 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Nassau University Medical Center (Zero PHI Required)

CMS CCN: 330027

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $37,440

1. Amount on Your Bill or Quote ($) Pre-filled with Nassau University Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Nassau University Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$59,081 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($89,856) is $59,081 above the denoised Fair BaseRate ($30,775) and 3.8× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 113465690

Public IRS & CMS ownership records classify Nassau University Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall1/5 Stars (1/5)

Safety Composite44/100

Would Recommend49%

Rated 9 or 10 (HCAHPS)46%

Median ER Wait164 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Nassau University Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-11-20·administrative_or_closure
Closure Notice
Recorded
2025-11-12·cap_corrective_action
CAP Request
Recorded
2025-08-06·warning_notice
Warning Notice
Recorded
2024-06-05·administrative_or_closure
Closure Notice
Recorded
2024-05-16·cap_corrective_action
CAP Request
Recorded
2024-02-09·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (837 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Nassau University Medical Center.

Price Index: 0.57× regional baseline

Quality: 20/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

MagnaCare

+100.7%

Median Household Income$143,408U.S. Census ACS

Local Uninsured Share3.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 84/100 · Corroborated CMS CCN 330027 EIN 113465690

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 330027) ↗ Verify IRS Form 990 (EIN 113465690) ↗ CMS HCRIS Cost Reports ↗

Published MRF File113465690-1801857172_nassau-health-care-corporation_standardcharges.csv

Publication / Vintage2025-10-28 · 191.04 MB

Validated Rate Rows4,350 (CMS v2.0.0)

File Integrity Digestbba97d47655e42a54ef8…

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.

Submit MRF Update Correction Policy