PayerPrice
Data Platform
Who We Serve
Use Cases
More

Data Search

ProceduresSpecialtiesHospitalsPayers

Company

About UsContact

Resources

BlogResource Hub
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Long Island Jewish Medical Center

Northwell Health · New Hyde Park, NY

270-05 76th Avenue, New Hyde Park, NY 11040(718) 470-7000

4 of 5

CMS star rating

1,517

Beds

76,792

Inpatient discharges a year

$3.6B

Net patient revenue a year

35

In-network payers

About this hospital

Long Island Jewish Medical Center is a 1517-bed voluntary non-profit - private hospital in New Hyde Park, NY, affiliated with Northwell Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 380 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
330195
NPI
1285641514
Health system
Northwell Health
Teaching
Major teaching hospital
County
Queens County
Metro area
New York-Newark-Jersey City, NY-NJ MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2024

Prices for common services

The 24 services Long Island Jewish Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$17,875 - $22,795

from 4 insurers · median $21,863

Cigna$17,875
Insurer A*$21,668
Insurer B*$22,059
Insurer C*$22,795

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$25,421 - $32,417

from 4 insurers · median $31,772

Cigna$25,421
Insurer A*$31,308
Insurer B*$32,237
Insurer C*$32,417

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,416 - $25,033

from 4 insurers · median $15,521

Blue Cross$25,033
Insurer A*$4,416
Insurer B*$11,976
Insurer C*$19,065
Medicare $3,805Nearby hospitals $6,497139% above nearby hospitals

156 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$50,894 - $69,840

from 4 insurers · median $66,020

Aetna$69,840
Insurer A*$50,894
Insurer B*$63,244
Insurer C*$68,796
Medicare $15,854Nearby hospitals $48,56636% above nearby hospitals

130 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Long Island Jewish Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*17
298%
47
Insurer B*23
268%
119
Insurer C*24
207%
117
Insurer D*24
114%
417

How we chose these services: 12 appear in this hospital's own Medicare claims, 7 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Long Island Jewish Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    4 of 5 stars

    • 252 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.35%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 50 services
    • 2,452 affiliated clinicians
    See doctors and services

  • Finances

    $3.6B net patient revenue

    • Operating margin on patient care -35.5%
    • $267M unreimbursed and uncompensated care
    • $228.1M net income
    See finances

  • Ownership and leadership

    Owned by Northwell Health Inc

    • Private (not for profit)
    • Michele L Cusack, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Long Island Jewish Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
11-2241326Long Island Jewish Medical Center56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 51 more1396753224 Long Island Jewish Medical Center1285641514 Long Island Jewish Medical Center1174530349 Long Island Jewish Medical Centerand 31 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

270-05 76th Avenue, New Hyde Park, NY 11040

(718) 470-7000

Get directions

Frequently asked questions

About Long Island Jewish Medical Center's rates and hospital price transparency.

How much does a CT scan cost at Long Island Jewish Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Long Island Jewish Medical Center range from $411 to $778 across 4 insurers. Aetna's rate is $411. The median at nearby comparable hospitals is $1,152. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Long Island Jewish Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Long Island Jewish Medical Center range from $3,269 to $4,403 across 3 insurers. UnitedHealthcare's rate is $4,403. The median at nearby comparable hospitals is $4,873. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Long Island Jewish Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Long Island Jewish Medical Center range from $17,875 to $22,795 across 4 insurers. Cigna's rate is $17,875. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Long Island Jewish Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Long Island Jewish Medical Center range from $155 to $273 across 4 insurers. Blue Cross Blue Shield's rate is $230. The median at nearby comparable hospitals is $423. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Long Island Jewish Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Long Island Jewish Medical Center range from $50,894 to $69,840 across 4 insurers. Aetna's rate is $69,840. The median at nearby comparable hospitals is $48,566. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Long Island Jewish Medical Center's CMS star rating?

Long Island Jewish Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Long Island Jewish Medical Center a teaching hospital?

Yes. CMS counts 0.53 Medicare-funded residents per bed at Long Island Jewish Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Long Island Jewish Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Long Island Jewish Medical Center's base inpatient payments by an estimated 0.35% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Long Island Jewish Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (1,307 discharges), heart failure and shock with mcc (412 discharges), respiratory infections and inflammations with mcc (224 discharges).

What is Long Island Jewish Medical Center's case mix index?

Long Island Jewish Medical Center's Medicare case mix index is 1.77 for fiscal year 2027, higher than 60% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster