Northwell Health · Plainview, NY
4 of 5
CMS star rating
156
Beds
9,083
Inpatient discharges a year
$286.8M
Net patient revenue a year
29
In-network payers
Plainview Hospital is a 156-bed voluntary non-profit - private hospital in Plainview, NY, affiliated with Northwell Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 327 disclosed rate categories.
The 24 services Plainview Hospital 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
MS-DRG 807
$14,275 - $20,780
from 4 insurers · median $18,303
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
MS-DRG 788
$22,187 - $29,551
from 4 insurers · median $25,581
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
CPT 58558
$7,274 - $23,888
from 4 insurers · median $13,474
30 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$8,212 - $25,580
from 4 insurers · median $19,507
126 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$36,404 - $66,329
from 4 insurers · median $57,804
34 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 47563
$8,212 - $28,200
from 4 insurers · median $22,571
126 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$14,275 - $20,780
from 4 insurers · median $18,303
CMS lists this service as CPT 59610, 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
Digestive procedures
CPT 49650
$6,496 - $8,552
from 3 insurers · median $7,397
126 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$94,885 - $95,831
from 2 insurers · median $95,358
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 49505
$3,972 - $7,397
from 3 insurers · median $5,496
43 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$46,054 - $75,243
from 4 insurers · median $60,909
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$2,739 - $5,017
from 3 insurers · median $3,269
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$551 - $778
from 4 insurers · median $671
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$416 - $2,600
from 3 insurers · median $1,377
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,739 - $7,397
from 3 insurers · median $3,013
Common here, based on CMS Medicare volume
Urology
CPT 50590
$7,397 - $18,623
from 3 insurers · median $7,882
52 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$2,818 - $7,036
from 4 insurers · median $3,645
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$6,496 - $22,807
from 4 insurers · median $14,416
Typical for a hospital with this service line
CT imaging
CPT 70450
$139 - $232
from 4 insurers · median $223
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,542 - $24,242
from 3 insurers · median $8,869
Typical for a hospital with this service line
Mammography
CPT 77067
$197 - $273
from 4 insurers · median $213
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,397 - $5,017
from 3 insurers · median $3,382
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$6,496 - $25,033
from 4 insurers · median $13,804
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$6,928 - $30,679
from 4 insurers · median $22,662
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 15 | 319% | 8 | 2 |
| Insurer B* | 23 | 317% | 11 | 4 |
| Insurer C* | 24 | 218% | 17 | 4 |
| Insurer D* | 24 | 203% | 12 | 6 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 9 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 Plainview Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$286.8M net patient revenue
Ownership and leadership
Owned by Northwell Health Inc
The employer identification numbers (EINs) health plans and networks list for Plainview Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 11-3241243Plainview Hospital | 51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 46 more | 1083621130 Plainview Hospital1801804364 Nsuh @ Plainview Psychiatric Unit |
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.
888 Old Country Road, Plainview, NY 11803
(516) 719-3000
How Plainview Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 2 of 6 measures
2 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 2 of 7 measures
2 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 8 measures
1 better, 7 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
68%
Lower than 61% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.94
Lower than 61% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
245 min
Higher than 94% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
58%
Lower than 66% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | Better on 2 of 6 measures | |
| Safety | Better on 2 of 7 measures | |
| Readmissions | Better on 1 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 68% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.94 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 245 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 58% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Plainview Hospital's inpatient payments for its readmissions, quality and cost results.
-0.08% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.85% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Plainview Hospital, beside the US median and the average of NY hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Plainview Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 65 cases | 3.4 | 4.1 | 3.952 | Better than 82% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,883 cases | 3.1 | 3.9 | 3.707 | Better than 90% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 134 cases | 10 | 11.8 | 11.31 | Better than 95% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 1.91 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 120 cases | 7.6 | 8.5 | 8.316 | Better than 74% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 519 cases | 9.9 | 11 | 10.43 | Better than 71% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 719 cases | 12.9 | 15.2 | 14.6 | Better than 82% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 205 cases | 12.1 | 11.6 | 11.03 | Worse than 57% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 6,083 cases | 0.73 | 0.51 | 0.9123 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 184 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 6,802 cases | 0.16 | 0.2 | 0.2101 | No Different Than the National Rate | Better than 90% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 6,940 cases | 0.21 | 0.27 | 0.2858 | No Different Than the National Rate | Better than 96% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 732 cases | 1.94 | 2.29 | 2.43 | No Different Than the National Rate | Better than 89% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 58 cases | 1.66 | 1.63 | 1.674 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 64 cases | 8.47 | 8.88 | 9.324 | No Different Than the National Rate | Better than 61% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 736 cases | 2.58 | 3.4 | 3.686 | No Different Than the National Rate | Better than 94% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 54 cases | 5.04 | 5.105 | 5.465 | No Different Than the National Rate | Better than 56% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 198 cases | 2.01 | 1.72 | 1.729 | No Different Than the National Rate | Worse than 87% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 898 cases | 1.08 | 1.02 | 1.053 | No Different Than the National Rate | Worse than 73% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Plainview Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 94 cases | 6.7 | 4.2 | 10.66 | Worse than 54% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 556 cases | -0.2 | 1.25 | 26.25 | Better than 52% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 720 cases | -11.3 | 3.85 | 27.98 | Better than 71% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 496 cases | 12.7 | 12.9 | 12.82 | No Different Than the National Rate | Better than 63% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.22 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.026 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 240 cases | 0.9 | 1 | 0.9336 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 139 cases | 14.9 | 14.4 | 14.47 | Worse than 74% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.69 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 131 cases | 19.4 | 19.8 | 20.27 | Better than 68% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 639 cases | 21.7 | 21.3 | 21.89 | Worse than 61% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 65 cases | 6.5 | 5.8 | 5.589 | Worse than 84% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 810 cases | 16.1 | 17.2 | 17.78 | Better than 91% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Plainview Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2612 | No Different than National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.218 | 1.504 | 1.692 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,709 | 1,370 | 8,161 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.459 | 0.9835 | 8.553 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.683 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.5488 | No Different than National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1924 | Better than the National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.567 | 1.392 | 1.442 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 5,123 | 1,799 | 8,098 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 5.283 | 1.377 | 10.38 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.583 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.4307 | Better than the National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.028 | 0.2345 | 0.2752 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.763 | 2.135 | 2.411 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 72 | 61 | 149 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.785 | 1.591 | 3.939 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 2.941 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.56 | 0.7155 | 0.7341 | No Different than National Benchmark | Better than 60% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4218 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.517 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 22 | 38 | 90.43 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.2 | 0.328 | 0.7508 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.708 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.049 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.023 | 0.193 | 0.2613 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.221 | 1.855 | 1.903 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 41,773 | 14,451 | 80,977 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.221 | 0.567 | 5.587 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.796 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.45 | 0.597 | 0.6195 | No Different than National Benchmark | Better than 63% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.002 | 0.127 | 0.1972 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.228 | 0.747 | 0.8371 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 41,773 | 13,646 | 73,951 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 21.64 | 5.683 | 38.28 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 12.57 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.046 | 0.279 | 0.3563 | Better than the National Benchmark | Better than 79% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Plainview Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 770 cases | 72 | 73 | 68.99 | Worse than 53% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 770 cases | 7 | 8 | 10.19 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 770 cases | 21 | 18 | 20.83 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 770 cases | 88 | 87 | 84.97 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 770 cases | 4 | 4 | 3.044 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 770 cases | 78 | 80 | 76.99 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 770 cases | 91 | 91 | 89.97 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 770 cases | 5 | 4 | 5.71 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 770 cases | 3 | 3 | 2.889 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 770 cases | 17 | 16 | 17.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 770 cases | 76 | 79 | 76.68 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 770 cases | 90 | 91 | 89.46 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 770 cases | 7 | 5 | 6.31 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 770 cases | 3 | 3 | 2.674 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 770 cases | 17 | 16 | 17.01 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 770 cases | 58 | 61 | 58.86 | Worse than 66% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 770 cases | 75 | 77 | 74.78 | Worse than 63% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 770 cases | 22 | 19 | 21.9 | Worse than 65% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 770 cases | 2 | 3 | 2.274 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 770 cases | 20 | 19 | 19.23 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 770 cases | 86 | 86 | 83.85 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 770 cases | 13 | 13 | 15.46 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 770 cases | 3 | 3 | 2.896 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 770 cases | 87 | 87 | 84.54 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 770 cases | 12 | 14 | 16.81 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 770 cases | 88 | 86 | 83.19 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 770 cases | 73 | 74 | 71.59 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 770 cases | 8 | 7 | 8.014 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 770 cases | 19 | 19 | 20.4 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 770 cases | 74 | 77 | 74.66 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 770 cases | 7 | 6 | 6.893 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 770 cases | 19 | 17 | 18.44 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 770 cases | 82 | 85 | 82.9 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 770 cases | 4 | 3 | 4.479 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 770 cases | 14 | 11 | 12.62 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 770 cases | 12 | 8 | 10.63 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 770 cases | 22 | 20 | 23.59 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 770 cases | 66 | 72 | 65.78 | Worse than 72% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 770 cases | 86 | 88 | 85.79 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 770 cases | 3 | 3 | 2.815 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 770 cases | 73 | 74 | 72.21 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 770 cases | 10 | 9 | 11.03 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 770 cases | 17 | 16 | 16.76 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 770 cases | 76 | 75 | 72.71 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 770 cases | 7 | 5 | 7.086 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 770 cases | 17 | 20 | 20.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 770 cases | 75 | 77 | 73.59 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 770 cases | 5 | 4 | 6.164 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 770 cases | 20 | 19 | 20.24 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 770 cases | 83 | 86 | 83.55 | Worse than 72% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 770 cases | 3 | 3 | 4 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 770 cases | 14 | 11 | 12.45 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 770 cases | 46 | 59 | 49.08 | Worse than 88% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 770 cases | 20 | 9 | 16.57 | Worse than 92% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 770 cases | 34 | 31 | 34.35 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 770 cases | 73 | 82 | 75.47 | Worse than 91% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 770 cases | 2 | 3 | 2.296 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 770 cases | 6 | 5 | 7.297 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 770 cases | 68 | 71 | 66.23 | Worse than 61% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 770 cases | 86 | 87 | 84.56 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 770 cases | 26 | 23 | 26.48 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 770 cases | 3 | 4 | 3.096 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 770 cases | 43 | 47 | 44.58 | Worse than 70% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 770 cases | 34 | 30 | 33.46 | Worse than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 770 cases | 23 | 22 | 21.96 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 770 cases | 3 | 3 | 2.8 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 770 cases | 14 | 12 | 14.29 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 770 cases | 86 | 88 | 85.71 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Plainview Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 7.9 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 2,169 cases | 1 | 1 | 1.158 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,900 cases | 67 | 79 | 69.3 | Worse than 68% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 375 cases | 249 | 154 | 206 | Worse than 94% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 351 cases | 245 | 148 | 200 | Worse than 94% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 326 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 17 cases | 310 | 293 | 350 | Worse than 57% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 33,388 cases | 2 | 1 | 2.294 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 23 cases | 78 | 74 | 67.28 | Better than 58% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 91 cases | 75 | 97 | 92.28 | Worse than 93% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 46.05 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,807 cases | 17 | 15 | 13.94 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 118 cases | 58 | 65 | 58.55 | Worse than 66% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 28 cases | 57 | 73 | 70.43 | Worse than 81% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 15 cases | 73 | 88 | 83.41 | Worse than 85% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 118 cases | 84 | 82 | 77.52 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 74 cases | 92 | 94 | 86.12 | Worse than 61% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 133 cases | 100 | 98 | 96.71 | The best result, shared by 14% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 77.25 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 127 cases | 98 | 94 | 92.87 | Better than 83% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 85.23 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.43 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Plainview Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 0.8 | 5 | 5.231 | Better than 94% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 23.75 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Plainview Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.09 | 0.99 | 0.9974 | Worse than 89% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Plainview Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 44 | 20 | 30.89 | Better than 86% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 11 | 5 | 7.74 | Better than 86% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 10 | 10 | 20.53 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 2.5 | 2.5 | 5.155 | Worse than 44% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 33 | 34 | 27.68 | Worse than 52% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8.25 | 8.75 | 6.965 | Worse than 53% of US hospitals | |
| VBP safety domain scoreFY 2026 | 78.33 | 40 | 38.92 | Better than 94% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 19.58 | 10 | 9.798 | Better than 93% of US hospitals | |
| VBP total performance scoreFY 2026 | 41.33 | 29.5 | 29.44 | Better than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 60 | 44 | 55 | 28 | 24 | 44 |
| VBP clinical outcomes weighted domain score | 15 | 11 | 13.75 | 7 | 6 | 11 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 10 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 2.5 |
| VBP person and community engagement domain score | 14 | Not Available | Not Available | 15 | 17 | 33 |
| VBP person and community engagement weighted domain score | 3.5 | Not Available | Not Available | 3.75 | 4.25 | 8.25 |
| VBP safety domain score | 30 | Not Available | Not Available | 30 | 82 | 78.33 |
| VBP safety weighted domain score | 7.5 | Not Available | Not Available | 7.5 | 20.5 | 19.58 |
| VBP total performance score | 26 | Not Available | Not Available | 18.25 | 30.75 | 41.33 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Plainview Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.016 | 0.9995 | 1.001 | Worse than 61% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9565 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 108 cases | 1.028 | 0.9969 | 1.014 | Worse than 75% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 546 cases | 0.9921 | 0.9983 | 1.015 | Better than 55% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.062 | 0.9916 | 0.9473 | Worse than 70% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 616 cases | 0.8837 | 0.9955 | 1.019 | Better than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.028 | 1.03 | 1.056 | N/A | 1.008 | 1.016 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.029 | 1.041 | 1.008 | 1.061 | 1.099 | 1.028 |
| READM-30-HF-HRRP | 1.014 | 1.005 | 1.094 | 1.064 | 1.011 | 0.9921 |
| READM-30-HIP-KNEE-HRRP | 0.9944 | 1.051 | 1.199 | 1.143 | 1.022 | 1.062 |
| READM-30-PN-HRRP | 1.084 | 1.008 | 1.018 | 0.9075 | 0.9004 | 0.8837 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Plainview Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.108 | 0.489 | 0.5606 | Better than 84% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.067 | 0.346 | 0.4123 | Better than 88% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.6757 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.242 | 0.6405 | 0.8339 | Better than 83% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9369 | 0.9628 | 1.099 | Better than 61% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.793 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -1.073 | -0.0453 | 0.1475 | Better than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.0274 | 0.0087 | 0 | -0.4212 | -0.6753 | -1.073 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2017)
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
204
Medicare-certified beds
236
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Plainview Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
9,083
Inpatient discharges
Medicare 43%, Medicaid 2%
44,613
Inpatient days
78% of available bed days used
1,434
Employees (full-time equivalent)
47
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838872). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Plainview Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 22,330 | 649 | 21,634 | 44,613 |
| Discharges | 3,932 | 174 | 4,977 | 9,083 |
| Average length of stay | 5.7 days | 3.7 days | 4.3 days | 4.9 days |
| Average daily census | 61.2 | 1.8 | 59.3 | 122.2 |
11,954
Medicare Advantage days
2,138 discharges
2,295
Medicaid managed care days
544 discharges
145
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 137 | 41,843 | 19,594 | 84% |
| Intensive care unit | 19 | 2,770 | 2,736 | 40% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838872, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Plainview Hospital treats Medicare patients for most often, in 2024. 3,043 Medicare discharges in 75 published DRGs; 7% surgical; 70% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 532 | $103,356 | $17,566 | $24,082 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 214 | $80,230 | $11,207 | $18,694 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 168 | $95,479 | $14,951 | $22,247 | 1.70 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 83 | $59,111 | $8,088 | $13,773 | 1.03 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 79 | $47,073 | $6,302 | $10,968 | 0.81 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 77 | $79,476 | $11,054 | $18,518 | 1.33 |
| Cellulitis without MCCMS-DRG 603, medical | 76 | $44,254 | $6,986 | $10,311 | 0.88 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 73 | $59,717 | $9,773 | $13,914 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 59 | $80,760 | $12,908 | $18,817 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 59 | $70,677 | $14,062 | $16,468 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 58 | $52,348 | $7,435 | $12,197 | 0.90 |
| Syncope and collapseMS-DRG 312, medical | 53 | $52,909 | $7,748 | $12,328 | 0.86 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 52 | $66,077 | $8,148 | $15,396 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 50 | $42,699 | $6,110 | $9,949 | 0.79 |
| Medical back problems without MCCMS-DRG 552, medical | 50 | $45,354 | $7,449 | $10,568 | 0.97 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 49 | $52,007 | $5,834 | $12,118 | 0.80 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 48 | $60,499 | $7,501 | $14,096 | 0.99 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 45 | $164,412 | $42,266 | $38,308 | 5.00 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 41 | $78,143 | $9,810 | $18,207 | 1.23 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 40 | $50,719 | $5,646 | $11,818 | 0.74 |
See all 75 Medicare inpatient DRGs at Plainview Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Plainview Hospital billed Medicare for most in 2024: 824 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 126 | 125 | $28,756 | $4,843 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 98 | 98 | $19,864 | $2,429 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 67 | 61 | $12,054 | $1,363 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 57 | 55 | $22,962 | $4,450 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 53 | 46 | $12,196 | $2,719 | $2,373 |
| Level 4 Urology and Related ServicesAPC 5374 | 52 | 48 | $17,312 | $2,954 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 50 | 48 | $51,235 | $12,591 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 44 | 39 | $10,330 | $1,705 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 43 | 42 | $19,957 | $2,972 | $2,636 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 33 | 32 | $30,933 | $6,351 | $5,339 |
See all 19 Medicare outpatient services at Plainview Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Plainview Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 4,786 in 2020 to 5,703 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 11803 | 858 | 15% | 4,200 | $65.4M | 47% | 46% |
| 11801 | 741 | 13% | 4,017 | $63.5M | 35% | 38% |
| 11714 | 528 | 9% | 2,691 | $41.8M | 30% | 31% |
| 11758 | 431 | 8% | 2,598 | $39.6M | 14% | 14% |
| 11756 | 364 | 6% | 2,307 | $35.5M | 15% | 13% |
| 11747 | 361 | 6% | 1,734 | $25.9M | 23% | 24% |
| 11735 | 276 | 5% | 1,557 | $23.7M | 16% | 18% |
| 11793 | 201 | 4% | 955 | $14.8M | 12% | 12% |
| 11791 | 185 | 3% | 885 | $15M | 18% | 28% |
| 11797 | 181 | 3% | 1,219 | $18.4M | 24% | 38% |
| 11590 | 176 | 3% | 978 | $14.4M | 6% | 7% |
| 11762 | 153 | 3% | 771 | $12M | 13% | 14% |
| 11783 | 150 | 3% | 735 | $11.9M | 13% | 15% |
| 11804 | 149 | 3% | 791 | $11.2M | 56% | 54% |
| 11710 | 118 | 2% | 750 | $10.6M | 7% | 6% |
| 11554 | 95 | 2% | 621 | $10.1M | 4% | 4% |
| 11545 | 94 | 2% | 765 | $11.5M | 10% | 16% |
| 11746 | 88 | 2% | 472 | $7.3M | 3% | 3% |
| 11701 | 70 | 1% | 433 | $6.7M | 4% | 5% |
| 11753 | 65 | 1% | 462 | $6.5M | 11% | 17% |
| 11566 | 57 | 1% | 263 | $4.5M | 3% | 3% |
| 11743 | 29 | 1% | 96 | $2M | 1% | 2% |
| 11757 | 29 | 1% | 195 | $2.7M | 1% | 1% |
| 11704 | 27 | 0% | 152 | $2.8M | 1% | 2% |
| 11706 | 26 | 0% | 100 | $1.6M | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 5,703 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Plainview Hospital reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.
9
Operating rooms
4
Endoscopy rooms
2
Cardiac catheterization rooms
28
Psychiatric unit beds
236
Registered nurses
49
Physicians
39
Resident physicians
9
Nurse practitioners
13
Physician assistants
15
Pharmacists
20
Respiratory therapists
8
Physical therapists
2
Occupational therapists
9
Radiology technicians
1
Nuclear medicine technicians
7
Medical technologists
4
Dietitians
10
Social workers
653
Other personnel
Source: CMS Provider of Services file.
450 clinicians who bill Medicare list Plainview Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Lindsay Schoen, NP
Adult Health Nurse Practitioner
NPI 1134697162
See commercial rates for Lindsay Schoen, NPBruce Kappel, MD
Hematology & Oncology Physician
NPI 1336120211
See commercial rates for Bruce Kappel, MDHon Cheung Chan, MD
Hematology & Oncology Physician
NPI 1023115847
See commercial rates for Hon Cheung Chan, MDNancy Sun, MD
Hematology & Oncology Physician
NPI 1508857772
See commercial rates for Nancy Sun, MDAkin Patel, M.D.
Hematology & Oncology Physician
NPI 1336593938
See commercial rates for Akin Patel, M.D.Suraj Rambhia, M.D.
Diagnostic Radiology Physician
NPI 1578805974
See commercial rates for Suraj Rambhia, M.D.Robert Luntz, MD
Urology Physician
NPI 1609869361
See commercial rates for Robert Luntz, MDJeffrey Haberman, MD
Urology Physician
NPI 1538130802
See commercial rates for Jeffrey Haberman, MDAyal Segal, MD
Orthopaedic Surgery Physician
NPI 1528191418
See commercial rates for Ayal Segal, MDMark Kahn
Internal Medicine Physician
NPI 1134443112
See commercial rates for Mark KahnJonathan Mallen, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1588663140
See commercial rates for Jonathan Mallen, MDGaetano Pannella, M.D.
Cardiovascular Disease Physician
NPI 1306006176
See commercial rates for Gaetano Pannella, M.D.Neeral Patel, M.D
Cardiovascular Disease Physician
NPI 1689817967
See commercial rates for Neeral Patel, M.DDaniel Wachsman, M.D.
Cardiovascular Disease Physician
NPI 1053320184
See commercial rates for Daniel Wachsman, M.D.Aleksander Shalshin, MD
Pulmonary Disease Physician
NPI 1790983450
See commercial rates for Aleksander Shalshin, MDFernando Checo, M.D.
Orthopaedic Surgery of the Spine Physician
NPI 1942489950
See commercial rates for Fernando Checo, M.D.Crispin Ong, MD
Orthopaedic Surgery Physician
NPI 1801062138
See commercial rates for Crispin Ong, MDFaisal Sheikh, D.O.
Gastroenterology Physician
NPI 1114188000
See commercial rates for Faisal Sheikh, D.O.Michael Livingston, D.P.M.
Foot & Ankle Surgery Podiatrist
NPI 1821090374
See commercial rates for Michael Livingston, D.P.M.Jack Morgani, MD
Diagnostic Radiology Physician
NPI 1518970219
See commercial rates for Jack Morgani, MDSteven Savella, M.D.
Cardiovascular Disease Physician
NPI 1811212277
See commercial rates for Steven Savella, M.D.Mohsen Pahlavan, MD
Nephrology Physician
NPI 1518945310
See commercial rates for Mohsen Pahlavan, MDScott Trepeta, MD
Diagnostic Radiology Physician
NPI 1790745743
See commercial rates for Scott Trepeta, MDKalpesh Amin, M.D.
Cardiovascular Disease Physician
NPI 1003911645
See commercial rates for Kalpesh Amin, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Plainview Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.2B | 404.8% |
| Inpatient | $733.7M | 255.8% |
| Outpatient | $427.4M | 149.0% |
| Contractual allowances and discounts | -$874.3M | -304.8% |
| Net patient revenue | $286.8M | 100.0% |
| Operating expenses | -$349.6M | -121.9% |
| Operating income from patient care | -$62.8M | -21.9% |
| Other income | $68.9M | 24.0% |
| Investment income | -$96,496 | -0.0% |
| Government appropriations | $349,636 | 0.1% |
| Other | $68.6M | 23.9% |
| Other expenses | $199,016 | 0.1% |
| Net income | $6.3M | 2.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $269.1M | 23.2% |
| Medicaid (including managed care) | $100.8M | 8.7% |
| Other payers and self-pay | $791.2M | 68.1% |
| Total charges | $1.2B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838872, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Plainview Hospital's latest cost report.
-21.9%
Operating margin
Operating income from patient care / net patient revenue
1.8%
Total margin
Net income / net patient revenue plus other income
7.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
64% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$63.40
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.6%
Return on assets
Net income for a year / total assets
31.0%
Return on equity
Net income for a year / fund balance
0.11
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.44
Current ratio
Current assets / current liabilities
0.39
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
43 days
Days in patient receivables
Net patient receivables / daily net patient revenue
98 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.01
Asset turnover
Total revenue for a year / total assets
2.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838872, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Plainview Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $177.3M in total assets and a $20.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $736,000 | 0.4% |
| Patient receivables, net | $33.9M | 19.1% |
| Total current assets | $39.4M | 22.2% |
| Property and equipment, net of depreciation | $119.8M | 67.5% |
| Investments and other assets | $18.2M | 10.2% |
| Total assets | $177.3M | 100.0% |
| Current liabilities | $88.7M | 50.0% |
| Long-term debt | $2.2M | 1.2% |
| Total liabilities | $157M | 88.5% |
| Fund balance (net assets) | $20.3M | 11.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838872, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Plainview Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.6M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$1.9M
Bad debt
Patient bills written off as uncollectible, at charges
$11.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$2M
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$1,349
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$12M
Total unreimbursed and uncompensated care
3.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 838872, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Plainview Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $196.4M | $218.9M | $213.5M | $236.2M | $274M | $286.8M |
| Operating expenses | $262.4M | $271.8M | $274.7M | $295.5M | $338.7M | $349.6M |
| Operating margin | -33.6% | -24.2% | -28.7% | -25.1% | -23.6% | -21.9% |
| Net income | -$6.4M | -$3.2M | -$3.1M | $2.2M | $9.7M | $6.3M |
| Total assets | $97.5M | $106.9M | $132.9M | $160.5M | $177.2M | $177.3M |
| Discharges | 7,472 | 7,616 | 7,840 | 8,150 | 9,080 | 9,083 |
| Inpatient days | 40,871 | 41,808 | 40,002 | 40,708 | 44,008 | 44,613 |
| Medicare Advantage days | 9,525 | 10,850 | 10,680 | 10,148 | 12,211 | 11,954 |
| Beds | 156 | 156 | 156 | 156 | 156 | 156 |
| Employees (FTE) | 1,287 | 1,286 | 1,334 | 1,376 | 1,427 | 1,434 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838872, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Plainview Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $17M | $36.4M | $108.1M | 0.34 | 9,551 |
| Emergency | $14.7M | $24.5M | $189.8M | 0.13 | 23,997 |
| Radiology-diagnostic | $4.2M | $21.9M | $17.7M | 1.24 | 5,782 |
| Laboratory | $5.2M | $13.7M | $109M | 0.13 | 4,673 |
| Impl. dev. charged to patients | $13.4M | $49.2M | 0.27 | ||
| Asc (non-distinct part) | $4.1M | $11.5M | $13.8M | 0.84 | 11,193 |
| Recovery room | $4.1M | $8.2M | $27.9M | 0.29 | 3,110 |
| Drugs charged to patients | $5.9M | $28.7M | 0.21 | ||
| Respiratory therapy | $3.6M | $5.2M | $55.7M | 0.09 | 499 |
| Hyperbaric oxygen therapy | $1.5M | $4.4M | $37.5M | 0.12 | 2,346 |
| Physical therapy | $1.9M | $3.3M | $7.1M | 0.47 | 586 |
| Ct scan | $1.2M | $3.1M | $69.7M | 0.04 | 1,005 |
| Blood storing processing & trans. | $951,235 | $3.1M | $15.1M | 0.20 | 1,269 |
| Pre-surgical testing | $1.4M | $2.9M | $3.1M | 0.91 | 1,159 |
| Ultrasound diagnostic | $935,173 | $2M | $12.8M | 0.15 | 511 |
| Mri | $629,225 | $2M | $9.3M | 0.21 | |
| Renal dialysis | $142 | $1.6M | $1.7M | 0.94 | 641 |
| Electroencephalography | $322,822 | $723,094 | $773,858 | 0.93 | 199 |
| Electrocardiology | $167,900 | $526,572 | $56.4M | 0.01 | 235 |
| Referred ambulatory service | $359,942 | $384,711 | 0.94 | ||
| Observation beds (non-distinct part | $267,209 | $2.3M | 0.12 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $52.2M | $77.4M | $311.8M | 0.25 | 47,716 |
| Intensive care unit | $7.2M | $18.1M | $33.2M | 0.54 | 15,128 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $1.4M | $43.5M | 36,043 | $39.14 | 840 |
| Administrative & general | $25.6M | $39.3M | 384,616 | $63.92 | 14,023 |
| Cap rel costs-mvble equip | $14.8M | ||||
| Operation of plant | $4.1M | $12.4M | 104,569 | $38.89 | 640 |
| Cap rel costs-bldg & fixt | $7.6M | 165,679 | |||
| Pharmacy | $5M | $6.1M | 1,630 | ||
| Dietary - other | $4M | $5.8M | 8,194 | ||
| Housekeeping | $4.3M | $5.6M | 150,108 | $28.43 | 1,215 |
| Nursing administration | $3.5M | $3.7M | 1,019 | ||
| I&r services-salary & fringes apprv | $264,601 | $3.5M | 224 | ||
| Central service & supply | $452,429 | $3.1M | 1,808 | ||
| Social service | $1.2M | $1.2M | 23,574 | $51.54 | 806 |
| Supervising physicians - other | $189,577 | $1M | |||
| Medical records & library | $711,497 | $826,464 | 27,575 | $25.80 | 3,661 |
| Laundry & linen service | $544,019 | 2,019 | |||
| I&r services-other prgm costs apprv | $532,609 | ||||
| Paramedical ed | $177,123 | $439,045 | |||
| Supervising physicians - teaching | $5M | -$942,148 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838872, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Plainview Hospital for an inpatient stay.
1.51
Case mix index
Higher than 29% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.29 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
11.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
3,855
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.48 | 1.49 | 1.60 | 1.62 | 1.54 | 1.54 | 1.51 |
| Wage index | 1.354 | 1.309 | 1.327 | 1.336 | 1.306 | 1.370 | 1.427 |
| Readmissions adjustment | -0.39% | -0.85% | -0.40% | -0.93% | -0.57% | -0.17% | -0.08% |
| Value-based purchasing adjustment | -0.28% | -0.33% | -0.33% | +0.17% | -0.27% | +0.75% | +0.85% |
| Medicare inpatient stays | 3,760 | 3,760 | 3,351 | 3,266 | 3,470 | 3,858 | 3,855 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Plainview Hospital reports to Medicare as owners or with operational control.
Northwell Health Inc
5% or greater indirect ownership interest, 100%, since 2015
Northwell Healthcare Inc
5% or greater direct ownership interest, 100%, since 2015
Northwell, Inc.
5% or greater indirect ownership interest, 100%, since 2024
Sources: CMS Hospital All Owners.
The officers and board members on Plainview Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 23 of 36 are shown.
| Name | Title |
|---|---|
| Michael Dowling | President & CEO |
| Mark Solazzo | Pres, Strategic Initiatives & |
| Michele Cusack | EVP & CFO |
| David Battinelli | EVP & Physician In Chief |
| Joseph Moscola | EVP, Enterprise Services |
| Laurence Kraemer | EVP, Gen Coun, Clo & Asst Sec |
| Jeffrey Kraut | EVP Strategy |
| Donna Drummond | SVP & Chf Expense Officer |
| Konstantine Costalas | SVP, Managed Care |
| Mark Gloade | SVP, Dep Gen Coun, Dep Clo & A |
| Michael Fener | Executive Director |
| Ralph Nappi | Evc |
| Harry Gindi | Assistant Secretary |
| Mark Claster | Vice Chairman |
| Margaret Crotty | Chairman |
| Michael Epstein | Immediate Past Chairman |
| Richard Goldstein | Vice Chairman |
| William Mack | Vice Chairman |
| Barry Rubenstein | Vice Chairman |
| Robert Rosenthal | Treasurer |
| Donald Zucker | Secretary |
Board members: Non Compensated Trustees.
Source: IRS Form 990 Part VII filed by Plainview Hospital (EIN 11-3241243), via the IRS e-file data. A health system's return can cover several hospitals.
Accountable care organization (Medicare Shared Savings Program)
Northwell Health ACO
ACO A3030, current agreement since 2025. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Plainview Hospital's legal name.
Psychiatric
CCN 33S331, certified 1986, Medicare prospective payment
Source: Worksheet S-2 Part I of Plainview Hospital's latest Medicare cost report (HCRIS).
About Plainview Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Plainview Hospital range from $551 to $778 across 4 insurers. Aetna's rate is $551. The median at nearby comparable hospitals is $741. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Plainview Hospital range from $2,739 to $7,397 across 3 insurers. UnitedHealthcare's rate is $2,739. The median at nearby comparable hospitals is $3,377. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Plainview Hospital range from $14,275 to $20,780 across 4 insurers. Cigna's rate is $14,275. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Plainview Hospital range from $197 to $273 across 4 insurers. Blue Cross Blue Shield's rate is $224. The median at nearby comparable hospitals is $251. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Plainview Hospital range from $36,404 to $66,329 across 4 insurers. Aetna's rate is $65,890. The median at nearby comparable hospitals is $37,075. What a patient pays depends on their plan's deductible, coinsurance and network status.
Plainview Hospital 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.
Yes. CMS counts 0.29 Medicare-funded residents per bed at Plainview Hospital for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Plainview Hospital's base inpatient payments by an estimated 0.08% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (532 discharges), heart failure and shock with mcc (214 discharges), respiratory infections and inflammations with mcc (168 discharges).
Plainview Hospital's Medicare case mix index is 1.51 for fiscal year 2027, higher than 29% of hospitals paid under the inpatient prospective payment system.
Plainview Hospital reported 9,083 inpatient discharges and 44,613 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Plainview Hospital reported 1,434 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Plainview Hospital reported $286.8M in net patient revenue on $1.2B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -21.9%, and net income of $6.3M.
Plainview Hospital reported $12M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $2.6M of charity care at cost.
Plainview Hospital's Medicare enrollment lists Michele L Cusack as Executive Vice President & CFO since 2017. Its 2024 IRS Form 990 lists Michael Dowling as President & CEO.
Insurers' price transparency files list Plainview Hospital under employer identification number 11-3241243 (Plainview Hospital). 51 health plans and networks list 11-3241243 for it.
450 clinicians who bill Medicare list Plainview Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (37), internal medicine physician (33), hospitalist physician (25).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Plainview Hospital, effective 2017.
In its Medicare enrollment, Plainview Hospital reports Northwell Health Inc as 5% or greater indirect ownership interest (100%).
CMS lists 31 services at Plainview Hospital, including Acute Renal Dialysis, Anesthesia, Audiology, Chemotherapy, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Plainview Hospital came from ZIP codes 11803 (858), 11801 (741), 11714 (528).
Plainview Hospital has 156 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 204 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Plainview Hospital is located at 888 Old Country Road, Plainview, NY 11803. Its main phone number is (516) 719-3000.
Plainview Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 330331.
The National Provider Identifier (NPI) on file for Plainview Hospital is 1083621130.
Plainview Hospital is affiliated with Northwell Health.
Plainview Hospital lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
327 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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