Catholic Health Services of Long Island · Port Jefferson, NY
5 of 5
CMS star rating
186
Beds
8,367
Inpatient discharges a year
$258.7M
Net patient revenue a year
37
In-network payers
St Charles Hospital is a 186-bed voluntary non-profit - private hospital in Port Jefferson, NY, affiliated with Catholic Health Services of Long Island. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 382 disclosed rate categories.
The 24 services St Charles 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.
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Childbirth · Inpatient
MS-DRG 807
$11,130 - $13,733
from 4 insurers · median $12,278
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
$15,762 - $19,838
from 4 insurers · median $16,354
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
Medicine & Surgery · Inpatient
MS-DRG 470
$34,157 - $42,385
from 4 insurers · median $37,014
62 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$3,414 - $4,908
from 4 insurers · median $4,109
24 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$11,130 - $13,733
from 4 insurers · median $12,278
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
Medicine & Surgery
CPT 47562
$4,890 - $5,335
from 4 insurers · median $5,038
98 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$650 - $828
from 4 insurers · median $729
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,951 - $4,055
from 4 insurers · median $3,141
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,781 - $5,335
from 4 insurers · median $4,911
98 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$57,905 - $78,905
from 4 insurers · median $66,713
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45380
$2,656 - $4,717
from 4 insurers · median $3,216
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$2,656 - $4,717
from 4 insurers · median $3,155
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$4,952 - $28,025
from 4 insurers · median $17,712
89 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$44,211 - $52,192
from 4 insurers · median $49,372
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$445 - $2,279
from 4 insurers · median $840
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,725 - $6,151
from 4 insurers · median $4,462
32 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Urology
CPT 50590
$3,714 - $10,369
from 4 insurers · median $7,351
79 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 70450
$190 - $245
from 4 insurers · median $228
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$217 - $309
from 4 insurers · median $268
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$3,366 - $4,908
from 4 insurers · median $3,858
133 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93970
$455 - $1,561
from 4 insurers · median $1,097
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$402 - $714
from 4 insurers · median $578
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$2,249 - $4,908
from 4 insurers · median $2,968
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,199 - $5,066
from 4 insurers · median $2,096
Common here, based on CMS Medicare volume
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* | 24 | 277% | 5 | 5 |
| Insurer B* | 24 | 212% | 5 | 8 |
| Insurer C* | 24 | 202% | 7 | 13 |
| Insurer D* | 24 | 185% | 1 | 10 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 11 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 St Charles Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
5 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$258.7M net patient revenue
Ownership and leadership
Owned by Catholic Health System of Long Island Inc
The employer identification numbers (EINs) health plans and networks list for St Charles 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 |
|---|---|---|
| 11-1871039St Charles Hospital | 55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 50 more | 1497765630 St Charles Hospital Corp1164481529 St Charles Hospital Corp1225097652 St Charles Hospital Corpand 7 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.
200 Belle Terre Road, Port Jefferson, NY 11777
(631) 474-6000
How St Charles Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
5 of 5
The top rating, shared by 12% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
77%
Higher than 69% 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)
0.89
Lower than 75% 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
228 min
Higher than 91% 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
88%
Higher than 95% 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 | 5 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | Better on 1 of 6 measures | |
| Readmissions | Better on 1 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 77% | 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) | 0.89 | 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 | 228 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 88% | 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 St Charles Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.48% 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 St Charles 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 | St Charles Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 130 cases | 3 | 4.1 | 3.952 | Better than 93% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,309 cases | 3.2 | 3.9 | 3.707 | Better than 86% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 28 cases | 11.9 | 11.8 | 11.31 | Worse than 53% 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 · 88 cases | 8.6 | 8.5 | 8.316 | Worse than 53% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 142 cases | 10.7 | 11 | 10.43 | Better than 55% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 195 cases | 14.1 | 15.2 | 14.6 | Better than 66% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 54 cases | 10.4 | 11.6 | 11.03 | Better than 72% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,080 cases | 0.55 | 0.51 | 0.9123 | No Different Than the National Rate | Worse than 56% 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 · 3,752 cases | 0.18 | 0.2 | 0.2101 | No Different Than the National Rate | Better than 76% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,732 cases | 0.24 | 0.27 | 0.2858 | No Different Than the National Rate | Better than 81% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 672 cases | 2.3 | 2.29 | 2.43 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 367 cases | 2.01 | 1.63 | 1.674 | No Different Than the National Rate | Worse than 88% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 357 cases | 8.56 | 8.88 | 9.324 | No Different Than the National Rate | Better than 59% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 704 cases | 2.71 | 3.4 | 3.686 | No Different Than the National Rate | Better than 91% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 342 cases | 4.49 | 5.105 | 5.465 | No Different Than the National Rate | Better than 82% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 170 cases | 1.69 | 1.72 | 1.729 | No Different Than the National Rate | Better than 63% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 485 cases | 0.92 | 1.02 | 1.053 | No Different Than the National Rate | Better than 79% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | St Charles Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 10.66 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 150 cases | -11.3 | 1.25 | 26.25 | Better than 68% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 214 cases | -16.8 | 3.85 | 27.98 | Better than 77% 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 · 335 cases | 13.1 | 12.9 | 12.82 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.22 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.026 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 632 cases | 1 | 1 | 0.9336 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.47 | |||
| 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 · 102 cases | 18.7 | 19.8 | 20.27 | Better than 91% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 157 cases | 21.1 | 21.3 | 21.89 | Better than 56% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 140 cases | 4.9 | 5.8 | 5.589 | Better than 93% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 207 cases | 16.6 | 17.2 | 17.78 | Better than 77% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | St Charles 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 | 2.875 | 1.504 | 1.692 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,294 | 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 | 1.042 | 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 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.012 | 1.392 | 1.442 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 3,704 | 1,799 | 8,098 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.959 | 1.377 | 10.38 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.583 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.4307 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.021 | 0.2345 | 0.2752 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.029 | 2.135 | 2.411 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 92 | 61 | 149 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.431 | 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 | 0.411 | 0.7155 | 0.7341 | No Different than National Benchmark | Better than 69% 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 | 48 | 38 | 90.43 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.367 | 0.328 | 0.7508 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 2 | 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 | 0.026 | 0.193 | 0.2613 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.607 | 1.855 | 1.903 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 49,745 | 14,451 | 80,977 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.892 | 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 | 0.529 | 0.597 | 0.6195 | No Different than National Benchmark | Better than 57% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.003 | 0.127 | 0.1972 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.283 | 0.747 | 0.8371 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 46,113 | 13,646 | 73,951 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 17.45 | 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 | 0.057 | 0.279 | 0.3563 | Better than the National Benchmark | Better than 78% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | St Charles Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 872 cases | 72 | 73 | 68.99 | Worse than 53% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 872 cases | 9 | 8 | 10.19 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 872 cases | 19 | 18 | 20.83 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 872 cases | 87 | 87 | 84.97 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 872 cases | 4 | 4 | 3.044 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 872 cases | 83 | 80 | 76.99 | Better than 69% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 872 cases | 93 | 91 | 89.97 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 872 cases | 4 | 4 | 5.71 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 872 cases | 4 | 3 | 2.889 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 872 cases | 13 | 16 | 17.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 872 cases | 80 | 79 | 76.68 | Better than 53% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 872 cases | 92 | 91 | 89.46 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 872 cases | 5 | 5 | 6.31 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 872 cases | 4 | 3 | 2.674 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 872 cases | 15 | 16 | 17.01 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 872 cases | 64 | 61 | 58.86 | Better than 64% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 872 cases | 80 | 77 | 74.78 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 872 cases | 17 | 19 | 21.9 | Better than 63% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 872 cases | 3 | 3 | 2.274 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 872 cases | 19 | 19 | 19.23 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 872 cases | 85 | 86 | 83.85 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 872 cases | 14 | 13 | 15.46 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 872 cases | 3 | 3 | 2.896 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 872 cases | 86 | 87 | 84.54 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 872 cases | 14 | 14 | 16.81 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 872 cases | 86 | 86 | 83.19 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 872 cases | 76 | 74 | 71.59 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 872 cases | 7 | 7 | 8.014 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 872 cases | 17 | 19 | 20.4 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 872 cases | 78 | 77 | 74.66 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 872 cases | 4 | 6 | 6.893 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 872 cases | 18 | 17 | 18.44 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 872 cases | 86 | 85 | 82.9 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 872 cases | 3 | 3 | 4.479 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 872 cases | 11 | 11 | 12.62 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 872 cases | 7 | 8 | 10.63 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 872 cases | 18 | 20 | 23.59 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 872 cases | 75 | 72 | 65.78 | Better than 62% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 872 cases | 90 | 88 | 85.79 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 872 cases | 4 | 3 | 2.815 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 872 cases | 78 | 74 | 72.21 | Better than 71% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 872 cases | 7 | 9 | 11.03 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 872 cases | 15 | 16 | 16.76 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 872 cases | 79 | 75 | 72.71 | Better than 75% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 872 cases | 5 | 5 | 7.086 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 872 cases | 16 | 20 | 20.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 872 cases | 82 | 77 | 73.59 | Better than 79% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 872 cases | 4 | 4 | 6.164 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 872 cases | 14 | 19 | 20.24 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 872 cases | 89 | 86 | 83.55 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 872 cases | 2 | 3 | 4 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 872 cases | 9 | 11 | 12.45 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 872 cases | 51 | 59 | 49.08 | Worse than 77% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 872 cases | 16 | 9 | 16.57 | Worse than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 872 cases | 33 | 31 | 34.35 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 872 cases | 76 | 82 | 75.47 | Worse than 80% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 872 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 · 872 cases | 5 | 5 | 7.297 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 872 cases | 77 | 71 | 66.23 | Better than 69% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 872 cases | 90 | 87 | 84.56 | Better than 68% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 872 cases | 18 | 23 | 26.48 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 872 cases | 4 | 4 | 3.096 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 872 cases | 50 | 47 | 44.58 | Better than 63% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 872 cases | 28 | 30 | 33.46 | Better than 60% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 872 cases | 22 | 22 | 21.96 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 872 cases | 4 | 3 | 2.8 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 872 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 · 872 cases | 86 | 88 | 85.71 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | St Charles Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| 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 | Not Available | 1.158 | |||
| 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 · 2,985 cases | 75 | 79 | 69.3 | Worse than 57% 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 · 401 cases | 235 | 154 | 206 | Worse than 91% 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 · 371 cases | 228 | 148 | 200 | Worse than 91% 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 · 29 cases | 351 | 247 | 326 | Worse than 80% of US hospitals | |
| 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 | Not Available | 350 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 18,852 cases | 1 | 1 | 2.294 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 67.28 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 60 cases | 100 | 97 | 92.28 | The best result, shared by 27% 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 · 2,144 cases | 19 | 15 | 13.94 | Worse than 80% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 123 cases | 88 | 65 | 58.55 | Better than 95% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 28 cases | 89 | 73 | 70.43 | Better than 84% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 15 cases | 100 | 88 | 83.41 | The best result, shared by 11% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 124 cases | 94 | 82 | 77.52 | Better than 93% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 67 cases | 93 | 94 | 86.12 | Worse than 55% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 33 cases | 97 | 98 | 96.71 | Worse than 51% 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 · 31 cases | 90 | 94 | 92.87 | Worse than 77% 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 · 788 cases | 99 | 97 | 94.43 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | St Charles Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 1.7 | 5 | 5.231 | Better than 87% 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 | St Charles 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 | 1.07 | 0.99 | 0.9974 | Worse than 85% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | St Charles Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 16 | 20 | 30.89 | Worse than 58% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 4 | 5 | 7.74 | Worse than 58% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 20.53 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 5.155 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 40 | 34 | 27.68 | Better than 60% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 10 | 8.75 | 6.965 | Better than 60% of US hospitals | |
| VBP safety domain scoreFY 2026 | 88 | 40 | 38.92 | Better than 98% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 22 | 10 | 9.798 | Better than 97% of US hospitals | |
| VBP total performance scoreFY 2026 | 36 | 29.5 | 29.44 | Better than 72% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 64 | 70 | 33.33 | 37.5 | 10 | 16 |
| VBP clinical outcomes weighted domain score | 16 | 17.5 | 8.333 | 9.375 | 2.5 | 4 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 20 | Not Available | Not Available | 13 | 14 | 40 |
| VBP person and community engagement weighted domain score | 5 | Not Available | Not Available | 3.25 | 3.5 | 10 |
| VBP safety domain score | 50 | Not Available | Not Available | 60 | 78 | 88 |
| VBP safety weighted domain score | 12.5 | Not Available | Not Available | 15 | 19.5 | 22 |
| VBP total performance score | 33.5 | Not Available | Not Available | 27.63 | 25.5 | 36 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | St Charles Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.001 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9565 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 102 cases | 0.9606 | 0.9969 | 1.014 | Better than 83% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 126 cases | 0.9481 | 0.9983 | 1.015 | Better than 81% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.8454 | 0.9916 | 0.9473 | Better than 88% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 193 cases | 0.8496 | 0.9955 | 1.019 | Better than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9984 | 0.9973 | 0.9776 | 0.9994 | 0.9938 | 0.9606 |
| READM-30-HF-HRRP | 1.059 | 1.05 | 1.043 | 1.043 | 1.051 | 0.9481 |
| READM-30-HIP-KNEE-HRRP | 0.9815 | 1.105 | 1.067 | 0.972 | 0.8368 | 0.8454 |
| READM-30-PN-HRRP | 1.055 | 0.9682 | 0.9511 | 0.9203 | 0.8961 | 0.8496 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | St Charles Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.384 | 0.489 | 0.5606 | Better than 61% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.115 | 0.346 | 0.4123 | Better than 84% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.456 | 0.559 | 0.6757 | Better than 61% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.202 | 0.6405 | 0.8339 | Better than 85% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8938 | 0.9628 | 1.099 | Better than 75% 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 | -0.8185 | -0.0453 | 0.1475 | Better than 92% 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 | -0.3865 | -0.0714 | 0 | -0.7279 | -0.8058 | -0.8185 |
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 2016)
Accreditation
None
Medical school affiliation
Church
Ownership type
231
Medicare-certified beds
222
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What St Charles Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
8,367
Inpatient discharges
Medicare 27%, Medicaid 3%
46,433
Inpatient days
90% of available bed days used
1,153
Employees (full-time equivalent)
10
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838412). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges St Charles Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 11,643 | 2,346 | 32,444 | 46,433 |
| Discharges | 2,291 | 261 | 5,815 | 8,367 |
| Average length of stay | 5.1 days | 9.0 days | 5.6 days | 5.5 days |
| Average daily census | 31.9 | 6.4 | 88.9 | 127.2 |
6,077
Medicare Advantage days
1,029 discharges
13,654
Medicaid managed care days
2,185 discharges
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 126 | 38,700 | 9,772 | 84% |
| Intensive care unit | 12 | 4,086 | 1,871 | 93% |
| Other special care | 3 | 808 | 74% | |
| Nursery | 2,839 | |||
| Subprovider - irf | 45 | 15,901 | 8,125 | 97% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838412, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What St Charles Hospital treats Medicare patients for most often, in 2024. 1,409 Medicare discharges in 45 published DRGs; 8% surgical; 58% 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 | 195 | $84,142 | $16,110 | $17,838 | 1.98 |
| Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical | 136 | $90,867 | $12,879 | $19,264 | 1.61 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 76 | $40,195 | $6,491 | $8,521 | 0.81 |
| Heart failure and shock with MCCMS-DRG 291, medical | 58 | $65,124 | $10,888 | $13,806 | 1.28 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 51 | $79,881 | $16,166 | $16,935 | 1.88 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 51 | $47,821 | $9,671 | $10,138 | 1.17 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 49 | $76,978 | $13,400 | $16,319 | 1.70 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 43 | $62,449 | $13,760 | $13,239 | 1.65 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 42 | $52,762 | $7,455 | $11,185 | 1.03 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 38 | $67,628 | $11,120 | $14,337 | 1.33 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 38 | $33,577 | $5,838 | $7,118 | 0.79 |
| Seizures without MCCMS-DRG 101, medical | 33 | $55,112 | $6,956 | $11,684 | 0.91 |
| Cellulitis without MCCMS-DRG 603, medical | 33 | $35,282 | $6,468 | $7,480 | 0.88 |
| Medical back problems without MCCMS-DRG 552, medical | 30 | $45,824 | $7,692 | $9,715 | 0.97 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 30 | $59,115 | $10,458 | $12,532 | 1.32 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 27 | $56,329 | $10,859 | $11,942 | 1.23 |
| Renal failure with MCCMS-DRG 682, medical | 26 | $54,482 | $10,768 | $11,550 | 1.50 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $38,239 | $6,156 | $8,107 | 0.82 |
| Renal failure with CCMS-DRG 683, medical | 24 | $50,714 | $7,244 | $10,751 | 0.90 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 24 | $299,679 | $54,470 | $63,532 | 5.00 |
See all 45 Medicare inpatient DRGs at St Charles 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) St Charles Hospital billed Medicare for most in 2024: 1,394 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 284 | 271 | $65,199 | $12,811 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 218 | 200 | $25,641 | $2,423 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 133 | 99 | $13,389 | $1,718 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 98 | 98 | $41,911 | $5,135 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 89 | 89 | $33,083 | $6,363 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 88 | 78 | $26,602 | $4,552 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 79 | 72 | $11,123 | $1,430 | $1,196 |
| Level 4 Urology and Related ServicesAPC 5374 | 79 | 73 | $17,125 | $3,063 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 75 | 45 | $11,644 | $1,422 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 58 | 54 | $15,007 | $1,813 | $1,516 |
See all 18 Medicare outpatient services at St Charles 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 St Charles 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 2,662 in 2020 to 2,946 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 11776 | 346 | 12% | 1,749 | $26.3M | 19% | 21% |
| 11727 | 262 | 9% | 1,382 | $21.7M | 14% | 17% |
| 11961 | 221 | 8% | 1,052 | $16.7M | 14% | 17% |
| 11784 | 193 | 7% | 1,023 | $15M | 13% | 11% |
| 11766 | 165 | 6% | 788 | $12.3M | 18% | 15% |
| 11953 | 152 | 5% | 755 | $12.2M | 15% | 15% |
| 11720 | 122 | 4% | 748 | $9.9M | 7% | 6% |
| 11764 | 106 | 4% | 565 | $9.7M | 20% | 19% |
| 11778 | 106 | 4% | 565 | $8.8M | 17% | 17% |
| 11777 | 101 | 3% | 495 | $6.9M | 20% | 22% |
| 11779 | 91 | 3% | 513 | $7.4M | 4% | 5% |
| 11733 | 80 | 3% | 342 | $5.4M | 9% | 8% |
| 11763 | 75 | 3% | 329 | $5.1M | 4% | 5% |
| 11772 | 64 | 2% | 374 | $5.3M | 2% | 3% |
| 11738 | 57 | 2% | 271 | $4.9M | 8% | 10% |
| 11788 | 55 | 2% | 348 | $4.7M | 4% | 3% |
| 11789 | 55 | 2% | 281 | $3.8M | 18% | 25% |
| 11790 | 54 | 2% | 275 | $3.9M | 8% | 10% |
| 11741 | 53 | 2% | 301 | $4.2M | 3% | 4% |
| 11901 | 49 | 2% | 323 | $4.8M | 2% | 2% |
| 11967 | 45 | 2% | 322 | $4.2M | 3% | 4% |
| 11742 | 42 | 1% | 236 | $3.6M | 6% | 5% |
| 11786 | 30 | 1% | 126 | $1.9M | 12% | 18% |
| 11792 | 30 | 1% | 134 | $2.2M | 8% | 16% |
| 11980 | 30 | 1% | 155 | $2.6M | 10% |
Source: CMS Hospital Service Area file. Shares are of the 2,946 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 St Charles Hospital reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
9
Operating rooms
2
Endoscopy rooms
66
Rehabilitation unit beds
9
Off-site locations
222
Registered nurses
24
Physicians
12
Resident physicians
9
Nurse practitioners
13
Physician assistants
9
Pharmacists
11
Respiratory therapists
58
Physical therapists
18
Occupational therapists
8
Speech pathologists and audiologists
22
Radiology technicians
1
Nuclear medicine technicians
12
Medical technologists
4
Dietitians
13
Social workers
7
Psychologists
570
Other personnel
Source: CMS Provider of Services file.
590 clinicians who bill Medicare list St Charles 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.
Sanjay Godhwani, MD
Rheumatology Physician
NPI 1174783567
See commercial rates for Sanjay Godhwani, MDAdriana Guigova, DO
Hematology & Oncology Physician
NPI 1891094447
See commercial rates for Adriana Guigova, DOGeorge Cyriac, M.D.
Hematology & Oncology Physician
NPI 1477843100
See commercial rates for George Cyriac, M.D.David Chu, M.D.
Hematology & Oncology Physician
NPI 1750585287
See commercial rates for David Chu, M.D.Dipen Patel, M.D.
Hematology & Oncology Physician
NPI 1831552124
See commercial rates for Dipen Patel, M.D.Samir Patel, M.D.
Hematology & Oncology Physician
NPI 1174759419
See commercial rates for Samir Patel, M.D.Jin Guo
Hematology & Oncology Physician
NPI 1598296477
See commercial rates for Jin GuoHoward Blumstein, M.D.
Rheumatology Physician
NPI 1598751471
See commercial rates for Howard Blumstein, M.D.Paul Schulman, M.D.
Rheumatology Physician
NPI 1639165541
See commercial rates for Paul Schulman, M.D.Kristin Macdougall, MD
Rheumatology Physician
NPI 1093000325
See commercial rates for Kristin Macdougall, MDDouglas Petraco, MD
Orthopaedic Surgery Physician
NPI 1922021476
See commercial rates for Douglas Petraco, MDMichael Nett, M.D.
Orthopaedic Surgery Physician
NPI 1982680971
See commercial rates for Michael Nett, M.D.Kenneth Nissen, ANP
Adult Health Nurse Practitioner
NPI 1043659980
See commercial rates for Kenneth Nissen, ANPAnthony Rizzo, DO
Family Medicine Physician
NPI 1194736470
See commercial rates for Anthony Rizzo, DOScott Alpert, MD
Orthopaedic Surgery Physician
NPI 1265475644
See commercial rates for Scott Alpert, MDMatthew Boylan, MD MPH
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1356797138
See commercial rates for Matthew Boylan, MD MPHJohn Brennan, MD
Orthopaedic Surgery Physician
NPI 1154353977
See commercial rates for John Brennan, MDGregg Jarit, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1417129495
See commercial rates for Gregg Jarit, M.D.Michael Fracchia, MD
Orthopaedic Surgery Physician
NPI 1447260070
See commercial rates for Michael Fracchia, MDBrian Durkin, D.O.
Pain Medicine (Anesthesiology) Physician
NPI 1790713162
See commercial rates for Brian Durkin, D.O.Theofanis Mitsinikos, D.O.
Endocrinology, Diabetes & Metabolism Physician
NPI 1467624064
See commercial rates for Theofanis Mitsinikos, D.O.Guy Schwartz, M.D.
Neurology Physician
NPI 1265592943
See commercial rates for Guy Schwartz, M.D.Anthony Cappellino, MD
Orthopaedic Surgery Physician
NPI 1851409627
See commercial rates for Anthony Cappellino, MDSchenley Que, MD
Neurology Physician
NPI 1467556662
See commercial rates for Schenley Que, MDSource: 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 St Charles 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 | 476.7% |
| Inpatient | $740.4M | 286.2% |
| Outpatient | $492.8M | 190.5% |
| Contractual allowances and discounts | -$974.5M | -376.7% |
| Net patient revenue | $258.7M | 100.0% |
| Operating expenses | -$322.7M | -124.7% |
| Operating income from patient care | -$64M | -24.7% |
| Other income | $50.8M | 19.7% |
| Contributions and donations | $100 | 0.0% |
| Investment income | $94,000 | 0.0% |
| Government appropriations | $58,566 | 0.0% |
| Other | $50.7M | 19.6% |
| Other expenses | $437,052 | 0.2% |
| Net income | -$12.7M | -4.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $201M | 16.3% |
| Medicaid (including managed care) | $214.8M | 17.4% |
| Other payers and self-pay | $817.4M | 66.3% |
| Total charges | $1.2B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838412, 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 St Charles Hospital's latest cost report.
-24.7%
Operating margin
Operating income from patient care / net patient revenue
-4.1%
Total margin
Net income / net patient revenue plus other income
-2.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
48% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$53.84
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-6.7%
Return on assets
Net income for a year / total assets
0.50
Current ratio
Current assets / current liabilities
0.21
Quick ratio
Cash, temporary investments and net receivables / current liabilities
3 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
183 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.63
Asset turnover
Total revenue for a year / total assets
39.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838412, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What St Charles Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $189.7M in total assets and a -$49M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2.8M | 1.5% |
| Patient receivables, net | $30.1M | 15.9% |
| Inventory | $7.8M | 4.1% |
| Total current assets | $78.8M | 41.5% |
| Property and equipment, net of depreciation | $57.9M | 30.5% |
| Investments and other assets | $53M | 27.9% |
| Total assets | $189.7M | 100.0% |
| Current liabilities | $158.8M | 83.7% |
| Long-term debt | $8.2M | 4.3% |
| Total liabilities | $238.7M | 125.8% |
| Fund balance (net assets) | -$49M | -25.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838412, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care St Charles Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.9M
Bad debt
Patient bills written off as uncollectible, at charges
$24.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$612,238
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$27.1M
Total unreimbursed and uncompensated care
8.4% 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 838412, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
St Charles 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 | $208.3M | $240.1M | $233.4M | $232.7M | $252.7M | $258.7M |
| Operating expenses | $232M | $230M | $248.6M | $251.9M | $284.9M | $322.7M |
| Operating margin | -11.4% | 4.2% | -6.5% | -8.3% | -12.8% | -24.7% |
| Net income | $6M | $17.2M | -$8M | -$8.7M | -$24.2M | -$12.7M |
| Total assets | $157M | $133.5M | $135.4M | $136.4M | $167.5M | $189.7M |
| Discharges | 8,410 | 8,806 | 8,070 | 7,809 | 8,358 | 8,367 |
| Inpatient days | 43,402 | 45,491 | 42,282 | 43,555 | 46,686 | 46,433 |
| Medicare Advantage days | 2,806 | 3,291 | 2,788 | 3,151 | 7,165 | 6,077 |
| Beds | 243 | 243 | 243 | 243 | 185 | 186 |
| Employees (FTE) | 1,148 | 1,138 | 1,136 | 1,151 | 1,162 | 1,153 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838412, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center St Charles 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $46.1M | $76.3M | 0.60 | ||
| Physical therapy | $13.4M | $23.4M | $102.4M | 0.23 | 63,424 |
| Operating room | $7.8M | $23.2M | $175.6M | 0.13 | 18,687 |
| Impl. dev. charged to patients | $17.8M | $76.5M | 0.23 | ||
| Medical supplies charged to patient | $13.4M | $26.4M | 0.51 | ||
| Emergency | $4.2M | $8.8M | $77.6M | 0.11 | 500 |
| Delivery room & labor room | $3.8M | $7.5M | $23.3M | 0.32 | 344 |
| Laboratory | $2.7M | $7.5M | $83.3M | 0.09 | 11,733 |
| Radiology-diagnostic | $2.9M | $6.4M | $16.2M | 0.39 | 7,653 |
| Clinic | $3.5M | $6.1M | $16.9M | 0.36 | 17,932 |
| Respiratory therapy | $2M | $3.7M | $16.8M | 0.22 | 1,321 |
| Recovery room | $2M | $3.6M | $16.3M | 0.22 | 16 |
| Blood storing processing & trans. | $850,203 | $2.6M | $9.6M | 0.27 | 389 |
| Occupational therapy | $1.2M | $2M | $9.8M | 0.20 | 250 |
| Psychiatric/psychological svcs | $1.1M | $1.7M | $4.1M | 0.42 | 717 |
| Ct scan | $710,136 | $1.6M | $36.1M | 0.04 | 400 |
| Speech pathology | $823,650 | $1.4M | $2M | 0.68 | 713 |
| Ultrasound diagnostic | $658,613 | $1.2M | $17.8M | 0.07 | 1 |
| Mri | $551,217 | $1.2M | $12.2M | 0.10 | 10 |
| Electrocardiology | $234,467 | $1.1M | $7.8M | 0.14 | 281 |
| Electroencephalography | $437,289 | $793,237 | $2.3M | 0.35 | 158 |
| Nuclear medicine - diagnostic | $337,270 | $657,865 | $4.3M | 0.15 | 115 |
| Sleep lab | $291,863 | $589,837 | $16.9M | 0.03 | 5,400 |
| Early intervention | $125,644 | $464,519 | $471,245 | 0.99 | 2,272 |
| Renal dialysis | $359,829 | $854,192 | 0.42 | 432 | |
| Chemotherapy | $113,060 | $191,944 | $364,693 | 0.53 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $16.5M | $44.1M | $244.9M | 0.18 | 46,186 |
| Subprovider - irf | $10M | $19.6M | $100.7M | 0.19 | 4,866 |
| Intensive care unit | $4.3M | $8.4M | $33.6M | 0.25 | 212 |
| Neonatal intensive care unit | $1.2M | $2.4M | $5.8M | 0.42 | 1 |
| Nursery | $127,685 | $397,511 | $16.1M | 0.02 | 1 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $25.1M | $41.8M | 370,983 | $67.37 | 77,628 |
| Employee benefits department | $586,898 | $32.8M | 20,950 | $28.01 | 5,879 |
| Cap rel costs-mvble equip | $6.9M | ||||
| Operation of plant | $2.4M | $5.7M | 65,729 | $36.91 | 47,508 |
| Nursing administration | $4.2M | $4.4M | 11,326 | ||
| Housekeeping | $3.3M | $4.1M | 110,322 | $29.74 | 4,699 |
| Dietary - other | $2.6M | $4M | 13,771 | ||
| Pharmacy | $3.8M | $3.3M | 8,607 | ||
| Cap rel costs-bldg & fixt | $2.9M | 451,256 | |||
| Central service & supply | $1.2M | $2.5M | 9,928 | ||
| Maintenance & repairs | $1.3M | $2.3M | 31,935 | $40.96 | 34,248 |
| Social service | $1.3M | $1.4M | 27,315 | $49.19 | 1,319 |
| Laundry & linen service | $1M | 209 | |||
| I&r services-salary & fringes apprv | $819,593 | $500,280 | |||
| Medical records & library | $242,634 | $358,144 | 4,331 | $56.02 | 1,286 |
| Supervising physicians - teaching | $242,632 | ||||
| I&r services-other prgm costs apprv | $146,838 | $206,094 | 150 | ||
| Supervising physicians - other | $157,651 | ||||
| Cafeteria | $79,772 | 3,172 | $26.41 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838412, 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 St Charles Hospital for an inpatient stay.
1.60
Case mix index
Higher than 40% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.02 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
38.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,237
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 | 1.49 | 1.49 | 1.58 | 1.58 | 1.58 | 1.57 | 1.60 |
| Wage index | 1.354 | 1.292 | 1.310 | 1.319 | 1.306 | 1.370 | 1.427 |
| Readmissions adjustment | -1.03% | -0.35% | -1.38% | -0.73% | -0.08% | -0.09% | 0.00% |
| Value-based purchasing adjustment | +0.04% | +0.15% | +0.15% | +0.52% | +0.62% | +0.28% | +0.48% |
| Medicare inpatient stays | 2,335 | 2,335 | 1,867 | 1,756 | 1,775 | 2,114 | 2,237 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations St Charles Hospital reports to Medicare as owners or with operational control.
Catholic Health System of Long Island Inc
Operational/managerial control, 100%, since 1997
Sources: CMS Hospital All Owners.
The officers and board members on St Charles 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 22 of 23 are shown.
| Name | Title |
|---|---|
| Patrick O'Shaughnessy DO | President & CEO |
| Patrick Minicus | EVP & CFO |
| James O'Connor | President/cao |
| Sunil Dhuper MD | CMO |
| Dominick Pernice | COO |
| Salvatore Sodano | Chair |
| Thomas Christman | Vice Chair |
| Regina Piscazzi | Secretary |
| Robert Zuccaro | Treasurer |
Board members: Jerry Balentine DO, Peter Dagher, Rev Lee Descoteaux, Hon Vito Destefano, Rev Jason Grisafi, Joseph Mattone Esq, Susan O'Hara RN, Ronald Shindel, Peter Quick, Debra Del Vecchio, John Romanelli MD, Andrew Zucaro, Rev John Mccartney, Geoffrey Delesseps, Joseph F Kuehn Jr.
Source: IRS Form 990 Part VII filed by St Charles Hospital Corp (EIN 11-1871039), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH330246, registered as a disproportionate share hospital. Authorizing official: dominick pernice, COO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
St charles rehabilitation
CCN 33T246, certified 1986, Medicare prospective payment
St charles home care
CCN 337231, certified 1995, Medicare prospective payment
Source: Worksheet S-2 Part I of St Charles Hospital's latest Medicare cost report (HCRIS).
About St Charles Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St Charles Hospital range from $650 to $828 across 4 insurers. UnitedHealthcare's rate is $828. The median at nearby comparable hospitals is $694. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St Charles Hospital range from $2,656 to $4,717 across 4 insurers. Blue Cross Blue Shield's rate is $3,361. The median at nearby comparable hospitals is $3,421. 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 St Charles Hospital range from $11,130 to $13,733 across 4 insurers. Cigna's rate is $12,521. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St Charles Hospital range from $217 to $309 across 4 insurers. Aetna's rate is $309. The median at nearby comparable hospitals is $213. 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 St Charles Hospital range from $34,157 to $42,385 across 4 insurers. Aetna's rate is $36,030. The median at nearby comparable hospitals is $54,910. What a patient pays depends on their plan's deductible, coinsurance and network status.
St Charles Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.
Yes. CMS counts 0.02 Medicare-funded residents per bed at St Charles Hospital for fiscal year 2027, so it is a teaching hospital.
No. St Charles Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (195 discharges), alcohol, drug abuse or dependence with rehabilitation therapy (136 discharges), kidney and urinary tract infections without mcc (76 discharges).
St Charles Hospital's Medicare case mix index is 1.60 for fiscal year 2027, higher than 40% of hospitals paid under the inpatient prospective payment system.
St Charles Hospital reported 8,367 inpatient discharges and 46,433 inpatient days from Jan 1, 2025 to Dec 31, 2025.
St Charles Hospital reported 1,153 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
St Charles Hospital reported $258.7M in net patient revenue on $1.2B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -24.7%, and net income of -$12.7M.
St Charles Hospital reported $27.1M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $3M of charity care at cost.
St Charles Hospital's Medicare enrollment lists Patrick M O'Shaughnessy as President & Chief Executive Officer since 2021.
Insurers' price transparency files list St Charles Hospital under employer identification number 11-1871039 (St Charles Hospital). 55 health plans and networks list 11-1871039 for it.
HRSA's 340B database lists St Charles Hospital (340B ID DSH330246) as no longer participating since 2026.
590 clinicians who bill Medicare list St Charles Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (48), orthopaedic surgery physician (43), family medicine physician (40).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for St Charles Hospital, effective 2016.
In its Medicare enrollment, St Charles Hospital reports Catholic Health System of Long Island Inc as Operational/managerial control (100%).
CMS lists 36 services at St Charles Hospital, including Acute Renal Dialysis, Alcohol and/or Drug Service, Anesthesia, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at St Charles Hospital came from ZIP codes 11776 (346), 11727 (262), 11961 (221).
St Charles Hospital has 186 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 231 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
St Charles Hospital is located at 200 Belle Terre Road, Port Jefferson, NY 11777. Its main phone number is (631) 474-6000.
St Charles Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 330246.
The National Provider Identifier (NPI) on file for St Charles Hospital is 1164481529.
St Charles Hospital is affiliated with Catholic Health Services of Long Island.
St Charles Hospital lists 37 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.
382 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