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Short Term Acute Care HospitalVoluntary Non-Profit - Church

St. Francis Hospital

Catholic Health Services of Long Island · Roslyn, NY

100 Port Washington Boulevard, Roslyn, NY 11576(516) 562-6000

5 of 5

CMS star rating

321

Beds

21,145

Inpatient discharges a year

$1B

Net patient revenue a year

34

In-network payers

About this hospital

St. Francis Hospital is a 321-bed voluntary non-profit - church hospital in Roslyn, NY, affiliated with Catholic Health Services of Long Island. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 349 disclosed rate categories.

  • ACO participant
CCN
330182
NPI
1043279565
Website
catholichealthli.org
Health system
Catholic Health Services of Long Island
Teaching
Teaching hospital
County
Nassau County
Metro area
New York-Newark-Jersey City, NY-NJ MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2024

Prices for common services

The 24 services St. Francis 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.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$47,775 - $58,865

from 4 insurers · median $49,929

Aetna$58,865
Insurer A*$47,775
Insurer B*$49,165
Insurer C*$50,693
Medicare $13,421Nearby hospitals $45,33310% above nearby hospitals

308 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$226,329 - $282,057

from 4 insurers · median $265,608

Aetna$282,057
Insurer A*$226,329
Insurer B*$257,102
Insurer C*$274,114
Medicare $76,986Nearby hospitals $230,46215% above nearby hospitals

41 Medicare discharges for this DRG in CMS hospital data

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,713 - $5,117

from 4 insurers · median $4,528

Blue Cross$4,599
Insurer A*$3,713
Insurer B*$4,457
Insurer C*$5,117
Medicare $1,088Nearby hospitals $3,22340% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$92,128 - $97,893

from 4 insurers · median $94,302

Aetna$95,986
Insurer A*$92,128
Insurer B*$92,618
Insurer C*$97,893
Medicare $28,335Nearby hospitals $76,95123% above nearby hospitals

28 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at St. Francis Hospital

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

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
271%
122
Insurer B*24
253%
186
Insurer C*24
232%
126
Insurer D*24
230%
120

How we chose these services: 5 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 2 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. Francis Hospital, or start a free trial.

Insurance Accepted

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

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

More about this hospital

  • Quality

    5 of 5 stars

    • 224 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.44%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 41 services
    • 1,227 affiliated clinicians
    See doctors and services

  • Finances

    $1B net patient revenue

    • Operating margin on patient care 0.2%
    • $19.5M unreimbursed and uncompensated care
    • $172.5M net income
    See finances

  • Ownership and leadership

    Owned by Catholic Health System of Long Island Inc

    • Church
    • Patrick M O'Shaughnessy, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for St. Francis Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
11-2050523St Francis Hospital60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 55 more1043279565 St. Francis Hospital1750439030 St Francis Hospital United States Catholic Conference1114075496 St Francis Hospitaland 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.

Location

100 Port Washington Boulevard, Roslyn, NY 11576

(516) 562-6000

Get directions

Frequently asked questions

About St. Francis Hospital's rates and hospital price transparency.

How much does an MRI cost at St. Francis Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Francis Hospital range from $598 to $828 across 4 insurers. Blue Cross Blue Shield's rate is $820. The median at nearby comparable hospitals is $789. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at St. Francis Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Francis Hospital range from $684 to $828 across 4 insurers. Cigna's rate is $812. The median at nearby comparable hospitals is $667. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at St. Francis Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St. Francis Hospital range from $2,579 to $5,397 across 4 insurers. Blue Cross Blue Shield's rate is $5,397. The median at nearby comparable hospitals is $3,691. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at St. Francis Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Francis Hospital range from $217 to $297 across 4 insurers. Blue Cross Blue Shield's rate is $240. The median at nearby comparable hospitals is $214. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at St. Francis Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St. Francis Hospital range from $47,775 to $58,865 across 4 insurers. Aetna's rate is $58,865. The median at nearby comparable hospitals is $45,333. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is St. Francis Hospital's CMS star rating?

St. Francis 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.

Is St. Francis Hospital a teaching hospital?

Yes. CMS counts 0.03 Medicare-funded residents per bed at St. Francis Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize St. Francis Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. Francis Hospital's base inpatient payments by an estimated 0.44% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at St. Francis Hospital?

In 2024, the most common were heart failure and shock with mcc (644 discharges), septicemia or severe sepsis without mv >96 hours with mcc (571 discharges), percutaneous and other intracardiac procedures without mcc (368 discharges).

What is St. Francis Hospital's case mix index?

St. Francis Hospital's Medicare case mix index is 2.25 for fiscal year 2027, higher than 89% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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

Compliance MRF

Publish a CMS-compliant machine-readable file

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

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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  • Missing, duplicate and outdated charge lines identified
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