F

Peconic Bay Medical Center

1 Heros Way · Riverhead, NY 11901

🤖AI Overview

⚠️ This hospital charges 5.3x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$335.3M
Medicare Payments
$63.4M
Discharges
4,774
Avg Length of Stay
4.4 days
Markup Ratio
5.3x
Risk Score
1.90

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Peconic Bay Medical Center charges an average of $70,233 per discharge, but Medicare only pays $13,270 — a markup of 5.3x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
5.3x
State Avg
5.6x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$70,233
State Avg
$108,174
National Avg
$69,838
Avg Length of Stay
This Hospital
4.4 days
State Avg
6.5 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
8.4%
65–74
30.1%
75–84
38.8%
85+
22.7%

Gender

53.6%
Female
46.4%
Male

Dual Eligibility

20.4%
Dual Eligible
79.6%
Non-Dual

Race & Ethnicity

White
90.5%
Black
3.6%
Hispanic
2.5%
Asian
0.5%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
62.8%
Ischemic Heart Disease
52.5%
Diabetes
39.4%
Mood Disorders
39.2%
Atrial Fibrillation
35.6%
Anxiety
35.4%
Chronic Kidney Disease
33.2%
Depression
32.6%
Heart Failure
32.0%
COPD
26.6%
Cancer
24.2%
Alzheimer's/Dementia
23.1%
Stroke/TIA
23.0%
Osteoporosis
15.6%
Tobacco Use
12.2%
Asthma
11.3%
Substance Use
9.6%
Bipolar Disorder
7.8%
Schizophrenia/Psychosis
4.5%
Parkinson's
4.2%
Personality Disorders
2.3%
ADHD/Conduct Disorders
2.2%
PTSD
1.7%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.