New York / Adirondack Medical Center - Saranac Lake
CMS certification 330079 · Saranac Lake, NY
Adirondack Medical Center - Saranac Lake: charges and Medicare payments
Adirondack Medical Center - Saranac Lake reported 312 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 2.6 times what it was paid — mid-range in New York, number 68 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 178 stays at an average charge of $42,069, 55% below the national average. It also billed 1,084 outpatient services, charging 3.86 times what Medicare paid.
- 1Medicare inpatient stays 312
- 2Charge ÷ paid, inpatient 2.6×
- 3Rank in NY (highest ratio = 1) 68 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 7 DRGs that can be compared with the national average, Adirondack Medical Center - Saranac Lake charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 178 | $42,069 | -55% | $17,594 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 42 | $45,967 | -49% | $18,571 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $48,746 | -15% | $12,592 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 20 | $63,704 | -50% | $23,177 |
| 253 Other Vascular Procedures with CC | 15 | $85,719 | -35% | $25,016 |
| 291 Heart Failure and Shock with MCC | 14 | $22,750 | -60% | $12,032 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $48,442 | -52% | $19,585 |
Outpatient services
Against the New York average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Adirondack Medical Center - Saranac Lake charged $42,069 on average, 61% less than the New York average of $107,202, and was paid $17,594 against a state average of $23,235. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adirondack Medical Center - Saranac Lake charged $45,967 on average, 61% less than the New York average of $116,930, and was paid $18,571 against a state average of $24,426. For Pulmonary Edema and Respiratory Failure (DRG 189), Adirondack Medical Center - Saranac Lake charged $48,746 on average, 34% less than the New York average of $74,150, and was paid $12,592 against a state average of $15,119. For Major Joint or Limb Reattachment Procedures of Upper Extremities (DRG 483), Adirondack Medical Center - Saranac Lake charged $63,704 on average, 49% less than the New York average of $125,382, and was paid $23,177 against a state average of $28,978. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,468 was 28% below the state average of $3,429. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,362 was 43% below the state average of $12,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,952 was 48% below the state average of $26,675. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $6,627 was 49% below the state average of $13,044.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.