Albany Medical Center Hospital: charges and Medicare payments

Albany Medical Center Hospital reported 5,638 Medicare inpatient stays across 169 DRGs in 2024. Across them it charged 2.73 times what it was paid — mid-range in New York, number 63 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 467 stays at an average charge of $76,799, 15% below the national average. It also billed 4,892 outpatient services, charging 3.71 times what Medicare paid.

1Medicare inpatient stays 5,638
2Charge ÷ paid, inpatient 2.73×
3Rank in NY (highest ratio = 1) 63 of 123
4CMS price-transparency actions 0

Average charge per stay at Albany Medical Center Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 169 DRGs that can be compared with the national average, Albany Medical Center Hospital charged more than the national average in 3 (2%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	467	$76,799	-15%	$23,297
274 Percutaneous and Other Intracardiac Procedures without MCC	199	$51,142	-67%	$33,846
267 Endovascular Cardiac Valve Replacement and Supplement...	181	$118,000	-47%	$51,341
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	153	$71,516	-28%	$22,235
280 Acute Myocardial Infarction, Discharged Alive with MCC	124	$58,797	-22%	$17,977
853 Infectious and Parasitic Diseases with O.R. Procedures with...	109	$134,446	-41%	$53,297
266 Endovascular Cardiac Valve Replacement and Supplement...	106	$171,013	-40%	$68,354
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	105	$46,050	-17%	$11,531
189 Pulmonary Edema and Respiratory Failure	103	$55,283	-4%	$14,567
177 Respiratory Infections and Inflammations with MCC	89	$52,872	-25%	$18,276
025 Craniotomy and Endovascular Intracranial Procedures with MCC	86	$104,500	-55%	$49,446
689 Kidney and Urinary Tract Infections with MCC	86	$43,402	-15%	$13,922
291 Heart Failure and Shock with MCC	78	$52,081	-8%	$15,951
481 Hip and Femur Procedures except Major Joint with CC	71	$69,524	-31%	$22,690
552 Medical Back Problems without MCC	64	$38,813	-21%	$11,196
281 Acute Myocardial Infarction, Discharged Alive with CC	62	$41,264	-18%	$10,639
378 Gastrointestinal Hemorrhage with CC	61	$35,246	-27%	$11,000
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	61	$32,053	-35%	$12,372
193 Simple Pneumonia and Pleurisy with MCC	58	$45,897	-23%	$14,936
698 Other Kidney and Urinary Tract Diagnoses with MCC	56	$64,579	-12%	$19,198
377 Gastrointestinal Hemorrhage with MCC	54	$60,165	-30%	$20,887
100 Seizures with MCC	53	$77,107	-18%	$23,617
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	51	$26,745	-33%	$9,497
603 Cellulitis without MCC	49	$30,618	-18%	$10,575
165 Major Chest Procedures without CC/MCC	47	$35,268	-66%	$19,970
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	47	$51,928	-14%	$18,531
309 Cardiac Arrhythmia and Conduction Disorders with CC	46	$25,609	-29%	$8,325
330 Major Small and Large Bowel Procedures with CC	46	$56,225	-53%	$27,683
322 Percutaneous Cardiovascular Procedures with Intraluminal...	45	$83,901	-27%	$19,192
690 Kidney and Urinary Tract Infections without MCC	45	$30,850	-18%	$9,327
082 Traumatic Stupor and Coma >1 Hour with MCC	43	$90,446	-22%	$24,795
163 Major Chest Procedures with MCC	43	$118,047	-44%	$59,277
699 Other Kidney and Urinary Tract Diagnoses with CC	43	$37,236	-22%	$11,574
023 Craniotomy with Major Device Implant or Acute Complex Cns...	41	$138,444	-51%	$58,919
101 Seizures without MCC	40	$36,491	-25%	$11,043
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	39	$31,221	-16%	$9,019
682 Renal Failure with MCC	39	$50,237	-24%	$16,843
252 Other Vascular Procedures with MCC	38	$124,806	-27%	$39,135
312 Syncope and Collapse	38	$33,021	-27%	$10,137
480 Hip and Femur Procedures except Major Joint with MCC	38	$113,004	-19%	$33,620
253 Other Vascular Procedures with CC	37	$75,739	-43%	$31,105
329 Major Small and Large Bowel Procedures with MCC	36	$131,692	-39%	$51,834
445 Disorders of The Biliary Tract with CC	36	$52,768	-9%	$13,027
054 Nervous System Neoplasms with MCC	35	$55,190	-29%	$17,158
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	35	$155,309	-28%	$53,871
083 Traumatic Stupor and Coma >1 Hour with CC	33	$40,993	-44%	$15,164
389 Gastrointestinal Obstruction with CC	33	$35,639	-8%	$10,738
551 Medical Back Problems with MCC	33	$58,211	-26%	$19,111
273 Percutaneous and Other Intracardiac Procedures with MCC	32	$74,021	-65%	$42,972
394 Other Digestive System Diagnoses with CC	32	$25,303	-46%	$10,810
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	31	$46,249	-29%	$15,803
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	31	$66,179	-35%	$22,479
027 Craniotomy and Endovascular Intracranial Procedures without...	30	$61,537	-56%	$28,371
070 Other Cerebrovascular Disorders with MCC	29	$66,574	-12%	$20,142
331 Major Small and Large Bowel Procedures without CC/MCC	29	$28,927	-66%	$19,810
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	29	$43,562	-29%	$14,464
683 Renal Failure with CC	29	$36,145	-11%	$10,895
286 Circulatory Disorders except AMI, with Cardiac...	28	$107,678	-4%	$23,773
812 Red Blood Cell Disorders without MCC	28	$40,392	-9%	$14,999
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	27	$620,093	-41%	$203,824

Showing the 60 most frequent of 169 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	952	$991	$724
Level 3 Urology and Related Services	379	$4,710	$2,137
Comprehensive Observation Services	343	$17,811	$2,868
Level 2 Excision/ Biopsy/ Incision and Drainage	294	$8,171	$1,664
Level 1 Endovascular Procedures	251	$26,967	$3,412
Level 3 Vascular Procedures	183	$9,864	$3,321
Level 2 Upper GI Procedures	148	$8,902	$1,985
Level 4 Urology and Related Services	145	$10,643	$3,620
Level 3 Airway Endoscopy	133	$1,968	$1,789
Level 5 Musculoskeletal Procedures	127	$25,463	$13,833
Level 3 Endovascular Procedures	126	$40,572	$11,649
Level 3 Electrophysiologic Procedures	117	$82,657	$25,111
Level 5 Urology and Related Services	117	$14,564	$5,374
Level 3 Excision/ Biopsy/ Incision and Drainage	116	$16,498	$2,971
Level 1 Laparoscopy and Related Services	105	$17,758	$6,029
Level 4 Musculoskeletal Procedures	94	$18,682	$7,392
Level 2 Laparoscopy and Related Services	82	$26,400	$10,792
Level 4 Airway Endoscopy	68	$15,000	$3,970
Level 4 Vascular Procedures	62	$20,191	$5,751
Level 3 Pacemaker and Similar Procedures	61	$37,713	$11,308
Level 2 Endovascular Procedures	60	$20,801	$6,060
Level 3 Upper GI Procedures	59	$20,884	$4,060
Level 5 ENT Procedures	56	$16,965	$6,209
Level 2 Vascular Procedures	55	$3,740	$1,629
Level 4 Endovascular Procedures	51	$60,462	$18,185

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Albany Medical Center Hospital charged $76,799 on average, 34% less than the New York average of $116,930, and was paid $23,297 against a state average of $24,426. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Albany Medical Center Hospital charged $51,142 on average, 70% less than the New York average of $167,911, and was paid $33,846 against a state average of $36,556. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Albany Medical Center Hospital charged $118,000 on average, 48% less than the New York average of $225,176, and was paid $51,341 against a state average of $54,006. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Albany Medical Center Hospital charged $71,516 on average, 47% less than the New York average of $134,115, and was paid $22,235 against a state average of $25,763. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $991 was 71% below the state average of $3,429. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $4,710 was 64% below the state average of $13,044. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,811 was 33% below the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,171 was 36% below the state average of $12,815.

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.