New York / Auburn Community Hospital
CMS certification 330235 · Auburn, NY · 4 entries in CMS's price-transparency list
Auburn Community Hospital: charges and Medicare payments
Auburn Community Hospital reported 834 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 1.83 times what it was paid — among the lower ratios in New York, number 104 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: 120 stays at an average charge of $28,678, 68% below the national average. It also billed 1,069 outpatient services, charging 3.03 times what Medicare paid.
- 1Medicare inpatient stays 834
- 2Charge ÷ paid, inpatient 1.83×
- 3Rank in NY (highest ratio = 1) 104 of 123
- 4CMS price-transparency actions 4
Inpatient stays
For the 29 DRGs that can be compared with the national average, Auburn Community Hospital 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 120 | $28,678 | -68% | $17,327 |
| 291 Heart Failure and Shock with MCC | 87 | $20,087 | -64% | $11,527 |
| 177 Respiratory Infections and Inflammations with MCC | 58 | $22,363 | -68% | $14,538 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $21,479 | -64% | $11,602 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 45 | $17,107 | -66% | $9,635 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 43 | $21,374 | -71% | $14,361 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $15,602 | -58% | $6,953 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $21,386 | -58% | $10,213 |
| 603 Cellulitis without MCC | 28 | $14,335 | -62% | $7,734 |
| 683 Renal Failure with CC | 27 | $16,296 | -60% | $7,830 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $15,589 | -61% | $6,888 |
| 178 Respiratory Infections and Inflammations with CC | 24 | $22,343 | -51% | $8,599 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $13,662 | -64% | $7,165 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $15,095 | -60% | $7,053 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $28,049 | -63% | $13,860 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $18,567 | -68% | $10,853 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 18 | $17,624 | -63% | $8,890 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $19,335 | -61% | $10,098 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $32,906 | -61% | $15,771 |
| 951 Other Factors Influencing Health Status | 17 | $8,168 | -68% | $5,116 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $24,946 | -56% | $10,496 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $19,160 | -47% | $6,494 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $33,948 | -67% | $18,317 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $16,769 | -72% | $11,543 |
| 312 Syncope and Collapse | 12 | $16,994 | -63% | $7,515 |
| 389 Gastrointestinal Obstruction with CC | 12 | $15,876 | -59% | $7,034 |
| 638 Diabetes with CC | 12 | $18,394 | -56% | $7,846 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 11 | $19,832 | -50% | $7,447 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $18,275 | -70% | $11,178 |
Outpatient services
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Auburn Community Hospital charged $28,678 on average, 75% less than the New York average of $116,930, and was paid $17,327 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Auburn Community Hospital charged $20,087 on average, 75% less than the New York average of $81,161, and was paid $11,527 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Auburn Community Hospital charged $22,363 on average, 76% less than the New York average of $94,371, and was paid $14,538 against a state average of $19,472. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Auburn Community Hospital charged $21,479 on average, 72% less than the New York average of $77,177, and was paid $11,602 against a state average of $15,976. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,117 was 66% below the state average of $26,675. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,516 was 56% below the state average of $3,429. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $4,796 was 63% below the state average of $13,044. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,451 was 42% below the state average of $16,178.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Auburn Community Hospital in Auburn, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 437)
- Closure Notice — 2022-01-27 (CMS case 437)
- Warning Notice — 2025-09-05 (CMS case 6489)
- Closure Notice — 2025-11-26 (CMS case 6489)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.