New York / Canton-Potsdam Hospital
CMS certification 330197 · Potsdam, NY · 1 entry in CMS's price-transparency list
Canton-Potsdam Hospital: charges and Medicare payments
Canton-Potsdam Hospital reported 658 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 2.45 times what it was paid — mid-range in New York, number 78 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: 165 stays at an average charge of $40,486, 55% below the national average. It also billed 1,367 outpatient services, charging 3.53 times what Medicare paid.
- 1Medicare inpatient stays 658
- 2Charge ÷ paid, inpatient 2.45×
- 3Rank in NY (highest ratio = 1) 78 of 123
- 4CMS price-transparency actions 1
Inpatient stays
For the 24 DRGs that can be compared with the national average, Canton-Potsdam Hospital charged more than the national average in 1 (4%). 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 | 165 | $40,486 | -55% | $16,854 |
| 291 Heart Failure and Shock with MCC | 69 | $25,236 | -55% | $10,858 |
| 177 Respiratory Infections and Inflammations with MCC | 47 | $30,760 | -56% | $14,019 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 41 | $19,770 | -60% | $8,674 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $23,983 | -51% | $8,378 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $34,966 | -39% | $10,621 |
| 193 Simple Pneumonia and Pleurisy with MCC | 30 | $24,646 | -59% | $11,427 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $17,204 | -52% | $6,447 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $34,200 | -60% | $15,138 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $20,584 | -49% | $6,696 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $27,126 | -63% | $13,896 |
| 389 Gastrointestinal Obstruction with CC | 15 | $17,774 | -54% | $7,282 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $40,350 | -60% | $17,394 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $16,649 | -55% | $6,741 |
| 812 Red Blood Cell Disorders without MCC | 14 | $21,550 | -51% | $7,668 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $27,523 | -51% | $8,588 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $29,898 | -61% | $13,282 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $21,257 | -62% | $10,165 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $21,676 | -43% | $6,914 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $25,283 | -44% | $8,351 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $19,982 | -60% | $7,716 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $37,156 | -64% | $17,727 |
| 638 Diabetes with CC | 11 | $25,767 | -38% | $7,595 |
| 895 Alcohol, Drug Abuse or Dependence with Rehabilitation... | 11 | $37,093 | +8% | $12,340 |
Outpatient services
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Canton-Potsdam Hospital charged $40,486 on average, 65% less than the New York average of $116,930, and was paid $16,854 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Canton-Potsdam Hospital charged $25,236 on average, 69% less than the New York average of $81,161, and was paid $10,858 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Canton-Potsdam Hospital charged $30,760 on average, 67% less than the New York average of $94,371, and was paid $14,019 against a state average of $19,472. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Canton-Potsdam Hospital charged $19,770 on average, 68% less than the New York average of $61,129, and was paid $8,674 against a state average of $12,692. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,988 was 57% below the state average of $16,178. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,868 was 48% below the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,337 was 66% below the state average of $12,815. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,823 was 47% below the state average of $3,429.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Canton-Potsdam Hospital in Potsdam, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-06-25 (CMS case 8131)
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.