New York / Cayuga Medical Center at Ithaca

CMS certification 330307 · Ithaca, NY

Cayuga Medical Center at Ithaca: charges and Medicare payments

Cayuga Medical Center at Ithaca reported 717 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 2.25 times what it was paid — among the lower ratios in New York, number 85 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: 172 stays at an average charge of $37,854, 58% below the national average. It also billed 2,604 outpatient services, charging 3.57 times what Medicare paid.

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  1. 1Medicare inpatient stays 717
  2. 2Charge ÷ paid, inpatient 2.25×
  3. 3Rank in NY (highest ratio = 1) 85 of 123
  4. 4CMS price-transparency actions 0
DRG 871$37,854DRG 885$38,184DRG 872$25,071DRG 291$24,957DRG 193$29,267DRG 177$27,373DRG 189$25,294DRG 522$45,732DRG 065$26,398DRG 377$34,165
Average charge per stay at Cayuga Medical Center at Ithaca, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 28 DRGs that can be compared with the national average, Cayuga Medical Center at Ithaca charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC172$37,854-58%$18,752
885 Psychoses47$38,184-13%$14,176
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC46$25,071-49%$9,428
291 Heart Failure and Shock with MCC43$24,957-56%$12,100
193 Simple Pneumonia and Pleurisy with MCC33$29,267-51%$11,944
177 Respiratory Infections and Inflammations with MCC32$27,373-61%$15,596
189 Pulmonary Edema and Respiratory Failure31$25,294-56%$11,296
522 Hip Replacement with Principal Diagnosis of Hip Fracture...26$45,732-55%$19,340
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...20$26,398-53%$9,681
377 Gastrointestinal Hemorrhage with MCC18$34,165-60%$15,990
309 Cardiac Arrhythmia and Conduction Disorders with CC17$17,638-51%$6,964
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$33,061-45%$12,608
853 Infectious and Parasitic Diseases with O.R. Procedures with...17$81,110-65%$44,407
481 Hip and Femur Procedures except Major Joint with CC16$52,162-48%$18,510
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...16$24,610-34%$8,599
280 Acute Myocardial Infarction, Discharged Alive with MCC14$28,463-62%$14,447
281 Acute Myocardial Infarction, Discharged Alive with CC14$21,403-58%$8,605
378 Gastrointestinal Hemorrhage with CC14$21,050-57%$9,342
698 Other Kidney and Urinary Tract Diagnoses with MCC14$21,118-71%$14,728
854 Infectious and Parasitic Diseases with O.R. Procedures with...14$45,860-53%$18,164
071 Other Cerebrovascular Disorders with CC13$21,678-57%$9,590
190 Chronic Obstructive Pulmonary Disease with MCC13$24,951-51%$10,230
482 Hip and Femur Procedures except Major Joint without CC/MCC13$34,209-56%$14,413
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...13$20,165-46%$7,575
070 Other Cerebrovascular Disorders with MCC11$38,094-50%$16,102
101 Seizures without MCC11$24,123-51%$9,140
322 Percutaneous Cardiovascular Procedures with Intraluminal...11$73,949-35%$17,636
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...11$16,342-59%$7,439

Outpatient services

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cayuga Medical Center at Ithaca charged $37,854 on average, 68% less than the New York average of $116,930, and was paid $18,752 against a state average of $24,426. For Psychoses (DRG 885), Cayuga Medical Center at Ithaca charged $38,184 on average, 47% less than the New York average of $72,398, and was paid $14,176 against a state average of $16,477. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Cayuga Medical Center at Ithaca charged $25,071 on average, 59% less than the New York average of $61,129, and was paid $9,428 against a state average of $12,692. For Heart Failure and Shock with MCC (DRG 291), Cayuga Medical Center at Ithaca charged $24,957 on average, 69% less than the New York average of $81,161, and was paid $12,100 against a state average of $16,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,267 was 47% below the state average of $26,675. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $3,680 was 77% below the state average of $16,178. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,334 was 35% below the state average of $12,815. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,796 was 44% below the state average of $67,926.

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.