Clifton Springs Hospital and Clinic: charges and Medicare payments

Clifton Springs Hospital and Clinic reported 105 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 2.08 times what it was paid — among the lower ratios in New York, number 93 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 24 stays at an average charge of $14,809, 74% below the national average. It also billed 488 outpatient services, charging 2.86 times what Medicare paid.

1Medicare inpatient stays 105
2Charge ÷ paid, inpatient 2.08×
3Rank in NY (highest ratio = 1) 93 of 123
4CMS price-transparency actions 0

Average charge per stay at Clifton Springs Hospital and Clinic, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 6 DRGs that can be compared with the national average, Clifton Springs Hospital and Clinic 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
291 Heart Failure and Shock with MCC	24	$14,809	-74%	$11,127
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	21	$40,211	-55%	$16,082
895 Alcohol, Drug Abuse or Dependence with Rehabilitation...	19	$30,599	-11%	$13,379
189 Pulmonary Edema and Respiratory Failure	14	$21,899	-62%	$10,288
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	14	$14,074	-62%	$6,961
812 Red Blood Cell Disorders without MCC	13	$17,175	-61%	$7,963

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	97	$31,664	$13,805
Level 4 ENT Procedures	68	$2,444	$853
Level 2 Upper GI Procedures	62	$3,254	$1,991
Level 1 Intraocular Procedures	49	$8,292	$2,471
Level 1 Nerve Procedures	37	$7,123	$2,047
Comprehensive Observation Services	33	$7,238	$2,832
Level 2 Excision/ Biopsy/ Incision and Drainage	20	$7,352	$1,719
Level 3 Musculoskeletal Procedures	20	$12,396	$3,432
Level 2 Musculoskeletal Procedures	19	$6,709	$1,704
Level 6 Musculoskeletal Procedures	16	$43,367	$19,711
Level 3 Vascular Procedures	15	$10,027	$3,379
Level 4 Vascular Procedures	15	$11,588	$5,826
Level 2 Vascular Procedures	13	$3,207	$1,698
Level 3 Excision/ Biopsy/ Incision and Drainage	12	$8,480	$3,013
Level 4 Musculoskeletal Procedures	12	$17,882	$7,586

Against the New York average

For Heart Failure and Shock with MCC (DRG 291), Clifton Springs Hospital and Clinic charged $14,809 on average, 82% less than the New York average of $81,161, and was paid $11,127 against a state average of $16,034. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Clifton Springs Hospital and Clinic charged $40,211 on average, 66% less than the New York average of $116,930, and was paid $16,082 against a state average of $24,426. For Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy (DRG 895), Clifton Springs Hospital and Clinic charged $30,599 on average, 63% less than the New York average of $82,693, and was paid $13,379 against a state average of $17,436. For Pulmonary Edema and Respiratory Failure (DRG 189), Clifton Springs Hospital and Clinic charged $21,899 on average, 70% less than the New York average of $74,150, and was paid $10,288 against a state average of $15,119. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $31,664 was 53% below the state average of $67,926. For Level 4 ENT Procedures (outpatient APC 5164), its average charge of $2,444 was 85% below the state average of $16,158. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $3,254 was 78% below the state average of $15,077. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,292 was 49% below the state average of $16,178.

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.