Crouse Hospital: charges and Medicare payments

Crouse Hospital reported 2,619 Medicare inpatient stays across 95 DRGs in 2024. Across them it charged 2.12 times what it was paid — among the lower ratios in New York, number 91 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: 194 stays at an average charge of $38,436, 57% below the national average. It also billed 2,853 outpatient services, charging 3 times what Medicare paid.

1Medicare inpatient stays 2,619
2Charge ÷ paid, inpatient 2.12×
3Rank in NY (highest ratio = 1) 91 of 123
4CMS price-transparency actions 0

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

Inpatient stays

For the 95 DRGs that can be compared with the national average, Crouse 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	194	$38,436	-57%	$19,128
291 Heart Failure and Shock with MCC	175	$24,928	-56%	$11,922
690 Kidney and Urinary Tract Infections without MCC	77	$18,839	-50%	$7,745
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	72	$15,597	-61%	$7,783
177 Respiratory Infections and Inflammations with MCC	68	$33,457	-53%	$15,309
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	64	$23,330	-58%	$9,307
378 Gastrointestinal Hemorrhage with CC	61	$27,603	-43%	$9,509
193 Simple Pneumonia and Pleurisy with MCC	60	$30,891	-48%	$12,643
683 Renal Failure with CC	54	$19,697	-52%	$8,555
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	53	$19,012	-61%	$9,606
194 Simple Pneumonia and Pleurisy with CC	52	$20,584	-46%	$8,013
603 Cellulitis without MCC	48	$18,612	-50%	$8,366
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	46	$18,166	-51%	$7,445
689 Kidney and Urinary Tract Infections with MCC	43	$25,278	-51%	$11,053
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	41	$30,054	-50%	$13,740
884 Organic Disturbances and Intellectual Disability	41	$17,254	-72%	$13,279
274 Percutaneous and Other Intracardiac Procedures without MCC	39	$58,648	-63%	$28,810
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	38	$44,942	-55%	$19,199
481 Hip and Femur Procedures except Major Joint with CC	37	$46,499	-54%	$18,582
331 Major Small and Large Bowel Procedures without CC/MCC	35	$42,520	-50%	$16,133
101 Seizures without MCC	34	$18,143	-63%	$8,493
178 Respiratory Infections and Inflammations with CC	32	$23,559	-48%	$9,362
190 Chronic Obstructive Pulmonary Disease with MCC	32	$29,512	-42%	$12,012
066 Intracranial Hemorrhage or Cerebral Infarction without...	29	$17,005	-60%	$7,483
698 Other Kidney and Urinary Tract Diagnoses with MCC	29	$48,491	-34%	$16,141
189 Pulmonary Edema and Respiratory Failure	27	$38,568	-33%	$12,413
308 Cardiac Arrhythmia and Conduction Disorders with MCC	26	$17,934	-68%	$11,357
377 Gastrointestinal Hemorrhage with MCC	26	$51,258	-40%	$17,923
312 Syncope and Collapse	25	$18,417	-60%	$8,136
394 Other Digestive System Diagnoses with CC	25	$24,589	-48%	$9,522
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	25	$70,230	-65%	$38,984
389 Gastrointestinal Obstruction with CC	24	$20,006	-49%	$7,650
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	24	$95,760	-56%	$45,438
025 Craniotomy and Endovascular Intracranial Procedures with MCC	23	$93,241	-60%	$47,270
309 Cardiac Arrhythmia and Conduction Disorders with CC	23	$15,411	-57%	$7,057
330 Major Small and Large Bowel Procedures with CC	23	$51,749	-57%	$21,599
472 Cervical Spinal Fusion with CC	23	$38,523	-73%	$26,424
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	22	$10,193	-65%	$6,142
552 Medical Back Problems without MCC	22	$19,084	-61%	$9,497
812 Red Blood Cell Disorders without MCC	22	$18,907	-57%	$8,816
948 Signs and Symptoms without MCC	22	$18,199	-52%	$7,455
682 Renal Failure with MCC	21	$34,213	-48%	$14,477
951 Other Factors Influencing Health Status	21	$14,008	-45%	$5,702
322 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$45,371	-60%	$18,180
536 Fractures of Hip and Pelvis without MCC	20	$13,122	-65%	$7,633
023 Craniotomy with Major Device Implant or Acute Complex Cns...	19	$94,231	-66%	$53,324
191 Chronic Obstructive Pulmonary Disease with CC	19	$18,903	-52%	$7,690
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$33,139	-46%	$12,114
470 Major Hip and Knee Joint Replacement or Reattachment of...	19	$35,557	-62%	$17,120
699 Other Kidney and Urinary Tract Diagnoses with CC	18	$22,542	-53%	$9,610
287 Circulatory Disorders except AMI, with Cardiac...	17	$18,736	-71%	$10,436
329 Major Small and Large Bowel Procedures with MCC	17	$81,930	-62%	$40,378
460 Spinal Fusion except Cervical without MCC	17	$51,469	-70%	$35,857
468 Revision of Hip or Knee Replacement without CC/MCC	17	$43,453	-65%	$24,374
473 Cervical Spinal Fusion without CC/MCC	17	$39,903	-65%	$21,606
602 Cellulitis with MCC	17	$22,274	-63%	$12,708
870 Septicemia or Severe Sepsis with MV >96 Hours	17	$124,195	-62%	$60,623
054 Nervous System Neoplasms with MCC	16	$38,451	-50%	$15,038
286 Circulatory Disorders except AMI, with Cardiac...	16	$35,857	-68%	$19,431
853 Infectious and Parasitic Diseases with O.R. Procedures with...	16	$69,010	-70%	$43,173

Showing the 60 most frequent of 95 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	492	$9,920	$2,859
Level 2 Excision/ Biopsy/ Incision and Drainage	220	$5,746	$1,675
Level 5 Musculoskeletal Procedures	190	$27,193	$13,425
Level 1 Endovascular Procedures	189	$6,879	$3,421
Level 2 Laparoscopy and Related Services	141	$31,189	$10,639
Level 1 Laparoscopy and Related Services	134	$19,157	$6,009
Level 2 Intraocular Procedures	120	$13,516	$4,254
Level 3 Vascular Procedures	117	$7,492	$3,305
Level 4 Musculoskeletal Procedures	114	$21,920	$7,001
Level 3 Electrophysiologic Procedures	100	$53,988	$24,876
Level 1 Intraocular Procedures	97	$8,766	$2,471
Level 3 Musculoskeletal Procedures	80	$9,945	$2,946
Level 3 Endovascular Procedures	65	$27,272	$11,495
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	60	$12,094	$3,574
Level 1 Breast/Lymphatic Surgery and Related Procedures	51	$11,624	$4,041
Level 3 Excision/ Biopsy/ Incision and Drainage	49	$9,047	$2,902
Level 4 Urology and Related Services	48	$11,901	$3,535
Level 5 Urology and Related Services	48	$14,587	$5,395
Level 2 Musculoskeletal Procedures	44	$5,882	$1,642
Level 4 Gynecologic Procedures	44	$7,934	$3,277
Level 3 Pacemaker and Similar Procedures	43	$14,277	$11,083
Level 4 Vascular Procedures	39	$13,281	$5,648
Level 3 Urology and Related Services	39	$7,831	$2,104
Level 3 Intraocular Procedures	36	$16,147	$5,541
Level 2 Breast/Lymphatic Surgery and Related Procedures	34	$20,877	$6,914

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Crouse Hospital charged $38,436 on average, 67% less than the New York average of $116,930, and was paid $19,128 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Crouse Hospital charged $24,928 on average, 69% less than the New York average of $81,161, and was paid $11,922 against a state average of $16,034. For Kidney and Urinary Tract Infections without MCC (DRG 690), Crouse Hospital charged $18,839 on average, 64% less than the New York average of $52,794, and was paid $7,745 against a state average of $10,297. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Crouse Hospital charged $15,597 on average, 69% less than the New York average of $50,017, and was paid $7,783 against a state average of $9,945. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,920 was 63% below the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,746 was 55% below the state average of $12,815. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $27,193 was 60% below the state average of $67,926. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $6,879 was 73% below the state average of $25,359.

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.