New York / Ellis Hospital
CMS certification 330153 · Schenectady, NY · 2 entries in CMS's price-transparency list
Ellis Hospital: charges and Medicare payments
Ellis Hospital reported 1,588 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 3.28 times what it was paid — mid-range in New York, number 53 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: 373 stays at an average charge of $63,910, 29% below the national average. It also billed 1,610 outpatient services, charging 4.79 times what Medicare paid.
- 1Medicare inpatient stays 1,588
- 2Charge ÷ paid, inpatient 3.28×
- 3Rank in NY (highest ratio = 1) 53 of 123
- 4CMS price-transparency actions 2
Inpatient stays
For the 47 DRGs that can be compared with the national average, Ellis Hospital charged more than the national average in 2 (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 | 373 | $63,910 | -29% | $20,156 |
| 291 Heart Failure and Shock with MCC | 120 | $35,002 | -38% | $12,293 |
| 177 Respiratory Infections and Inflammations with MCC | 72 | $46,421 | -34% | $15,172 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 58 | $122,991 | -46% | $42,670 |
| 189 Pulmonary Edema and Respiratory Failure | 57 | $32,832 | -43% | $12,358 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 57 | $28,559 | -42% | $9,755 |
| 885 Psychoses | 53 | $56,990 | +29% | $14,783 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 37 | $45,515 | -40% | $15,038 |
| 683 Renal Failure with CC | 36 | $29,190 | -28% | $8,829 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $24,882 | -58% | $12,741 |
| 377 Gastrointestinal Hemorrhage with MCC | 34 | $45,408 | -47% | $16,127 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 31 | $47,316 | -36% | $15,249 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 31 | $179,093 | -45% | $60,613 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 30 | $36,721 | -34% | $9,595 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 30 | $241,209 | -15% | $55,378 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $65,789 | -43% | $17,431 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $30,973 | -36% | $8,769 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $74,504 | -24% | $18,656 |
| 682 Renal Failure with MCC | 25 | $36,638 | -44% | $14,198 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 23 | $239,718 | +8% | $46,367 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 23 | $129,644 | -17% | $32,095 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $39,645 | -34% | $12,505 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $56,859 | -43% | $17,400 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $22,612 | -37% | $8,603 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $95,931 | -41% | $30,986 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $57,914 | -43% | $20,066 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $34,247 | -32% | $9,736 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 17 | $46,859 | -27% | $10,303 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $21,719 | -41% | $7,547 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $25,403 | -33% | $7,877 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $30,280 | -47% | $10,698 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 15 | $27,823 | -34% | $7,193 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $25,329 | -37% | $7,788 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $68,524 | -39% | $19,108 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $67,036 | -29% | $17,352 |
| 812 Red Blood Cell Disorders without MCC | 14 | $26,368 | -41% | $8,458 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $84,188 | -38% | $26,181 |
| 389 Gastrointestinal Obstruction with CC | 13 | $28,352 | -27% | $8,007 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 13 | $35,512 | -47% | $12,652 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $55,894 | -45% | $18,660 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $31,960 | -29% | $8,775 |
| 180 Respiratory Neoplasms with MCC | 11 | $55,529 | -37% | $16,875 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $25,631 | -33% | $7,728 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $15,667 | -45% | $6,756 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $65,631 | -53% | $23,002 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $23,560 | -45% | $8,472 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $36,917 | -28% | $11,166 |
Outpatient services
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ellis Hospital charged $63,910 on average, 45% less than the New York average of $116,930, and was paid $20,156 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Ellis Hospital charged $35,002 on average, 57% less than the New York average of $81,161, and was paid $12,293 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Ellis Hospital charged $46,421 on average, 51% less than the New York average of $94,371, and was paid $15,172 against a state average of $19,472. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Ellis Hospital charged $122,991 on average, 57% less than the New York average of $288,832, and was paid $42,670 against a state average of $63,023. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,772 was 45% below the state average of $26,675. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,487 was 35% below the state average of $25,359. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,041 was 40% below the state average of $3,429. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,192 was 36% below the state average of $12,815.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ellis Hospital in Schenectady, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-04-15 (CMS case 7489)
- Closure Notice — 2026-07-16 (CMS case 7489)
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.