New York / Garnet Health Medical Center Catskills
CMS certification 330386 · Harris, NY
Garnet Health Medical Center Catskills: charges and Medicare payments
Garnet Health Medical Center Catskills reported 577 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 5.11 times what it was paid — among the higher ratios in New York, number 31 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: 138 stays at an average charge of $87,852, 3% below the national average. It also billed 246 outpatient services, charging 11.2 times what Medicare paid.
- 1Medicare inpatient stays 577
- 2Charge ÷ paid, inpatient 5.11×
- 3Rank in NY (highest ratio = 1) 31 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 17 DRGs that can be compared with the national average, Garnet Health Medical Center Catskills charged more than the national average in 13 (76%). 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 | 138 | $87,852 | -3% | $18,814 |
| 189 Pulmonary Edema and Respiratory Failure | 86 | $77,007 | +34% | $11,784 |
| 291 Heart Failure and Shock with MCC | 55 | $53,160 | -6% | $12,568 |
| 177 Respiratory Infections and Inflammations with MCC | 31 | $81,143 | +15% | $18,919 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $51,911 | +37% | $8,239 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 29 | $74,312 | +1% | $15,348 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 27 | $53,154 | +8% | $10,200 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $55,141 | +44% | $8,492 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $54,716 | +7% | $11,618 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $70,091 | +17% | $13,039 |
| 603 Cellulitis without MCC | 19 | $49,488 | +33% | $9,481 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $53,734 | +45% | $7,735 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $68,650 | -9% | $14,942 |
| 178 Respiratory Infections and Inflammations with CC | 15 | $64,148 | +42% | $9,947 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $58,504 | +16% | $11,834 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $92,944 | -8% | $19,714 |
| 683 Renal Failure with CC | 13 | $55,200 | +36% | $9,082 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 167 | $33,100 | $3,156 |
| Level 3 Vascular Procedures | 21 | $27,609 | $3,691 |
| Level 3 Lower GI Procedures | 16 | $8,075 | $3,249 |
| Level 2 Upper GI Procedures | 15 | $15,207 | $2,203 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 14 | $8,477 | $1,878 |
| Level 3 Musculoskeletal Procedures | 13 | $19,135 | $3,748 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Garnet Health Medical Center Catskills charged $87,852 on average, 25% less than the New York average of $116,930, and was paid $18,814 against a state average of $24,426. For Pulmonary Edema and Respiratory Failure (DRG 189), Garnet Health Medical Center Catskills charged $77,007 on average, 4% more than the New York average of $74,150, and was paid $11,784 against a state average of $15,119. For Heart Failure and Shock with MCC (DRG 291), Garnet Health Medical Center Catskills charged $53,160 on average, 35% less than the New York average of $81,161, and was paid $12,568 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Garnet Health Medical Center Catskills charged $81,143 on average, 14% less than the New York average of $94,371, and was paid $18,919 against a state average of $19,472. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,100 was 24% above the state average of $26,675. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $27,609 was 49% above the state average of $18,520. For Level 3 Lower GI Procedures (outpatient APC 5313), its average charge of $8,075 was 59% below the state average of $19,738. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,207 was 1% above the state average of $15,077.
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.