New York / Geneva General Hospital
CMS certification 330058 · Geneva, NY · 4 entries in CMS's price-transparency list
Geneva General Hospital: charges and Medicare payments
Geneva General Hospital reported 385 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 1.84 times what it was paid — among the lower ratios in New York, number 103 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: 105 stays at an average charge of $30,935, 66% below the national average. It also billed 626 outpatient services, charging 3.14 times what Medicare paid.
- 1Medicare inpatient stays 385
- 2Charge ÷ paid, inpatient 1.84×
- 3Rank in NY (highest ratio = 1) 103 of 123
- 4CMS price-transparency actions 4
Inpatient stays
For the 17 DRGs that can be compared with the national average, Geneva General 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 | 105 | $30,935 | -66% | $17,338 |
| 291 Heart Failure and Shock with MCC | 50 | $23,749 | -58% | $11,615 |
| 177 Respiratory Infections and Inflammations with MCC | 31 | $28,253 | -60% | $14,790 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 29 | $17,027 | -65% | $9,257 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $22,544 | -62% | $11,846 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $31,133 | -46% | $12,441 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $19,878 | -61% | $10,433 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 15 | $23,435 | -68% | $14,531 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $29,616 | -65% | $15,450 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $21,273 | -65% | $11,987 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $10,757 | -73% | $7,442 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $13,965 | -63% | $7,299 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $18,296 | -61% | $9,945 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $17,673 | -77% | $10,995 |
| 603 Cellulitis without MCC | 11 | $11,468 | -69% | $8,031 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $8,938 | -76% | $7,083 |
| 812 Red Blood Cell Disorders without MCC | 11 | $12,399 | -72% | $8,220 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 221 | $3,369 | $2,463 |
| Comprehensive Observation Services | 159 | $15,201 | $2,888 |
| Level 3 Musculoskeletal Procedures | 40 | $6,686 | $3,227 |
| Level 2 Upper GI Procedures | 34 | $3,417 | $1,832 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 31 | $4,890 | $1,664 |
| Level 1 Nerve Procedures | 31 | $4,044 | $1,995 |
| Level 5 Musculoskeletal Procedures | 26 | $23,836 | $13,930 |
| Level 4 Musculoskeletal Procedures | 25 | $12,153 | $7,585 |
| Level 2 Musculoskeletal Procedures | 23 | $5,271 | $1,645 |
| Level 3 Vascular Procedures | 14 | $14,925 | $3,379 |
| Level 1 Laparoscopy and Related Services | 11 | $9,854 | $6,118 |
| Level 2 Intraocular Procedures | 11 | $4,467 | $4,311 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Geneva General Hospital charged $30,935 on average, 74% less than the New York average of $116,930, and was paid $17,338 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Geneva General Hospital charged $23,749 on average, 71% less than the New York average of $81,161, and was paid $11,615 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Geneva General Hospital charged $28,253 on average, 70% less than the New York average of $94,371, and was paid $14,790 against a state average of $19,472. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Geneva General Hospital charged $17,027 on average, 72% less than the New York average of $61,129, and was paid $9,257 against a state average of $12,692. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $3,369 was 79% below the state average of $16,178. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,201 was 43% below the state average of $26,675. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $6,686 was 68% below the state average of $20,797. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $3,417 was 77% below the state average of $15,077.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Geneva General Hospital in Geneva, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-20 (CMS case 3109)
- Closure Notice — 2025-03-12 (CMS case 3109)
- Warning Notice — 2026-04-15 (CMS case 7495)
- Closure Notice — 2026-07-17 (CMS case 7495)
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.