New York / Glens Falls Hospital

CMS certification 330191 · Glens Falls, NY · 1 entry in CMS's price-transparency list

Glens Falls Hospital: charges and Medicare payments

Glens Falls Hospital reported 1,782 Medicare inpatient stays across 66 DRGs in 2024. Across them it charged 2.81 times what it was paid — mid-range in New York, number 61 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: 154 stays at an average charge of $42,843, 53% below the national average. It also billed 2,108 outpatient services, charging 3.57 times what Medicare paid.

1Medicare inpatient stays 1,782
2Charge ÷ paid, inpatient 2.81×
3Rank in NY (highest ratio = 1) 61 of 123
4CMS price-transparency actions 1

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

Inpatient stays

For the 66 DRGs that can be compared with the national average, Glens Falls Hospital charged more than the national average in 1 (2%). 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	154	$42,843	-53%	$17,148
885 Psychoses	106	$45,913	+4%	$15,051
291 Heart Failure and Shock with MCC	105	$26,139	-54%	$11,029
189 Pulmonary Edema and Respiratory Failure	78	$38,078	-34%	$10,673
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	58	$28,697	-41%	$8,830
177 Respiratory Infections and Inflammations with MCC	50	$43,320	-39%	$14,120
683 Renal Failure with CC	46	$21,968	-46%	$7,680
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	45	$21,477	-42%	$6,805
194 Simple Pneumonia and Pleurisy with CC	44	$22,470	-41%	$7,498
690 Kidney and Urinary Tract Infections without MCC	40	$23,939	-37%	$7,554
193 Simple Pneumonia and Pleurisy with MCC	38	$29,372	-51%	$11,114
178 Respiratory Infections and Inflammations with CC	37	$27,947	-38%	$8,495
481 Hip and Femur Procedures except Major Joint with CC	35	$46,533	-54%	$17,070
603 Cellulitis without MCC	35	$19,842	-47%	$7,850
378 Gastrointestinal Hemorrhage with CC	34	$22,474	-54%	$8,547
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	33	$28,011	-50%	$9,639
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	33	$18,738	-53%	$6,842
698 Other Kidney and Urinary Tract Diagnoses with MCC	33	$40,966	-44%	$15,416
190 Chronic Obstructive Pulmonary Disease with MCC	32	$27,497	-46%	$9,488
309 Cardiac Arrhythmia and Conduction Disorders with CC	29	$17,517	-51%	$6,478
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	28	$27,649	-54%	$11,024
191 Chronic Obstructive Pulmonary Disease with CC	27	$21,425	-46%	$8,227
312 Syncope and Collapse	27	$23,317	-49%	$7,447
853 Infectious and Parasitic Diseases with O.R. Procedures with...	24	$107,627	-53%	$41,504
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$53,561	-48%	$17,418
280 Acute Myocardial Infarction, Discharged Alive with MCC	20	$30,135	-60%	$13,534
948 Signs and Symptoms without MCC	20	$25,079	-34%	$6,772
543 Pathological Fractures and Musculoskeletal and Connective...	18	$24,146	-51%	$9,144
552 Medical Back Problems without MCC	18	$21,789	-55%	$8,232
069 Transient Ischemia without Thrombolytic	17	$20,018	-60%	$7,079
176 Pulmonary Embolism without MCC	17	$27,133	-35%	$7,105
389 Gastrointestinal Obstruction with CC	17	$17,644	-55%	$6,882
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	17	$21,124	-50%	$7,845
682 Renal Failure with MCC	17	$39,609	-40%	$16,872
689 Kidney and Urinary Tract Infections with MCC	17	$30,564	-40%	$10,045
884 Organic Disturbances and Intellectual Disability	17	$31,112	-50%	$14,352
066 Intracranial Hemorrhage or Cerebral Infarction without...	16	$17,992	-57%	$6,237
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	15	$84,354	-56%	$35,365
287 Circulatory Disorders except AMI, with Cardiac...	15	$24,270	-62%	$9,096
329 Major Small and Large Bowel Procedures with MCC	15	$121,184	-44%	$41,350
377 Gastrointestinal Hemorrhage with MCC	15	$50,452	-41%	$15,046
470 Major Hip and Knee Joint Replacement or Reattachment of...	15	$57,915	-38%	$16,155
638 Diabetes with CC	15	$27,587	-34%	$7,898
057 Degenerative Nervous System Disorders without MCC	14	$43,398	-23%	$11,814
202 Bronchitis and Asthma with CC/MCC	14	$24,729	-46%	$8,194
314 Other Circulatory System Diagnoses with MCC	14	$61,107	-36%	$20,521
315 Other Circulatory System Diagnoses with CC	14	$23,116	-52%	$8,574
330 Major Small and Large Bowel Procedures with CC	14	$51,579	-57%	$19,656
390 Gastrointestinal Obstruction without CC/MCC	14	$15,957	-43%	$4,908
394 Other Digestive System Diagnoses with CC	14	$24,509	-48%	$8,142
699 Other Kidney and Urinary Tract Diagnoses with CC	14	$21,985	-54%	$8,845
322 Percutaneous Cardiovascular Procedures with Intraluminal...	13	$67,914	-41%	$25,455
812 Red Blood Cell Disorders without MCC	13	$29,468	-34%	$7,847
870 Septicemia or Severe Sepsis with MV >96 Hours	13	$134,049	-59%	$56,607
149 Dysequilibrium	12	$20,089	-55%	$6,474
243 Permanent Cardiac Pacemaker Implant with CC	12	$62,738	-44%	$19,193
300 Peripheral Vascular Disorders with CC	12	$17,656	-64%	$9,277
308 Cardiac Arrhythmia and Conduction Disorders with MCC	12	$34,590	-39%	$10,120
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	12	$37,079	-39%	$10,992
208 Respiratory System Diagnosis with Ventilator Support <=96...	11	$63,649	-53%	$22,636

Showing the 60 most frequent of 66 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	309	$1,381	$724
Comprehensive Observation Services	309	$9,494	$2,887
Level 2 Excision/ Biopsy/ Incision and Drainage	201	$5,274	$1,719
Level 3 Vascular Procedures	111	$8,740	$3,355
Level 5 Musculoskeletal Procedures	98	$42,355	$13,804
Level 3 Excision/ Biopsy/ Incision and Drainage	94	$7,303	$3,013
Level 3 Urology and Related Services	91	$5,223	$2,160
Level 2 Musculoskeletal Procedures	78	$5,964	$1,673
Level 2 Upper GI Procedures	72	$5,428	$1,990
Level 4 Urology and Related Services	71	$8,053	$3,696
Level 1 Endovascular Procedures	70	$10,071	$3,431
Level 1 Laparoscopy and Related Services	69	$18,974	$6,118
Level 4 Musculoskeletal Procedures	58	$21,775	$7,585
Level 5 Urology and Related Services	58	$15,281	$5,486
Level 3 Musculoskeletal Procedures	51	$10,550	$3,378
Level 2 Vascular Procedures	33	$3,909	$1,647
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	32	$10,087	$3,668
Level 3 Pacemaker and Similar Procedures	30	$35,973	$11,308
Level 4 Gynecologic Procedures	30	$9,789	$3,227
Level 2 Pacemaker and Similar Procedures	25	$25,299	$9,004
Level 3 ENT Procedures	22	$5,377	$1,559
Level 3 Lower GI Procedures	21	$6,481	$2,976
Level 3 Endovascular Procedures	19	$41,600	$11,649
Level 1 Breast/Lymphatic Surgery and Related Procedures	18	$10,312	$4,041
Level 2 Breast/Lymphatic Surgery and Related Procedures	17	$17,096	$6,914

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Glens Falls Hospital charged $42,843 on average, 63% less than the New York average of $116,930, and was paid $17,148 against a state average of $24,426. For Psychoses (DRG 885), Glens Falls Hospital charged $45,913 on average, 37% less than the New York average of $72,398, and was paid $15,051 against a state average of $16,477. For Heart Failure and Shock with MCC (DRG 291), Glens Falls Hospital charged $26,139 on average, 68% less than the New York average of $81,161, and was paid $11,029 against a state average of $16,034. For Pulmonary Edema and Respiratory Failure (DRG 189), Glens Falls Hospital charged $38,078 on average, 49% less than the New York average of $74,150, and was paid $10,673 against a state average of $15,119. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,381 was 60% below the state average of $3,429. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,494 was 64% below the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,274 was 59% below the state average of $12,815. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $8,740 was 53% below the state average of $18,520.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Glens Falls Hospital in Glens Falls, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2025-04-29 (CMS case 4185)

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.