New York / Guthrie Cortland Regional Medical Center
CMS certification 330175 · Cortland, NY
Guthrie Cortland Regional Medical Center: charges and Medicare payments
Guthrie Cortland Regional Medical Center reported 445 Medicare inpatient stays across 15 DRGs in 2024. Across them it charged 2.3 times what it was paid — among the lower ratios in New York, number 83 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: 85 stays at an average charge of $35,110, 61% below the national average. It also billed 947 outpatient services, charging 4.9 times what Medicare paid.
- 1Medicare inpatient stays 445
- 2Charge ÷ paid, inpatient 2.3×
- 3Rank in NY (highest ratio = 1) 83 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 15 DRGs that can be compared with the national average, Guthrie Cortland Regional Medical Center 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 | 85 | $35,110 | -61% | $18,287 |
| 291 Heart Failure and Shock with MCC | 58 | $25,640 | -55% | $12,288 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $30,831 | -48% | $12,280 |
| 177 Respiratory Infections and Inflammations with MCC | 36 | $44,272 | -37% | $15,439 |
| 194 Simple Pneumonia and Pleurisy with CC | 36 | $17,923 | -53% | $7,799 |
| 603 Cellulitis without MCC | 32 | $20,144 | -46% | $8,167 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $19,112 | -49% | $7,630 |
| 178 Respiratory Infections and Inflammations with CC | 22 | $29,760 | -34% | $9,237 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $24,884 | -49% | $9,507 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $18,789 | -53% | $7,371 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $26,784 | -48% | $10,989 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $24,709 | -51% | $10,072 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 15 | $30,546 | -58% | $15,508 |
| 638 Diabetes with CC | 12 | $18,512 | -56% | $8,207 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $15,144 | -59% | $7,306 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 368 | $14,556 | $3,054 |
| Level 1 Intraocular Procedures | 310 | $7,679 | $2,633 |
| Level 3 Urology and Related Services | 49 | $7,887 | $2,238 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 44 | $10,517 | $1,774 |
| Level 2 Upper GI Procedures | 31 | $5,223 | $2,105 |
| Level 5 Urology and Related Services | 29 | $14,061 | $5,714 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 25 | $14,978 | $3,928 |
| Level 4 Urology and Related Services | 25 | $11,204 | $3,959 |
| Level 1 Laparoscopy and Related Services | 19 | $23,197 | $6,552 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 17 | $19,452 | $3,227 |
| Level 3 Vascular Procedures | 17 | $14,803 | $3,470 |
| Level 4 Musculoskeletal Procedures | 13 | $34,213 | $8,123 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Guthrie Cortland Regional Medical Center charged $35,110 on average, 70% less than the New York average of $116,930, and was paid $18,287 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Guthrie Cortland Regional Medical Center charged $25,640 on average, 68% less than the New York average of $81,161, and was paid $12,288 against a state average of $16,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Guthrie Cortland Regional Medical Center charged $30,831 on average, 60% less than the New York average of $77,177, and was paid $12,280 against a state average of $15,976. For Respiratory Infections and Inflammations with MCC (DRG 177), Guthrie Cortland Regional Medical Center charged $44,272 on average, 53% less than the New York average of $94,371, and was paid $15,439 against a state average of $19,472. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,556 was 45% below the state average of $26,675. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,679 was 53% below the state average of $16,178. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,887 was 40% below the state average of $13,044. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,517 was 18% below the state average of $12,815.
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.