Healthalliance Hospital Marys Avenue Campus: charges and Medicare payments

Healthalliance Hospital Marys Avenue Campus reported 1,683 Medicare inpatient stays across 57 DRGs in 2024. Across them it charged 8.08 times what it was paid — among the higher ratios in New York, number 5 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: 193 stays at an average charge of $138,416, 53% above the national average. It also billed 810 outpatient services, charging 7.81 times what Medicare paid.

1Medicare inpatient stays 1,683
2Charge ÷ paid, inpatient 8.08×
3Rank in NY (highest ratio = 1) 5 of 123
4CMS price-transparency actions 0

Average charge per stay at Healthalliance Hospital Marys Avenue Campus, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 57 DRGs that can be compared with the national average, Healthalliance Hospital Marys Avenue Campus charged more than the national average in 53 (93%). 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	193	$138,416	+53%	$18,321
291 Heart Failure and Shock with MCC	129	$92,194	+64%	$12,055
312 Syncope and Collapse	57	$80,397	+77%	$8,220
193 Simple Pneumonia and Pleurisy with MCC	53	$105,236	+76%	$12,531
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	53	$77,072	+92%	$7,836
690 Kidney and Urinary Tract Infections without MCC	50	$87,112	+130%	$7,656
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	50	$91,039	+86%	$9,842
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	48	$85,430	+131%	$7,874
177 Respiratory Infections and Inflammations with MCC	47	$110,042	+56%	$15,606
189 Pulmonary Edema and Respiratory Failure	40	$94,525	+64%	$11,842
190 Chronic Obstructive Pulmonary Disease with MCC	40	$91,472	+81%	$10,441
603 Cellulitis without MCC	39	$91,533	+145%	$8,546
812 Red Blood Cell Disorders without MCC	37	$73,170	+65%	$8,810
481 Hip and Femur Procedures except Major Joint with CC	32	$129,077	+28%	$19,228
689 Kidney and Urinary Tract Infections with MCC	32	$106,605	+108%	$11,192
313 Chest Pain	31	$63,933	+60%	$6,948
309 Cardiac Arrhythmia and Conduction Disorders with CC	30	$85,005	+135%	$7,598
194 Simple Pneumonia and Pleurisy with CC	29	$73,430	+91%	$7,954
280 Acute Myocardial Infarction, Discharged Alive with MCC	29	$116,200	+53%	$14,379
552 Medical Back Problems without MCC	29	$95,532	+96%	$9,146
948 Signs and Symptoms without MCC	28	$86,149	+126%	$7,674
378 Gastrointestinal Hemorrhage with CC	27	$85,409	+76%	$9,451
683 Renal Failure with CC	25	$82,414	+102%	$8,758
698 Other Kidney and Urinary Tract Diagnoses with MCC	25	$131,310	+79%	$15,792
178 Respiratory Infections and Inflammations with CC	23	$92,183	+103%	$10,073
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$79,604	+32%	$11,368
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	22	$57,608	+101%	$5,479
287 Circulatory Disorders except AMI, with Cardiac...	21	$90,739	+42%	$10,180
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	20	$81,401	+46%	$9,467
638 Diabetes with CC	20	$101,728	+144%	$9,407
682 Renal Failure with MCC	20	$121,912	+85%	$14,268
286 Circulatory Disorders except AMI, with Cardiac...	19	$103,984	-7%	$18,455
330 Major Small and Large Bowel Procedures with CC	19	$139,658	+17%	$22,161
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	19	$125,959	+23%	$18,735
149 Dysequilibrium	18	$64,138	+44%	$7,179
281 Acute Myocardial Infarction, Discharged Alive with CC	18	$73,064	+45%	$10,228
092 Other Disorders of Nervous System with CC	17	$75,753	+47%	$9,526
101 Seizures without MCC	17	$74,670	+53%	$8,652
884 Organic Disturbances and Intellectual Disability	17	$110,905	+78%	$15,566
057 Degenerative Nervous System Disorders without MCC	16	$107,190	+89%	$12,272
071 Other Cerebrovascular Disorders with CC	16	$80,633	+60%	$9,329
308 Cardiac Arrhythmia and Conduction Disorders with MCC	16	$80,702	+42%	$11,640
853 Infectious and Parasitic Diseases with O.R. Procedures with...	16	$282,285	+23%	$46,402
389 Gastrointestinal Obstruction with CC	15	$80,010	+106%	$7,018
470 Major Hip and Knee Joint Replacement or Reattachment of...	15	$93,199	0%	$17,316
069 Transient Ischemia without Thrombolytic	14	$77,497	+54%	$7,937
292 Heart Failure and Shock with CC	13	$76,838	+97%	$7,695
482 Hip and Femur Procedures except Major Joint without CC/MCC	13	$97,183	+25%	$14,887
870 Septicemia or Severe Sepsis with MV >96 Hours	13	$265,537	-18%	$53,239
202 Bronchitis and Asthma with CC/MCC	12	$83,677	+81%	$9,338
300 Peripheral Vascular Disorders with CC	12	$111,549	+126%	$10,414
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	11	$129,123	+29%	$16,699
066 Intracranial Hemorrhage or Cerebral Infarction without...	11	$74,307	+76%	$6,707
252 Other Vascular Procedures with MCC	11	$199,660	+17%	$29,788
305 Hypertension without MCC	11	$69,039	+72%	$7,258
322 Percutaneous Cardiovascular Procedures with Intraluminal...	11	$95,126	-17%	$16,537
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	11	$60,726	+43%	$8,148

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	224	$48,023	$2,939
Level 1 Endovascular Procedures	55	$22,125	$3,529
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	49	$15,254	$3,741
Level 2 Excision/ Biopsy/ Incision and Drainage	46	$7,311	$1,734
Level 3 Musculoskeletal Procedures	41	$15,342	$3,500
Level 3 Vascular Procedures	40	$17,410	$3,312
Level 4 Vascular Procedures	30	$31,560	$5,942
Level 5 Urology and Related Services	30	$21,132	$5,446
Level 2 Musculoskeletal Procedures	28	$11,247	$1,738
Level 4 Musculoskeletal Procedures	28	$26,859	$7,735
Level 6 Musculoskeletal Procedures	25	$51,395	$19,363
Level 2 Endovascular Procedures	22	$32,763	$6,180
Level 5 Musculoskeletal Procedures	20	$39,356	$14,206
Level 1 Laparoscopy and Related Services	19	$26,984	$6,239
Level 1 Nerve Procedures	18	$10,991	$1,996
Level 2 Vascular Procedures	17	$7,141	$1,732
Level 2 Urology and Related Services	17	$2,747	$739
Level 4 Gynecologic Procedures	17	$14,284	$3,381
Level 3 Lower GI Procedures	16	$12,478	$3,036
Level 3 Urology and Related Services	16	$11,998	$2,202
Level 4 Urology and Related Services	16	$16,903	$3,659
Level 2 Breast/Lymphatic Surgery and Related Procedures	13	$26,990	$7,051
Level 2 Pacemaker and Similar Procedures	12	$32,137	$9,181
Level 3 Excision/ Biopsy/ Incision and Drainage	11	$13,216	$3,072

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Healthalliance Hospital Marys Avenue Campus charged $138,416 on average, 18% more than the New York average of $116,930, and was paid $18,321 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Healthalliance Hospital Marys Avenue Campus charged $92,194 on average, 14% more than the New York average of $81,161, and was paid $12,055 against a state average of $16,034. For Syncope and Collapse (DRG 312), Healthalliance Hospital Marys Avenue Campus charged $80,397 on average, 38% more than the New York average of $58,334, and was paid $8,220 against a state average of $11,568. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Healthalliance Hospital Marys Avenue Campus charged $105,236 on average, 36% more than the New York average of $77,177, and was paid $12,531 against a state average of $15,976. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $48,023 was 80% above the state average of $26,675. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,125 was 13% below the state average of $25,359. For Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (outpatient APC 5341), its average charge of $15,254 was 36% below the state average of $23,948. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,311 was 43% 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.