Hudson Valley Hospital Center: charges and Medicare payments

Hudson Valley Hospital Center reported 2,126 Medicare inpatient stays across 63 DRGs in 2024. Across them it charged 4.82 times what it was paid — among the higher ratios in New York, number 36 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: 317 stays at an average charge of $85,512, 5% below the national average. It also billed 1,352 outpatient services, charging 5.46 times what Medicare paid.

1Medicare inpatient stays 2,126
2Charge ÷ paid, inpatient 4.82×
3Rank in NY (highest ratio = 1) 36 of 123
4CMS price-transparency actions 0

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

Inpatient stays

For the 63 DRGs that can be compared with the national average, Hudson Valley Hospital Center charged more than the national average in 27 (43%). 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	317	$85,512	-5%	$19,052
291 Heart Failure and Shock with MCC	199	$66,234	+17%	$11,922
193 Simple Pneumonia and Pleurisy with MCC	100	$61,088	+2%	$12,364
177 Respiratory Infections and Inflammations with MCC	94	$72,881	+3%	$15,679
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	70	$33,012	-11%	$7,785
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	59	$40,910	+2%	$7,016
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	58	$49,471	+1%	$10,752
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	56	$58,886	-2%	$12,983
683 Renal Failure with CC	51	$42,430	+4%	$9,049
189 Pulmonary Edema and Respiratory Failure	49	$54,483	-5%	$11,710
689 Kidney and Urinary Tract Infections with MCC	47	$54,506	+6%	$10,266
690 Kidney and Urinary Tract Infections without MCC	46	$38,410	+2%	$7,541
682 Renal Failure with MCC	42	$62,226	-6%	$15,803
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	41	$56,789	+2%	$9,002
378 Gastrointestinal Hemorrhage with CC	41	$54,128	+11%	$10,532
194 Simple Pneumonia and Pleurisy with CC	34	$38,753	+1%	$7,263
312 Syncope and Collapse	34	$40,192	-12%	$7,769
470 Major Hip and Knee Joint Replacement or Reattachment of...	34	$59,912	-36%	$18,439
280 Acute Myocardial Infarction, Discharged Alive with MCC	33	$93,244	+23%	$14,522
481 Hip and Femur Procedures except Major Joint with CC	30	$83,816	-17%	$18,674
603 Cellulitis without MCC	29	$37,850	+2%	$9,383
389 Gastrointestinal Obstruction with CC	27	$43,669	+12%	$7,187
309 Cardiac Arrhythmia and Conduction Disorders with CC	26	$35,128	-3%	$7,462
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	24	$73,278	-27%	$18,539
552 Medical Back Problems without MCC	24	$42,860	-12%	$8,640
811 Red Blood Cell Disorders with MCC	24	$54,032	-21%	$14,871
190 Chronic Obstructive Pulmonary Disease with MCC	22	$42,708	-16%	$13,038
101 Seizures without MCC	21	$37,243	-24%	$8,057
308 Cardiac Arrhythmia and Conduction Disorders with MCC	21	$52,681	-7%	$10,003
066 Intracranial Hemorrhage or Cerebral Infarction without...	20	$49,715	+17%	$6,739
377 Gastrointestinal Hemorrhage with MCC	20	$79,606	-7%	$17,986
698 Other Kidney and Urinary Tract Diagnoses with MCC	20	$91,311	+24%	$14,323
069 Transient Ischemia without Thrombolytic	19	$48,340	-4%	$7,175
870 Septicemia or Severe Sepsis with MV >96 Hours	19	$338,821	+5%	$67,358
853 Infectious and Parasitic Diseases with O.R. Procedures with...	18	$182,321	-20%	$40,382
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	17	$80,851	-21%	$22,335
176 Pulmonary Embolism without MCC	16	$42,348	+2%	$7,251
480 Hip and Femur Procedures except Major Joint with MCC	15	$135,763	-2%	$26,657
637 Diabetes with MCC	15	$73,748	+11%	$12,130
057 Degenerative Nervous System Disorders without MCC	14	$47,258	-17%	$13,484
178 Respiratory Infections and Inflammations with CC	14	$42,892	-5%	$8,823
314 Other Circulatory System Diagnoses with MCC	14	$86,840	-8%	$18,078
372 Major Gastrointestinal Disorders and Peritoneal Infections...	14	$57,687	+22%	$9,268
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	14	$107,283	+76%	$15,158
394 Other Digestive System Diagnoses with CC	14	$39,058	-17%	$8,396
202 Bronchitis and Asthma with CC/MCC	13	$42,937	-7%	$8,574
322 Percutaneous Cardiovascular Procedures with Intraluminal...	13	$82,089	-28%	$21,331
812 Red Blood Cell Disorders without MCC	13	$30,251	-32%	$8,074
884 Organic Disturbances and Intellectual Disability	13	$50,899	-18%	$14,286
070 Other Cerebrovascular Disorders with MCC	12	$87,774	+15%	$14,669
092 Other Disorders of Nervous System with CC	12	$45,514	-12%	$9,279
313 Chest Pain	12	$29,608	-26%	$6,517
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	12	$30,018	-30%	$8,033
071 Other Cerebrovascular Disorders with CC	11	$43,877	-13%	$12,477
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	11	$75,198	+15%	$11,406
208 Respiratory System Diagnosis with Ventilator Support <=96...	11	$193,967	+43%	$28,298
281 Acute Myocardial Infarction, Discharged Alive with CC	11	$47,845	-5%	$7,971
321 Percutaneous Cardiovascular Procedures with Intraluminal...	11	$98,616	-40%	$24,994
329 Major Small and Large Bowel Procedures with MCC	11	$192,036	-11%	$39,205
393 Other Digestive System Diagnoses with MCC	11	$37,411	-51%	$15,178

Showing the 60 most frequent of 63 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	482	$14,654	$2,621
Level 2 Excision/ Biopsy/ Incision and Drainage	127	$14,184	$1,845
Level 5 Musculoskeletal Procedures	96	$44,340	$14,948
Level 5 Urology and Related Services	94	$21,306	$5,839
Level 1 Endovascular Procedures	53	$33,942	$3,664
Level 1 Laparoscopy and Related Services	52	$23,993	$6,467
Level 4 Urology and Related Services	45	$18,210	$3,897
Level 3 Vascular Procedures	43	$22,743	$3,585
Level 3 Endovascular Procedures	40	$47,255	$12,500
Level 2 Upper GI Procedures	36	$12,677	$2,165
Level 4 Musculoskeletal Procedures	33	$28,744	$8,140
Level 3 Excision/ Biopsy/ Incision and Drainage	25	$17,028	$3,233
Level 3 Lower GI Procedures	24	$15,579	$3,193
Level 3 Intraocular Procedures	22	$22,019	$5,732
Level 1 Nerve Procedures	21	$13,418	$2,036
Level 3 Musculoskeletal Procedures	20	$17,633	$3,683
Level 2 Vascular Procedures	20	$13,356	$1,750
Level 2 Musculoskeletal Procedures	18	$13,920	$1,829
Level 3 Urology and Related Services	17	$12,384	$2,318
Level 4 Gynecologic Procedures	17	$18,971	$3,558
Level 4 Vascular Procedures	16	$26,629	$6,253
Level 1 Breast/Lymphatic Surgery and Related Procedures	15	$20,810	$4,337
Level 3 Pacemaker and Similar Procedures	13	$66,373	$12,134
Level 2 Pacemaker and Similar Procedures	12	$42,039	$9,661
Level 6 Musculoskeletal Procedures	11	$63,311	$21,153

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hudson Valley Hospital Center charged $85,512 on average, 27% less than the New York average of $116,930, and was paid $19,052 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Hudson Valley Hospital Center charged $66,234 on average, 18% less than the New York average of $81,161, and was paid $11,922 against a state average of $16,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hudson Valley Hospital Center charged $61,088 on average, 21% less than the New York average of $77,177, and was paid $12,364 against a state average of $15,976. For Respiratory Infections and Inflammations with MCC (DRG 177), Hudson Valley Hospital Center charged $72,881 on average, 23% less than the New York average of $94,371, and was paid $15,679 against a state average of $19,472. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,654 was 9% below the state average of $16,178. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,184 was 11% above the state average of $12,815. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $44,340 was 35% below the state average of $67,926. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $21,306 was 25% below the state average of $28,292.

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.