New York / Northern Dutchess Hospital
CMS certification 330049 · Rhinebeck, NY
Northern Dutchess Hospital: charges and Medicare payments
Northern Dutchess Hospital reported 974 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 2.49 times what it was paid — mid-range in New York, number 75 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: 214 stays at an average charge of $45,436, 50% below the national average. It also billed 1,128 outpatient services, charging 3.3 times what Medicare paid.
- 1Medicare inpatient stays 974
- 2Charge ÷ paid, inpatient 2.49×
- 3Rank in NY (highest ratio = 1) 75 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 36 DRGs that can be compared with the national average, Northern Dutchess 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 | 214 | $45,436 | -50% | $20,158 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 64 | $49,959 | -46% | $19,002 |
| 291 Heart Failure and Shock with MCC | 62 | $34,170 | -39% | $13,438 |
| 177 Respiratory Infections and Inflammations with MCC | 51 | $47,983 | -32% | $17,733 |
| 193 Simple Pneumonia and Pleurisy with MCC | 51 | $32,769 | -45% | $13,430 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 44 | $27,954 | -43% | $11,985 |
| 683 Renal Failure with CC | 30 | $26,179 | -36% | $9,435 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $26,441 | -31% | $8,670 |
| 378 Gastrointestinal Hemorrhage with CC | 22 | $27,419 | -44% | $10,390 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $31,366 | -39% | $12,298 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $33,164 | -42% | $12,687 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $34,336 | -53% | $16,720 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $30,352 | -46% | $10,306 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $21,310 | -41% | $7,539 |
| 603 Cellulitis without MCC | 18 | $22,565 | -39% | $9,269 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $44,744 | -55% | $19,612 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $40,971 | -52% | $18,228 |
| 389 Gastrointestinal Obstruction with CC | 16 | $29,975 | -23% | $8,268 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $27,298 | -32% | $8,549 |
| 682 Renal Failure with MCC | 16 | $29,101 | -56% | $14,215 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $27,232 | -28% | $8,902 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $53,815 | -47% | $20,745 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $60,380 | -41% | $21,193 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $25,634 | -31% | $8,143 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $143,225 | -37% | $47,076 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $30,948 | -39% | $11,059 |
| 812 Red Blood Cell Disorders without MCC | 14 | $20,932 | -53% | $8,986 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 13 | $60,779 | -51% | $26,380 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $28,538 | -33% | $9,419 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $40,939 | -32% | $13,971 |
| 813 Coagulation Disorders | 13 | $25,996 | -68% | $15,197 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $25,502 | -55% | $14,170 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $22,485 | -43% | $8,698 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $27,775 | -39% | $9,736 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 11 | $47,499 | -58% | $19,419 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $43,505 | -56% | $20,317 |
Outpatient services
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northern Dutchess Hospital charged $45,436 on average, 61% less than the New York average of $116,930, and was paid $20,158 against a state average of $24,426. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Northern Dutchess Hospital charged $49,959 on average, 53% less than the New York average of $107,202, and was paid $19,002 against a state average of $23,235. For Heart Failure and Shock with MCC (DRG 291), Northern Dutchess Hospital charged $34,170 on average, 58% less than the New York average of $81,161, and was paid $13,438 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Northern Dutchess Hospital charged $47,983 on average, 49% less than the New York average of $94,371, and was paid $17,733 against a state average of $19,472. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $33,634 was 50% below the state average of $67,926. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,692 was 45% below the state average of $26,675. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,473 was 54% below the state average of $16,178. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,368 was 50% 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.