Nyack Hospital: charges and Medicare payments

Nyack Hospital reported 2,548 Medicare inpatient stays across 70 DRGs in 2024. Across them it charged 6.81 times what it was paid — among the higher ratios in New York, number 9 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: 527 stays at an average charge of $128,643, 42% above the national average. It also billed 1,808 outpatient services, charging 8.61 times what Medicare paid.

1Medicare inpatient stays 2,548
2Charge ÷ paid, inpatient 6.81×
3Rank in NY (highest ratio = 1) 9 of 123
4CMS price-transparency actions 0

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

Inpatient stays

For the 70 DRGs that can be compared with the national average, Nyack Hospital charged more than the national average in 57 (81%). 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	527	$128,643	+42%	$17,810
291 Heart Failure and Shock with MCC	157	$83,663	+48%	$11,649
177 Respiratory Infections and Inflammations with MCC	123	$102,342	+45%	$14,723
689 Kidney and Urinary Tract Infections with MCC	89	$82,310	+60%	$10,360
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	74	$67,572	+38%	$10,087
698 Other Kidney and Urinary Tract Diagnoses with MCC	67	$142,073	+93%	$15,046
193 Simple Pneumonia and Pleurisy with MCC	65	$90,982	+52%	$12,004
870 Septicemia or Severe Sepsis with MV >96 Hours	51	$306,436	-5%	$56,968
690 Kidney and Urinary Tract Infections without MCC	49	$56,820	+50%	$7,335
853 Infectious and Parasitic Diseases with O.R. Procedures with...	49	$219,210	-4%	$41,185
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	43	$73,334	+83%	$7,230
603 Cellulitis without MCC	42	$53,048	+42%	$7,860
481 Hip and Femur Procedures except Major Joint with CC	37	$96,500	-4%	$18,081
092 Other Disorders of Nervous System with CC	36	$71,706	+39%	$9,576
683 Renal Failure with CC	36	$64,605	+59%	$8,397
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	35	$78,361	+30%	$11,445
377 Gastrointestinal Hemorrhage with MCC	34	$100,055	+17%	$15,742
378 Gastrointestinal Hemorrhage with CC	34	$80,589	+66%	$9,134
682 Renal Failure with MCC	34	$109,058	+65%	$14,407
884 Organic Disturbances and Intellectual Disability	34	$85,935	+38%	$14,193
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	33	$124,525	+25%	$17,610
189 Pulmonary Edema and Respiratory Failure	32	$87,335	+52%	$12,060
190 Chronic Obstructive Pulmonary Disease with MCC	32	$97,690	+93%	$10,081
552 Medical Back Problems without MCC	32	$64,340	+32%	$8,422
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	30	$84,222	+51%	$9,135
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	28	$58,969	+59%	$7,194
312 Syncope and Collapse	27	$57,024	+25%	$7,886
470 Major Hip and Knee Joint Replacement or Reattachment of...	26	$80,133	-14%	$16,710
194 Simple Pneumonia and Pleurisy with CC	25	$60,674	+58%	$8,009
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	25	$101,742	-1%	$18,525
069 Transient Ischemia without Thrombolytic	24	$63,596	+26%	$7,361
895 Alcohol, Drug Abuse or Dependence with Rehabilitation...	24	$98,120	+187%	$13,744
057 Degenerative Nervous System Disorders without MCC	23	$86,093	+52%	$12,243
813 Coagulation Disorders	23	$76,729	-4%	$13,941
101 Seizures without MCC	22	$76,004	+56%	$8,232
280 Acute Myocardial Infarction, Discharged Alive with MCC	22	$94,225	+24%	$16,583
309 Cardiac Arrhythmia and Conduction Disorders with CC	22	$54,715	+52%	$6,821
389 Gastrointestinal Obstruction with CC	22	$49,340	+27%	$7,070
322 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$70,559	-38%	$17,981
638 Diabetes with CC	19	$63,735	+53%	$8,196
178 Respiratory Infections and Inflammations with CC	18	$58,748	+30%	$8,814
393 Other Digestive System Diagnoses with MCC	18	$69,260	-10%	$14,534
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	18	$52,247	+23%	$8,071
308 Cardiac Arrhythmia and Conduction Disorders with MCC	17	$65,439	+16%	$10,580
394 Other Digestive System Diagnoses with CC	17	$68,325	+45%	$8,531
100 Seizures with MCC	16	$90,716	-4%	$16,761
305 Hypertension without MCC	16	$53,669	+34%	$8,597
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	16	$32,569	+13%	$5,198
536 Fractures of Hip and Pelvis without MCC	16	$66,297	+76%	$7,027
637 Diabetes with MCC	16	$102,234	+54%	$13,211
091 Other Disorders of Nervous System with MCC	15	$67,106	-19%	$15,200
330 Major Small and Large Bowel Procedures with CC	15	$123,381	+4%	$22,326
299 Peripheral Vascular Disorders with MCC	14	$112,790	+50%	$13,654
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	14	$84,240	+38%	$11,463
602 Cellulitis with MCC	14	$116,506	+94%	$15,996
644 Endocrine Disorders with CC	14	$57,028	+19%	$9,563
811 Red Blood Cell Disorders with MCC	14	$87,819	+29%	$15,138
480 Hip and Femur Procedures except Major Joint with MCC	13	$157,400	+13%	$24,902
643 Endocrine Disorders with MCC	13	$126,132	+70%	$14,541
056 Degenerative Nervous System Disorders with MCC	12	$137,537	+43%	$20,636

Showing the 60 most frequent of 70 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	527	$48,733	$3,097
Level 2 Excision/ Biopsy/ Incision and Drainage	181	$12,593	$1,817
Level 5 Musculoskeletal Procedures	121	$45,793	$14,882
Level 2 Musculoskeletal Procedures	90	$14,613	$1,575
Level 3 Musculoskeletal Procedures	87	$21,413	$3,308
Level 4 Musculoskeletal Procedures	81	$37,741	$7,518
Level 3 Excision/ Biopsy/ Incision and Drainage	70	$24,177	$3,167
Level 2 Upper GI Procedures	66	$13,426	$2,162
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	66	$20,606	$3,881
Level 1 Laparoscopy and Related Services	58	$29,067	$6,544
Level 4 Urology and Related Services	53	$23,120	$3,884
Level 1 Nerve Procedures	53	$14,963	$1,965
Level 1 Endovascular Procedures	52	$26,237	$3,641
Level 5 Urology and Related Services	45	$26,624	$5,882
Level 3 Vascular Procedures	42	$20,340	$3,619
Level 3 Urology and Related Services	40	$23,990	$2,307
Level 1 Breast/Lymphatic Surgery and Related Procedures	23	$28,879	$4,319
Level 3 Endovascular Procedures	21	$40,040	$12,500
Level 1 Intraocular Procedures	21	$20,801	$2,439
Level 6 Musculoskeletal Procedures	19	$76,577	$21,153
Level 4 Gynecologic Procedures	17	$24,117	$3,558
Level 4 Airway Endoscopy	14	$25,749	$4,232
Level 2 Vascular Procedures	13	$13,509	$1,816
Level 2 Endovascular Procedures	13	$23,288	$6,480
Level 5 Airway Endoscopy	12	$34,348	$7,695

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Nyack Hospital charged $128,643 on average, 10% more than the New York average of $116,930, and was paid $17,810 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Nyack Hospital charged $83,663 on average, 3% more than the New York average of $81,161, and was paid $11,649 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Nyack Hospital charged $102,342 on average, 8% more than the New York average of $94,371, and was paid $14,723 against a state average of $19,472. For Kidney and Urinary Tract Infections with MCC (DRG 689), Nyack Hospital charged $82,310 on average, 9% more than the New York average of $75,577, and was paid $10,360 against a state average of $14,604. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $48,733 was 83% above the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,593 was 2% below the state average of $12,815. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $45,793 was 33% below the state average of $67,926. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $14,613 was 12% above the state average of $13,038.

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.