New York / Oswego Hospital
CMS certification 330218 · Oswego, NY · 2 entries in CMS's price-transparency list
Oswego Hospital: charges and Medicare payments
Oswego Hospital reported 421 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 1.7 times what it was paid — among the lower ratios in New York, number 108 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: 110 stays at an average charge of $25,635, 72% below the national average. It also billed 149 outpatient services, charging 3.63 times what Medicare paid.
- 1Medicare inpatient stays 421
- 2Charge ÷ paid, inpatient 1.7×
- 3Rank in NY (highest ratio = 1) 108 of 123
- 4CMS price-transparency actions 2
Inpatient stays
For the 16 DRGs that can be compared with the national average, Oswego 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 | 110 | $25,635 | -72% | $17,420 |
| 177 Respiratory Infections and Inflammations with MCC | 58 | $29,161 | -59% | $15,036 |
| 291 Heart Failure and Shock with MCC | 32 | $17,612 | -69% | $11,623 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $17,746 | -69% | $11,046 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $24,313 | -59% | $11,864 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $17,538 | -77% | $13,762 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $20,796 | -58% | $9,240 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $13,632 | -64% | $7,439 |
| 603 Cellulitis without MCC | 16 | $12,019 | -68% | $8,017 |
| 683 Renal Failure with CC | 16 | $14,030 | -66% | $8,064 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $26,039 | -65% | $14,715 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $17,698 | -56% | $7,199 |
| 682 Renal Failure with MCC | 15 | $25,498 | -61% | $13,362 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $13,734 | -63% | $7,253 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $28,793 | -53% | $11,364 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $16,586 | -65% | $9,383 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 43 | $9,940 | $2,902 |
| Level 5 Urology and Related Services | 24 | $17,094 | $5,486 |
| Level 2 Upper GI Procedures | 21 | $7,399 | $2,018 |
| Level 5 Musculoskeletal Procedures | 18 | $31,855 | $13,930 |
| Level 3 Urology and Related Services | 17 | $9,947 | $2,160 |
| Level 1 Laparoscopy and Related Services | 15 | $18,820 | $5,793 |
| Level 3 Musculoskeletal Procedures | 11 | $10,164 | $3,432 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Oswego Hospital charged $25,635 on average, 78% less than the New York average of $116,930, and was paid $17,420 against a state average of $24,426. For Respiratory Infections and Inflammations with MCC (DRG 177), Oswego Hospital charged $29,161 on average, 69% less than the New York average of $94,371, and was paid $15,036 against a state average of $19,472. For Heart Failure and Shock with MCC (DRG 291), Oswego Hospital charged $17,612 on average, 78% less than the New York average of $81,161, and was paid $11,623 against a state average of $16,034. For Pulmonary Edema and Respiratory Failure (DRG 189), Oswego Hospital charged $17,746 on average, 76% less than the New York average of $74,150, and was paid $11,046 against a state average of $15,119. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,940 was 63% below the state average of $26,675. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $17,094 was 40% below the state average of $28,292. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,399 was 51% below the state average of $15,077. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $31,855 was 53% below the state average of $67,926.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Oswego Hospital in Oswego, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-24 (CMS case 2843)
- Closure Notice — 2025-02-12 (CMS case 2843)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.