New York / Samaritan Hospital
CMS certification 330180 · Troy, NY · 4 entries in CMS's price-transparency list
Samaritan Hospital: charges and Medicare payments
Samaritan Hospital reported 1,446 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 2.55 times what it was paid — mid-range in New York, number 70 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: 314 stays at an average charge of $40,757, 55% below the national average. It also billed 1,457 outpatient services, charging 4.19 times what Medicare paid.
- 1Medicare inpatient stays 1,446
- 2Charge ÷ paid, inpatient 2.55×
- 3Rank in NY (highest ratio = 1) 70 of 123
- 4CMS price-transparency actions 4
Inpatient stays
For the 43 DRGs that can be compared with the national average, Samaritan 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 | 314 | $40,757 | -55% | $17,016 |
| 291 Heart Failure and Shock with MCC | 136 | $30,498 | -46% | $11,631 |
| 885 Psychoses | 69 | $33,162 | -25% | $12,395 |
| 177 Respiratory Infections and Inflammations with MCC | 61 | $40,200 | -43% | $15,337 |
| 193 Simple Pneumonia and Pleurisy with MCC | 60 | $28,314 | -53% | $12,988 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 48 | $43,967 | -42% | $13,517 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 48 | $85,852 | -63% | $44,227 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 43 | $24,739 | -51% | $9,979 |
| 378 Gastrointestinal Hemorrhage with CC | 37 | $28,564 | -41% | $9,428 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 35 | $25,001 | -49% | $10,004 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $26,319 | -49% | $10,744 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $33,775 | -54% | $14,404 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $34,338 | -43% | $11,461 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 28 | $30,536 | -46% | $10,709 |
| 377 Gastrointestinal Hemorrhage with MCC | 26 | $43,193 | -49% | $15,550 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $26,733 | -28% | $7,400 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $21,200 | -41% | $6,965 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $63,291 | -45% | $17,552 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $29,088 | -49% | $12,921 |
| 314 Other Circulatory System Diagnoses with MCC | 20 | $50,045 | -47% | $17,120 |
| 683 Renal Failure with CC | 20 | $32,575 | -20% | $8,050 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $38,452 | -61% | $16,707 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $22,193 | -42% | $7,545 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $23,126 | -42% | $7,910 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $33,052 | -35% | $8,372 |
| 312 Syncope and Collapse | 16 | $23,918 | -47% | $8,006 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $42,465 | -58% | $17,883 |
| 638 Diabetes with CC | 16 | $21,389 | -49% | $8,320 |
| 682 Renal Failure with MCC | 16 | $26,901 | -59% | $13,340 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $93,391 | -43% | $25,210 |
| 603 Cellulitis without MCC | 15 | $18,956 | -49% | $7,778 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $17,601 | -53% | $7,516 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 14 | $30,180 | -60% | $14,156 |
| 389 Gastrointestinal Obstruction with CC | 13 | $17,703 | -55% | $7,519 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $26,592 | -56% | $12,377 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $141,636 | -56% | $59,270 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $28,000 | -50% | $9,858 |
| 100 Seizures with MCC | 12 | $54,331 | -42% | $19,685 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $27,267 | -58% | $13,372 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 12 | $23,228 | -46% | $6,738 |
| 637 Diabetes with MCC | 12 | $26,989 | -59% | $11,931 |
| 069 Transient Ischemia without Thrombolytic | 11 | $28,650 | -43% | $7,504 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $75,850 | -44% | $28,571 |
Outpatient services
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Samaritan Hospital charged $40,757 on average, 65% less than the New York average of $116,930, and was paid $17,016 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Samaritan Hospital charged $30,498 on average, 62% less than the New York average of $81,161, and was paid $11,631 against a state average of $16,034. For Psychoses (DRG 885), Samaritan Hospital charged $33,162 on average, 54% less than the New York average of $72,398, and was paid $12,395 against a state average of $16,477. For Respiratory Infections and Inflammations with MCC (DRG 177), Samaritan Hospital charged $40,200 on average, 57% less than the New York average of $94,371, and was paid $15,337 against a state average of $19,472. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,136 was 51% below the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,407 was 42% below the state average of $12,815. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $12,907 was 30% below the state average of $18,520. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,465 was 43% below the state average of $25,359.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Samaritan Hospital in Troy, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-11-17 (CMS case 1656)
- Warning Notice — 2024-08-21 (CMS case 2461)
- Closure Notice — 2024-11-26 (CMS case 2461)
- Met Requirements — 2025-07-10 (CMS case 5637)
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.