New York / Samaritan Medical Center

CMS certification 330157 · Watertown, NY · 4 entries in CMS's price-transparency list

Samaritan Medical Center: charges and Medicare payments

Samaritan Medical Center reported 807 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 2.34 times what it was paid — mid-range in New York, number 81 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: 141 stays at an average charge of $49,634, 45% below the national average. It also billed 1,638 outpatient services, charging 4.63 times what Medicare paid.

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  1. 1Medicare inpatient stays 807
  2. 2Charge ÷ paid, inpatient 2.34×
  3. 3Rank in NY (highest ratio = 1) 81 of 123
  4. 4CMS price-transparency actions 4
DRG 871$49,634DRG 291$40,021DRG 698$38,105DRG 177$42,821DRG 189$38,636DRG 872$26,718DRG 885$27,308DRG 392$20,044DRG 193$35,317DRG 190$31,762
Average charge per stay at Samaritan Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 33 DRGs that can be compared with the national average, Samaritan Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC141$49,634-45%$22,810
291 Heart Failure and Shock with MCC60$40,021-29%$15,413
698 Other Kidney and Urinary Tract Diagnoses with MCC46$38,105-48%$19,207
177 Respiratory Infections and Inflammations with MCC37$42,821-39%$19,387
189 Pulmonary Edema and Respiratory Failure36$38,636-33%$14,241
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC36$26,718-46%$11,880
885 Psychoses35$27,308-38%$16,138
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...29$20,044-50%$9,042
193 Simple Pneumonia and Pleurisy with MCC26$35,317-41%$14,740
190 Chronic Obstructive Pulmonary Disease with MCC20$31,762-37%$12,823
312 Syncope and Collapse20$32,246-29%$10,066
690 Kidney and Urinary Tract Infections without MCC20$26,168-31%$9,356
378 Gastrointestinal Hemorrhage with CC19$31,229-36%$11,412
481 Hip and Femur Procedures except Major Joint with CC19$48,780-52%$23,951
689 Kidney and Urinary Tract Infections with MCC19$33,813-34%$13,547
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...18$47,552-21%$14,420
683 Renal Failure with CC18$32,547-20%$9,816
194 Simple Pneumonia and Pleurisy with CC16$31,641-18%$9,597
853 Infectious and Parasitic Diseases with O.R. Procedures with...16$100,317-56%$57,432
389 Gastrointestinal Obstruction with CC15$16,122-59%$9,227
884 Organic Disturbances and Intellectual Disability15$39,607-37%$20,104
066 Intracranial Hemorrhage or Cerebral Infarction without...14$34,179-19%$8,079
812 Red Blood Cell Disorders without MCC14$22,635-49%$10,621
064 Intracranial Hemorrhage or Cerebral Infarction with MCC13$68,422-31%$21,391
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...13$47,027-16%$11,765
178 Respiratory Infections and Inflammations with CC13$29,728-34%$11,411
191 Chronic Obstructive Pulmonary Disease with CC12$31,150-21%$9,863
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...12$28,837-22%$9,147
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...11$26,961-56%$14,797
552 Medical Back Problems without MCC11$29,365-40%$11,116
603 Cellulitis without MCC11$25,618-31%$10,248
811 Red Blood Cell Disorders with MCC11$38,262-44%$16,199
813 Coagulation Disorders11$31,927-60%$18,035

Outpatient services

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Samaritan Medical Center charged $49,634 on average, 58% less than the New York average of $116,930, and was paid $22,810 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Samaritan Medical Center charged $40,021 on average, 51% less than the New York average of $81,161, and was paid $15,413 against a state average of $16,034. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Samaritan Medical Center charged $38,105 on average, 61% less than the New York average of $97,403, and was paid $19,207 against a state average of $20,125. For Respiratory Infections and Inflammations with MCC (DRG 177), Samaritan Medical Center charged $42,821 on average, 55% less than the New York average of $94,371, and was paid $19,387 against a state average of $19,472. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,047 was 7% below the state average of $16,178. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,301 was 62% below the state average of $3,429. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,301 was 20% below the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $3,508 was 73% below the state average of $12,815.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Samaritan Medical Center in Watertown, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.