New York / Saratoga Hospital

CMS certification 330222 · Saratoga Springs, NY · 1 entry in CMS's price-transparency list

Saratoga Hospital: charges and Medicare payments

Saratoga Hospital reported 1,581 Medicare inpatient stays across 56 DRGs in 2024. Across them it charged 4.21 times what it was paid — mid-range in New York, number 44 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: 286 stays at an average charge of $67,113, 26% below the national average. It also billed 3,420 outpatient services, charging 4.93 times what Medicare paid.

1Medicare inpatient stays 1,581
2Charge ÷ paid, inpatient 4.21×
3Rank in NY (highest ratio = 1) 44 of 123
4CMS price-transparency actions 1

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

Inpatient stays

For the 56 DRGs that can be compared with the national average, Saratoga Hospital charged more than the national average in 7 (13%). 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	286	$67,113	-26%	$18,309
291 Heart Failure and Shock with MCC	109	$49,704	-12%	$11,948
177 Respiratory Infections and Inflammations with MCC	61	$58,072	-18%	$14,564
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	61	$44,954	-8%	$8,919
885 Psychoses	61	$50,021	+14%	$11,584
193 Simple Pneumonia and Pleurisy with MCC	59	$52,043	-13%	$11,839
190 Chronic Obstructive Pulmonary Disease with MCC	43	$42,374	-16%	$9,759
603 Cellulitis without MCC	43	$32,940	-12%	$8,287
280 Acute Myocardial Infarction, Discharged Alive with MCC	34	$54,253	-28%	$14,556
378 Gastrointestinal Hemorrhage with CC	33	$39,921	-18%	$8,748
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	32	$30,621	-24%	$7,158
312 Syncope and Collapse	28	$46,535	+2%	$7,706
690 Kidney and Urinary Tract Infections without MCC	28	$36,524	-3%	$7,321
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	27	$53,888	-3%	$10,852
189 Pulmonary Edema and Respiratory Failure	27	$47,576	-17%	$12,361
308 Cardiac Arrhythmia and Conduction Disorders with MCC	26	$38,562	-32%	$9,066
377 Gastrointestinal Hemorrhage with MCC	26	$64,205	-25%	$15,636
689 Kidney and Urinary Tract Infections with MCC	26	$44,991	-12%	$10,236
322 Percutaneous Cardiovascular Procedures with Intraluminal...	24	$78,908	-31%	$15,719
309 Cardiac Arrhythmia and Conduction Disorders with CC	23	$34,400	-5%	$6,650
470 Major Hip and Knee Joint Replacement or Reattachment of...	21	$51,392	-45%	$16,797
853 Infectious and Parasitic Diseases with O.R. Procedures with...	21	$178,317	-22%	$40,614
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	20	$65,898	+9%	$12,069
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	20	$32,151	-13%	$6,847
281 Acute Myocardial Infarction, Discharged Alive with CC	19	$35,491	-30%	$7,048
682 Renal Failure with MCC	19	$62,153	-6%	$12,539
683 Renal Failure with CC	19	$33,645	-17%	$7,826
698 Other Kidney and Urinary Tract Diagnoses with MCC	19	$59,597	-19%	$14,180
389 Gastrointestinal Obstruction with CC	18	$40,018	+3%	$7,185
481 Hip and Femur Procedures except Major Joint with CC	18	$69,072	-31%	$17,794
194 Simple Pneumonia and Pleurisy with CC	17	$25,125	-35%	$7,119
330 Major Small and Large Bowel Procedures with CC	16	$100,404	-16%	$20,165
178 Respiratory Infections and Inflammations with CC	15	$34,402	-24%	$8,567
314 Other Circulatory System Diagnoses with MCC	15	$73,804	-22%	$17,930
329 Major Small and Large Bowel Procedures with MCC	15	$207,667	-3%	$40,137
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	15	$67,824	-34%	$16,836
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	15	$29,802	-30%	$7,428
536 Fractures of Hip and Pelvis without MCC	13	$29,782	-21%	$6,268
638 Diabetes with CC	13	$32,774	-21%	$8,076
812 Red Blood Cell Disorders without MCC	13	$42,506	-4%	$8,053
039 Extracranial Procedures without CC/MCC	12	$35,481	-44%	$9,976
286 Circulatory Disorders except AMI, with Cardiac...	12	$77,897	-31%	$18,887
390 Gastrointestinal Obstruction without CC/MCC	12	$22,976	-18%	$5,093
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	12	$83,066	+36%	$14,725
602 Cellulitis with MCC	12	$42,221	-30%	$11,057
637 Diabetes with MCC	12	$74,079	+11%	$18,504
699 Other Kidney and Urinary Tract Diagnoses with CC	12	$33,484	-29%	$8,921
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	11	$85,209	-15%	$23,874
070 Other Cerebrovascular Disorders with MCC	11	$66,699	-12%	$14,854
071 Other Cerebrovascular Disorders with CC	11	$43,620	-14%	$9,062
092 Other Disorders of Nervous System with CC	11	$31,144	-40%	$8,946
180 Respiratory Neoplasms with MCC	11	$52,483	-40%	$15,177
202 Bronchitis and Asthma with CC/MCC	11	$41,145	-11%	$9,383
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	11	$67,220	0%	$12,979
811 Red Blood Cell Disorders with MCC	11	$72,112	+6%	$13,261
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	11	$34,658	-7%	$7,651

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	564	$23,736	$2,894
Level 2 Urology and Related Services	461	$816	$708
Level 5 Musculoskeletal Procedures	324	$37,339	$13,854
Level 3 Urology and Related Services	271	$7,769	$2,122
Level 2 Excision/ Biopsy/ Incision and Drainage	204	$9,276	$1,706
Level 1 Intraocular Procedures	133	$11,761	$2,427
Level 1 Nerve Procedures	128	$6,367	$2,034
Level 1 Laparoscopy and Related Services	117	$35,900	$6,076
Level 5 Urology and Related Services	111	$23,312	$5,371
Level 2 Upper GI Procedures	108	$9,399	$1,988
Level 4 Urology and Related Services	105	$14,667	$3,696
Level 3 Excision/ Biopsy/ Incision and Drainage	81	$18,668	$2,983
Level 6 Urology and Related Services	75	$22,198	$9,760
Level 3 Musculoskeletal Procedures	74	$14,698	$3,395
Level 3 Vascular Procedures	74	$12,311	$3,379
Level 4 Musculoskeletal Procedures	63	$28,509	$7,394
Level 1 Endovascular Procedures	63	$18,579	$3,381
Level 2 Musculoskeletal Procedures	50	$6,488	$1,704
Level 2 Breast/Lymphatic Surgery and Related Procedures	41	$35,272	$6,914
Level 2 Vascular Procedures	40	$7,246	$1,664
Level 2 Laparoscopy and Related Services	40	$54,931	$10,670
Level 1 Breast/Lymphatic Surgery and Related Procedures	39	$19,390	$3,959
Level 6 Musculoskeletal Procedures	39	$41,686	$19,711
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	39	$26,351	$3,668
Level 2 Endovascular Procedures	36	$18,005	$6,060

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saratoga Hospital charged $67,113 on average, 43% less than the New York average of $116,930, and was paid $18,309 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Saratoga Hospital charged $49,704 on average, 39% less than the New York average of $81,161, and was paid $11,948 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Saratoga Hospital charged $58,072 on average, 38% less than the New York average of $94,371, and was paid $14,564 against a state average of $19,472. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Saratoga Hospital charged $44,954 on average, 26% less than the New York average of $61,129, and was paid $8,919 against a state average of $12,692. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,736 was 11% below the state average of $26,675. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $816 was 76% below the state average of $3,429. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,339 was 45% below the state average of $67,926. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,769 was 40% below the state average of $13,044.

Price-transparency record

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

Met Requirements — 2025-04-30 (CMS case 4181)

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.