St Catherine of Siena Hospital Medical Center: charges and Medicare payments

St Catherine of Siena Hospital Medical Center reported 3,290 Medicare inpatient stays across 89 DRGs in 2024. Across them it charged 5.75 times what it was paid — among the higher ratios in New York, number 18 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: 496 stays at an average charge of $89,969, 0% below the national average. It also billed 2,288 outpatient services, charging 8.13 times what Medicare paid.

1Medicare inpatient stays 3,290
2Charge ÷ paid, inpatient 5.75×
3Rank in NY (highest ratio = 1) 18 of 123
4CMS price-transparency actions 0

Average charge per stay at St Catherine of Siena Hospital Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 89 DRGs that can be compared with the national average, St Catherine of Siena Hospital Medical Center charged more than the national average in 58 (65%). 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	496	$89,969	0%	$16,554
291 Heart Failure and Shock with MCC	152	$73,140	+30%	$10,855
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	124	$42,823	+7%	$6,565
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	115	$54,388	+11%	$8,510
690 Kidney and Urinary Tract Infections without MCC	112	$45,782	+21%	$6,828
177 Respiratory Infections and Inflammations with MCC	91	$72,900	+3%	$13,650
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	79	$39,727	+7%	$6,449
603 Cellulitis without MCC	68	$46,003	+23%	$7,270
884 Organic Disturbances and Intellectual Disability	67	$60,527	-3%	$14,660
552 Medical Back Problems without MCC	64	$46,494	-5%	$8,194
312 Syncope and Collapse	63	$47,845	+5%	$7,400
689 Kidney and Urinary Tract Infections with MCC	58	$60,868	+19%	$9,952
178 Respiratory Infections and Inflammations with CC	51	$60,902	+34%	$8,344
698 Other Kidney and Urinary Tract Diagnoses with MCC	49	$73,987	+1%	$14,094
853 Infectious and Parasitic Diseases with O.R. Procedures with...	48	$177,924	-22%	$40,356
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	46	$53,333	-12%	$11,180
189 Pulmonary Edema and Respiratory Failure	44	$86,324	+50%	$11,861
057 Degenerative Nervous System Disorders without MCC	43	$51,341	-9%	$11,281
811 Red Blood Cell Disorders with MCC	42	$60,628	-11%	$12,180
069 Transient Ischemia without Thrombolytic	41	$58,391	+16%	$6,687
682 Renal Failure with MCC	41	$65,682	0%	$12,435
683 Renal Failure with CC	40	$51,046	+25%	$7,454
812 Red Blood Cell Disorders without MCC	40	$46,843	+6%	$7,591
378 Gastrointestinal Hemorrhage with CC	38	$62,578	+29%	$8,650
190 Chronic Obstructive Pulmonary Disease with MCC	36	$60,267	+19%	$9,601
309 Cardiac Arrhythmia and Conduction Disorders with CC	35	$43,242	+20%	$6,210
193 Simple Pneumonia and Pleurisy with MCC	34	$67,949	+14%	$10,797
638 Diabetes with CC	33	$52,325	+26%	$7,610
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	32	$44,460	+4%	$7,424
699 Other Kidney and Urinary Tract Diagnoses with CC	32	$44,038	-7%	$8,396
914 Traumatic Injury without MCC	31	$44,797	-5%	$7,589
305 Hypertension without MCC	29	$36,046	-10%	$7,160
394 Other Digestive System Diagnoses with CC	29	$51,017	+8%	$8,396
605 Trauma To The Skin, Subcutaneous Tissue and Breast without...	29	$42,082	-9%	$8,133
194 Simple Pneumonia and Pleurisy with CC	28	$42,625	+11%	$6,880
149 Dysequilibrium	26	$55,991	+26%	$6,242
191 Chronic Obstructive Pulmonary Disease with CC	26	$43,443	+10%	$7,062
300 Peripheral Vascular Disorders with CC	26	$63,651	+29%	$8,824
377 Gastrointestinal Hemorrhage with MCC	26	$104,412	+22%	$18,433
074 Cranial and Peripheral Nerve Disorders without MCC	25	$53,385	0%	$8,612
101 Seizures without MCC	25	$53,009	+9%	$8,248
202 Bronchitis and Asthma with CC/MCC	25	$43,320	-6%	$8,103
870 Septicemia or Severe Sepsis with MV >96 Hours	25	$299,899	-7%	$67,542
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	24	$58,806	+6%	$8,954
393 Other Digestive System Diagnoses with MCC	24	$71,038	-7%	$13,664
313 Chest Pain	23	$38,377	-4%	$6,038
314 Other Circulatory System Diagnoses with MCC	23	$72,026	-24%	$17,070
280 Acute Myocardial Infarction, Discharged Alive with MCC	21	$78,015	+3%	$12,394
372 Major Gastrointestinal Disorders and Peritoneal Infections...	21	$61,643	+30%	$9,387
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	20	$118,672	+19%	$15,737
481 Hip and Femur Procedures except Major Joint with CC	20	$104,625	+4%	$17,218
551 Medical Back Problems with MCC	20	$82,848	+5%	$13,217
885 Psychoses	20	$51,959	+18%	$11,516
100 Seizures with MCC	19	$75,894	-20%	$15,114
321 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$160,951	-2%	$24,255
308 Cardiac Arrhythmia and Conduction Disorders with MCC	18	$59,892	+6%	$10,076
287 Circulatory Disorders except AMI, with Cardiac...	17	$64,346	+1%	$9,071
330 Major Small and Large Bowel Procedures with CC	17	$114,760	-4%	$19,733
813 Coagulation Disorders	17	$97,004	+21%	$13,161
299 Peripheral Vascular Disorders with MCC	16	$91,981	+22%	$15,113

Showing the 60 most frequent of 89 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	718	$27,694	$3,012
Level 1 Intraocular Procedures	283	$13,223	$2,595
Level 1 Endovascular Procedures	116	$27,086	$3,605
Level 1 Laparoscopy and Related Services	116	$34,778	$6,318
Level 4 Urology and Related Services	94	$20,546	$3,861
Level 3 Endovascular Procedures	92	$91,995	$12,038
Level 2 Excision/ Biopsy/ Incision and Drainage	76	$11,127	$1,792
Level 5 Urology and Related Services	73	$25,778	$5,779
Level 3 Urology and Related Services	71	$15,156	$2,249
Level 2 Musculoskeletal Procedures	68	$10,640	$1,795
Level 4 Musculoskeletal Procedures	50	$34,199	$7,776
Level 3 Vascular Procedures	50	$23,657	$3,503
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	46	$26,570	$3,797
Level 1 Breast/Lymphatic Surgery and Related Procedures	39	$16,859	$4,170
Level 3 Musculoskeletal Procedures	39	$15,613	$3,615
Level 2 Endovascular Procedures	37	$42,000	$6,384
Level 6 Urology and Related Services	36	$47,905	$10,044
Level 1 Nerve Procedures	33	$12,822	$2,157
Level 4 Endovascular Procedures	31	$148,740	$19,538
Level 3 Excision/ Biopsy/ Incision and Drainage	30	$12,440	$3,174
Level 5 Musculoskeletal Procedures	27	$93,243	$13,738
Level 2 Upper GI Procedures	27	$10,106	$2,086
Level 2 Vascular Procedures	26	$12,628	$1,789
Level 3 Pacemaker and Similar Procedures	21	$70,311	$11,910
Level 2 Breast/Lymphatic Surgery and Related Procedures	20	$33,811	$6,707

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Catherine of Siena Hospital Medical Center charged $89,969 on average, 23% less than the New York average of $116,930, and was paid $16,554 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), St Catherine of Siena Hospital Medical Center charged $73,140 on average, 10% less than the New York average of $81,161, and was paid $10,855 against a state average of $16,034. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), St Catherine of Siena Hospital Medical Center charged $42,823 on average, 14% less than the New York average of $50,017, and was paid $6,565 against a state average of $9,945. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St Catherine of Siena Hospital Medical Center charged $54,388 on average, 11% less than the New York average of $61,129, and was paid $8,510 against a state average of $12,692. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,694 was 4% above the state average of $26,675. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,223 was 18% below the state average of $16,178. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $27,086 was 7% above the state average of $25,359. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $34,778 was 1% below the state average of $35,085.

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.