New York / St Luke's Cornwall Hospital

CMS certification 330264 · Newburgh, NY

St Luke's Cornwall Hospital: charges and Medicare payments

St Luke's Cornwall Hospital reported 1,579 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 6.91 times what it was paid — among the higher ratios in New York, number 8 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: 264 stays at an average charge of $128,309, 42% above the national average. It also billed 1,486 outpatient services, charging 7.61 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 1,579
  2. 2Charge ÷ paid, inpatient 6.91×
  3. 3Rank in NY (highest ratio = 1) 8 of 123
  4. 4CMS price-transparency actions 0
DRG 871$128,309DRG 291$87,778DRG 177$96,143DRG 193$87,724DRG 280$106,609DRG 189$94,514DRG 640$87,320DRG 872$66,247DRG 190$71,661DRG 641$51,200
Average charge per stay at St Luke's Cornwall Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 52 DRGs that can be compared with the national average, St Luke's Cornwall Hospital charged more than the national average in 48 (92%). 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 MCC264$128,309+42%$18,433
291 Heart Failure and Shock with MCC137$87,778+56%$11,986
177 Respiratory Infections and Inflammations with MCC61$96,143+36%$15,479
193 Simple Pneumonia and Pleurisy with MCC57$87,724+47%$12,357
280 Acute Myocardial Infarction, Discharged Alive with MCC46$106,609+41%$16,927
189 Pulmonary Edema and Respiratory Failure45$94,514+64%$11,858
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...44$87,320+45%$12,607
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC41$66,247+35%$9,889
190 Chronic Obstructive Pulmonary Disease with MCC39$71,661+42%$11,641
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...38$51,200+38%$7,275
689 Kidney and Urinary Tract Infections with MCC31$87,649+71%$10,904
698 Other Kidney and Urinary Tract Diagnoses with MCC31$87,880+20%$14,256
069 Transient Ischemia without Thrombolytic30$62,265+23%$8,548
308 Cardiac Arrhythmia and Conduction Disorders with MCC29$81,350+44%$11,518
603 Cellulitis without MCC29$61,012+64%$8,268
853 Infectious and Parasitic Diseases with O.R. Procedures with...29$216,495-5%$44,131
481 Hip and Femur Procedures except Major Joint with CC28$115,001+14%$19,304
378 Gastrointestinal Hemorrhage with CC27$72,610+50%$9,936
064 Intracranial Hemorrhage or Cerebral Infarction with MCC26$103,104+3%$17,467
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...26$82,848+49%$9,676
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...24$55,010+37%$7,474
682 Renal Failure with MCC24$101,826+54%$12,553
194 Simple Pneumonia and Pleurisy with CC23$57,037+49%$7,934
322 Percutaneous Cardiovascular Procedures with Intraluminal...23$133,456+16%$18,814
309 Cardiac Arrhythmia and Conduction Disorders with CC22$58,517+62%$8,237
690 Kidney and Urinary Tract Infections without MCC22$75,751+100%$7,795
321 Percutaneous Cardiovascular Procedures with Intraluminal...21$233,712+43%$26,852
683 Renal Failure with CC21$71,649+76%$8,716
522 Hip Replacement with Principal Diagnosis of Hip Fracture...19$106,928+5%$19,454
552 Medical Back Problems without MCC19$80,724+65%$9,414
101 Seizures without MCC18$60,851+25%$8,690
312 Syncope and Collapse18$76,154+67%$8,435
191 Chronic Obstructive Pulmonary Disease with CC17$67,724+71%$8,303
812 Red Blood Cell Disorders without MCC17$68,845+55%$8,789
100 Seizures with MCC15$111,643+18%$17,912
178 Respiratory Infections and Inflammations with CC15$71,490+58%$9,427
377 Gastrointestinal Hemorrhage with MCC15$146,953+72%$16,910
057 Degenerative Nervous System Disorders without MCC14$76,078+34%$12,020
070 Other Cerebrovascular Disorders with MCC14$116,609+53%$15,788
637 Diabetes with MCC14$90,005+35%$12,933
638 Diabetes with CC14$78,120+87%$8,157
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale13$100,468+54%$13,215
286 Circulatory Disorders except AMI, with Cardiac...13$109,433-3%$20,528
300 Peripheral Vascular Disorders with CC13$76,401+55%$10,033
389 Gastrointestinal Obstruction with CC13$48,108+24%$9,931
813 Coagulation Disorders13$89,036+11%$14,715
884 Organic Disturbances and Intellectual Disability12$85,037+36%$15,291
176 Pulmonary Embolism without MCC11$73,127+76%$8,012
202 Bronchitis and Asthma with CC/MCC11$44,989-3%$9,114
281 Acute Myocardial Infarction, Discharged Alive with CC11$81,878+62%$8,936
372 Major Gastrointestinal Disorders and Peritoneal Infections...11$73,404+55%$9,967
660 Kidney and Ureter Procedures for Non-Neoplasm with CC11$56,679-16%$12,546

Outpatient services

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Luke's Cornwall Hospital charged $128,309 on average, 10% more than the New York average of $116,930, and was paid $18,433 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), St Luke's Cornwall Hospital charged $87,778 on average, 8% more than the New York average of $81,161, and was paid $11,986 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), St Luke's Cornwall Hospital charged $96,143 on average, 2% more than the New York average of $94,371, and was paid $15,479 against a state average of $19,472. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Luke's Cornwall Hospital charged $87,724 on average, 14% more than the New York average of $77,177, and was paid $12,357 against a state average of $15,976. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,672 was 22% above the state average of $26,675. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,502 was 23% below the state average of $25,359. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,160 was 18% above the state average of $12,815. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $25,232 was 11% below the state average of $28,292.

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.