University Hospital S U N Y Health Science Center: charges and Medicare payments

University Hospital S U N Y Health Science Center reported 4,413 Medicare inpatient stays across 134 DRGs in 2024. Across them it charged 5.6 times what it was paid — among the higher ratios in New York, number 22 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: 458 stays at an average charge of $146,994, 63% above the national average. It also billed 3,630 outpatient services, charging 6.92 times what Medicare paid.

1Medicare inpatient stays 4,413
2Charge ÷ paid, inpatient 5.6×
3Rank in NY (highest ratio = 1) 22 of 123
4CMS price-transparency actions 0

Average charge per stay at University Hospital S U N Y Health Science Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 134 DRGs that can be compared with the national average, University Hospital S U N Y Health Science Center charged more than the national average in 117 (87%). 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	458	$146,994	+63%	$25,649
291 Heart Failure and Shock with MCC	139	$100,476	+78%	$16,101
690 Kidney and Urinary Tract Infections without MCC	110	$59,974	+59%	$9,799
470 Major Hip and Knee Joint Replacement or Reattachment of...	107	$81,971	-12%	$21,437
177 Respiratory Infections and Inflammations with MCC	98	$101,604	+44%	$19,801
189 Pulmonary Edema and Respiratory Failure	95	$112,755	+96%	$16,263
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	95	$74,255	+51%	$13,315
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	85	$67,563	+82%	$10,050
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	82	$87,103	+56%	$13,293
689 Kidney and Urinary Tract Infections with MCC	80	$77,505	+51%	$13,399
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	72	$108,539	+80%	$16,592
698 Other Kidney and Urinary Tract Diagnoses with MCC	70	$95,487	+30%	$19,720
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	67	$59,956	+49%	$9,839
193 Simple Pneumonia and Pleurisy with MCC	63	$83,680	+40%	$14,895
274 Percutaneous and Other Intracardiac Procedures without MCC	63	$117,193	-25%	$34,235
552 Medical Back Problems without MCC	63	$81,378	+67%	$11,730
481 Hip and Femur Procedures except Major Joint with CC	62	$135,024	+34%	$22,964
603 Cellulitis without MCC	62	$51,710	+39%	$10,938
853 Infectious and Parasitic Diseases with O.R. Procedures with...	58	$402,588	+76%	$70,491
683 Renal Failure with CC	55	$73,670	+81%	$10,802
312 Syncope and Collapse	52	$83,427	+83%	$10,924
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	51	$68,577	+1%	$15,430
025 Craniotomy and Endovascular Intracranial Procedures with MCC	49	$281,397	+22%	$55,887
190 Chronic Obstructive Pulmonary Disease with MCC	49	$58,985	+17%	$13,246
378 Gastrointestinal Hemorrhage with CC	47	$77,852	+60%	$12,436
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	45	$169,585	+70%	$25,210
699 Other Kidney and Urinary Tract Diagnoses with CC	42	$77,694	+64%	$11,964
101 Seizures without MCC	41	$62,299	+28%	$10,933
330 Major Small and Large Bowel Procedures with CC	40	$177,742	+49%	$29,823
178 Respiratory Infections and Inflammations with CC	38	$71,331	+57%	$12,417
267 Endovascular Cardiac Valve Replacement and Supplement...	37	$173,933	-21%	$50,721
638 Diabetes with CC	37	$66,978	+61%	$11,052
682 Renal Failure with MCC	36	$125,619	+91%	$16,257
057 Degenerative Nervous System Disorders without MCC	34	$93,399	+65%	$16,869
100 Seizures with MCC	34	$176,831	+87%	$29,198
194 Simple Pneumonia and Pleurisy with CC	34	$63,151	+65%	$10,112
377 Gastrointestinal Hemorrhage with MCC	34	$161,263	+89%	$26,092
435 Malignancy of Hepatobiliary System or Pancreas with MCC	34	$181,628	+92%	$24,335
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	33	$127,386	+24%	$25,087
309 Cardiac Arrhythmia and Conduction Disorders with CC	32	$51,588	+43%	$9,266
394 Other Digestive System Diagnoses with CC	32	$62,200	+32%	$11,191
951 Other Factors Influencing Health Status	32	$43,227	+69%	$7,339
652 Kidney Transplant	30	$377,586	+12%	$45,362
536 Fractures of Hip and Pelvis without MCC	29	$67,149	+78%	$9,678
054 Nervous System Neoplasms with MCC	28	$149,950	+94%	$18,670
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	28	$131,999	+103%	$22,230
023 Craniotomy with Major Device Implant or Acute Complex Cns...	27	$361,632	+29%	$70,797
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	26	$55,405	+30%	$10,562
074 Cranial and Peripheral Nerve Disorders without MCC	25	$87,572	+63%	$12,412
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	25	$137,313	+59%	$23,387
467 Revision of Hip or Knee Replacement with CC	25	$170,038	+8%	$37,986
480 Hip and Femur Procedures except Major Joint with MCC	25	$189,324	+36%	$39,172
472 Cervical Spinal Fusion with CC	24	$154,707	+8%	$32,385
483 Major Joint or Limb Reattachment Procedures of Upper...	24	$97,770	-23%	$27,206
811 Red Blood Cell Disorders with MCC	24	$154,150	+126%	$31,364
056 Degenerative Nervous System Disorders with MCC	23	$226,605	+136%	$37,877
389 Gastrointestinal Obstruction with CC	23	$65,830	+69%	$10,225
180 Respiratory Neoplasms with MCC	22	$145,453	+66%	$20,979
280 Acute Myocardial Infarction, Discharged Alive with MCC	21	$115,650	+53%	$19,636
322 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$78,985	-31%	$22,210

Showing the 60 most frequent of 134 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	663	$3,790	$712
Level 3 Urology and Related Services	425	$13,019	$2,135
Level 2 Excision/ Biopsy/ Incision and Drainage	326	$13,004	$1,693
Comprehensive Observation Services	226	$27,592	$2,851
Level 3 Vascular Procedures	138	$20,349	$3,340
Level 5 Urology and Related Services	127	$35,459	$5,417
Level 5 Musculoskeletal Procedures	113	$52,029	$13,712
Level 2 Upper GI Procedures	99	$13,371	$2,001
Level 1 Endovascular Procedures	97	$32,986	$3,409
Level 4 Urology and Related Services	96	$19,717	$3,642
Level 3 Excision/ Biopsy/ Incision and Drainage	89	$28,669	$2,932
Level 3 Electrophysiologic Procedures	83	$87,702	$24,828
Level 4 Airway Endoscopy	81	$22,057	$3,931
Level 1 Intraocular Procedures	73	$16,489	$2,471
Level 3 Extraocular, Repair, and Plastic Eye Procedures	67	$11,440	$2,478
Level 4 Vascular Procedures	62	$32,652	$4,323
Level 6 Musculoskeletal Procedures	59	$62,725	$19,711
Level 2 Vascular Procedures	58	$7,134	$1,640
Level 1 Laparoscopy and Related Services	57	$33,868	$5,775
Level 3 Endovascular Procedures	49	$74,482	$11,445
Level 3 Pacemaker and Similar Procedures	48	$49,770	$11,308
Level 5 ENT Procedures	46	$45,335	$6,209
Level 2 Laparoscopy and Related Services	43	$66,241	$10,902
Level 7 Radiation Therapy	43	$191,494	$8,255
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	39	$28,143	$3,668

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University Hospital S U N Y Health Science Center charged $146,994 on average, 26% more than the New York average of $116,930, and was paid $25,649 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), University Hospital S U N Y Health Science Center charged $100,476 on average, 24% more than the New York average of $81,161, and was paid $16,101 against a state average of $16,034. For Kidney and Urinary Tract Infections without MCC (DRG 690), University Hospital S U N Y Health Science Center charged $59,974 on average, 14% more than the New York average of $52,794, and was paid $9,799 against a state average of $10,297. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), University Hospital S U N Y Health Science Center charged $81,971 on average, 24% less than the New York average of $107,202, and was paid $21,437 against a state average of $23,235. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,790 was 11% above the state average of $3,429. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $13,019 was 0% below the state average of $13,044. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,004 was 1% above the state average of $12,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,592 was 3% above the state average of $26,675.

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.