New York / Wynn Hospital

CMS certification 330044 · Utica, NY · 3 entries in CMS's price-transparency list

Wynn Hospital: charges and Medicare payments

Wynn Hospital reported 3,533 Medicare inpatient stays across 93 DRGs in 2024. Across them it charged 4.07 times what it was paid — mid-range in New York, number 45 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: 325 stays at an average charge of $71,645, 21% below the national average. It also billed 2,462 outpatient services, charging 6.21 times what Medicare paid.

1Medicare inpatient stays 3,533
2Charge ÷ paid, inpatient 4.07×
3Rank in NY (highest ratio = 1) 45 of 123
4CMS price-transparency actions 3

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

Inpatient stays

For the 93 DRGs that can be compared with the national average, Wynn Hospital charged more than the national average in 12 (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	325	$71,645	-21%	$18,903
291 Heart Failure and Shock with MCC	204	$42,928	-24%	$12,435
189 Pulmonary Edema and Respiratory Failure	119	$56,386	-2%	$12,052
885 Psychoses	112	$42,125	-4%	$13,957
177 Respiratory Infections and Inflammations with MCC	84	$55,341	-22%	$15,832
194 Simple Pneumonia and Pleurisy with CC	82	$33,869	-12%	$8,155
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	78	$30,842	-23%	$7,744
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	76	$53,785	-3%	$9,647
193 Simple Pneumonia and Pleurisy with MCC	76	$52,306	-12%	$12,890
378 Gastrointestinal Hemorrhage with CC	76	$43,862	-10%	$9,584
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	71	$31,775	-14%	$7,700
690 Kidney and Urinary Tract Infections without MCC	64	$27,989	-26%	$7,980
377 Gastrointestinal Hemorrhage with MCC	62	$66,899	-22%	$16,770
552 Medical Back Problems without MCC	60	$34,519	-29%	$9,088
322 Percutaneous Cardiovascular Procedures with Intraluminal...	56	$101,562	-11%	$17,199
603 Cellulitis without MCC	55	$29,941	-20%	$8,534
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	55	$43,508	-11%	$10,445
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	54	$53,281	-12%	$12,835
312 Syncope and Collapse	53	$32,653	-28%	$8,310
853 Infectious and Parasitic Diseases with O.R. Procedures with...	53	$149,676	-35%	$44,521
698 Other Kidney and Urinary Tract Diagnoses with MCC	49	$52,400	-29%	$15,099
308 Cardiac Arrhythmia and Conduction Disorders with MCC	47	$66,956	+18%	$14,098
948 Signs and Symptoms without MCC	45	$28,110	-26%	$7,744
309 Cardiac Arrhythmia and Conduction Disorders with CC	43	$37,468	+4%	$7,307
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	42	$93,198	-7%	$20,118
682 Renal Failure with MCC	42	$67,609	+3%	$14,782
267 Endovascular Cardiac Valve Replacement and Supplement...	41	$233,936	+6%	$42,948
683 Renal Failure with CC	41	$34,495	-15%	$9,055
071 Other Cerebrovascular Disorders with CC	40	$38,064	-25%	$9,845
481 Hip and Femur Procedures except Major Joint with CC	40	$76,136	-24%	$18,190
689 Kidney and Urinary Tract Infections with MCC	39	$41,682	-19%	$11,438
287 Circulatory Disorders except AMI, with Cardiac...	37	$57,235	-10%	$10,986
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	37	$25,561	-40%	$8,601
812 Red Blood Cell Disorders without MCC	37	$32,248	-27%	$8,803
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	36	$68,757	-33%	$19,085
280 Acute Myocardial Infarction, Discharged Alive with MCC	34	$77,321	+2%	$15,409
314 Other Circulatory System Diagnoses with MCC	33	$76,081	-20%	$21,052
069 Transient Ischemia without Thrombolytic	32	$35,363	-30%	$7,971
190 Chronic Obstructive Pulmonary Disease with MCC	32	$36,502	-28%	$10,479
101 Seizures without MCC	31	$36,775	-25%	$8,797
066 Intracranial Hemorrhage or Cerebral Infarction without...	30	$30,079	-29%	$8,411
274 Percutaneous and Other Intracardiac Procedures without MCC	29	$140,021	-11%	$28,866
178 Respiratory Infections and Inflammations with CC	28	$34,577	-24%	$9,777
811 Red Blood Cell Disorders with MCC	27	$70,953	+4%	$14,091
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	26	$24,680	-14%	$5,668
321 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$168,075	+3%	$28,289
536 Fractures of Hip and Pelvis without MCC	26	$30,649	-19%	$8,049
884 Organic Disturbances and Intellectual Disability	26	$38,183	-39%	$14,727
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	26	$156,401	-28%	$43,233
313 Chest Pain	22	$23,721	-41%	$6,994
389 Gastrointestinal Obstruction with CC	22	$23,332	-40%	$7,708
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	22	$58,058	-5%	$11,922
637 Diabetes with MCC	22	$45,784	-31%	$13,662
039 Extracranial Procedures without CC/MCC	21	$50,570	-21%	$11,150
070 Other Cerebrovascular Disorders with MCC	21	$61,827	-19%	$15,861
870 Septicemia or Severe Sepsis with MV >96 Hours	21	$242,571	-25%	$66,105
208 Respiratory System Diagnosis with Ventilator Support <=96...	20	$91,544	-33%	$23,688
393 Other Digestive System Diagnoses with MCC	20	$48,351	-37%	$14,559
699 Other Kidney and Urinary Tract Diagnoses with CC	20	$37,133	-22%	$9,742
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	20	$23,544	-37%	$8,270

Showing the 60 most frequent of 93 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	306	$864	$721
Comprehensive Observation Services	291	$20,271	$2,854
Level 2 Upper GI Procedures	263	$10,965	$2,006
Level 1 Endovascular Procedures	189	$32,164	$3,460
Level 2 Excision/ Biopsy/ Incision and Drainage	156	$16,126	$1,610
Level 3 Vascular Procedures	135	$17,005	$3,314
Level 3 Endovascular Procedures	103	$79,705	$11,552
Level 5 Musculoskeletal Procedures	88	$44,046	$13,511
Level 3 Urology and Related Services	88	$7,758	$2,085
Level 2 Vascular Procedures	73	$7,897	$1,679
Level 2 Endovascular Procedures	68	$34,496	$6,060
Level 1 Laparoscopy and Related Services	58	$28,344	$5,865
Level 3 Pacemaker and Similar Procedures	54	$40,872	$11,129
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	46	$19,611	$3,605
Level 3 Upper GI Procedures	43	$20,787	$4,060
Level 3 Excision/ Biopsy/ Incision and Drainage	39	$10,395	$1,885
Level 4 Vascular Procedures	39	$30,717	$5,826
Level 4 Urology and Related Services	33	$17,119	$3,607
Level 5 Urology and Related Services	30	$27,214	$5,340
Level 3 Electrophysiologic Procedures	29	$90,569	$25,111
Level 4 Airway Endoscopy	28	$21,022	$3,970
Level 2 Laparoscopy and Related Services	27	$43,626	$10,902
Level 2 ICD and Similar Procedures	26	$130,417	$34,772
Level 4 Endovascular Procedures	23	$136,067	$17,813
Level 3 Lower GI Procedures	23	$18,575	$2,977

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wynn Hospital charged $71,645 on average, 39% less than the New York average of $116,930, and was paid $18,903 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Wynn Hospital charged $42,928 on average, 47% less than the New York average of $81,161, and was paid $12,435 against a state average of $16,034. For Pulmonary Edema and Respiratory Failure (DRG 189), Wynn Hospital charged $56,386 on average, 24% less than the New York average of $74,150, and was paid $12,052 against a state average of $15,119. For Psychoses (DRG 885), Wynn Hospital charged $42,125 on average, 42% less than the New York average of $72,398, and was paid $13,957 against a state average of $16,477. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $864 was 75% below the state average of $3,429. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,271 was 24% below the state average of $26,675. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,965 was 27% below the state average of $15,077. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $32,164 was 27% above the state average of $25,359.

Price-transparency record

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

Warning Notice — 2025-09-26 (CMS case 6726)
Closure Notice — 2025-12-30 (CMS case 6726)
Warning Notice — 2026-06-16 (CMS case 8081)

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.