ALBANY MEDICAL CENTER HOSPITAL
ALBANY, NY 12208 · Acute Care Hospitals
174 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
174
With CMS pricing data
Avg Charge-to-Medicare Ratio
4.5x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
0%
Compared to NY hospitals
Understanding Your Costs
When you receive a bill from ALBANY MEDICAL CENTER HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ALBANY MEDICAL CENTER HOSPITAL lists chargemaster rates that average 4.5x the corresponding Medicare reimbursement amount across 174 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in NY has a chargemaster-to-Medicare ratio of 3.8x, with ratios across the state ranging from 1.1x to 12.4x. At 4.5x, this facility’s average ratio is above the state median. 124 hospitals in NY report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at ALBANY MEDICAL CENTER HOSPITAL is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $168,740, while Medicare reimburses $20,354 for the same procedure — a ratio of 8.3x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
ALBANY MEDICAL CENTER HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $168,740 | $20,354 | 8.3x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $34,514 | $4,238 | 8.1x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $54,162 | $6,920 | 7.8x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $55,306 | $7,313 | 7.6x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $32,762 | $4,462 | 7.3x | 0th | Compare your bill |
| CELLULITIS WITH MCC | 602 | $60,161 | $8,507 | 7.1x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $123,193 | $17,876 | 6.9x | 1th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $35,261 | $5,142 | 6.9x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $48,375 | $7,071 | 6.8x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $41,177 | $6,170 | 6.7x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $20,653 | $3,165 | 6.5x | 0th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $64,595 | $9,917 | 6.5x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $37,769 | $6,000 | 6.3x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $79,234 | $12,690 | 6.2x | 0th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $81,476 | $13,235 | 6.2x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,890 | $4,583 | 6.1x | 0th | Compare your bill |
| PNEUMOTHORAX WITH CC | 200 | $38,436 | $6,321 | 6.1x | 0th | Compare your bill |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $39,343 | $6,516 | 6.0x | 1th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $32,698 | $5,452 | 6.0x | 0th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $43,324 | $7,245 | 6.0x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $40,899 | $6,937 | 5.9x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | 084 | $31,745 | $5,432 | 5.8x | 0th | Compare your bill |
| DYSEQUILIBRIUM | 149 | $28,399 | $4,872 | 5.8x | 0th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | 446 | $34,011 | $5,894 | 5.8x | 0th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $196,105 | $34,009 | 5.8x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $156,724 | $27,812 | 5.6x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $100,152 | $17,960 | 5.6x | 1th | Compare your bill |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | 963 | $99,206 | $17,853 | 5.6x | 0th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $163,705 | $29,512 | 5.5x | 0th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $31,836 | $5,795 | 5.5x | 0th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $78,345 | $14,427 | 5.4x | 1th | Compare your bill |
| ENDOCRINE DISORDERS WITH MCC | 643 | $56,743 | $10,500 | 5.4x | 0th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,056 | $5,388 | 5.4x | 0th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $17,985 | $3,407 | 5.3x | 0th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $32,705 | $6,236 | 5.2x | 0th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $29,311 | $5,682 | 5.2x | 0th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,348 | $6,497 | 5.1x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $64,797 | $12,714 | 5.1x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $49,192 | $9,695 | 5.1x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $63,631 | $12,563 | 5.1x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITH CC | 184 | $35,235 | $6,980 | 5.0x | 0th | Compare your bill |
| OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | 957 | $204,501 | $40,615 | 5.0x | 0th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $73,608 | $14,707 | 5.0x | 1th | Compare your bill |
| RENAL FAILURE WITH MCC | 682 | $50,201 | $10,039 | 5.0x | 0th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $53,965 | $10,821 | 5.0x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $28,206 | $5,666 | 5.0x | 0th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $44,315 | $8,897 | 5.0x | 0th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $64,503 | $12,958 | 5.0x | 0th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,112 | $5,251 | 5.0x | 0th | Compare your bill |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $93,606 | $18,900 | 5.0x | 0th | Compare your bill |
Showing 50 of 174 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across NY hospitals
124 hospitals in NY report pricing data to CMS. This facility's average ratio of 4.5x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About ALBANY MEDICAL CENTER HOSPITAL
How much does ALBANY MEDICAL CENTER HOSPITAL charge compared to Medicare?
According to CMS IPPS data, ALBANY MEDICAL CENTER HOSPITAL's listed chargemaster rates average 4.5x the Medicare reimbursement amount across 174 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at ALBANY MEDICAL CENTER HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at ALBANY MEDICAL CENTER HOSPITAL is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $168,740 compared to Medicare reimbursement of $20,354 — a ratio of 8.3x. Source: CMS IPPS Provider Summary.
Is ALBANY MEDICAL CENTER HOSPITAL expensive compared to other NY hospitals?
ALBANY MEDICAL CENTER HOSPITAL's average chargemaster-to-Medicare ratio is 4.5x. Ratios vary significantly across NY hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for ALBANY MEDICAL CENTER HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from ALBANY MEDICAL CENTER HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does ALBANY MEDICAL CENTER HOSPITAL in ALBANY, NY accept Medicare?
ALBANY MEDICAL CENTER HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ALBANY MEDICAL CENTER HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.