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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

Listed Chargemaster Rate Medicare Reimbursement

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.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
KIDNEY TRANSPLANT652$168,740$20,3548.3x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$34,514$4,2388.1x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$54,162$6,9207.8x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$55,306$7,3137.6x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$32,762$4,4627.3x
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CELLULITIS WITH MCC602$60,161$8,5077.1x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$123,193$17,8766.9x
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HYPERTENSION WITHOUT MCC305$35,261$5,1426.9x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$48,375$7,0716.8x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$41,177$6,1706.7x
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GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$20,653$3,1656.5x
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NERVOUS SYSTEM NEOPLASMS WITH MCC054$64,595$9,9176.5x
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MEDICAL BACK PROBLEMS WITHOUT MCC552$37,769$6,0006.3x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$79,234$12,6906.2x
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RESPIRATORY NEOPLASMS WITH MCC180$81,476$13,2356.2x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$27,890$4,5836.1x
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PNEUMOTHORAX WITH CC200$38,436$6,3216.1x
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BRONCHITIS AND ASTHMA WITH CC/MCC202$39,343$6,5166.0x
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SYNCOPE AND COLLAPSE312$32,698$5,4526.0x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$43,324$7,2456.0x
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OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$40,899$6,9375.9x
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TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC084$31,745$5,4325.8x
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DYSEQUILIBRIUM149$28,399$4,8725.8x
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DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC446$34,011$5,8945.8x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$196,105$34,0095.8x
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LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC840$156,724$27,8125.6x
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ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC283$100,152$17,9605.6x
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OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC963$99,206$17,8535.6x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$163,705$29,5125.5x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$31,836$5,7955.5x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$78,345$14,4275.4x
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ENDOCRINE DISORDERS WITH MCC643$56,743$10,5005.4x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$29,056$5,3885.4x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$17,985$3,4075.3x
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RED BLOOD CELL DISORDERS WITHOUT MCC812$32,705$6,2365.2x
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SEIZURES WITHOUT MCC101$29,311$5,6825.2x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$33,348$6,4975.1x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$64,797$12,7145.1x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$49,192$9,6955.1x
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POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$63,631$12,5635.1x
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MAJOR CHEST TRAUMA WITH CC184$35,235$6,9805.0x
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OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC957$204,501$40,6155.0x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$73,608$14,7075.0x
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RENAL FAILURE WITH MCC682$50,201$10,0395.0x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$53,965$10,8215.0x
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$28,206$5,6665.0x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$44,315$8,8975.0x
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OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$64,503$12,9585.0x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$26,112$5,2515.0x
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MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO808$93,606$18,9005.0x
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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

1.1x
Median: 3.8x
12.4x
4.5x

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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Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: 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.

Read our methodology·Report a data error

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.