Crouse Hospital
CROUSE HOSPITAL in Syracuse, NY charges 3.0x the Medicare reimbursement rate across 82 analyzed procedures, positioning it at a moderate markup level among nonprofit-private hospitals.
Syracuse, NY 13210 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.01x
Charge / Medicare rate
Max markup
4.61x
Worst procedure
Procedures analyzed
82
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $28,657 | $14,329 | — | 4.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $19,821 | $9,911 | — | 4.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $21,236 | $10,618 | — | 4.2x |
| DIABETES WITH CC | 638 | $22,484 | $11,242 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $26,218 | $13,109 | — | 4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $47,229 | $23,614 | — | 3.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $26,216 | $13,108 | — | 3.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $32,716 | $16,358 | — | 3.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $27,748 | $13,874 | — | 3.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $131,064 | $65,532 | — | 3.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $25,699 | $12,849 | — | 3.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $40,728 | $20,364 | — | 3.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $17,456 | $8,728 | — | 3.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $14,224 | $7,112 | — | 3.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $35,070 | $17,535 | — | 3.5x |
| CELLULITIS WITHOUT MCC | 603 | $16,958 | $8,479 | — | 3.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $32,603 | $16,302 | — | 3.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $15,204 | $7,602 | — | 3.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $16,030 | $8,015 | — | 3.4x |
| RENAL FAILURE WITH CC | 683 | $18,635 | $9,317 | — | 3.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $53,167 | $26,583 | — | 3.4x |
| SYNCOPE AND COLLAPSE | 312 | $18,920 | $9,460 | — | 3.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $28,167 | $14,083 | — | 3.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $10,520 | $5,260 | — | 3.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $13,029 | $6,514 | — | 3.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $29,889 | $14,944 | — | 3.3x |
| RENAL FAILURE WITH MCC | 682 | $34,096 | $17,048 | — | 3.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $30,404 | $15,202 | — | 3.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $30,521 | $15,261 | — | 3.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $16,062 | $8,031 | — | 3.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $67,103 | $33,551 | — | 3.2x |
| SEIZURES WITHOUT MCC | 101 | $17,500 | $8,750 | — | 3.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $21,650 | $10,825 | — | 3.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $20,982 | $10,491 | — | 3.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $18,495 | $9,247 | — | 3.2x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $15,030 | $7,515 | — | 3.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $16,516 | $8,258 | — | 3.2x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $29,528 | $14,764 | — | 3.1x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $15,903 | $7,951 | — | 3.1x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $10,906 | $5,453 | — | 3.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $18,994 | $9,497 | — | 3.1x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $15,709 | $7,854 | — | 3.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $41,415 | $20,707 | — | 3.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $49,001 | $24,501 | — | 3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $18,807 | $9,404 | — | 3x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $52,086 | $26,043 | — | 3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $29,648 | $14,824 | — | 3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $39,049 | $19,525 | — | 3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $13,766 | $6,883 | — | 2.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $22,955 | $11,477 | — | 2.9x |
Showing 50 of 82 procedures
How CROUSE HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use