Ellis Hospital
Ellis Hospital in Schenectady, NY charges 4.8x the Medicare reimbursement rate across 47 procedures analyzed, representing a notable markup for this nonprofit-private healthcare facility.
Schenectady, NY 12308 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
4.8x
Charge / Medicare rate
Max markup
7.9x
Worst procedure
Procedures analyzed
47
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 |
|---|---|---|---|---|---|
| PSYCHOSES | 885 | $68,974 | $34,487 | — | 7.9x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $236,824 | $118,412 | — | 6.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $69,762 | $34,881 | — | 6.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $34,347 | $17,173 | — | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $94,376 | $47,188 | — | 5.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $256,909 | $128,454 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $16,114 | $8,057 | — | 5.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,072 | $12,036 | — | 5.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $64,457 | $32,229 | — | 5.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $90,736 | $45,368 | — | 5.4x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $124,944 | $62,472 | — | 5.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $97,888 | $48,944 | — | 5.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $64,775 | $32,387 | — | 5.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $27,167 | $13,583 | — | 5.3x |
| CELLULITIS WITHOUT MCC | 603 | $28,155 | $14,077 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $31,254 | $15,627 | — | 5.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $30,256 | $15,128 | — | 5.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,828 | $18,914 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $91,192 | $45,596 | — | 4.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $20,737 | $10,369 | — | 4.9x |
| RENAL FAILURE WITH CC | 683 | $27,208 | $13,604 | — | 4.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $83,689 | $41,844 | — | 4.9x |
| RENAL FAILURE WITH MCC | 682 | $48,034 | $24,017 | — | 4.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,403 | $15,701 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $35,082 | $17,541 | — | 4.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $80,494 | $40,247 | — | 4.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $67,283 | $33,641 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $37,369 | $18,684 | — | 4.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $27,164 | $13,582 | — | 4.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $208,244 | $104,122 | — | 4.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $31,199 | $15,600 | — | 4.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $58,786 | $29,393 | — | 4.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $47,492 | $23,746 | — | 4.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $40,460 | $20,230 | — | 4.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $32,078 | $16,039 | — | 4.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $100,027 | $50,013 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $208,617 | $104,309 | — | 4.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $36,171 | $18,086 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $53,327 | $26,664 | — | 3.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $33,290 | $16,645 | — | 3.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $48,002 | $24,001 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $43,945 | $21,972 | — | 3.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $120,897 | $60,449 | — | 3.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $16,924 | $8,462 | — | 3.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $65,628 | $32,814 | — | 3.5x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $76,511 | $38,256 | — | 3.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $41,602 | $20,801 | — | 3.2x |
How ELLIS 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