Glens Falls Hospital
Glens Falls Hospital in Glens Falls, NY charges 4.1x the Medicare reimbursement rate on average across 55 analyzed procedures at this nonprofit-private facility.
Glens Falls, NY 12801 · 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
4.08x
Charge / Medicare rate
Max markup
5.77x
Worst procedure
Procedures analyzed
55
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 |
|---|---|---|---|---|---|
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $30,645 | $15,323 | — | 5.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $35,167 | $17,584 | — | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $15,068 | $7,534 | — | 5.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $27,611 | $13,806 | — | 5.2x |
| SYNCOPE AND COLLAPSE | 312 | $27,188 | $13,594 | — | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $22,347 | $11,174 | — | 5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $42,569 | $21,284 | — | 4.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $20,780 | $10,390 | — | 4.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $54,262 | $27,131 | — | 4.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $26,876 | $13,438 | — | 4.9x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $37,066 | $18,533 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $18,282 | $9,141 | — | 4.7x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $72,723 | $36,361 | — | 4.5x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $15,505 | $7,752 | — | 4.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $36,492 | $18,246 | — | 4.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $23,494 | $11,747 | — | 4.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $32,668 | $16,334 | — | 4.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $27,589 | $13,794 | — | 4.4x |
| DIABETES WITH CC | 638 | $21,383 | $10,691 | — | 4.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $22,962 | $11,481 | — | 4.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $36,291 | $18,146 | — | 4.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $18,733 | $9,367 | — | 4.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $22,649 | $11,324 | — | 4.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $30,879 | $15,439 | — | 4.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $17,604 | $8,802 | — | 4.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $44,293 | $22,146 | — | 4.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $28,609 | $14,304 | — | 4.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $24,780 | $12,390 | — | 4.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $21,451 | $10,726 | — | 4.1x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $25,062 | $12,531 | — | 4.1x |
| CELLULITIS WITHOUT MCC | 603 | $20,166 | $10,083 | — | 4.1x |
| RENAL FAILURE WITH CC | 683 | $21,140 | $10,570 | — | 4.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $70,720 | $35,360 | — | 4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $51,979 | $25,990 | — | 4x |
| PSYCHOSES | 885 | $31,349 | $15,675 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $24,778 | $12,389 | — | 3.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $28,539 | $14,269 | — | 3.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $58,125 | $29,063 | — | 3.8x |
| RENAL FAILURE WITH MCC | 682 | $34,054 | $17,027 | — | 3.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $49,374 | $24,687 | — | 3.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $20,760 | $10,380 | — | 3.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $43,232 | $21,616 | — | 3.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $14,228 | $7,114 | — | 3.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $42,700 | $21,350 | — | 3.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $45,133 | $22,567 | — | 3.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $27,771 | $13,885 | — | 3.3x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $80,073 | $40,036 | — | 3.3x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $56,262 | $28,131 | — | 3.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $23,089 | $11,545 | — | 3.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $38,685 | $19,342 | — | 3.1x |
Showing 50 of 55 procedures
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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