Healthalliance Hospital Marys Avenue Campus
HealthAlliance Hospital Marys Avenue Campus in Kingston, NY charges 10.7x the Medicare reimbursement rate, with 53% of analyzed procedures showing significant price variations.
Kingston, NY 12401 · Acute Care Hospitals · CMS Rating: 2/5
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
F
Very high
Avg markup vs Medicare
10.7x
Charge / Medicare rate
Max markup
15.55x
Worst procedure
Procedures analyzed
57
With pricing data
Outlier procedures
52.6%
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 |
|---|---|---|---|---|---|
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $112,025 | $56,012 | — | 15.6x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $83,960 | $41,980 | — | 15.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $90,144 | $45,072 | — | 15.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $49,282 | $24,641 | — | 15.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $109,820 | $54,910 | — | 14.6x |
| CELLULITIS WITHOUT MCC | 603 | $86,940 | $43,470 | — | 14.4x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $87,105 | $43,553 | — | 14.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $77,617 | $38,809 | — | 14.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $81,267 | $40,633 | — | 13.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $68,083 | $34,042 | — | 13.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $75,160 | $37,580 | — | 13.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $74,078 | $37,039 | — | 13.3x |
| SYNCOPE AND COLLAPSE | 312 | $79,456 | $39,728 | — | 13.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $112,859 | $56,429 | — | 13.1x |
| RENAL FAILURE WITH CC | 683 | $81,177 | $40,588 | — | 12.9x |
| SEIZURES WITHOUT MCC | 101 | $90,571 | $45,286 | — | 12.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $72,866 | $36,433 | — | 12.5x |
| DIABETES WITH CC | 638 | $78,905 | $39,453 | — | 12.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $142,646 | $71,323 | — | 12.2x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $65,957 | $32,979 | — | 12.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $76,972 | $38,486 | — | 11.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $95,952 | $47,976 | — | 11.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $61,696 | $30,848 | — | 11.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $70,279 | $35,139 | — | 11.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $65,956 | $32,978 | — | 11.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $68,907 | $34,453 | — | 11.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $61,431 | $30,715 | — | 11x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $140,446 | $70,223 | — | 11x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $91,015 | $45,507 | — | 10.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $80,675 | $40,338 | — | 10.9x |
| CHEST PAIN | 313 | $58,764 | $29,382 | — | 10.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $105,212 | $52,606 | — | 10.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $76,979 | $38,489 | — | 10.4x |
| DYSEQUILIBRIUM | 149 | $51,297 | $25,648 | — | 10.4x |
| RENAL FAILURE WITH MCC | 682 | $112,475 | $56,237 | — | 10.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $92,445 | $46,223 | — | 9.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $95,294 | $47,647 | — | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $87,791 | $43,896 | — | 9.5x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $39,051 | $19,526 | — | 9.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $67,671 | $33,836 | — | 9.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $75,274 | $37,637 | — | 9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $87,399 | $43,699 | — | 8.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $121,038 | $60,519 | — | 8.7x |
| DIABETES WITH MCC | 637 | $101,386 | $50,693 | — | 8.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $137,548 | $68,774 | — | 8.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $104,740 | $52,370 | — | 8.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $125,675 | $62,838 | — | 8.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $101,519 | $50,760 | — | 7.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $60,075 | $30,038 | — | 7.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $118,125 | $59,062 | — | 7.1x |
Showing 50 of 57 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