Saratoga Hospital
Saratoga Hospital in Saratoga Springs, NY charges 6.2x the Medicare reimbursement rate across 51 analyzed procedures, reflecting this nonprofit facility's pricing structure relative to government benchmarks.
Saratoga Springs, NY 12866 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
6.17x
Charge / Medicare rate
Max markup
9.66x
Worst procedure
Procedures analyzed
51
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 |
|---|---|---|---|---|---|
| RENAL FAILURE WITH CC | 683 | $44,084 | $22,042 | — | 9.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $46,443 | $23,222 | — | 9.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $35,400 | $17,700 | — | 8.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $36,827 | $18,414 | — | 8.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $126,794 | $63,397 | — | 8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $39,232 | $19,616 | — | 7.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $54,416 | $27,208 | — | 7.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $41,172 | $20,586 | — | 7.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $29,201 | $14,601 | — | 7.6x |
| DIABETES WITH CC | 638 | $33,215 | $16,607 | — | 7.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $41,993 | $20,997 | — | 7.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $38,213 | $19,107 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $68,764 | $34,382 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $73,658 | $36,829 | — | 7.1x |
| SYNCOPE AND COLLAPSE | 312 | $34,558 | $17,279 | — | 7.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $30,167 | $15,084 | — | 7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $73,254 | $36,627 | — | 6.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $29,261 | $14,631 | — | 6.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $62,393 | $31,197 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $31,435 | $15,717 | — | 6.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $28,982 | $14,491 | — | 6.6x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $21,867 | $10,933 | — | 6.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $46,001 | $23,000 | — | 6.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $29,573 | $14,787 | — | 5.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $45,688 | $22,844 | — | 5.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $119,859 | $59,929 | — | 5.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $47,556 | $23,778 | — | 5.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $37,266 | $18,633 | — | 5.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $39,462 | $19,731 | — | 5.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $64,600 | $32,300 | — | 5.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $36,311 | $18,155 | — | 5.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $41,464 | $20,732 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $64,823 | $32,411 | — | 5.6x |
| PSYCHOSES | 885 | $43,346 | $21,673 | — | 5.6x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $27,704 | $13,852 | — | 5.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $42,605 | $21,302 | — | 5.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $83,093 | $41,547 | — | 5.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $45,420 | $22,710 | — | 5.2x |
| CELLULITIS WITHOUT MCC | 603 | $25,393 | $12,697 | — | 5.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $70,984 | $35,492 | — | 5.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $62,008 | $31,004 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $92,095 | $46,047 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $62,173 | $31,086 | — | 4.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $56,555 | $28,278 | — | 4.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $59,181 | $29,591 | — | 4.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $157,028 | $78,514 | — | 4.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $57,662 | $28,831 | — | 4.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $48,031 | $24,016 | — | 4.4x |
| CELLULITIS WITH MCC | 602 | $34,580 | $17,290 | — | 3.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $63,445 | $31,723 | — | 3.7x |
Showing 50 of 51 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