84/100
#205 nationally
Adirondack Medical Center - Saranac Lake
2233 State Route 86, Po Box 471, Saranac Lake, NY 12983 · (518) 891-4141
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Adirondack Medical Center - Saranac Lake billed $2.85 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 2.9x
- volume-weighted across all its priced work
- Procedures priced
- 27
- inpatient and outpatient combined
- Rank in NY
- #31
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 80% of U.S. hospitals.
Better than 94% of U.S. hospitals.
Better than 82% of U.S. hospitals.
Better than 82% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
226 | $2,468 | $763 | -21% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
178 | $42,069 | $17,594 | -47% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
125 | $7,362 | $1,829 | -27% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
110 | $13,952 | $3,108 | -28% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
94 | $6,627 | $2,301 | -49% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
76 | $42,335 | $14,567 | -32% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
57 | $28,347 | $8,123 | -29% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
49 | $18,061 | $3,561 | -5% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
49 | $13,284 | $6,552 | -62% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
42 | $45,967 | $18,571 | -30% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$48,746 | $12,592 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$18,061 | $3,561 | -5% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$9,815 | $2,160 | -16% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$2,468 | $763 | -21% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
$85,719 | $25,016 | -24% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,362 | $1,829 | -27% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$13,952 | $3,108 | -28% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$28,347 | $8,123 | -29% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$13,284 | $6,552 | -62% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$7,686 | $3,131 | -54% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$16,327 | $6,490 | -53% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$33,098 | $12,474 | -51% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$13,939 | $5,876 | -49% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$6,627 | $2,301 | -49% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$10,503 | $3,676 | -48% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$10,723 | $3,959 | -48% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.