84/100
#236 nationally
Northern Dutchess Hospital
6511 Springbrook Avenue, Rhinebeck, NY 12572 · (845) 871-3391
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Northern Dutchess Hospital billed $2.58 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
- 2.6x
- volume-weighted across all its priced work
- Procedures priced
- 56
- inpatient and outpatient combined
- Rank in NY
- #34
- 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 81% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 79% of U.S. hospitals.
Better than 84% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
244 | $33,634 | $14,320 | -46% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
214 | $45,436 | $20,158 | -30% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
162 | $14,692 | $2,950 | -24% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
154 | $7,473 | $2,542 | -36% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
94 | $6,368 | $1,790 | -37% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
86 | $13,615 | $3,572 | -46% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
64 | $49,959 | $19,002 | -38% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
62 | $34,170 | $13,438 | -21% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
57 | $13,898 | $6,276 | -60% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
51 | $47,983 | $17,733 | -13% |
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 |
|---|---|---|---|
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$29,975 | $8,268 | -4% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$27,232 | $8,902 | -9% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$47,983 | $17,733 | -13% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$27,298 | $8,549 | -15% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$40,939 | $13,971 | -16% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$25,634 | $8,143 | -16% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$26,441 | $8,670 | -17% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$19,241 | $4,119 | -19% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$17,073 | $11,470 | -71% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$25,996 | $15,197 | -61% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$7,956 | $3,484 | -61% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$13,898 | $6,276 | -60% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$3,709 | $1,757 | -57% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$18,561 | $7,898 | -53% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$9,134 | $3,370 | -50% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$43,505 | $20,317 | -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.