10/100
#2,403 nationally
St Anthony Community Hospital
15 Maple Avenue -19, Warwick, NY 10990 · (845) 986-2276
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, St Anthony Community Hospital billed $9.07 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
- 9.1x
- volume-weighted across all its priced work
- Procedures priced
- 27
- inpatient and outpatient combined
- Rank in NY
- #119
- 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 9% of U.S. hospitals.
Better than 20% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 7% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
119 | $53,889 | $3,060 | +177% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
112 | $109,395 | $14,339 | +75% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
60 | $140,517 | $20,920 | +69% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
53 | $125,962 | $16,334 | +93% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
53 | $43,021 | $2,623 | +266% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
41 | $89,407 | $10,678 | +106% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
36 | $91,743 | $12,184 | +97% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
27 | $15,930 | $1,771 | +58% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
27 | $40,883 | $2,173 | +260% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
26 | $35,108 | $2,141 | +199% |
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 |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$43,021 | $2,623 | +266% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$46,617 | $2,292 | +261% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$40,883 | $2,173 | +260% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$38,645 | $1,809 | +244% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$102,124 | $7,445 | +235% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$35,108 | $2,141 | +199% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$120,576 | $8,084 | +192% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$53,889 | $3,060 | +177% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$64,482 | $11,455 | +54% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$15,930 | $1,771 | +58% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$140,517 | $20,920 | +69% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$51,650 | $5,598 | +72% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$109,395 | $14,339 | +75% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$125,962 | $16,334 | +93% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$79,037 | $9,733 | +94% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$156,930 | $15,844 | +96% |
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.