80/100
#360 nationally
St Marys Healthcare
427 Guy Park Avenue, Amsterdam, NY 12010 · (518) 842-1900
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, St Marys Healthcare billed $2.83 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
- 2.8x
- volume-weighted across all its priced work
- Procedures priced
- 25
- inpatient and outpatient combined
- Rank in NY
- #43
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 74% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 65% 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 |
93 | $14,576 | $2,902 | -25% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
84 | $42,121 | $17,663 | -35% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
82 | $34,940 | $11,458 | -20% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
77 | $1,414 | $717 | -55% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
47 | $4,264 | $1,690 | -58% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
31 | $14,740 | $5,961 | -58% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
30 | $16,924 | $7,384 | -58% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
27 | $44,694 | $14,601 | -19% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
26 | $37,225 | $12,272 | -20% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
26 | $24,396 | $13,930 | -61% |
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 |
$52,362 | $12,841 | +8% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$29,048 | $8,138 | -12% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$27,496 | $7,680 | -13% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$36,096 | $10,007 | -14% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$44,694 | $14,601 | -19% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$34,940 | $11,458 | -20% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$31,364 | $9,608 | -20% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$37,225 | $12,272 | -20% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$24,396 | $13,930 | -61% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$14,740 | $5,961 | -58% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,264 | $1,690 | -58% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$16,924 | $7,384 | -58% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$11,844 | $5,486 | -57% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$8,932 | $3,432 | -56% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,414 | $717 | -55% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$5,845 | $2,160 | -55% |
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.