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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Glens Falls Hospital

Glens Falls Hospital · Glens Falls, NY

100 Park Street, Glens Falls, NY 12801(518) 926-1000

3 of 5

CMS star rating

391

Beds

10,695

Inpatient discharges a year

$457M

Net patient revenue a year

30

In-network payers

Photo 1: JBC3, Public domain, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Glens Falls Hospital is a 391-bed voluntary non-profit - private hospital in Glens Falls, NY, affiliated with Glens Falls Hospital. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 280 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
330191
NPI
1871606764
Health system
Glens Falls Hospital
Teaching
No Medicare-funded residents
County
Warren County
Metro area
Glens Falls, NY MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2024

Prices for common services

The 24 services Glens Falls Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,585 - $10,112

from 2 insurers · median $7,849

Aetna$10,112
Insurer A*$5,585

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$5,585 - $13,723

from 2 insurers · median $9,654

Aetna$13,723
Insurer A*$5,585

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,757 - $5,604

from 3 insurers · median $4,887

Blue Cross$4,887
Insurer A*$4,757
Insurer B*$5,604
Medicare $3,671Nearby hospitals $4,806In line with nearby hospitals

30 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Ear, nose and throat

Ear-tube insertion under general anesthesia

CPT 69436

$4,189 - $4,823

from 3 insurers · median $4,770

UnitedHealthcare$4,189
Insurer A*$4,770
Insurer B*$4,823
Medicare $1,759Nearby hospitals $6,25924% below nearby hospitals

22 Medicare claims in Level 3 ENT Procedures (CMS 2024)

How the insurers pay at Glens Falls Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
289%
514
Insurer B*21
235%
812
Insurer C*24
149%
107

How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Glens Falls Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEmblemHealth

More about this hospital

  • Quality

    3 of 5 stars

    • 260 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.09%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 44 services
    • 863 affiliated clinicians
    See doctors and services
  • Finances

    $457M net patient revenue

    • Operating margin on patient care -13.3%
    • $34.6M unreimbursed and uncompensated care
    • $26.9M net income
    See finances
  • Ownership and leadership

    Owned by Albany Med Health System

    • Private (not for profit)
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Glens Falls Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
14-1338413Glens Falls Hospital58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 53 more1871606764 Glens Falls Hospital Inc1407969397 Glens Falls Hospital1336198217 Glens Falls Hospital Inc.and 32 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

100 Park Street, Glens Falls, NY 12801

(518) 926-1000

Get directions

Frequently asked questions

About Glens Falls Hospital's rates and hospital price transparency.

How much does a CT scan cost at Glens Falls Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Glens Falls Hospital range from $385 to $1,120 across 3 insurers. Blue Cross Blue Shield's rate is $755. The median at nearby comparable hospitals is $909. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Glens Falls Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Glens Falls Hospital range from $4,043 to $4,605 across 3 insurers. Aetna's rate is $4,043. The median at nearby comparable hospitals is $3,928. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Glens Falls Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Glens Falls Hospital range from $5,585 to $10,112 across 2 insurers. Aetna's rate is $10,112. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Glens Falls Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Glens Falls Hospital range from $191 to $273 across 3 insurers. Blue Cross Blue Shield's rate is $273. The median at nearby comparable hospitals is $249. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Glens Falls Hospital's CMS star rating?

Glens Falls Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Glens Falls Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Glens Falls Hospital for fiscal year 2027.

Does Medicare penalize Glens Falls Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Glens Falls Hospital's base inpatient payments by an estimated 0.09% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Glens Falls Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (154 discharges), psychoses (106 discharges), heart failure and shock with mcc (105 discharges).

What is Glens Falls Hospital's case mix index?

Glens Falls Hospital's Medicare case mix index is 1.52 for fiscal year 2027, higher than 30% of hospitals paid under the inpatient prospective payment system.

How many patients does Glens Falls Hospital admit?

Glens Falls Hospital reported 10,695 inpatient discharges and 54,191 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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