PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Saratoga Hospital

Albany Medical Center · Saratoga Springs, NY

211 Church Street, Saratoga Springs, NY 12866(518) 587-3222

3 of 5

CMS star rating

171

Beds

9,573

Inpatient discharges a year

$472.1M

Net patient revenue a year

31

In-network payers

About this hospital

Saratoga Hospital is a 171-bed voluntary non-profit - private hospital in Saratoga Springs, NY, affiliated with Albany Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 219 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • Helipad
CCN
330222
NPI
1073569331
Health system
Albany Medical Center
Teaching
Teaching hospital
County
Saratoga County
Metro area
Albany-Schenectady-Troy, NY MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Saratoga 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

$6,117 - $7,999

from 2 insurers · median $7,058

Aetna$7,999
Insurer A*$6,117

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

$8,495 - $12,977

from 2 insurers · median $10,736

Aetna$12,977
Insurer A*$8,495

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$17,216 - $31,187

from 2 insurers · median $24,201

Aetna$31,187
Insurer A*$17,216
Medicare $10,016Nearby hospitals $33,45228% below nearby hospitals

61 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$371 - $6,036

from 3 insurers · median $675

Blue Cross$675
Insurer A*$371
Insurer B*$6,036
Medicare $395Nearby hospitals $1,97866% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Saratoga 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*15
326%
36
Insurer B*24
178%
614
Insurer C*23
85%
59

How we chose these services: 8 appear in this hospital's own Medicare claims, 11 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 Saratoga 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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCDPHPCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 296 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.28%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 36 services
    • 905 affiliated clinicians
    See doctors and services
  • Finances

    $472.1M net patient revenue

    • Operating margin on patient care -9.6%
    • $31M unreimbursed and uncompensated care
    • $35.9M net income
    See finances
  • Ownership and leadership

    Owned by Albany Med Health System

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Saratoga 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
14-1338547Saratoga Hospital62Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 57 more1073569331 Saratoga Hospital1881924322 Saratoga Hospital1215962097 Saratoga Hospitaland 54 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

211 Church Street, Saratoga Springs, NY 12866

(518) 587-3222

Get directions

Frequently asked questions

About Saratoga Hospital's rates and hospital price transparency.

How much does a CT scan cost at Saratoga Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Saratoga Hospital range from $371 to $6,036 across 3 insurers. Blue Cross Blue Shield's rate is $675. The median at nearby comparable hospitals is $1,978. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Saratoga Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Saratoga Hospital range from $508 to $4,836 across 3 insurers. UnitedHealthcare's rate is $2,883. The median at nearby comparable hospitals is $2,781. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Saratoga Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Saratoga Hospital range from $6,117 to $7,999 across 2 insurers. Aetna's rate is $7,999. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Saratoga Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Saratoga Hospital range from $182 to $413 across 3 insurers. Aetna's rate is $383. The median at nearby comparable hospitals is $263. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Saratoga Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Saratoga Hospital range from $17,216 to $31,187 across 2 insurers. Aetna's rate is $31,187. The median at nearby comparable hospitals is $33,452. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Saratoga Hospital's CMS star rating?

Saratoga 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 Saratoga Hospital a teaching hospital?

Yes. CMS counts 0.05 Medicare-funded residents per bed at Saratoga Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Saratoga Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Saratoga Hospital's base inpatient payments by an estimated 0.28% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Saratoga Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (286 discharges), heart failure and shock with mcc (109 discharges), respiratory infections and inflammations with mcc (61 discharges).

What is Saratoga Hospital's case mix index?

Saratoga Hospital's Medicare case mix index is 1.59 for fiscal year 2027, higher than 38% of hospitals paid under the inpatient prospective payment system.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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.

What a review covers

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
Talk to us about your chargemaster