PayerPrice
Data Platform
Who We Serve
Use Cases
More

Data Search

ProceduresSpecialtiesHospitalsPayers

Company

About UsContact

Resources

BlogResource Hub
Check Local Rates
Short Term Acute Care HospitalGovernment - State

Upstate University Hospital

SUNY Upstate Medical University · Syracuse, NY

750 East Adams Street, Syracuse, NY 13210(315) 473-4240

3 of 5

CMS star rating

781

Beds

28,799

Inpatient discharges a year

$2B

Net patient revenue a year

32

In-network payers

Photo 1: Upstatesyr, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Upstate University Hospital is a 781-bed government - state hospital in Syracuse, NY, affiliated with SUNY Upstate Medical University. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 190 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
330241
NPI
1578554630
Website
upstate.edu
Health system
SUNY Upstate Medical University
Teaching
Major teaching hospital
County
Onondaga County
Metro area
Syracuse, NY MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2022

Prices for common services

The 24 services Upstate University 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.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$45,082 - $48,373

from 2 insurers · median $46,728

UnitedHealthcare$45,082
Insurer A*$48,373
Medicare $14,518Nearby hospitals $24,71489% above nearby hospitals

60 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$79,241 - $85,950

from 2 insurers · median $82,596

UnitedHealthcare$85,950
Insurer A*$79,241
Medicare $30,163Nearby hospitals $51,84659% above nearby hospitals

30 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,905 - $2,095

from 2 insurers · median $2,000

Aetna$2,095
Insurer A*$1,905
Medicare $392Nearby hospitals $1,25559% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$229,168 - $245,333

from 2 insurers · median $237,250

UnitedHealthcare$229,168
Insurer A*$245,333
Medicare $90,833Nearby hospitals $131,73780% above nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

How the insurers pay at Upstate University 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*18
244%
214
Insurer B*24
176%
148
Insurer C*20
155%
150

How we chose these services: 8 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 6 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 Upstate University 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 HealthCenteneDean Health Plan

More about this hospital

  • Quality

    3 of 5 stars

    • 291 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.07%)
    See quality ratings

  • Doctors and services

    Accredited by DNV

    • Major teaching hospital
    • 42 services, including trauma & transplant care
    • 1,630 affiliated clinicians
    See doctors and services

  • Finances

    $2B net patient revenue

    • Operating margin on patient care -16.9%
    • $156.6M unreimbursed and uncompensated care
    • $287.9M net income
    See finances

  • Ownership and leadership

    Owned by Nys Office Of Mental Health

    • State
    • Robert J Corona, chief executive
    • 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 Upstate University 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
16-1469571Upstate Medical University59Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, Ameri Health and 54 more1578554630 Suny Health Science Center At Syracuse1841248713 Suny Health Science Center At Syracuse1144288531 Suny Health Science Center At Syracuseand 11 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

750 East Adams Street, Syracuse, NY 13210

(315) 473-4240

Get directions

Frequently asked questions

About Upstate University Hospital's rates and hospital price transparency.

How much does a CT scan cost at Upstate University Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upstate University Hospital range from $1,905 to $2,095 across 2 insurers. Aetna's rate is $2,095. The median at nearby comparable hospitals is $1,255. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Upstate University Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Upstate University Hospital range from $966 to $3,049 across 3 insurers. Aetna's rate is $966. The median at nearby comparable hospitals is $4,458. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Upstate University Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upstate University Hospital range from $59 to $402 across 3 insurers. Aetna's rate is $401. The median at nearby comparable hospitals is $144. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Upstate University Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upstate University Hospital range from $45,082 to $48,373 across 2 insurers. UnitedHealthcare's rate is $45,082. The median at nearby comparable hospitals is $24,714. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Upstate University Hospital's CMS star rating?

Upstate University 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 Upstate University Hospital a teaching hospital?

Yes. CMS counts 0.56 Medicare-funded residents per bed at Upstate University Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Upstate University Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Upstate University Hospital's base inpatient payments by an estimated 0.07% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Upstate University Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (458 discharges), heart failure and shock with mcc (139 discharges), kidney and urinary tract infections without mcc (110 discharges).

What is Upstate University Hospital's case mix index?

Upstate University Hospital's Medicare case mix index is 1.95 for fiscal year 2027, higher than 75% of hospitals paid under the inpatient prospective payment system.

How many patients does Upstate University Hospital admit?

Upstate University Hospital reported 28,799 inpatient discharges and 175,119 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
      }
    ]
  }]
}
  • 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