Does Clifton Springs Hospital And Clinic Take Medicare?
Yes — Clifton Springs Hospital And Clinic in Clifton Springs, New York is a Medicare-participating hospital. It appears in CMS Inpatient Payment files with documented payment data across 10 inpatient procedure types, averaging $21,157 per Medicare stay. It also operates an emergency department, so Medicare emergency coverage applies.
Below: a structured answer to Does Clifton Springs Hospital And Clinic Take Medicare?. We pull from CMS public data — Inpatient Payment files, Hospital Compare measures, the Provider Data Catalog — and combine them through the LakeQuality value rubric. Every number is sourced and linked. Why this matters: U.S. hospital costs and quality vary by an order of magnitude between facilities for the same procedure, and the variation is not random — it correlates with hospital type, ownership, regional payment adjustments, and case mix. Understanding how to read the public CMS data is the difference between a defensible hospital choice and a coin flip.
The detailed answer below covers what the underlying data shows, the limitations of that data (the Medicare numbers do not directly tell you what commercial insurance pays, or what you will pay out of pocket), and how to translate the public numbers into the questions a patient or family actually has when comparing hospitals.
Medicare at a Glance: Clifton Springs Hospital And Clinic
- Medicare-participating
- Yes
- Emergency department
- Yes
- Hospital type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Procedure types reported
- 10
- Avg Medicare payment
- $21,157/stay
Source: CMS Inpatient Payment files and Hospital Compare. Participation status is inferred from CMS payment reporting — confirm benefits with your specific Medicare or Medicare Advantage plan.
What Medicare Covers at Clifton Springs Hospital And Clinic
Clifton Springs Hospital And Clinic appears in the CMS Inpatient Payment files, which only include hospitals enrolled in Medicare. That enrollment is what lets Medicare Part A pay for covered inpatient stays here. Across the 10 procedure types it reports, Medicare pays an average of $21,157 per stay, right around the New York average of $21,448.
Those figures are what Medicare pays the hospital — not what you pay. Under Original Medicare, inpatient (Part A) costs are driven by the annual deductible and benefit-period coinsurance, not by the hospital's billed amount. Because Clifton Springs Hospital And Clinic runs an emergency department, Medicare emergency coverage applies, and the No Surprises Act caps balance billing for out-of-network emergency care.
If you have Medicare Advantage (Part C) rather than Original Medicare, coverage at Clifton Springs Hospital And Clinic depends on whether the hospital is in your plan's network — call the number on your plan card to confirm before a scheduled procedure. A Medigap supplement can absorb much of the Part A deductible and coinsurance for Original Medicare enrollees.
Key Data
| Metric | Value |
|---|---|
| CMS Quality Rating | 0/5 |
| Outcome Score | 58/100 |
| Value Grade | D |
| Avg Payment | $21,157 |
| Mortality Better / Worse | 0 / 0 |
| Safety Better / Worse | 1 / 0 |
Frequently Asked Questions
Yes. Clifton Springs Hospital And Clinic is a Medicare-participating hospital — it reports payment data to the CMS Inpatient Payment files, which means Medicare covers eligible inpatient and outpatient services there. The data on this page reflects average Medicare payments for inpatient stays; your actual out-of-pocket cost depends on your specific Medicare plan, any supplemental (Medigap) coverage, and the procedure.
Yes. Clifton Springs Hospital And Clinic operates an emergency department. Under Medicare, emergency care is covered at participating hospitals, and the No Surprises Act limits balance billing for out-of-network emergency services.
Clifton Springs Hospital And Clinic averages $21,157 per Medicare inpatient stay across the 10 procedure types it reports — below the New York average of $21,448 and above the national average of $15,878. This is what Medicare pays, not your copay — Part A inpatient costs are governed by the annual deductible and benefit-period rules.
Clifton Springs Hospital And Clinic has a CMS quality rating of 0/5 and an Outcome Score of 58/100. Mortality outcomes are at the national average.
Clifton Springs Hospital And Clinic's average procedure payment of $21,157 is $291 below the New York state average of $21,448, and $5,279 above the national average of $15,878.
More about Clifton Springs Hospital And Clinic
Yes — Clifton Springs Hospital And Clinic in Clifton Springs, New York is a Medicare-participating hospital. It appears in CMS Inpatient Payment files with documented payment data across 10 inpatient procedure types, averaging $21,157 per Medicare stay. It also operates an emergency department, so Medicare emergency coverage applies.
Source: CMS Hospital Price Transparency, 2026.