95/100
#3 nationally
Brooks-Tlc Hospital System, Inc
529 Central Avenue, Dunkirk, NY 14048 · (716) 366-1111
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Brooks-Tlc Hospital System, Inc billed $1.84 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
- 1.8x
- volume-weighted across all its priced work
- Procedures priced
- 14
- inpatient and outpatient combined
- Rank in NY
- #1
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 95% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 94% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
95 | $4,402 | $2,646 | -63% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
89 | $11,105 | $3,082 | -43% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
32 | $2,864 | $1,841 | -72% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
26 | $25,670 | $20,253 | -61% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
16 | $14,622 | $8,510 | -54% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
15 | $27,750 | $17,863 | -50% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
15 | $22,250 | $10,828 | -47% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
15 | $28,672 | $13,651 | -38% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
12 | $14,622 | $8,123 | -63% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
12 | $24,385 | $14,917 | -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 |
|---|---|---|---|
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$28,672 | $13,651 | -38% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$11,105 | $3,082 | -43% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$22,250 | $10,828 | -47% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$16,132 | $9,110 | -47% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$27,750 | $17,863 | -50% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$14,622 | $8,510 | -54% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$25,670 | $20,253 | -61% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$24,385 | $14,917 | -61% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$2,864 | $1,841 | -72% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$5,904 | $3,675 | -71% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$6,098 | $3,619 | -68% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$13,274 | $10,451 | -66% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$14,622 | $8,123 | -63% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$4,402 | $2,646 | -63% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$24,385 | $14,917 | -61% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$25,670 | $20,253 | -61% |
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.