94/100
#16 nationally
Claxton-Hepburn Medical Center
214 King Street, Ogdensburg, NY 13669
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Claxton-Hepburn Medical Center billed $2.10 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
- 2.1x
- volume-weighted across all its priced work
- Procedures priced
- 15
- inpatient and outpatient combined
- Rank in NY
- #4
- lower markup ranks higher
- CMS quality stars
- Not rated
- 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 92% of U.S. hospitals.
Better than 95% 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 |
127 | $8,046 | $2,646 | -32% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
60 | $11,270 | $3,108 | -42% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
37 | $27,168 | $18,704 | -58% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
33 | $10,336 | $3,959 | -50% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
29 | $23,581 | $12,803 | -49% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
26 | $3,716 | $1,700 | -63% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
26 | $12,991 | $5,343 | -53% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
25 | $9,258 | $3,619 | -52% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
23 | $7,701 | $2,313 | -40% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
22 | $38,583 | $14,917 | -38% |
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 |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$8,046 | $2,646 | -32% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$38,583 | $14,917 | -38% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,701 | $2,313 | -40% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$18,630 | $8,090 | -41% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$11,270 | $3,108 | -42% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$23,581 | $12,803 | -49% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$10,336 | $3,959 | -50% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$14,789 | $7,994 | -50% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$15,744 | $12,281 | -64% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$3,716 | $1,700 | -63% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$11,742 | $8,723 | -62% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$27,168 | $18,704 | -58% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$25,876 | $16,150 | -53% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$12,991 | $5,343 | -53% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$9,258 | $3,619 | -52% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$14,789 | $7,994 | -50% |
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.