80/100
#349 nationally
Mount St. Mary's Hospital & Health Center
5300 Military Road, Lewiston, NY 14092 · (716) 297-4800
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Mount St. Mary's Hospital & Health Center billed $2.43 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
- 2.4x
- volume-weighted across all its priced work
- Procedures priced
- 22
- inpatient and outpatient combined
- Rank in NY
- #42
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 85% of U.S. hospitals.
Better than 90% of U.S. hospitals.
Better than 84% of U.S. hospitals.
Better than 22% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
190 | $8,597 | $2,890 | -56% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
78 | $42,204 | $18,612 | -35% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
60 | $7,042 | $988 | -40% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
44 | $23,341 | $13,280 | -46% |
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
27 | $57,937 | $14,193 | +65% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
25 | $27,552 | $11,136 | -43% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
24 | $14,024 | $9,420 | -56% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
22 | $27,827 | $13,289 | -40% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
19 | $35,607 | $14,353 | -35% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
18 | $4,934 | $1,728 | -62% |
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 |
|---|---|---|---|
|
Alcohol, Drug Abuse or Dependence, Left Ama
MS-DRG 894 · Inpatient stay |
$27,175 | $5,599 | +94% |
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
$57,937 | $14,193 | +65% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$18,061 | $1,724 | -13% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$35,607 | $14,353 | -35% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$42,204 | $18,612 | -35% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$7,042 | $988 | -40% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$27,827 | $13,289 | -40% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$27,552 | $11,136 | -43% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$13,308 | $9,905 | -68% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$3,826 | $807 | -67% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$13,566 | $9,817 | -65% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$19,291 | $13,471 | -64% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$12,953 | $7,798 | -63% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$4,934 | $1,728 | -62% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,032 | $1,243 | -60% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$18,465 | $8,878 | -59% |
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.