89/100
#108 nationally
Oneida Health Hospital
321 Genesee Street, Oneida, NY 13421 · (315) 363-6000
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Oneida Health Hospital billed $2.34 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
- 2.3x
- volume-weighted across all its priced work
- Procedures priced
- 26
- inpatient and outpatient combined
- Rank in NY
- #21
- 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 94% of U.S. hospitals.
Better than 85% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 87% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
113 | $26,943 | $18,090 | -59% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
101 | $7,986 | $2,017 | -32% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
88 | $12,597 | $2,836 | -35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
82 | $6,755 | $1,656 | -33% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
44 | $14,439 | $3,320 | -24% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
38 | $50,707 | $13,930 | -19% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
34 | $18,012 | $9,985 | -54% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
33 | $25,311 | $6,118 | -28% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
31 | $12,627 | $3,696 | -39% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
28 | $27,128 | $11,950 | -44% |
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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$50,707 | $13,930 | -19% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$30,905 | $6,914 | -22% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$14,439 | $3,320 | -24% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$25,311 | $6,118 | -28% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$7,986 | $2,017 | -32% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,755 | $1,656 | -33% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$15,123 | $3,970 | -33% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$18,147 | $5,486 | -34% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$17,883 | $13,699 | -69% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$59,330 | $43,828 | -67% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$17,403 | $12,311 | -63% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$12,206 | $7,554 | -60% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$26,943 | $18,090 | -59% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$18,871 | $11,706 | -57% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$18,012 | $9,985 | -54% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$15,550 | $8,683 | -53% |
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.