95/100
#10 nationally
St James Hospital
411 Canisteo Street, Hornell, NY 14843 · (607) 324-8000
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, St James Hospital billed $1.53 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
- 1.5x
- volume-weighted across all its priced work
- Procedures priced
- 13
- inpatient and outpatient combined
- Rank in NY
- #3
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
170 | $1,009 | $769 | -68% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
112 | $8,784 | $3,080 | -55% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
50 | $18,337 | $19,562 | -72% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
41 | $4,019 | $1,841 | -60% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
36 | $17,020 | $5,876 | -38% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
34 | $2,592 | $2,313 | -80% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
28 | $16,132 | $12,557 | -67% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
28 | $6,701 | $3,959 | -68% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
24 | $17,274 | $13,083 | -60% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
19 | $3,467 | $1,825 | -69% |
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 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$17,020 | $5,876 | -38% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$6,040 | $2,192 | -47% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$8,784 | $3,080 | -55% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$23,014 | $17,083 | -58% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$18,966 | $13,567 | -59% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,019 | $1,841 | -60% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$17,274 | $13,083 | -60% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$16,132 | $12,557 | -67% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$2,592 | $2,313 | -80% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$18,337 | $19,562 | -72% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$3,467 | $1,825 | -69% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,009 | $769 | -68% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$6,701 | $3,959 | -68% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$16,132 | $12,557 | -67% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$17,274 | $13,083 | -60% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,019 | $1,841 | -60% |
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.