94/100
#24 nationally
Upmc Chautauqua At Wca
207 Foote Avenue, Jamestown, NY 14701 · (716) 487-0141
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Upmc Chautauqua At Wca billed $2.02 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
- 2.0x
- volume-weighted across all its priced work
- Procedures priced
- 37
- inpatient and outpatient combined
- Rank in NY
- #7
- 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 95% of U.S. hospitals.
Better than 94% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 86% 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 |
144 | $23,078 | $16,038 | -65% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
92 | $17,733 | $5,442 | -35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
70 | $5,987 | $1,663 | -41% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
66 | $18,401 | $10,541 | -58% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
55 | $7,160 | $2,818 | -63% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
48 | $7,564 | $2,160 | -41% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
42 | $13,249 | $3,696 | -36% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
39 | $25,357 | $13,680 | -54% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
39 | $7,867 | $3,379 | -59% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
38 | $43,065 | $13,930 | -31% |
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 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$39,571 | $11,308 | -23% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$15,154 | $3,432 | -26% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$43,065 | $13,930 | -31% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$17,733 | $5,442 | -35% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$13,249 | $3,696 | -36% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,459 | $1,548 | -36% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,987 | $1,663 | -41% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,564 | $2,160 | -41% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$9,515 | $7,434 | -72% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$9,300 | $6,811 | -69% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$19,282 | $11,643 | -69% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$14,782 | $10,502 | -68% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$9,727 | $7,898 | -68% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$10,484 | $6,775 | -68% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$12,761 | $8,679 | -67% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$18,531 | $13,370 | -67% |
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.