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St James Hospital

Hornell, New York · Acute Care · Voluntary non-profit - Private · CCN 330151

112%

median commercial rate vs. Medicare here

115th

highest of 135 New York hospitals, by median rate vs. Medicare

103

procedures with published commercial rates

49¢

of every charged dollar is cost, on this hospital’s own federal cost report

Procedure	Commercial median	Medicare	% of Medicare	Est. cost*	Plan rates
Acute myocardial infarction, discharged alive, with MCCMS-DRG 280	$11,586	$11,217	103%	—	2
Bariatric (obesity) surgery, no CC/MCCMS-DRG 621	$10,894	$8,272	132%	—	2
Basic metabolic panelCPT 80048	$10	$8	112%	—	12
COPD with MCCMS-DRG 190	$8,000	$7,377	108%	—	2
CT abdomen and pelvis with contrastCPT 74177	$998	$435	229%	—	12
CT head without contrastCPT 70450	$295	$130	226%	—	11
CT pelvis with contrastCPT 72193	$495	$219	226%	—	11
Cardiac arrhythmia, no CC/MCCMS-DRG 310	$4,089	$3,269	125%	—	2
Cardiac stress testCPT 93017	$627	$270	233%	—	9
Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216	$70,656	—	—	—	2
Cataract surgery with IOL insertionCPT 66984	$6,732	$2,881	234%	—	8
Cellulitis, no MCCMS-DRG 603	$6,290	$5,675	111%	—	2
Cervical spinal fusion, no CC/MCCMS-DRG 473	$17,632	$16,343	108%	—	2
Cesarean section, no CC/MCCMS-DRG 788	$6,925	—	—	—	2
Cesarean section, with CCMS-DRG 787	$8,066	—	—	—	2
Chest painMS-DRG 313	$5,200	—	—	—	2
Colonoscopy with biopsyCPT 45380	$744	$1,494	50%	—	16
Colonoscopy with endoscopic ultrasoundCPT 45391	$3,491	$1,494	234%	—	8
Colonoscopy with polyp removalCPT 45385	$788	$1,494	53%	—	16
Colonoscopy, diagnosticCPT 45378	$676	$1,161	58%	—	16
Complete blood count with differentialCPT 85025	$8	$8	103%	—	12
Complete blood count, automatedCPT 85027	$7	$6	112%	—	12
Comprehensive metabolic panelCPT 80053	$12	$11	112%	—	12
Coronary bypass without cardiac cath, no MCCMS-DRG 236	$30,254	$29,950	101%	—	2
Diagnostic mammography, both breastsCPT 77066	$163	—	—	—	12
Diagnostic mammography, one breastCPT 77065	$128	—	—	—	12
ED visit, level 3CPT 99283	$350	$341	103%	—	15
ED visit, level 4CPT 99284	$555	$521	107%	—	15
ED visit, level 5CPT 99285	$850	$743	114%	—	15
Echocardiogram, completeCPT 93306	$325	$682	48%	—	15
Electrocardiogram with interpretationCPT 93000	$31	—	—	—	15
Epidural injection, lumbar/sacral, no imagingCPT 62322	$395	$1,104	36%	—	16
Esophagitis/GI disorders, no MCCMS-DRG 392	$5,631	$4,899	115%	—	2
Excision of breast lesionCPT 19120	$997	$4,888	20%	—	16
Family psychotherapy, with patientCPT 90847	$193	$222	87%	—	14
Family psychotherapy, without patientCPT 90846	$185	$222	84%	—	14
Group psychotherapyCPT 90853	$60	$127	48%	—	14
Heart failure and shock, with CCMS-DRG 292	$6,132	$5,927	103%	—	2
Heart failure with MCCMS-DRG 291	$9,272	$12,131	76%	—	2
Hip and femur procedures except major joint, with CCMS-DRG 481	$15,128	$13,876	109%	—	2
Hysterectomy, no CC/MCCMS-DRG 743	$8,961	$10,098	89%	—	2
Inguinal hernia repair, age 5+CPT 49505	$1,136	$4,469	25%	—	16
Kidney and urinary tract infections, no MCCMS-DRG 690	$5,847	$5,238	112%	—	2
Kidney function panelCPT 80069	$10	$9	112%	—	11
Knee arthroscopy with meniscectomyCPT 29881	$1,164	$4,084	29%	—	16
Laparoscopic cholecystectomyCPT 47562	$1,371	$7,547	18%	—	16
Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419	$9,864	$8,977	110%	—	2
Laparoscopic radical prostatectomyCPT 55866	$29,986	$13,269	226%	—	11
Left heart catheterization, diagnosticCPT 93452	$9,617	$4,047	238%	—	6
Lipid panelCPT 80061	$15	$13	112%	—	12
Liver function panelCPT 80076	$9	$8	112%	—	12
Lumbar epidural steroid injectionCPT 62323	$480	$881	54%	—	16
MRI brain with and without contrastCPT 70553	$984	$435	226%	—	11
MRI lower extremity joint (knee)CPT 73721	$693	$298	233%	—	11
MRI lumbar spine without contrastCPT 72148	$693	$298	233%	—	11
Major joint replacement (hip/knee), no MCCMS-DRG 470	$13,931	$13,045	107%	—	2
Major joint replacement (hip/knee), with MCCMS-DRG 469	$21,907	$22,346	98%	—	2
Major small and large bowel procedures, with CCMS-DRG 330	$17,314	$16,202	107%	—	2
Medical back problems, no MCCMS-DRG 552	$6,943	$6,142	113%	—	2
OB global care, VBAC deliveryCPT 59610	$2,099	—	—	—	8
OB global care, cesarean deliveryCPT 59510	$2,185	—	—	—	8
OB global care, vaginal deliveryCPT 59400	$1,996	—	—	—	8
OB ultrasound, 14+ weeksCPT 76805	$295	$130	226%	—	11
Obstetric blood test panelCPT 80055	$54	$48	112%	—	8
Office consultation, comprehensiveCPT 99244	$168	—	—	—	4
Office visit, established patient, level 3CPT 99213	$80	—	—	—	13
Office visit, established patient, level 4CPT 99214	$119	—	—	—	13
Office visit, new patient, level 3CPT 99203	$116	—	—	—	13
Office visit, new patient, level 4CPT 99204	$187	—	—	—	13
Office visit, new patient, level 5CPT 99205	$240	—	—	—	13
PSA (prostate specific antigen), totalCPT 84153	$21	$18	112%	—	11
Partial thromboplastin timeCPT 85730	$7	$6	112%	—	11
Physical therapy, therapeutic exerciseCPT 97110	$62	—	—	—	8
Preventive visit, new patient, 18-39CPT 99385	$113	—	—	—	7
Preventive visit, new patient, 40-64CPT 99386	$134	—	—	—	7
Prostate biopsyCPT 55700	$219	—	—	—	7
Prothrombin timeCPT 85610	$4	$4	94%	—	17
Psychotherapy, 30 minutesCPT 90832	$131	$222	59%	—	14
Psychotherapy, 45 minutesCPT 90834	$174	$222	79%	—	14
Psychotherapy, 60 minutesCPT 90837	$258	$222	116%	—	14
Renal failure, with CCMS-DRG 683	$6,325	$5,892	107%	—	2
Screening mammography, bilateralCPT 77067	$135	—	—	—	12
Sepsis with MCCMS-DRG 871	$14,030	$18,371	76%	—	2
Shoulder arthroscopy, subacromial decompressionCPT 29826	$259	—	—	—	10
Simple pneumonia and pleurisy, with CCMS-DRG 194	$5,821	$5,177	112%	—	2
Sleep study (polysomnography)CPT 95810	$800	$1,072	75%	—	14
Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066	$4,943	$3,679	134%	—	2
Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065	$7,297	$6,559	111%	—	2
Thyroid stimulating hormone (TSH)CPT 84443	$16	$17	97%	—	18
Tonsillectomy and adenoidectomy, under age 12CPT 42820	$16,699	$7,390	226%	—	11
Transforaminal epidural, lumbar/sacralCPT 64483	$479	$1,104	43%	—	16
Ultrasound, abdomen, completeCPT 76700	$120	$130	92%	—	17
Ultrasound, transvaginalCPT 76830	$211	$130	161%	—	14
Upper GI endoscopy with biopsyCPT 43239	$671	$1,132	59%	—	16
Upper GI endoscopy, diagnosticCPT 43235	$512	$1,132	45%	—	16
Urinalysis, automated, with microscopyCPT 81001	$4	$3	112%	—	12
Urinalysis, automated, without microscopyCPT 81003	$2	$2	97%	—	18
Urinalysis, manual, with microscopyCPT 81000	$5	$4	112%	—	11
Urinalysis, manual, without microscopyCPT 81002	$3	$3	94%	—	17
Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807	$4,869	—	—	—	2
Vaginal delivery, no sterilization, with CCMS-DRG 806	$5,446	—	—	—	2
X-ray, lower back, 4+ viewsCPT 72110	$58	$130	44%	—	17
YAG laser capsulotomy (secondary cataract)CPT 66821	$1,632	$687	238%	—	8

Click any column to sort. *Estimated from this hospital’s federal cost-report cost-to-charge ratio; approximate, least precise for imaging and labs (~). Sources and method on the methodology page. To put this hospital beside others, open it in the explorer.

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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 28 – October 6, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →