New York / Aurelia Osborn Fox Memorial Hospital

CMS certification 330085 · Oneonta, NY · 3 entries in CMS's price-transparency list

Aurelia Osborn Fox Memorial Hospital: charges and Medicare payments

Aurelia Osborn Fox Memorial Hospital reported 406 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 1.71 times what it was paid — among the lower ratios in New York, number 106 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 95 stays at an average charge of $26,491, 71% below the national average. It also billed 732 outpatient services, charging 2.94 times what Medicare paid.

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  1. 1Medicare inpatient stays 406
  2. 2Charge ÷ paid, inpatient 1.71×
  3. 3Rank in NY (highest ratio = 1) 106 of 123
  4. 4CMS price-transparency actions 3
DRG 871$26,491DRG 291$22,146DRG 193$28,464DRG 177$25,321DRG 689$20,586DRG 698$23,012DRG 194$19,885DRG 690$19,216DRG 872$16,288DRG 280$15,396
Average charge per stay at Aurelia Osborn Fox Memorial Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 18 DRGs that can be compared with the national average, Aurelia Osborn Fox Memorial Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC95$26,491-71%$18,570
291 Heart Failure and Shock with MCC47$22,146-61%$12,215
193 Simple Pneumonia and Pleurisy with MCC32$28,464-52%$13,525
177 Respiratory Infections and Inflammations with MCC28$25,321-64%$16,099
689 Kidney and Urinary Tract Infections with MCC22$20,586-60%$11,348
698 Other Kidney and Urinary Tract Diagnoses with MCC20$23,012-69%$15,405
194 Simple Pneumonia and Pleurisy with CC16$19,885-48%$7,851
690 Kidney and Urinary Tract Infections without MCC16$19,216-49%$7,913
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC16$16,288-67%$9,695
280 Acute Myocardial Infarction, Discharged Alive with MCC15$15,396-80%$14,856
683 Renal Failure with CC14$15,190-63%$8,520
189 Pulmonary Edema and Respiratory Failure13$26,212-54%$11,951
190 Chronic Obstructive Pulmonary Disease with MCC13$22,172-56%$10,312
603 Cellulitis without MCC13$18,842-49%$8,424
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...12$23,396-61%$12,816
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...12$12,538-66%$7,687
312 Syncope and Collapse11$22,429-51%$8,359
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...11$15,819-61%$7,490

Outpatient services

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aurelia Osborn Fox Memorial Hospital charged $26,491 on average, 77% less than the New York average of $116,930, and was paid $18,570 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Aurelia Osborn Fox Memorial Hospital charged $22,146 on average, 73% less than the New York average of $81,161, and was paid $12,215 against a state average of $16,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Aurelia Osborn Fox Memorial Hospital charged $28,464 on average, 63% less than the New York average of $77,177, and was paid $13,525 against a state average of $15,976. For Respiratory Infections and Inflammations with MCC (DRG 177), Aurelia Osborn Fox Memorial Hospital charged $25,321 on average, 73% less than the New York average of $94,371, and was paid $16,099 against a state average of $19,472. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $4,878 was 70% below the state average of $16,178. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,677 was 52% below the state average of $26,675. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $4,335 was 67% below the state average of $13,330. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $7,241 was 65% below the state average of $20,797.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Aurelia Osborn Fox Memorial Hospital in Oneonta, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.