New York / Brooks-Tlc Hospital System, Inc
CMS certification 330229 · Dunkirk, NY
Brooks-Tlc Hospital System, Inc: charges and Medicare payments
Brooks-Tlc Hospital System, Inc reported 109 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 1.59 times what it was paid — among the lower ratios in New York, number 113 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: 26 stays at an average charge of $25,670, 72% below the national average. It also billed 262 outpatient services, charging 2.74 times what Medicare paid.
- 1Medicare inpatient stays 109
- 2Charge ÷ paid, inpatient 1.59×
- 3Rank in NY (highest ratio = 1) 113 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 7 DRGs that can be compared with the national average, Brooks-Tlc Hospital System, Inc charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 26 | $25,670 | -72% | $20,253 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $14,622 | -62% | $8,510 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $27,750 | -61% | $17,863 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $22,250 | -56% | $10,828 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $28,672 | -52% | $13,651 |
| 603 Cellulitis without MCC | 11 | $16,132 | -57% | $9,110 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $13,274 | -73% | $10,451 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 95 | $4,402 | $2,646 |
| Comprehensive Observation Services | 89 | $11,105 | $3,082 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 32 | $2,864 | $1,841 |
| Level 4 Musculoskeletal Procedures | 12 | $14,622 | $8,123 |
| Level 5 Musculoskeletal Procedures | 12 | $24,385 | $14,917 |
| Level 3 Musculoskeletal Procedures | 11 | $5,904 | $3,675 |
| Level 3 Vascular Procedures | 11 | $6,098 | $3,619 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Brooks-Tlc Hospital System, Inc charged $25,670 on average, 78% less than the New York average of $116,930, and was paid $20,253 against a state average of $24,426. For Simple Pneumonia and Pleurisy with CC (DRG 194), Brooks-Tlc Hospital System, Inc charged $14,622 on average, 70% less than the New York average of $47,971, and was paid $8,510 against a state average of $10,196. For Respiratory Infections and Inflammations with MCC (DRG 177), Brooks-Tlc Hospital System, Inc charged $27,750 on average, 71% less than the New York average of $94,371, and was paid $17,863 against a state average of $19,472. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Brooks-Tlc Hospital System, Inc charged $22,250 on average, 66% less than the New York average of $64,680, and was paid $10,828 against a state average of $14,203. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $4,402 was 73% below the state average of $16,178. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,105 was 58% below the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $2,864 was 78% below the state average of $12,815. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $14,622 was 64% below the state average of $40,421.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.