New York / St James Hospital
CMS certification 330151 · Hornell, NY
St James Hospital: charges and Medicare payments
St James Hospital reported 129 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 1.14 times what it was paid — among the lower ratios in New York, number 123 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: 50 stays at an average charge of $18,337, 80% below the national average. It also billed 452 outpatient services, charging 2.92 times what Medicare paid.
- 1Medicare inpatient stays 129
- 2Charge ÷ paid, inpatient 1.14×
- 3Rank in NY (highest ratio = 1) 123 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 5 DRGs that can be compared with the national average, St James Hospital 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 | 50 | $18,337 | -80% | $19,562 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $16,132 | -72% | $12,557 |
| 291 Heart Failure and Shock with MCC | 24 | $17,274 | -69% | $13,083 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $18,966 | -68% | $13,567 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $23,014 | -67% | $17,083 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Urology and Related Services | 170 | $1,009 | $769 |
| Comprehensive Observation Services | 112 | $8,784 | $3,080 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 41 | $4,019 | $1,841 |
| Level 5 Urology and Related Services | 36 | $17,020 | $5,876 |
| Level 3 Urology and Related Services | 34 | $2,592 | $2,313 |
| Level 4 Urology and Related Services | 28 | $6,701 | $3,959 |
| Level 2 Musculoskeletal Procedures | 19 | $3,467 | $1,825 |
| Level 1 Nerve Procedures | 12 | $6,040 | $2,192 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St James Hospital charged $18,337 on average, 84% less than the New York average of $116,930, and was paid $19,562 against a state average of $24,426. For Pulmonary Edema and Respiratory Failure (DRG 189), St James Hospital charged $16,132 on average, 78% less than the New York average of $74,150, and was paid $12,557 against a state average of $15,119. For Heart Failure and Shock with MCC (DRG 291), St James Hospital charged $17,274 on average, 79% less than the New York average of $81,161, and was paid $13,083 against a state average of $16,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St James Hospital charged $18,966 on average, 75% less than the New York average of $77,177, and was paid $13,567 against a state average of $15,976. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,009 was 71% below the state average of $3,429. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,784 was 67% below the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,019 was 69% below the state average of $12,815. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $17,020 was 40% below the state average of $28,292.
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.