New York / UPMC Chautauqua at Wca
CMS certification 330239 · Jamestown, NY
UPMC Chautauqua at Wca: charges and Medicare payments
UPMC Chautauqua at Wca reported 571 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 1.57 times what it was paid — among the lower ratios in New York, number 114 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: 144 stays at an average charge of $23,078, 74% below the national average. It also billed 601 outpatient services, charging 3.91 times what Medicare paid.
- 1Medicare inpatient stays 571
- 2Charge ÷ paid, inpatient 1.57×
- 3Rank in NY (highest ratio = 1) 114 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 21 DRGs that can be compared with the national average, UPMC Chautauqua at Wca 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 | 144 | $23,078 | -74% | $16,038 |
| 291 Heart Failure and Shock with MCC | 66 | $18,401 | -67% | $10,541 |
| 177 Respiratory Infections and Inflammations with MCC | 39 | $25,357 | -64% | $13,680 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $19,282 | -75% | $11,643 |
| 683 Renal Failure with CC | 25 | $11,070 | -73% | $7,677 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 23 | $15,102 | -58% | $6,909 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $10,484 | -74% | $6,775 |
| 682 Renal Failure with MCC | 22 | $17,427 | -74% | $13,329 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $14,782 | -75% | $10,502 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $12,761 | -74% | $8,679 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $25,814 | -55% | $10,509 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $13,479 | -72% | $8,452 |
| 603 Cellulitis without MCC | 17 | $9,727 | -74% | $7,898 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $9,300 | -75% | $6,811 |
| 389 Gastrointestinal Obstruction with CC | 16 | $13,669 | -65% | $6,917 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $18,531 | -75% | $13,370 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $11,798 | -69% | $7,070 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $10,162 | -73% | $6,880 |
| 312 Syncope and Collapse | 12 | $12,400 | -73% | $7,513 |
| 638 Diabetes with CC | 12 | $9,515 | -77% | $7,434 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $13,823 | -73% | $9,966 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Urology and Related Services | 92 | $17,733 | $5,442 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 70 | $5,987 | $1,663 |
| Comprehensive Observation Services | 55 | $7,160 | $2,818 |
| Level 3 Urology and Related Services | 48 | $7,564 | $2,160 |
| Level 4 Urology and Related Services | 42 | $13,249 | $3,696 |
| Level 3 Vascular Procedures | 39 | $7,867 | $3,379 |
| Level 5 Musculoskeletal Procedures | 38 | $43,065 | $13,930 |
| Level 1 Endovascular Procedures | 37 | $9,371 | $3,460 |
| Level 2 Musculoskeletal Procedures | 36 | $5,289 | $1,591 |
| Level 1 Nerve Procedures | 30 | $5,880 | $2,047 |
| Level 1 Laparoscopy and Related Services | 24 | $19,881 | $6,118 |
| Level 3 Musculoskeletal Procedures | 21 | $15,154 | $3,432 |
| Level 2 Vascular Procedures | 18 | $5,459 | $1,548 |
| Level 3 Pacemaker and Similar Procedures | 17 | $39,571 | $11,308 |
| Level 2 Upper GI Procedures | 17 | $4,426 | $2,017 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 17 | $12,968 | $3,668 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UPMC Chautauqua at Wca charged $23,078 on average, 80% less than the New York average of $116,930, and was paid $16,038 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), UPMC Chautauqua at Wca charged $18,401 on average, 77% less than the New York average of $81,161, and was paid $10,541 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), UPMC Chautauqua at Wca charged $25,357 on average, 73% less than the New York average of $94,371, and was paid $13,680 against a state average of $19,472. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), UPMC Chautauqua at Wca charged $19,282 on average, 81% less than the New York average of $102,833, and was paid $11,643 against a state average of $21,127. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $17,733 was 37% below the state average of $28,292. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,987 was 53% below the state average of $12,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $7,160 was 73% below the state average of $26,675. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,564 was 42% below the state average of $13,044.
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.