Healthcare Pricing Data: BINGHAMTON, NY

2 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

With CMS data

Procedures

DRG categories

Avg Charge-to-Medicare Ratio

3.7x

Across all procedures

vs National Average

-46%

Chargemaster rates

About This Data

BINGHAMTON, NY has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 3.7x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in BINGHAMTON is MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC (DRG 329), with an average chargemaster rate of $120,438 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

Procedure	DRG	Avg Listed Charge	Hospitals Reporting	Charge-to-Medicare Ratio
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	329	$120,438	2	3.5x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	853	$103,866	2	2.9x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC	454	$102,940	2	2.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	522	$60,391	2	4.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$54,819	2	4.0x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	470	$54,400	2	4.2x
GASTROINTESTINAL HEMORRHAGE WITH MCC	377	$50,967	2	3.8x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	854	$47,456	2	3.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	871	$43,764	2	3.2x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	698	$41,783	2	3.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	064	$40,751	2	3.1x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	280	$39,918	2	3.7x
RENAL FAILURE WITH MCC	682	$32,593	2	3.3x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$30,655	2	3.7x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	640	$30,394	2	3.4x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	177	$30,069	2	2.4x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$29,511	2	4.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$29,386	2	4.5x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC	193	$28,024	2	3.2x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	689	$27,974	2	3.7x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$27,842	2	4.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	308	$27,243	2	3.5x
HEART FAILURE AND SHOCK WITH MCC	291	$26,448	2	3.0x
SYNCOPE AND COLLAPSE	312	$25,225	2	4.5x
DIABETES WITH CC	638	$25,129	2	4.6x
MEDICAL BACK PROBLEMS WITHOUT MCC	552	$24,679	2	3.7x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	690	$24,143	2	4.6x
GASTROINTESTINAL OBSTRUCTION WITH CC	389	$23,981	2	4.8x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	178	$23,591	2	3.0x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$23,529	2	4.5x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

Hospitals in BINGHAMTON With Pricing Data

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC

40 procedures with pricing data

UNITED HEALTH SERVICES HOSPITALS, INC

77 procedures with pricing data

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error