Wynn Hospital
WYNN HOSPITAL in Utica, NY charges 5.2x the Medicare reimbursement rate across 56 analyzed procedures, reflecting the pricing structure at this nonprofit-private facility.
Utica, NY 13503 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
5.25x
Charge / Medicare rate
Max markup
9.48x
Worst procedure
Procedures analyzed
56
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $40,425 | $20,212 | — | 9.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $31,128 | $15,564 | — | 9.3x |
| HYPERTENSION WITHOUT MCC | 305 | $32,992 | $16,496 | — | 7.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $35,489 | $17,745 | — | 7.6x |
| SEIZURES WITHOUT MCC | 101 | $38,858 | $19,429 | — | 7.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,040 | $14,020 | — | 7.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $40,086 | $20,043 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $31,822 | $15,911 | — | 6.7x |
| SYNCOPE AND COLLAPSE | 312 | $30,288 | $15,144 | — | 6x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $54,473 | $27,236 | — | 5.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $84,599 | $42,300 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $33,069 | $16,535 | — | 5.7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $26,506 | $13,253 | — | 5.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $44,452 | $22,226 | — | 5.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $25,334 | $12,667 | — | 5.6x |
| RENAL FAILURE WITH CC | 683 | $29,398 | $14,699 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $24,537 | $12,268 | — | 5.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $57,925 | $28,963 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $26,503 | $13,252 | — | 5.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,563 | $16,782 | — | 5.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $43,219 | $21,609 | — | 5.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $39,464 | $19,732 | — | 5.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $55,858 | $27,929 | — | 5.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $180,333 | $90,166 | — | 5.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $54,308 | $27,154 | — | 5.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $28,949 | $14,475 | — | 5.1x |
| RENAL FAILURE WITH MCC | 682 | $46,860 | $23,430 | — | 5.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $28,708 | $14,354 | — | 5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $29,247 | $14,623 | — | 5x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $44,763 | $22,381 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $67,981 | $33,991 | — | 5x |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $17,760 | $8,880 | — | 4.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $65,579 | $32,789 | — | 4.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $38,549 | $19,275 | — | 4.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $22,264 | $11,132 | — | 4.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $39,381 | $19,691 | — | 4.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $52,809 | $26,405 | — | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $59,943 | $29,972 | — | 4.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $32,768 | $16,384 | — | 4.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $31,828 | $15,914 | — | 4.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $38,356 | $19,178 | — | 4.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $30,904 | $15,452 | — | 4.6x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $107,557 | $53,778 | — | 4.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $25,794 | $12,897 | — | 4.5x |
| CELLULITIS WITHOUT MCC | 603 | $22,197 | $11,099 | — | 4.5x |
| DIABETES WITH MCC | 637 | $37,153 | $18,576 | — | 4.5x |
| DIABETES WITH CC | 638 | $27,203 | $13,601 | — | 4.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $43,601 | $21,801 | — | 4.2x |
| PSYCHOSES | 885 | $34,410 | $17,205 | — | 4.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $129,583 | $64,792 | — | 4.1x |
Showing 50 of 56 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use