How many shoppable procedure prices are published for Brooks-Tlc Hospital System, Inc?

Brooks-Tlc Hospital System, Inc in Dunkirk, NY currently has 131 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Brooks-Tlc Hospital System, Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Brooks-Tlc Hospital System, Inc's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Brooks-Tlc Hospital System, Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns Brooks-Tlc Hospital System, Inc an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 61 Beds · rural Updated: 2026-04-01

Brooks-Tlc Hospital System, Inc

529 Central Avenue, Dunkirk, NY 14048 · 131 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.88×vs. Fair Market Price

Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness66

Price Logic94

Peer Alignment67

Clean Billing82

Real Cash Discount8

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.88× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Brooks-Tlc Hospital System, Inc maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.88× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#21 of 92 in NY · 21st State Percentile#552 of 3,385 in U.S. · 16th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 12% below peer Fair BaseRate (0.88×)
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 62% patient recommendation (70/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (18.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (1.3×) & laboratory (1.4×) services average 1.11× higher multiples than routine shoppable care (0.9×)
Even at low-cost facilities (0.88× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 6,426) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.11× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+10% Upper Tail

Q25 0.73× · Q50 0.88× · Q75 0.97×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 70/100Fair

Procedure Prices at Brooks-Tlc Hospital System, Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 131 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$30,071	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,314	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,190	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,675	$17,936	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,697	$8,223	0.9×
Total hip replacement CPT Code: `27130`	—	$3,327	$13,413	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$3,212	$6,109	0.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,839	$2,540	1.1×
Total knee replacement CPT Code: `27447`	—	$2,599	$13,523	0.2×
Inguinal hernia repair CPT Code: `49505`	—	$2,334	$3,629	0.6×
Breast lump removal CPT Code: `19120`	$4,293	$2,264	$3,875	0.6×
C-section delivery (full package) CPT Code: `59510`	—	$2,227	$2,975	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,211	$3,372	0.7×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,166	$2,680	0.8×
Bunion correction surgery CPT Code: `28296`	—	$2,133	$3,446	0.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,494	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,173	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,158	$987	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$2,494	$905	$855	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,688	$835	$1,021	0.8×
Blood transfusion CPT Code: `36430`	$857	$485	$498	1.0×
Psychological testing by technician CPT Code: `96138`	$479	$479	$395	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,272	$450	$583	0.8×
Neurobehavioral status check CPT Code: `96116`	$370	$270	$231	1.2×
Rabies immune globulin HCPCS Code: `90375`	$6,659	$283	$322	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,043	$293	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,382	$302	$511	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$658	$258	$201	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$367	$222	$181	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$367	$222	$185	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$673	$198	$272	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,788	$198	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,599	$198	$338	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,599	$198	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,599	$198	$369	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$367	$222	$166	unverified
Behavioral health assessment HCPCS Code: `H0001`	—	$160	$157	1.0×
Family therapy session CPT Code: `90847`	$181	$181	$173	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$490	$140	$151	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$982	$146	$242	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,484	$146	$258	0.6×
Psychological testing evaluation CPT Code: `96136`	$154	$154	$128	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$326	$100	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$326	$100	$123	0.8×
X-ray, pelvis CPT Code: `72170`	$376	$87	$110	0.8×
X-ray, lower back CPT Code: `72110`	$400	$87	$112	0.8×
Care planning with family CPT Code: `90887`	—	$83	$107	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$401	$98	$132	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$358	$108	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$262	$89	$123	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$328	$87	$126	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$770	$92	$134	0.7×
Mental health services (assessment) HCPCS Code: `H0031`	—	$95	$140	0.7×
Ultrasound, pelvis CPT Code: `76856`	$363	$87	$130	0.7×
CT scan, sinuses CPT Code: `70486`	$728	$106	$166	0.6×
CT scan, pelvis CPT Code: `72192`	$735	$100	$163	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,053	$101	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,120	$101	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,120	$101	$169	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$906	$87	$160	0.5×
Typhoid vaccine HCPCS Code: `90675`	$1,345	$341	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$401	$187	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$170	$116	$116	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$186	$74	$64	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$260	$76	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$143	$94	$111	0.8×
X-ray, chest (single view) CPT Code: `71045`	$186	$72	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$204	$72	$92	0.8×
X-ray, foot CPT Code: `73630`	$222	$72	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$186	$72	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$271	$72	$93	0.8×
X-ray, hand CPT Code: `73130`	$388	$72	$93	0.8×
X-ray, hip CPT Code: `73502`	$181	$72	$93	0.8×
X-ray, ankle CPT Code: `73610`	$291	$72	$93	0.8×
Review of medical records for care CPT Code: `90889`	—	$78	$114	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$90	$90	$140	0.6×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$31	$33	0.9×
Orthotic fitting and training CPT Code: `97760`	$112	$46	$51	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$261	$68	$87	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$93	$20	$20	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$50	$13	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$36	$40	0.9×
Prosthetic fitting and training CPT Code: `97761`	$96	$40	$45	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$121	$38	$56	0.7×
Blood antibody screen CPT Code: `86850`	$96	$61	$46	unverified
Group therapy session CPT Code: `90853`	$37	$37	$100	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$132	$54	$25	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$62	$58	$49	unverified
Blood test, sodium CPT Code: `84295`	$31	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$35	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$56	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$44	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$62	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$120	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$59	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$74	$10	$11	0.9×
Speech therapy (group session) CPT Code: `92508`	$71	$24	$27	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$26	$22	$25	0.9×
Physical therapy (gait training) CPT Code: `97116`	$84	$29	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$98	$33	$38	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$126	$58	$49	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$65	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$74	$14	$14	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$37	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$254	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$20	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$52	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$98	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$70	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$50	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$49	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$29	$5	$5	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$102	$27	$27	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$75	$18	$19	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$92	$15	$16	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$58	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$56	$8	$9	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$102	$32	$38	0.8×
Blood test, amylase CPT Code: `82150`	$48	$6	$7	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$96	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$89	$28	$34	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$30	$30	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$29	$4	$5	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$93	$29	$37	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$92	$29	$39	0.7×
Blood test, hemoglobin CPT Code: `85018`	$15	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$145	$17	$35	0.5×
Flu vaccine injection HCPCS Code: `G0008`	$39	$39	$48	unverified
Community mental health services HCPCS Code: `H0038`	—	$10	$16	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$31	$31	$86	unverified

Showing top 25 high-impact procedures of 131 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 18.3%

Audit a Bill or Quote at Brooks-Tlc Hospital System, Inc (Zero PHI Required)

CMS CCN: 330229

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,071

1. Amount on Your Bill or Quote ($) Pre-filled with Brooks-Tlc Hospital System, Inc’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $13,229 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,229

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.3% of gross = $13,229).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Brooks-Tlc Hospital System, Inc's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$41,395 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($72,170) is $41,395 above the denoised Fair BaseRate ($30,775) and 3.1× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 160743301

Filing Period: 194911

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (18.3% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite70/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait158 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (198 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Brooks-Tlc Hospital System, Inc.

Price Index: 0.78× regional baseline

Quality: 64/100 CMS composite

Median Household Income$56,507U.S. Census ACS

Local Uninsured Share5.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 66/100 · Caution CMS CCN 330229 EIN 160743301

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 330229) ↗ Verify IRS Form 990 (EIN 160743301) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows2,066 (CMS v3.0.0)

File Integrity DigestVerified · CCN 330229

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy