How many shoppable procedure prices are published for O'Connor Hospital?

O'Connor Hospital in Delhi, NY currently has 117 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do O'Connor Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, O'Connor Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 16 Beds · rural Updated: 01/01/2026

O'Connor Hospital

460 Andes Road, Delhi, NY 13753 · 117 Priced Procedures · 91% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.72×vs. Fair Market Price

Typical commercial prices here are +72% above the fair benchmark (1.72×) even after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 82% of the Time

File Completeness51

Price Logic79

Peer Alignment58

Clean Billing76

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

O'Connor Hospital prices routine shoppable procedures near 1.1× Medicare (p50 1.24×) while skewing captive emergency, lab, and upper-quartile codes to 6.0× Medicare (p75 3.00×, +142% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#83 of 92 in NY · 89th State Percentile#2,902 of 3,385 in U.S. · 85th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.58× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 82% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (75/100 safety score) with 91% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (35.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (2.8×) services average 5.45× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 3.00×) jump +142% above the median procedure ratio (Q50 1.24×)
Unnegotiated chargemaster list prices average 9.2× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER5.45× Divergence

6.0× Medicare

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

Quantile Tail Spread+142% Upper Tail

Q25 0.58× · Q50 1.24× · Q75 3.00×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.8× MedicareFair

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

0.6× MedicareGood

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

82% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 75/100Fair

Procedure Prices at O'Connor Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	—	$19,432	—
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$3,737	$2,694	$8,223	0.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$3,893	$2,694	$19,087	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,765	$2,389	$322	unverified
Total hip replacement CPT Code: `27130`	$1,485	$2,001	$13,413	0.1×
C-section delivery (full package) CPT Code: `59510`	$1,046	$1,409	$2,975	0.5×
Vaginal delivery (full package) CPT Code: `59400`	$940	$1,267	$2,680	0.5×
Cataract surgery with lens implant CPT Code: `66984`	$810	$1,091	$2,540	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$667	$899	$3,372	0.3×
MRI, knee or other leg joint CPT Code: `73721`	$995	$871	$369	2.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,215	$871	$511	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$919	$831	$338	2.5×
MRI, brain (no contrast) CPT Code: `70551`	$913	$827	$343	2.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$486	$655	$6,109	0.1×
Bunion correction surgery CPT Code: `28296`	$416	$560	$3,446	0.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,134	$413	$303	1.4×
Inguinal hernia repair CPT Code: `49505`	$324	$437	$3,629	0.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,431	$437	$448	unverified
Blood transfusion CPT Code: `36430`	$313	$395	$498	0.8×
Breast lump removal CPT Code: `19120`	$280	$377	$3,875	0.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,081	$378	$258	unverified
Psychological testing by technician CPT Code: `96138`	—	—	$395	—
Sleep study (overnight, in lab) CPT Code: `95810`	$257	$347	$1,021	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$251	$339	$1,256	0.3×
CT scan, sinuses CPT Code: `70486`	$655	$279	$166	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$224	$302	$981	0.3×
CT scan, pelvis CPT Code: `72192`	$705	$264	$163	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$689	$264	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$702	$264	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$648	$264	$169	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	$206	$278	$987	0.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$446	$249	$272	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$837	$274	$242	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$187	$214	$148	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$648	$214	$160	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$166	$167	$123	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$425	$153	$134	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$243	$145	$132	1.1×
Ultrasound, pelvis CPT Code: `76856`	$302	$138	$130	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$86	$130	$201	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$84	$152	$583	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$72	$96	$64	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$74	$100	$86	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$277	$115	$126	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$64	$86	$185	0.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$61	$82	$181	0.5×
Typhoid vaccine HCPCS Code: `90675`	$223	$300	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$76	$125	$140	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$90	$121	$203	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$97	$129	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$90	$120	$14	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$73	$97	$18	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$50	$66	$19	3.5×
Blood test, vitamin D CPT Code: `82306`	$65	$86	$31	2.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$67	$89	$111	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$43	$59	$34	1.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$39	$50	$35	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$40	$53	$38	1.4×
Physical therapy (gait training) CPT Code: `97116`	$33	$44	$33	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$34	$46	$35	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$32	$44	$38	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$31	$42	$38	1.1×
X-ray, hip CPT Code: `73502`	$166	$61	$93	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$49	$65	$110	0.6×
Care planning with family CPT Code: `90887`	$46	$62	$107	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$62	$82	$9	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$23	$30	$5	6.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$129	$52	$93	0.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$56	$74	$14	unverified
X-ray, hand CPT Code: `73130`	$113	$48	$93	0.5×
X-ray, ankle CPT Code: `73610`	$132	$48	$93	0.5×
Blood test, liver function panel CPT Code: `80076`	$55	$73	$9	unverified
Blood test, calcium CPT Code: `82310`	$18	$23	$5	4.6×
Blood test, vitamin B12 CPT Code: `82607`	$36	$24	$16	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$31	$48	$87	0.6×
X-ray, shoulder CPT Code: `73030`	$204	$45	$92	0.5×
X-ray, foot CPT Code: `73630`	$132	$45	$92	0.5×
X-ray, chest (two views) CPT Code: `71046`	$114	$44	$93	0.5×
Family therapy session CPT Code: `90847`	$49	$65	$173	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$23	$30	$86	0.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$41	$55	$166	0.3×
Neurobehavioral status check CPT Code: `96116`	$46	$63	$231	0.3×
X-ray, lower back CPT Code: `72110`	$233	$69	$112	unverified
Hepatitis C antibody test CPT Code: `86803`	$60	$79	$15	unverified
Culture, blood CPT Code: `87040`	$54	$71	$11	unverified
Culture, bacterial CPT Code: `87070`	$56	$74	$9	unverified
Blood test, hemoglobin CPT Code: `85018`	$14	$18	$3	6.0×
Blood test, potassium CPT Code: `84132`	$22	$29	$5	5.8×
Blood test, lipase CPT Code: `83690`	$28	$37	$7	5.3×
Blood test, magnesium CPT Code: `83735`	$22	$29	$7	4.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$30	$40	$10	4.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$29	$39	$40	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$21	$36	$39	0.9×
Blood antibody screen CPT Code: `86850`	$35	$36	$46	0.8×
Orthotic fitting and training CPT Code: `97760`	$27	$36	$51	0.7×
Prosthetic fitting and training CPT Code: `97761`	$21	$30	$45	0.7×
Extended office visit (prolonged) HCPCS Code: `G2212`	$16	$22	$33	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$26	$34	$56	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$54	$43	$123	0.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$41	$55	$8	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$10	$17	$37	0.5×
X-ray, chest (single view) CPT Code: `71045`	$94	$34	$92	0.4×
X-ray, pelvis CPT Code: `72170`	$130	$36	$110	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$8	$10	$25	0.4×
Psychological testing evaluation CPT Code: `96136`	$23	$31	$128	0.2×
Group therapy session CPT Code: `90853`	$16	$22	$100	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$27	$36	$3	unverified
Blood test, amylase CPT Code: `82150`	$30	$40	$7	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$27	$33	$4	unverified
Flu vaccine injection HCPCS Code: `G0008`	$5	$7	$48	0.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$5	$7	$49	0.1×
Blood test, sodium CPT Code: `84295`	$22	$29	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$23	$31	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$24	$31	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$30	$40	$6	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$5	$7	$49	unverified

Showing top 25 high-impact procedures of 117 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 35.7%

Audit a Bill or Quote at O'Connor Hospital (Zero PHI Required)

CMS CCN: 331305

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $22,347

1. Amount on Your Bill or Quote ($) Pre-filled with O'Connor Hospital’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: $120 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $120

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (35.7% of gross = $120).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask O'Connor Hospital'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 Target: $19,432 Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,432).

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)

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 (35.7% 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

Safety Composite75/100

Would Recommend91%

Rated 9 or 10 (HCAHPS)91%

Median ER Wait88 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at O'Connor Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-05·administrative_or_closure
Met Requirements
Recorded
2025-01-14·administrative_or_closure
Closure Notice
Recorded
2024-10-02·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (67 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 O'Connor Hospital.

Price Index: 0.99× regional baseline

Quality: 61/100 CMS composite

Median Household Income$60,226U.S. Census ACS

Local Uninsured Share4.6%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 72/100 · Corroborated CMS CCN 331305

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 331305) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage01/01/2026

Validated Rate Rows3,337 (CMS v3.0.0)

File Integrity DigestVerified · CCN 331305

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