How many shoppable procedure prices are published for Olean General Hospital?

Olean General Hospital in Olean, NY currently has 131 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Olean General Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Olean General Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Olean General Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Olean General Hospital 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 Proprietary 202 Beds · rural Updated: 2026-04-01

Olean General Hospital

515 Main Street, Olean, NY 14760 · 131 Priced Procedures · 40% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 5% of the Time

File Completeness100

Price Logic91

Peer Alignment71

Clean Billing85

Real Cash Discount6

Regional Value Leader

2-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Olean General Hospital prices shoppable and inpatient services (1.2× to 1.1× Medicare, divergence 0.92×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#38 of 92 in NY · 40th State Percentile#1,291 of 3,385 in U.S. · 38th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.88× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 5% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 40% patient recommendation (49/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 0.99× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 2.6× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER0.92× Divergence

1.1× Medicare

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

Quantile Tail Spread+9% Upper Tail

Q25 0.88× · Q50 0.99× · Q75 1.08×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

2.6× MedicareFair

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

5% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 49/100Watchout

Procedure Prices at Olean General Hospital

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`	—	$30,735	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,650	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,522	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,966	$17,936	0.9×
Total hip replacement CPT Code: `27130`	—	$14,345	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	$14,345	$13,523	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,738	$8,223	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,580	$6,109	1.1×
Breast lump removal CPT Code: `19120`	$4,293	$4,261	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$3,897	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,561	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,561	$3,446	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,747	$2,540	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$2,177	$2,975	0.7×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,057	$2,680	0.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,497	$1,256	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,165	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,141	$987	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,688	$1,084	$1,021	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$2,494	$925	$855	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,272	$694	$583	1.2×
Blood transfusion CPT Code: `36430`	$857	$540	$498	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,043	$439	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,382	$462	$511	0.9×
Psychological testing by technician CPT Code: `96138`	$479	$479	$395	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$658	$277	$201	1.4×
Neurobehavioral status check CPT Code: `96116`	$370	$278	$231	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$673	$301	$272	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,599	$309	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,599	$305	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,599	$310	$369	0.8×
Rabies immune globulin HCPCS Code: `90375`	$6,659	$283	$322	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,788	$300	$303	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×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,484	$232	$258	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$982	$232	$242	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$367	$222	$166	unverified
Behavioral health assessment HCPCS Code: `H0001`	—	$173	$157	1.1×
Family therapy session CPT Code: `90847`	$181	$181	$173	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,120	$136	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,120	$136	$169	0.8×
X-ray, chest (two views) CPT Code: `71046`	$186	$109	$93	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$906	$134	$160	0.8×
CT scan, sinuses CPT Code: `70486`	$728	$136	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,053	$136	$167	0.8×
X-ray, pelvis CPT Code: `72170`	$376	$131	$110	unverified
CT scan, pelvis CPT Code: `72192`	$735	$136	$163	unverified
X-ray, chest (single view) CPT Code: `71045`	$186	$109	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$204	$109	$92	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$271	$109	$93	1.2×
X-ray, hand CPT Code: `73130`	$388	$109	$93	1.2×
X-ray, hip CPT Code: `73502`	$181	$109	$93	1.2×
X-ray, ankle CPT Code: `73610`	$291	$109	$93	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$328	$132	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$363	$132	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$401	$132	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$770	$132	$134	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$490	$142	$151	0.9×
X-ray, lower back CPT Code: `72110`	$400	$131	$112	unverified
Psychological testing evaluation CPT Code: `96136`	$154	$154	$128	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$262	$94	$123	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$358	$113	$148	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$326	$84	$110	0.8×
Review of medical records for care CPT Code: `90889`	—	$84	$114	0.7×
Mental health services (assessment) HCPCS Code: `H0031`	—	$100	$140	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$326	$86	$123	0.7×
X-ray, foot CPT Code: `73630`	$222	$109	$92	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$132	$88	$25	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,345	$337	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$401	$187	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$170	$119	$116	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$143	$94	$111	0.8×
Blood antibody screen CPT Code: `86850`	$96	$65	$46	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$186	$75	$64	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$260	$77	$86	0.9×
Care planning with family CPT Code: `90887`	—	$76	$107	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$90	$90	$140	0.6×
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×
Community mental health services HCPCS Code: `H0038`	—	$17	$16	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$58	$9	$9	1.0×
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×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$20	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$48	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$254	$31	$31	1.0×
Blood test, calcium CPT Code: `82310`	$52	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$37	$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×
Blood test, PSA (prostate screen) CPT Code: `84153`	$75	$19	$19	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$93	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$102	$27	$27	1.0×
Speech therapy (group session) CPT Code: `92508`	$71	$24	$27	0.9×
Prosthetic fitting and training CPT Code: `97761`	$96	$40	$45	0.9×
Physical therapy (gait training) CPT Code: `97116`	$84	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$35	$40	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$62	$60	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$126	$60	$49	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$30	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$98	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$102	$33	$38	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$50	$12	$14	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$93	$31	$37	0.8×
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×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$121	$38	$56	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$145	$18	$35	0.5×
Group therapy session CPT Code: `90853`	$37	$37	$100	unverified
Flu vaccine injection HCPCS Code: `G0008`	$39	$39	$48	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$31	$31	$86	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×
Hepatitis C antibody test CPT Code: `86803`	$59	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$74	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$62	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$120	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$92	$15	$16	0.9×
Blood test, liver function panel CPT Code: `80076`	$56	$8	$9	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$29	$4	$5	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$26	$20	$25	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×

Showing top 25 high-impact procedures of 131 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Olean General Hospital (Zero PHI Required)

CMS CCN: 330103

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,735

1. Amount on Your Bill or Quote ($) Pre-filled with Olean General 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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Olean General 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 +$42,989 Above Fair BaseRate

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

Your bill ($73,764) is $42,989 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) For-Profit / Non-501(c)(3)

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

EIN: 160743102

Filing Period: 194210

Public IRS & CMS ownership records classify Olean General Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Overall2/5 Stars (2/5)

Safety Composite49/100

Would Recommend40%

Rated 9 or 10 (HCAHPS)47%

Median ER Wait141 min

Left ER Before Seen3%

30-Day Mortality vs U.S.worse

Unplanned Readmissionsame

Hip/Knee Complication Rate4.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (592 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 Olean General Hospital.

Price Index: 1.00× regional baseline

Quality: 22/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

-46.7%

Median Household Income$58,248U.S. Census ACS

Local Uninsured Share6.3%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 74/100 · Corroborated CMS CCN 330103 EIN 160743102

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 330103) ↗ Verify IRS Form 990 (EIN 160743102) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filedownload.aspx

Publication / Vintage2026-04-01 · 106.85 MB

Validated Rate Rows4,417 (CMS v3.0.0)

File Integrity Digest3e731b63366a3c1fc8e4…

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

Olean General Hospital

Aligned Regional Benchmark Peer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Olean General Hospital

Audit a Bill or Quote at Olean General Hospital (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

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

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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