How many shoppable procedure prices are published for Schuyler Hospital?

Schuyler Hospital in Montour Falls, NY currently has 129 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Schuyler Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-03-27

Schuyler Hospital

220 Steuben Street, Montour Falls, NY 14865 · 129 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.33×vs. Fair Market Price

Typical commercial prices here are +33% above the fair benchmark (1.33×) even after accounting for local nurse/doctor wages and patient complexity.

70/100 · Caution

70/100Self-Pay Cash Beats Insurance 87% of the Time

File Completeness50

Price Logic57

Peer Alignment71

Clean Billing82

Real Cash Discount100

High-Markup Tier

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

Schuyler Hospital prices routine shoppable procedures near 1.5× Medicare (p50 1.18×) while skewing captive emergency, lab, and upper-quartile codes to 1.7× Medicare (p75 1.78×, +51% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#72 of 92 in NY · 77th State Percentile#2,320 of 3,385 in U.S. · 68th 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 87% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (68/100 safety score) with 62% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (50.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.33× 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.
Captive ER (2.2×) & laboratory (0.9×) services average 1.13× higher multiples than routine shoppable care (1.5×)
Upper-quartile procedures (Q75 1.78×) jump +51% above the median procedure ratio (Q50 1.18×)
Unnegotiated chargemaster list prices average 9.9× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER1.13× Divergence

1.7× Medicare

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

Quantile Tail Spread+51% Upper Tail

Q25 0.88× · Q50 1.18× · Q75 1.78×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.7× MedicareGood

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

87% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 68/100Fair

Procedure Prices at Schuyler Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 129 published procedures.

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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`	—	$30,954	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,613	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,483	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,893	$17,936	0.9×
Total hip replacement CPT Code: `27130`	—	$7,608	$13,413	0.6×
Total knee replacement CPT Code: `27447`	—	$7,608	$13,523	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,470	$8,223	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,870	$6,109	1.0×
Bunion correction surgery CPT Code: `28296`	—	$4,542	$3,446	1.3×
Inguinal hernia repair CPT Code: `49505`	—	$4,538	$3,629	1.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,438	$2,540	1.7×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,353	$2,680	1.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,971	$3,372	1.2×
Breast lump removal CPT Code: `19120`	—	$3,421	$3,875	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$764	$2,101	$1,021	2.1×
Upper endoscopy with biopsy CPT Code: `43239`	$819	$1,973	$987	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$821	$1,896	$981	1.9×
Colonoscopy with biopsy CPT Code: `45380`	$879	$1,896	$1,256	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,158	$855	1.4×
Rabies immune globulin HCPCS Code: `90375`	$839	$839	$322	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$866	$683	$511	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$635	$603	$338	1.8×
MRI, brain (no contrast) CPT Code: `70551`	$617	$603	$343	1.8×
MRI, knee or other leg joint CPT Code: `73721`	$259	$603	$369	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$709	$527	$448	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$355	$437	$583	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$413	$185	unverified
Behavioral health assessment HCPCS Code: `H0001`	—	$413	$157	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$413	$140	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$468	$379	$258	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$361	$361	$151	unverified
Behavioral health day program HCPCS Code: `H2012`	—	$330	$100	3.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$330	$181	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$354	$336	$242	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$558	$326	$303	1.1×
Psychological testing by technician CPT Code: `96138`	—	$330	$395	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$330	$166	unverified
Care planning with family CPT Code: `90887`	—	$248	$107	2.3×
Family therapy session CPT Code: `90847`	—	$248	$173	1.4×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$263	$257	1.0×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$263	$269	1.0×
Behavioral health day treatment HCPCS Code: `H0010`	—	$263	$343	0.8×
Behavioral health residential care HCPCS Code: `H0011`	—	$263	$364	0.7×
Behavioral health living support HCPCS Code: `H2019`	—	$248	$34	unverified
Residential substance abuse treatment HCPCS Code: `H2035`	—	$248	$88	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$184	$203	$272	0.7×
Blood transfusion CPT Code: `36430`	$213	$210	$498	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$338	$171	$160	1.1×
CT scan, pelvis CPT Code: `72192`	$334	$171	$163	1.0×
CT scan, sinuses CPT Code: `70486`	$361	$171	$166	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$347	$171	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$249	$171	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$223	$171	$169	1.0×
Group therapy session CPT Code: `90853`	—	$128	$100	1.3×
X-ray, hip CPT Code: `73502`	$104	$104	$93	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$98	$116	$123	0.9×
Ultrasound, pelvis CPT Code: `76856`	$136	$119	$130	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$207	$121	$134	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$174	$111	$126	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$111	$130	$148	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$102	$102	$123	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$52	$112	$201	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$39	$81	$64	1.3×
X-ray, shoulder CPT Code: `73030`	$83	$83	$92	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$124	$106	$132	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$46	$80	$86	0.9×
Typhoid vaccine HCPCS Code: `90675`	$193	$193	$347	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$148	$203	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$55	$14	3.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$24	$79	$40	2.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$63	$72	$39	1.8×
Drug screening test HCPCS Code: `G0480`	$37	$96	$116	0.8×
Blood test, liver function panel CPT Code: `80076`	$56	$56	$9	6.2×
X-ray, chest (two views) CPT Code: `71046`	$72	$72	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$68	$68	$93	0.7×
X-ray, chest (single view) CPT Code: `71045`	$67	$67	$92	0.7×
Blood antibody screen CPT Code: `86850`	$26	$90	$46	unverified
Blood test, amylase CPT Code: `82150`	$40	$40	$7	5.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$47	$47	$11	4.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$59	$59	$18	3.3×
Physical therapy (gait training) CPT Code: `97116`	$24	$62	$33	1.9×
Blood test, vitamin D CPT Code: `82306`	$56	$56	$31	1.8×
Occupational therapy (self-care training) CPT Code: `97535`	$24	$62	$38	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$28	$72	$56	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$72	$72	$87	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$70	$70	$86	0.8×
X-ray, foot CPT Code: `73630`	$70	$70	$92	0.8×
X-ray, hand CPT Code: `73130`	$65	$65	$93	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$50	$72	$111	0.6×
X-ray, pelvis CPT Code: `72170`	$58	$58	$110	0.5×
Pneumococcal vaccine HCPCS Code: `90732`	$67	$72	$140	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	$22	$3	7.3×
Blood test, basic metabolic panel CPT Code: `80048`	$34	$34	$9	3.8×
Blood test, potassium CPT Code: `84132`	$18	$18	$5	3.6×
Blood test, lipase CPT Code: `83690`	$25	$25	$7	3.6×
Blood test, vitamin B12 CPT Code: `82607`	$41	$41	$16	2.6×
Blood test, calcium CPT Code: `82310`	$15	$15	$5	3.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$35	$35	$14	2.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$29	$20	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$17	$37	$49	0.8×
X-ray, ankle CPT Code: `73610`	$59	$59	$93	0.6×
Neurobehavioral status check CPT Code: `96116`	—	$59	$231	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$72	$25	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$19	$4	4.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$31	$31	$8	3.9×
Blood test, sodium CPT Code: `84295`	$19	$19	$5	3.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$15	$5	3.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$17	$17	$6	2.8×
Culture, bacterial CPT Code: `87070`	$35	$21	$9	2.3×
Blood test, magnesium CPT Code: `83735`	$21	$16	$7	2.3×
Culture, blood CPT Code: `87040`	$35	$23	$11	2.1×
Blood test, hemoglobin CPT Code: `85018`	$6	$6	$3	2.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$39	$27	$14	1.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$7	$7	$4	1.8×
Hepatitis C antibody test CPT Code: `86803`	$59	$26	$15	1.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$15	$17	$10	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$8	$8	$5	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$48	$30	$19	1.6×
Colorectal cancer screening HCPCS Code: `G0010`	—	$33	$49	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$15	$25	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$12	$12	$37	0.3×
X-ray, lower back CPT Code: `72110`	$123	$30	$112	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$7	$7	$48	0.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$24	$24	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$23	$23	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$27	$27	$34	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$28	$28	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$25	$25	$51	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$23	$23	$35	unverified

Showing top 25 high-impact procedures of 129 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 50.0%

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

CMS CCN: 331313

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,954

1. Amount on Your Bill or Quote ($) Pre-filled with Schuyler 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: $37,160 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $37,160

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.0% of gross = $37,160).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Schuyler 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 +$43,515 Above Fair BaseRate

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

Your bill ($74,290) is $43,515 above the denoised Fair BaseRate ($30,775) and 3.2× 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: 150533564

Filing Period: 193708

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 (50.0% 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 Composite68/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)53%

Median ER Wait111 min

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 Schuyler Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-24·administrative_or_closure
Closure Notice
Recorded
2025-06-10·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (44 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Schuyler Hospital.

Price Index: 1.64× regional baseline

Quality: 52/100 CMS composite

Median Household Income$65,625U.S. Census ACS

Local Uninsured Share4.1%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 70/100 · Caution CMS CCN 331313 EIN 150533564

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 331313) ↗ Verify IRS Form 990 (EIN 150533564) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileschuylerhospital

Publication / Vintage2026-03-27 · 143.84 MB

Validated Rate Rows769 (CMS v3.0.0)

File Integrity DigestVerified · CCN 331313

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