How many shoppable procedure prices are published for Wynn Hospital?

Wynn Hospital in Utica, NY currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

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

CMS Care Compare assigns Wynn 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 Voluntary non-profit - Private 346 Beds · urban Updated: 8/7/2026

Wynn Hospital

1656 Champlin Avenue, Utica, NY 13503 · 120 Priced Procedures · 52% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Near Fair BaseRate Benchmark

0.98×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 29% of the Time

File Completeness50

Price Logic78

Peer Alignment72

Clean Billing89

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.98× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Wynn Hospital prices shoppable and inpatient services (1.0× to 1.1× Medicare, divergence 1.10×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#35 of 92 in NY · 36th State Percentile#1,180 of 3,385 in U.S. · 34th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
Self-pay cash beats commercial insurance on 29% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 52% patient recommendation (54/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (26.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Captive ER (1.8×) & laboratory (1.8×) services average 1.10× higher multiples than routine shoppable care (1.0×)
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 6,063) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.10× Divergence

1.1× Medicare

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

Quantile Tail Spread+13% Upper Tail

Q25 0.84× · Q50 0.96× · 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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

1.2× MedicareGood

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

29% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 54/100Elevated

Procedure Prices at Wynn Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 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`	$50,454	$39,862	$30,775	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$42,727	$24,141	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$44,381	$23,975	$19,432	1.2×
Bunion correction surgery CPT Code: `28296`	$22,048	$22,048	$3,446	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$65,368	$21,950	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$18,470	$9,946	$8,223	1.2×
Trauma team activation HCPCS Code: `G0390`	$1,186	$1,814	$1,453	1.2×
C-section delivery (full package) CPT Code: `59510`	$1,922	$1,422	$2,975	0.5×
Vaginal delivery (full package) CPT Code: `59400`	$1,736	$1,334	$2,680	0.5×
Total hip replacement CPT Code: `27130`	$1,079	$1,079	$13,413	0.1×
Total knee replacement CPT Code: `27447`	$1,078	$1,078	$13,523	0.1×
Breast lump removal CPT Code: `19120`	$967	$967	$3,875	0.2×
Inguinal hernia repair CPT Code: `49505`	$635	$635	$3,629	0.2×
Blood transfusion CPT Code: `36430`	$958	$600	$498	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$533	$533	$6,109	0.1×
Rabies immune globulin HCPCS Code: `90375`	$2,651	$478	$322	1.5×
Psychological testing by technician CPT Code: `96138`	$310	$472	$395	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,854	$475	$511	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$461	$461	$3,372	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,646	$435	$448	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$627	$365	$583	0.6×
Colonoscopy with biopsy CPT Code: `45380`	$363	$363	$1,256	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,528	$325	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,528	$325	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,157	$325	$369	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$771	$306	$1,021	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$2,006	$239	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,456	$239	$258	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$315	$244	$272	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$659	$234	$148	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,401	$208	$303	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,874	$228	$151	unverified
Family therapy session CPT Code: `90847`	$221	$182	$173	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$655	$194	$123	unverified
CT scan, pelvis CPT Code: `72192`	$2,039	$142	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$1,890	$142	$166	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,959	$142	$168	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,085	$141	$167	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$208	$156	$185	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$167	$144	$181	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,952	$141	$169	unverified
X-ray, shoulder CPT Code: `73030`	$389	$109	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$386	$109	$93	1.2×
X-ray, hand CPT Code: `73130`	$383	$109	$93	1.2×
X-ray, hip CPT Code: `73502`	$493	$109	$93	1.2×
Ultrasound, pelvis CPT Code: `76856`	$1,120	$131	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$790	$131	$132	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$157	$115	$123	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,783	$133	$160	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$357	$129	$981	0.1×
X-ray, lower back CPT Code: `72110`	$691	$131	$112	unverified
X-ray, chest (single view) CPT Code: `71045`	$268	$102	$92	1.1×
X-ray, foot CPT Code: `73630`	$400	$100	$92	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$136	$100	$110	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$131	$112	$134	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$129	$97	$166	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$111	$111	$987	0.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$296	$109	$93	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$99	$83	$126	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$98	$98	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,828	$448	$347	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$228	$220	$140	1.6×
Blood antibody screen CPT Code: `86850`	$106	$64	$46	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$99	$64	$48	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$95	$74	$86	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$110	$72	$87	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$63	$43	$35	1.2×
Extended office visit (prolonged) HCPCS Code: `G2212`	$21	$30	$33	0.9×
Orthotic fitting and training CPT Code: `97760`	$137	$45	$51	0.9×
X-ray, ankle CPT Code: `73610`	$371	$42	$93	0.5×
X-ray, pelvis CPT Code: `72170`	$374	$41	$110	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$97	$64	$49	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$80	$21	$20	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$63	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$98	$11	$11	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$70	$33	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$54	$39	$45	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$91	$64	$49	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$120	$34	$40	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$19	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$108	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$17	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$20	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$358	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$10	$10	1.0×
Blood test, vitamin D CPT Code: `82306`	$412	$30	$31	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$15	$4	$4	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$66	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$49	$13	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$79	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$66	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$135	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$74	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$83	$27	$34	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$65	$39	$56	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$180	$44	$64	0.7×
Group therapy session CPT Code: `90853`	$54	$54	$100	0.5×
Psychological testing evaluation CPT Code: `96136`	$58	$51	$128	0.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$73	$43	$111	0.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$155	$52	$203	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$46	$46	$201	unverified
Blood test, lipase CPT Code: `83690`	$32	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$35	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$17	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$80	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$17	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$46	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$34	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$32	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$35	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$124	$11	$11	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$98	$17	$18	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$53	$23	$25	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$18	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$10	$2	$3	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$34	$26	$39	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$43	$24	$37	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$17	$13	$25	0.5×
Blood test, liver function panel CPT Code: `80076`	$43	$8	$9	unverified
Culture, bacterial CPT Code: `87070`	$74	$9	$9	unverified

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 26.4%

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

CMS CCN: 330044

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $50,454

Insurer Median $39,862

1. Amount on Your Bill or Quote ($) Pre-filled with Wynn 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: $22,217 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $22,217

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (26.4% of gross = $22,217).

Step 2 · Cash vs. Insurance Arbitrage Save $33,637 Paying Cash

Self-Pay Cash Rate ($50,454) Beats Your Bill

Wynn Hospital's published 45 CFR § 180 self-pay cash rate is $50,454 (vs. $39,862 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$53,316 Above Fair BaseRate

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

Your bill ($84,091) is $53,316 above the denoised Fair BaseRate ($30,775) and 3.6× 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: 161576637

Filing Period: 200202

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 (26.4% 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 Overall2/5 Stars (2/5)

Safety Composite54/100

Would Recommend52%

Rated 9 or 10 (HCAHPS)54%

Median ER Wait215 min

Left ER Before Seen3%

30-Day Mortality vs U.S.worse

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2025-12-30·administrative_or_closure
Closure Notice
Recorded
2025-09-26·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,059 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 Quality & Price Benchmark

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

Price Index: 1.01× regional baseline

Quality: 35/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

+66.1%

Median Household Income$68,819U.S. Census ACS

Local Uninsured Share3.3%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 76/100 · Corroborated CMS CCN 330044 EIN 161576637

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 330044) ↗ Verify IRS Form 990 (EIN 161576637) ↗ CMS HCRIS Cost Reports ↗

Published MRF File161576637_mvhs-inc_standardcharges.zip!161576637_mvhs-inc_standardcharges.csv

Publication / Vintage8/7/2026 · 16.75 MB

Validated Rate Rows9,418 (CMS v3.0.0)

File Integrity DigestVerified · CCN 330044

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