Ogdensburg, NY
78
Beds
3
Inpatient discharges a year
$13.4M
Net patient revenue a year
32
In-network payers
Claxton Hepburn Medical Center is a 78-bed voluntary non-profit - private hospital in Ogdensburg, NY. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 133 disclosed rate categories.
The 24 services Claxton Hepburn Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
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Childbirth · Inpatient
MS-DRG 807
$2,048 - $6,771
from 4 insurers · median $3,076
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$2,227 - $9,612
from 4 insurers · median $4,117
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$325 - $1,674
from 3 insurers · median $1,475
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,590 - $9,417
from 3 insurers · median $4,049
127 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$325 - $1,525
from 4 insurers · median $735
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$14,987 - $25,154
from 3 insurers · median $25,151
Hospital reports orthopedic surgery services to CMS
Urology
CPT 50590
$4,081 - $14,241
from 3 insurers · median $7,917
33 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$2,048 - $6,771
from 4 insurers · median $3,076
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery
CPT 47562
$6,904 - $24,090
from 2 insurers · median $15,497
Typical for a hospital with this service line
CT imaging
CPT 74176
$325 - $2,195
from 4 insurers · median $1,302
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$11,381 - $20,131
from 3 insurers · median $20,032
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$192 - $2,264
from 4 insurers · median $1,085
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$437 - $3,871
from 4 insurers · median $2,080
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,904 - $24,090
from 3 insurers · median $17,499
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$437 - $4,868
from 4 insurers · median $2,284
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$11,477 - $42,988
from 3 insurers · median $12,320
Typical for a hospital with this service line
CT imaging
CPT 71275
$325 - $1,609
from 4 insurers · median $1,151
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$7,024 - $12,972
from 3 insurers · median $12,735
Hospital reports inpatient surgical services to CMS
X-ray and bone density
CPT 71046
$190 - $364
from 4 insurers · median $231
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$437 - $3,764
from 4 insurers · median $2,018
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$846 - $6,023
from 4 insurers · median $3,137
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,763 - $13,128
from 2 insurers · median $8,445
Typical for a hospital with this service line
Mammography
CPT 77067
$80 - $334
from 4 insurers · median $239
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$6,904 - $24,090
from 2 insurers · median $15,497
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 399% | 14 | 1 |
| Insurer B* | 20 | 280% | 11 | 3 |
| Insurer C* | 24 | 136% | 3 | 0 |
| Insurer D* | 14 | 73% | 0 | 3 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 11 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Claxton Hepburn Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
No Medicare readmissions penalty
See quality ratingsDoctors and services
No Medicare-funded residents
Finances
$13.4M net patient revenue
Ownership and leadership
Richard Duvall, chief executive
See ownership and leadershipThe employer identification numbers (EINs) health plans and networks list for Claxton Hepburn Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 15-0559686Claxton Hepburn Medical Center | 55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 50 more | 1891753034 Claxton-hepburn Medical Center1346301389 Claxton-hepburn Medical Center1427119486 Claxton-hepburn Medical Centerand 18 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
214 King Street, Ogdensburg, NY 13669
(315) 393-3600
How Medicare adjusts Claxton Hepburn Medical Center's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Claxton Hepburn Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Mar 25, 2025.
3
Inpatient discharges
Medicare 100%, Medicaid n/a
71
Inpatient days
2% of available bed days used
Source: CMS cost report (HCRIS) (report 819236). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Claxton Hepburn Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 71 | 0 | 0 | 71 |
| Discharges | 3 | 0 | 0 | 3 |
| Average length of stay | 23.7 days | 23.7 days | ||
| Average daily census | 0.8 | 0.0 | 0.0 | 0.8 |
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 29 | 71 | 71 | 3% |
| Intensive care unit | 9 | |||
| Subprovider - ipf | 40 | 2,317 | 159 | 69% |
Source: CMS cost report (HCRIS, Form 2552-10), report 819236, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Claxton Hepburn Medical Center treats Medicare patients for most often, in 2024. 143 Medicare discharges in 7 published DRGs; 0% surgical; 83% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 37 | $27,168 | $17,492 | $18,230 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 29 | $23,581 | $11,623 | $15,823 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 20 | $15,744 | $11,302 | $10,564 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 19 | $25,876 | $15,034 | $17,363 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $18,630 | $6,691 | $12,501 | 0.82 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $14,789 | $6,488 | $9,924 | 0.81 |
| Cellulitis without MCCMS-DRG 603, medical | 11 | $11,742 | $7,239 | $7,879 | 0.88 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Claxton Hepburn Medical Center billed Medicare for most in 2024: 342 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 127 | 80 | $8,046 | $2,108 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 60 | 59 | $11,270 | $2,473 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 33 | 31 | $10,336 | $3,154 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 26 | 24 | $3,716 | $1,348 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 26 | 24 | $12,991 | $4,141 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 25 | 24 | $9,258 | $2,884 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 23 | 21 | $7,701 | $1,843 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 22 | 22 | $38,583 | $13,278 | $10,772 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
Revenue, expenses and income Claxton Hepburn Medical Center reported to Medicare for Jan 1, 2025 to Mar 25, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $13.4M | 100.0% |
| Inpatient | $13.4M | 100.0% |
| Net patient revenue | $13.4M | 100.0% |
| Operating expenses | -$6.5M | -48.7% |
| Operating income from patient care | $6.9M | 51.3% |
| Other income | $1.4M | 10.5% |
| Contributions and donations | $7,500 | 0.1% |
| Other | $1.4M | 10.4% |
| Net income | $8.3M | 61.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $5,906 | 0.1% |
| Medicaid (including managed care) | $380,318 | 6.5% |
| Other payers and self-pay | $5.4M | 93.4% |
| Total charges | $5.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 819236, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Claxton Hepburn Medical Center's latest cost report, which covers 84 days; income and expense figures are scaled to a year.
51.3%
Operating margin
Operating income from patient care / net patient revenue
55.9%
Total margin
Net income / net patient revenue plus other income
58.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
75% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$30.03
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
19.6%
Return on assets
Net income for a year / total assets
44.8%
Return on equity
Net income for a year / fund balance
1.74
Current ratio
Current assets / current liabilities
1.71
Quick ratio
Cash, temporary investments and net receivables / current liabilities
-53 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
657 days
Days in patient receivables
Net patient receivables / daily net patient revenue
805 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.35
Asset turnover
Total revenue for a year / total assets
65.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 819236, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Claxton Hepburn Medical Center owned and owed at the end of its reporting period (Mar 2025), across all fund types: $183.7M in total assets and a $80.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$3.8M | -2.1% |
| Patient receivables, net | $104.7M | 57.0% |
| Inventory | -$177,285 | -0.1% |
| Total current assets | $102.5M | 55.8% |
| Property and equipment, net of depreciation | $26.6M | 14.5% |
| Investments and other assets | $54.5M | 29.7% |
| Total assets | $183.7M | 100.0% |
| Current liabilities | $58.8M | 32.0% |
| Total liabilities | $103.4M | 56.3% |
| Fund balance (net assets) | $80.2M | 43.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 819236, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Claxton Hepburn Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$607,530
Bad debt
Patient bills written off as uncollectible, at charges
-$84,874
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$439,202
Total unreimbursed and uncompensated care
6.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 819236, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Claxton Hepburn Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 |
|---|---|---|---|---|---|---|
| Net patient revenue | $95.1M | $89.9M | $100M | $106.9M | $115.4M | $91.6M |
| Operating expenses | $98.4M | $99.4M | $118.4M | $124.1M | $128.8M | $126.2M |
| Operating margin | -3.5% | -10.6% | -18.4% | -16.0% | -11.6% | -37.8% |
| Net income | -$5.1M | -$5.9M | -$8.8M | -$1M | $13.4M | -$21.4M |
| Total assets | $87.2M | $87.6M | $90.1M | $76M | $161.3M | $180.5M |
| Discharges | 1,843 | 1,658 | 1,826 | 1,743 | 1,553 | 1,173 |
| Inpatient days | 10,023 | 7,690 | 10,250 | 9,638 | 8,067 | 5,672 |
| Medicare Advantage days | 1,385 | 1,260 | 298 | |||
| Beds | 81 | 66 | 66 | 66 | 66 | 66 |
| Employees (FTE) | 652 | 637 | 591 | 590 | 535 | 341 |
Source: CMS cost report (HCRIS, Form 2552-10), report 819236, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Claxton Hepburn Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $494,447 | $103,121 | 4.79 | ||
| Medical supplies charged to patient | $435,128 | ||||
| Mental health clinic | $23,481 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Subprovider - ipf | $1.5M | $3.3M | $5.6M | 0.58 | 25,192 |
| Intensive care unit | $89 | ||||
| Adults & pediatrics | $95,850 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Other administrative and general | $316,036 | $928,206 | 11,037 | ||
| Maintenance & repairs | $67,281 | $525,082 | 2,318 | $29.06 | 7,977 |
| Cafeteria | $261,658 | $409,071 | 11,769 | $22.26 | 4,300 |
| Cap rel costs-bldg & fixt | $383,877 | 141,183 | |||
| Housekeeping | $260,381 | $371,794 | 15,378 | $16.95 | 1,301 |
| Cashiering/accounts receivable | $363,333 | 1,545 | |||
| Central service & supply | $89,341 | $158,842 | 7,505 | ||
| Laundry & linen service | $8,899 | $87,304 | 401 | $22.21 | 560 |
| Nursing administration | $34,804 | $85,005 | 1,002 | ||
| Pharmacy | $39,733 | 2,540 | |||
| Cap rel costs-mvble equip | $29,218 | ||||
| Admitting | $4,472 | $10,100 | 2,541 | ||
| Dietary - other | $13,910 | -$21,933 | 6,794 | ||
| Medical records & library | $10,838 | -$60,916 | 525 | $20.66 | 4,471 |
| Employee benefits department | $25,179 | -$2.1M | 439 | $57.41 | 5,586 |
Source: CMS cost report (HCRIS, Form 2552-10), report 819236, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Claxton Hepburn Medical Center for an inpatient stay.
1.50
Case mix index
Higher than 27% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
24.7%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
26
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.27 | 1.27 | 1.38 | 1.31 | 1.39 | 1.41 | 1.50 |
| Wage index | 0.873 | 0.859 | 0.852 | 1.218 | 1.306 | 1.370 | 1.427 |
| Readmissions adjustment | 0.00% | -0.05% | -0.14% | -0.02% | -0.17% | -0.18% | 0.00% |
| Value-based purchasing adjustment | +0.09% | -0.26% | -0.26% | -0.01% | -0.38% | +1.06% | 0.00% |
| Medicare inpatient stays | 803 | 803 | 668 | 604 | 536 | 484 | 26 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Claxton Hepburn Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
| Name | Title |
|---|---|
| Richard Duvall | President And Chief Executive Officer |
| Brandon Bowline | Chief Operating Officer |
| Dr Zvi Szafran | Chairperson |
| Chet Truskowski | Vice-chairperson |
| Dallas Sutton | Secretary |
| James Thew | Treasurer |
Board members: Christopher Brandy, Michael Seidman, Alka Srivastava, Dhruv Modi, Kome Oseghale MD, Crystal Simmons, Rita Crowley, Michael Oakley MD, Mark Mashaw, James Crowley, Diane Dailey, Bryan Felitto, David Hornung, Ted Lawrence, Sandra Lyons, Dawn Merz, Maureen Missert, John Pinkerton, Patricia Mahoney, Sheila Mehaffy.
Source: IRS Form 990 Part VII filed by Claxton-Hepburn Medical Center (EIN 15-0559686), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH330211, registered as a disproportionate share hospital. Authorizing official: Richard Duvall, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Claxton hepburn medical center
CCN 33S211, certified 2003, Medicare prospective payment
Claxton hepburn medical center
CCN 33T211, certified 2003, Medicare prospective payment
Claxton hepburn medical center
CCN 33U211, certified 2004, Medicare prospective payment
Source: Worksheet S-2 Part I of Claxton Hepburn Medical Center's latest Medicare cost report (HCRIS).
About Claxton Hepburn Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Claxton Hepburn Medical Center range from $325 to $1,674 across 3 insurers. Cigna's rate is $1,674. The median at nearby comparable hospitals is $109. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Claxton Hepburn Medical Center range from $437 to $4,868 across 4 insurers. Blue Cross Blue Shield's rate is $4,868. The median at nearby comparable hospitals is $1,375. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Claxton Hepburn Medical Center range from $2,048 to $6,771 across 4 insurers. Aetna's rate is $3,926. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Claxton Hepburn Medical Center range from $80 to $334 across 4 insurers. UnitedHealthcare's rate is $80. The median at nearby comparable hospitals is $119. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Claxton Hepburn Medical Center range from $11,381 to $20,131 across 3 insurers. Blue Cross Blue Shield's rate is $20,032. The median at nearby comparable hospitals is $15,642. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Claxton Hepburn Medical Center for fiscal year 2027.
No. Claxton Hepburn Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (37 discharges), simple pneumonia and pleurisy with mcc (29 discharges), heart failure and shock with mcc (20 discharges).
Claxton Hepburn Medical Center's Medicare case mix index is 1.50 for fiscal year 2027, higher than 27% of hospitals paid under the inpatient prospective payment system.
Claxton Hepburn Medical Center reported 3 inpatient discharges and 71 inpatient days from Jan 1, 2025 to Mar 25, 2025.
Claxton Hepburn Medical Center reported $13.4M in net patient revenue on $13.4M of gross charges for Jan 1, 2025 to Mar 25, 2025, an operating margin of 51.3%, and net income of $8.3M.
Claxton Hepburn Medical Center reported $439,202 of unreimbursed and uncompensated care for Jan 1, 2025 to Mar 25, 2025.
Claxton Hepburn Medical Center's 2023 IRS Form 990 lists Richard Duvall as President And Chief Executive Officer.
Insurers' price transparency files list Claxton Hepburn Medical Center under employer identification number 15-0559686 (Claxton Hepburn Medical Center). 55 health plans and networks list 15-0559686 for it.
HRSA's 340B database lists Claxton Hepburn Medical Center (340B ID DSH330211) as no longer participating since 2025.
CMS lists 36 services at Claxton Hepburn Medical Center, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
Claxton Hepburn Medical Center has 78 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Claxton Hepburn Medical Center is located at 214 King Street, Ogdensburg, NY 13669. Its main phone number is (315) 393-3600.
Claxton Hepburn Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 330211.
The National Provider Identifier (NPI) on file for Claxton Hepburn Medical Center is 1891753034.
Claxton Hepburn Medical Center lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
133 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers