HCPCS Administrative, Miscellaneous and Investigational
Range: A9150 - A9999
Negotiated
Very Low
BCBS
Outpatient
HCPCS Drugs Administered Other than Oral Method
Range: J0120 - J8999
Negotiated
Very Low
BCBS
Outpatient
HCPCS Miscellaneous Medical Services
Range: M0075 - M0301
Negotiated
Very Low
BCBS
Outpatient
HCPCS Outpatient PPS
Range: C1713 - C9899
Negotiated
Very Low
BCBS
Outpatient
HCPCS Procedures / Professional Services
Range: G0008 - G9987
Negotiated
Very Low
Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
The employer identification numbers (EINs) health plans and networks list for Eastern Niagara Hospital 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
16-1137084Eastern Niagara Hospital
30Aetna, Aspirus Health Plan, BCBS, Baylor Scott & White Health Plan, Centene and 25 more
1063400539 Eastern Niagara Hospital Inc1407095532 Lockport Memorial Hospital1023016250 Dr Juan De Rosas Physician Pcand 1 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.
Surgical ICU (Medical Surgical Intensive Care Unit)
Surgery
AnesthesiaInpatient SurgicalOphthalmic SurgeryOR (Operating Room)Orthopedic SurgeryOutpatient SurgeryPostoperative Recovery RoomReconstructive Surgery
Imaging
CT ScanDiagnostic RadiologyMRI (Magnetic Resonance Imaging)Nuclear Medicine
Cancer
Chemotherapy
Women and children
Clinical LaboratoryNeonatal NurseryObstetrics / Child BirthPediatric Care
Behavioral health
Alcohol and/or Drug ServicePsychiatric Care of Children and/or Adolescents
Rehabilitation and therapy
AudiologyCARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation)OT (Occupational Therapy)Outpatient RehabilitationPT (Physical Therapy)Respiratory CareSpeech Pathology
Other services
Dietary CareESWL (Extracorporeal Shockwave Lithotripter)OutpatientPharmacySocial CareUrgent Care Center
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
Size and patient volume
What Eastern Niagara Hospital reported to Medicare in its latest cost report, covering Jan 1, 2023 to Jun 17, 2023.
196
Inpatient discharges
Medicare 19%, Medicaid 3%
2,069
Inpatient days
11% of available bed days used
250
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 816563). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Utilization by payer and unit
Inpatient days and discharges Eastern Niagara Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
Medicare
Medicaid
Other
Total
Inpatient days
256
108
1,705
2,069
Discharges
37
5
154
196
Average length of stay
6.9 days
21.6 days
11.1 days
10.6 days
Average daily census
1.5
0.6
10.1
12.3
221
Medicare Advantage days
41 discharges
1,254
Medicaid managed care days
61 discharges
453
Observation bed days
Beds and days by unit
Unit
Beds
Inpatient days
Medicare days
Occupancy
Adults & pediatrics
109
2,069
256
11%
Source: CMS cost report (HCRIS, Form 2552-10), report 816563, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Income statement
Revenue, expenses and income Eastern Niagara Hospital reported to Medicare for Jan 1, 2023 to Jun 17, 2023. Percentages are of net patient revenue.
Line
Amount
Share
Gross patient revenue (charges)
$34M
371.1%
Inpatient
$4.6M
50.5%
Outpatient
$29.4M
320.7%
Contractual allowances and discounts
-$24.8M
-271.1%
Net patient revenue
$9.2M
100.0%
Operating expenses
-$16.6M
-181.2%
Operating income from patient care
-$7.4M
-81.2%
Other income
$9.4M
103.1%
Investment income
$20,184
0.2%
COVID-19 relief funding
$41,145
0.4%
Other
$9.4M
102.4%
Other expenses
-$1.1M
-11.7%
Net income
$935,398
10.2%
Gross revenue by payer
Line
Amount
Share
Traditional Medicare
$3.1M
9.2%
Medicaid (including managed care)
$9.1M
26.7%
Other payers and self-pay
$21.8M
64.1%
Total charges
$34M
100.0%
Source: CMS cost report (HCRIS, Form 2552-10), report 816563, 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.
Financial ratios
Computed from Eastern Niagara Hospital's latest cost report, which covers 168 days; income and expense figures are scaled to a year.
-81.2%
Operating margin
Operating income from patient care / net patient revenue
5.0%
Total margin
Net income / net patient revenue plus other income
9.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
Adjusted salaries / paid hours (Worksheet S-3 Part II)
30.3%
Return on assets
Net income for a year / total assets
0.36
Current ratio
Current assets / current liabilities
0.32
Quick ratio
Cash, temporary investments and net receivables / current liabilities
28 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
18 days
Days in patient receivables
Net patient receivables / daily net patient revenue
117 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
6.01
Asset turnover
Total revenue for a year / total assets
24.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 816563, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Balance sheet
What Eastern Niagara Hospital owned and owed at the end of its reporting period (Jun 2023), across all fund types: $6.7M in total assets and a -$13.8M fund balance.
Show the balance sheetHide the balance sheet
Line
Amount
Of total assets
Cash and temporary investments
$2.6M
38.2%
Patient receivables, net
$971,513
14.5%
Inventory
$409,749
6.1%
Total current assets
$4M
59.2%
Property and equipment, net of depreciation
$2.1M
31.7%
Investments and other assets
$608,585
9.1%
Total assets
$6.7M
100.0%
Current liabilities
$10.9M
162.5%
Long-term debt
$5.9M
88.2%
Total liabilities
$20.5M
304.9%
Fund balance (net assets)
-$13.8M
-204.9%
Source: CMS cost report (HCRIS, Form 2552-10), report 816563, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Charity care and uncompensated care
Care Eastern Niagara Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$4,939
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$456,615
Bad debt
Patient bills written off as uncollectible, at charges
$2.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2.5M
Total unreimbursed and uncompensated care
15.2% 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 816563, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Financial trend
Eastern Niagara Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
Show 4 yearsHide 4 years
Fiscal year ending
Dec 2019
Dec 2020
Dec 2021
Dec 2022
Net patient revenue
$48.3M
$33.4M
$24M
$24.8M
Operating expenses
$64.9M
$48.9M
$36M
$37.5M
Operating margin
-34.4%
-46.3%
-49.8%
-51.5%
Net income
-$9.7M
-$5.1M
-$1.5M
-$5.1M
Total assets
$19.9M
$15.7M
$14.1M
$11.9M
Discharges
3,308
1,979
962
748
Inpatient days
22,839
14,523
9,536
7,861
Medicare Advantage days
4,754
3,857
1,586
1,191
Beds
121
121
101
109
Employees (FTE)
481
334
262
250
Source: CMS cost report (HCRIS, Form 2552-10), report 816563, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Departments
Each cost center Eastern Niagara Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
Show all 25 departmentsHide all 25 departments
Ancillary and outpatient departments
Department
Salaries
Total cost
Charges
Cost-to-charge
Square feet
Clinic
$1.1M
$2.6M
$2.7M
0.99
143,258
Emergency
$797,535
$2.3M
$6.8M
0.34
123,386
Radiology-diagnostic
$898,476
$2M
$6.2M
0.32
80,494
Laboratory
$431,100
$1.2M
$7.4M
0.17
1,661
Operating room
$45,988
$744,389
$5.5M
0.14
541,224
Observation beds (non-distinct part
$656,288
Drugs charged to patients
$582,276
$766,889
0.76
Electrocardiology
$308,468
$543,962
$902,275
0.60
48,040
Medical supplies charged to patient
$307,051
$378,873
0.81
Impl. dev. charged to patients
$145,000
$174,230
0.83
Physical therapy
$106,114
$74,934
1.42
109,512
Inpatient units
Department
Salaries
Total cost
Charges
Cost-to-charge
Square feet
Adults & pediatrics
$1.6M
$3.7M
$3.2M
1.14
559,489
Overhead (general service) departments
Department
Salaries
Direct cost
Paid hours
Average hourly wage
Square feet
Administrative & general
$1.8M
$2.9M
340,168
Employee benefits department
$69,587
$992,395
17,189
$20.60
2,574
Cap rel costs-mvble equip
$671,407
Dietary - other
$314,104
$442,300
137,210
Maintenance & repairs
$177,061
$403,865
5,992
$28.55
375,522
Nursing administration
$363,402
$358,935
13,610
Medical records & library
$281,688
$322,489
10,740
$24.97
30,704
Pharmacy
$199,914
$277,777
81,935
Cap rel costs-bldg & fixt
$273,780
2,788,839
Housekeeping
$234,537
$248,626
12,794
$17.16
25,529
Operation of plant
$234,040
83,985
Laundry & linen service
$88,556
7,559
Cafeteria
$1
80,622
Source: CMS cost report (HCRIS, Form 2552-10), report 816563, 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.
Programs and facilities
340B drug pricing program
Not participating
340B ID DSH330163, registered as a disproportionate share hospital. Authorizing official: Michael Osborne, Vice President, Finance.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Eastern Niagara Hospital's rates and hospital price transparency.
How many patients does Eastern Niagara Hospital admit?
Eastern Niagara Hospital reported 196 inpatient discharges and 2,069 inpatient days from Jan 1, 2023 to Jun 17, 2023.
How many employees does Eastern Niagara Hospital have?
Eastern Niagara Hospital reported 250 full-time-equivalent employees on payroll from Jan 1, 2023 to Jun 17, 2023.
How much revenue does Eastern Niagara Hospital make?
Eastern Niagara Hospital reported $9.2M in net patient revenue on $34M of gross charges for Jan 1, 2023 to Jun 17, 2023, an operating margin of -81.2%, and net income of $935,398.
How much charity and uncompensated care does Eastern Niagara Hospital provide?
Eastern Niagara Hospital reported $2.5M of unreimbursed and uncompensated care for Jan 1, 2023 to Jun 17, 2023, including $4,939 of charity care at cost.
What is Eastern Niagara Hospital's tax ID (EIN)?
Insurers' price transparency files list Eastern Niagara Hospital under employer identification number 16-1137084 (Eastern Niagara Hospital). 30 health plans and networks list 16-1137084 for it.
Does Eastern Niagara Hospital participate in the 340B drug pricing program?
HRSA's 340B database lists Eastern Niagara Hospital (340B ID DSH330163) as no longer participating since 2022.
What services does Eastern Niagara Hospital offer?
CMS lists 35 services at Eastern Niagara Hospital, including Alcohol and/or Drug Service, Anesthesia, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory.
How many beds does Eastern Niagara Hospital have?
Eastern Niagara Hospital has 109 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Where is Eastern Niagara Hospital and what is its phone number?
Eastern Niagara Hospital is located at 521 East Avenue, Lockport, NY 14094. Its main phone number is (716) 514-5700.
What is Eastern Niagara Hospital's CCN (Medicare provider number)?
Eastern Niagara Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 330163.
What is Eastern Niagara Hospital's NPI number?
The National Provider Identifier (NPI) on file for Eastern Niagara Hospital is 1063400539.
Which insurance plans are in network at Eastern Niagara Hospital?
Eastern Niagara Hospital lists 20 in-network payers, including Aspirus Health Plan, BCBS, Centene, ComPsych, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
What price transparency data is available for Eastern Niagara Hospital?
21 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.
What is a hospital price transparency MRF?
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.
What is a chargemaster review?
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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