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Short Term Acute Care HospitalVoluntary Non-Profit - Church

St James Mercy Hospital

University of Rochester Medical Center · Hornell, NY

411 Canisteo Street, Hornell, NY 14843(607) 324-8000

3 of 5

CMS star rating

15

Beds

990

Inpatient discharges a year

$62.1M

Net patient revenue a year

33

In-network payers

About this hospital

St James Mercy Hospital is a 15-bed voluntary non-profit - church hospital in Hornell, NY, affiliated with University of Rochester Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 201 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
CCN
330151
NPI
1013985399
Health system
University of Rochester Medical Center
Teaching
No Medicare-funded residents
County
Steuben County
Metro area
Corning, NY MicroSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2024

Prices for common services

The 24 services St James Mercy Hospital 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.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,477 - $6,210

from 2 insurers · median $4,843

UnitedHealthcare$6,210
Insurer A*$3,477

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

Urology

Shock-wave treatment of kidney stones

CPT 50590

$2,298 - $10,599

from 3 insurers · median $10,578

Cigna$10,599
Insurer A*$2,298
Insurer B*$10,578
Medicare $4,283Nearby hospitals $7,95233% above nearby hospitals

28 Medicare claims in Level 4 Urology and Related Services (CMS 2024)

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$2,807 - $5,018

from 2 insurers · median $3,913

UnitedHealthcare$2,807
Insurer A*$5,018

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

Urology

Diagnostic examination of the bladder with a scope

CPT 52000

$248 - $2,298

from 4 insurers · median $881

Cigna$248
Insurer A*$562
Insurer B*$1,200
Insurer C*$2,298
Medicare $847Nearby hospitals $1,43839% below nearby hospitals

170 Medicare claims in Level 2 Urology and Related Services (CMS 2024)

How the insurers pay at St James Mercy Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*18
294%
42
Insurer B*17
157%
610
Insurer C*24
121%
08
Insurer D*21
76%
018

How we chose these services: 3 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 7 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 St James Mercy Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

  • Quality

    3 of 5 stars

    • 148 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.61%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 35 services
    • 382 affiliated clinicians
    See doctors and services
  • Finances

    $62.1M net patient revenue

    • Operating margin on patient care 3.9%
    • $3.4M unreimbursed and uncompensated care
    • $4.5M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Wendy Disbrow, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for St James Mercy Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
16-0743310(multi-state) St James Mercy Hospital48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 43 more1013985399 St James Hospital1104893320 St James Mercy Hospital1205803889 St James Mercy Healthand 8 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.

Location

411 Canisteo Street, Hornell, NY 14843

(607) 324-8000

Get directions

Frequently asked questions

About St James Mercy Hospital's rates and hospital price transparency.

How much does an MRI cost at St James Mercy Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at St James Mercy Hospital range from $311 to $1,049 across 4 insurers. Cigna's rate is $1,049. The median at nearby comparable hospitals is $1,032. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at St James Mercy Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St James Mercy Hospital range from $312 to $1,049 across 3 insurers. Aetna's rate is $360. The median at nearby comparable hospitals is $826. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at St James Mercy Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St James Mercy Hospital range from $503 to $2,738 across 4 insurers. Blue Cross Blue Shield's rate is $2,738. The median at nearby comparable hospitals is $2,348. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at St James Mercy Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St James Mercy Hospital range from $3,477 to $6,210 across 2 insurers. UnitedHealthcare's rate is $6,210. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at St James Mercy Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St James Mercy Hospital range from $98 to $134 across 4 insurers. Aetna's rate is $134. The median at nearby comparable hospitals is $231. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is St James Mercy Hospital's CMS star rating?

St James Mercy Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is St James Mercy Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at St James Mercy Hospital for fiscal year 2027.

Does Medicare penalize St James Mercy Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St James Mercy Hospital's base inpatient payments by an estimated 0.61% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at St James Mercy Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (50 discharges), pulmonary edema and respiratory failure (28 discharges), heart failure and shock with mcc (24 discharges).

What is St James Mercy Hospital's case mix index?

St James Mercy Hospital's Medicare case mix index is 1.31 for fiscal year 2027, higher than 11% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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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.

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