UPMC · Jamestown, NY
2 of 5
CMS star rating
287
Beds
4,952
Inpatient discharges a year
$166.9M
Net patient revenue a year
35
In-network payers
Upmc Chautauqua is a 287-bed voluntary non-profit - private hospital in Jamestown, NY, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 168 disclosed rate categories.
The 24 services Upmc Chautauqua 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.
Cardiology and vascular testing
CPT 93306
$328 - $1,454
from 3 insurers · median $1,429
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$180 - $555
from 3 insurers · median $532
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$510 - $597
from 3 insurers · median $597
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$2,898 - $5,849
from 3 insurers · median $5,243
17 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 43239
$1,239 - $2,590
from 3 insurers · median $2,000
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,466 - $5,323
from 2 insurers · median $4,394
24 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,080 - $2,797
from 3 insurers · median $1,855
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,114 - $5,899
from 2 insurers · median $4,507
24 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$428 - $897
from 3 insurers · median $859
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,270 - $2,272
from 3 insurers · median $1,613
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,498 - $13,593
from 2 insurers · median $8,545
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$51 - $166
from 3 insurers · median $150
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$218 - $392
from 3 insurers · median $221
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$305 - $720
from 3 insurers · median $581
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$603 - $1,048
from 3 insurers · median $985
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29826
$1,220 - $30,039
from 2 insurers · median $15,630
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$355 - $734
from 3 insurers · median $733
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$688 - $1,164
from 3 insurers · median $1,052
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,918 - $5,282
from 2 insurers · median $3,600
Typical for a hospital with this service line
MRI imaging
CPT 73721
$359 - $803
from 3 insurers · median $737
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$1,801 - $3,130
from 2 insurers · median $2,465
30 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Ultrasound
CPT 76705
$153 - $195
from 3 insurers · median $192
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$398 - $490
from 3 insurers · median $469
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29848
$2,246 - $3,646
from 2 insurers · median $2,946
36 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
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 | 229% | 24 | 0 |
| Insurer B* | 17 | 215% | 9 | 7 |
| Insurer C* | 24 | 146% | 10 | 11 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 2 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 Upmc Chautauqua, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$166.9M net patient revenue
Ownership and leadership
Owned by Upmc Chautauqua Services, Inc.
The employer identification numbers (EINs) health plans and networks list for Upmc Chautauqua 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 |
|---|---|---|
| 16-0743226(multi-state) Womans Christian Association Hospital | 64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 59 more | 1770573222 Upmc Chautauqua At Wca1063498889 Upmc Chautauqua At Wca1295033298 Upmc Chautauqua At Wcaand 10 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.
207 Foote Avenue, Jamestown, NY 14701
(716) 487-0141
How Upmc Chautauqua compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 9 measures
0 better, 9 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
54%
Lower than 95% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.89
Lower than 76% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
171 min
Higher than 65% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
45%
Lower than 87% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | No different on 6 measures | |
| Readmissions | No different on 9 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 54% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.89 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 171 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 45% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Upmc Chautauqua's inpatient payments for its readmissions, quality and cost results.
-0.10% on Medicare payments
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).
Each result CMS publishes for Upmc Chautauqua, beside the US median and the average of NY hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Upmc Chautauqua | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 3.952 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,383 cases | 4.2 | 3.9 | 3.707 | Worse than 63% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 40 cases | 11.6 | 11.8 | 11.31 | Better than 56% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 1.91 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 40 cases | 9.6 | 8.5 | 8.316 | Worse than 77% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 194 cases | 11.8 | 11 | 10.43 | Worse than 65% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 231 cases | 15.4 | 15.2 | 14.6 | Worse than 53% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 83 cases | 13.7 | 11.6 | 11.03 | Worse than 79% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,692 cases | 0.36 | 0.51 | 0.9123 | No Different Than the National Rate | Better than 72% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 184 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,082 cases | 0.26 | 0.2 | 0.2101 | No Different Than the National Rate | Worse than 85% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,112 cases | 0.3 | 0.27 | 0.2858 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 220 cases | 2.24 | 2.29 | 2.43 | No Different Than the National Rate | Better than 59% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 62 cases | 1.65 | 1.63 | 1.674 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 64 cases | 8.68 | 8.88 | 9.324 | No Different Than the National Rate | Better than 55% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 225 cases | 3.15 | 3.4 | 3.686 | No Different Than the National Rate | Better than 72% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 50 cases | 5.11 | 5.105 | 5.465 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 62 cases | 2.05 | 1.72 | 1.729 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 330 cases | 0.98 | 1.02 | 1.053 | No Different Than the National Rate | Better than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Upmc Chautauqua | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 10.66 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 206 cases | 24.5 | 1.25 | 26.25 | Worse than 79% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 222 cases | -9.7 | 3.85 | 27.98 | Better than 68% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 1,302 cases | 13 | 12.9 | 12.82 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 69 cases | 8.9 | 10.7 | 11.22 | No Different Than the National Rate | Better than 95% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 69 cases | 5.4 | 5.3 | 5.026 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 226 cases | 1 | 1 | 0.9336 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 38 cases | 13.8 | 14.4 | 14.47 | Better than 77% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.69 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 106 cases | 19 | 19.8 | 20.27 | Better than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 365 cases | 23.4 | 21.3 | 21.89 | Worse than 94% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.589 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 363 cases | 16.8 | 17.2 | 17.78 | Better than 68% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Upmc Chautauqua | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.46 | 0.172 | 0.2612 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.921 | 1.504 | 1.692 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,452 | 1,370 | 8,161 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.659 | 0.9835 | 8.553 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 4.683 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.808 | 0.484 | 0.5488 | No Different than National Benchmark | Worse than 96% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.26 | 0.138 | 0.1924 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.787 | 1.392 | 1.442 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 4,088 | 1,799 | 8,098 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.93 | 1.377 | 10.38 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 4.583 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.024 | 0.399 | 0.4307 | No Different than National Benchmark | Worse than 89% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2752 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.411 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 38 | 61 | 149 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.99 | 1.591 | 3.939 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 2 | 1 | 2.941 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.7341 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4218 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.517 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 15 | 38 | 90.43 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.125 | 0.328 | 0.7508 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.708 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.049 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2613 | No Different than National Benchmark | ||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.716 | 1.855 | 1.903 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 22,253 | 14,451 | 80,977 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.103 | 0.567 | 5.587 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.796 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0 | 0.597 | 0.6195 | No Different than National Benchmark | The best result, shared by 18% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.184 | 0.127 | 0.1972 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.944 | 0.747 | 0.8371 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 20,714 | 13,646 | 73,951 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 13.22 | 5.683 | 38.28 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 6 | 2 | 12.57 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.454 | 0.279 | 0.3563 | Better than the National Benchmark | Worse than 72% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Upmc Chautauqua | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 509 cases | 62 | 73 | 68.99 | Worse than 90% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 509 cases | 10 | 8 | 10.19 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 509 cases | 28 | 18 | 20.83 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 509 cases | 84 | 87 | 84.97 | Worse than 71% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 509 cases | 3 | 4 | 3.044 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 509 cases | 76 | 80 | 76.99 | Worse than 72% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 509 cases | 91 | 91 | 89.97 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 509 cases | 4 | 4 | 5.71 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 509 cases | 3 | 3 | 2.889 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 509 cases | 20 | 16 | 17.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 509 cases | 73 | 79 | 76.68 | Worse than 87% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 509 cases | 89 | 91 | 89.46 | Worse than 71% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 509 cases | 5 | 5 | 6.31 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 509 cases | 2 | 3 | 2.674 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 509 cases | 22 | 16 | 17.01 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 509 cases | 55 | 61 | 58.86 | Worse than 83% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 509 cases | 73 | 77 | 74.78 | Worse than 78% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 509 cases | 25 | 19 | 21.9 | Worse than 84% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 509 cases | 2 | 3 | 2.274 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 509 cases | 20 | 19 | 19.23 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 509 cases | 84 | 86 | 83.85 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 509 cases | 16 | 13 | 15.46 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 509 cases | 3 | 3 | 2.896 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 509 cases | 84 | 87 | 84.54 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 509 cases | 15 | 14 | 16.81 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 509 cases | 85 | 86 | 83.19 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 509 cases | 68 | 74 | 71.59 | Worse than 85% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 509 cases | 6 | 7 | 8.014 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 509 cases | 26 | 19 | 20.4 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 509 cases | 70 | 77 | 74.66 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 509 cases | 5 | 6 | 6.893 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 509 cases | 25 | 17 | 18.44 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 509 cases | 81 | 85 | 82.9 | Worse than 80% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 509 cases | 2 | 3 | 4.479 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 509 cases | 17 | 11 | 12.62 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 509 cases | 10 | 8 | 10.63 | Worse than 67% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 509 cases | 30 | 20 | 23.59 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 509 cases | 60 | 72 | 65.78 | Worse than 89% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 509 cases | 86 | 88 | 85.79 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 509 cases | 3 | 3 | 2.815 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 509 cases | 69 | 74 | 72.21 | Worse than 81% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 509 cases | 13 | 9 | 11.03 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 509 cases | 18 | 16 | 16.76 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 509 cases | 73 | 75 | 72.71 | Worse than 60% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 509 cases | 5 | 5 | 7.086 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 509 cases | 22 | 20 | 20.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 509 cases | 73 | 77 | 73.59 | Worse than 70% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 509 cases | 4 | 4 | 6.164 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 509 cases | 23 | 19 | 20.24 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 509 cases | 83 | 86 | 83.55 | Worse than 72% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 509 cases | 2 | 3 | 4 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 509 cases | 15 | 11 | 12.45 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 509 cases | 47 | 59 | 49.08 | Worse than 86% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 509 cases | 15 | 9 | 16.57 | Worse than 79% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 509 cases | 38 | 31 | 34.35 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 509 cases | 77 | 82 | 75.47 | Worse than 76% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 509 cases | 2 | 3 | 2.296 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 509 cases | 6 | 5 | 7.297 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 509 cases | 54 | 71 | 66.23 | Worse than 95% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 509 cases | 82 | 87 | 84.56 | Worse than 85% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 509 cases | 40 | 23 | 26.48 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 509 cases | 2 | 4 | 3.096 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 509 cases | 41 | 47 | 44.58 | Worse than 80% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 509 cases | 38 | 30 | 33.46 | Worse than 87% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 509 cases | 21 | 22 | 21.96 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 509 cases | 3 | 3 | 2.8 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 509 cases | 16 | 12 | 14.29 | Worse than 81% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 509 cases | 84 | 88 | 85.71 | Worse than 81% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Upmc Chautauqua | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 7.9 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.158 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,290 cases | 96 | 79 | 69.3 | Better than 90% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 617 cases | 172 | 154 | 206 | Worse than 62% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 528 cases | 171 | 148 | 200 | Worse than 65% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 64 cases | 184 | 247 | 326 | Better than 75% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 25 cases | 246 | 293 | 350 | Better than 70% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 38,721 cases | 2 | 1 | 2.294 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 18 cases | 39 | 74 | 67.28 | Worse than 93% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 622 cases | 99 | 97 | 92.28 | Better than 63% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 34 cases | 6 | 53 | 46.05 | Worse than 85% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 903 cases | 13 | 15 | 13.94 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 235 cases | 45 | 65 | 58.55 | Worse than 87% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 68 cases | 57 | 73 | 70.43 | Worse than 81% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 27 cases | 85 | 88 | 83.41 | Worse than 60% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 235 cases | 75 | 82 | 77.52 | Worse than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 110 cases | 71 | 94 | 86.12 | Worse than 96% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 45 cases | 100 | 98 | 96.71 | The best result, shared by 14% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 77.25 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 54 cases | 93 | 94 | 92.87 | Worse than 54% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 85.23 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 504 cases | 81 | 97 | 94.43 | Worse than 92% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Upmc Chautauqua | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 10 | 5 | 5.231 | Worse than 87% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 16.3 | 6.6 | 23.75 | Worse than 94% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Upmc Chautauqua | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.96 | 0.99 | 0.9974 | Better than 63% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Upmc Chautauqua | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 48 cases | 64.6 | 60.8 | 64.14 | Better than 62% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 48 cases | 50 | 35.5 | 45.75 | Better than 84% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 8,204 cases | 0.03 | 0.05 | 0.188 | Worse than 57% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 8,204 cases | 0.25 | 0.03 | 0.1882 | Better than 79% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 407 cases | 86 | 87 | 77.76 | Worse than 51% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 106 cases | 84.9 | 78.1 | 83.01 | Better than 81% of US hospitals | |
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 124 cases | 19.6 | 19.1 | 18.47 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 514 cases | 29 | 92 | 85.51 | Worse than 94% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 95 cases | 0 | 74 | 63.27 | The worst result, shared by 6% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 69 cases | 0 | 81 | 73.44 | The worst result, shared by 3% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 142 cases | 32 | 77 | 73.79 | Worse than 87% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 142 cases | 32 | 56 | 60.31 | Worse than 74% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 201 cases | 0 | 64 | 51.16 | The worst result, shared by 8% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 201 cases | 0 | 4 | 20.6 | The worst result, shared by 31% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 839 cases | 0 | 77 | 70.93 | The worst result, shared by 12% of US hospitals |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Upmc Chautauqua | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.9836 | 0.9995 | 1.001 | Better than 62% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9565 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.023 | 0.9969 | 1.014 | Worse than 72% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 209 cases | 0.984 | 0.9983 | 1.015 | Better than 61% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9601 | 0.9916 | 0.9473 | Better than 60% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 214 cases | 1.023 | 0.9955 | 1.019 | Worse than 67% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9524 | N/A | 0.9223 | 0.947 | 0.9509 | 0.9836 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.053 | 1.024 | 0.9951 | 1.018 | 1.045 | 1.023 |
| READM-30-HF-HRRP | 0.9638 | 0.9819 | 1.011 | 0.9147 | 0.9575 | 0.984 |
| READM-30-HIP-KNEE-HRRP | 1.006 | 0.9932 | 0.977 | 0.9169 | 0.942 | 0.9601 |
| READM-30-PN-HRRP | 1.032 | 1.068 | 1.01 | 1.003 | 1.013 | 1.023 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Upmc Chautauqua | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.745 | 0.489 | 0.5606 | Worse than 74% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 1.079 | 0.346 | 0.4123 | Worse than 97% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.632 | 0.559 | 0.6757 | Worse than 96% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.58 | 0.6405 | 0.8339 | Better than 56% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8891 | 0.9628 | 1.099 | Better than 76% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.681 | 0.7945 | 0.793 | Better than 58% of US hospitals | |
| Total HAC scoreFY 2026 | 0.6136 | -0.0453 | 0.1475 | Worse than 84% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | No | No | Yes |
| Total HAC score | 0.2911 | 0.3192 | 0 | 0.3443 | 0.3203 | 0.6136 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2015)
Accreditation
Major
Medical school affiliation
Private (not for profit)
Ownership type
95
Medicare-certified beds
211
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Upmc Chautauqua reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
4,952
Inpatient discharges
Medicare 23%, Medicaid 2%
27,164
Inpatient days
29% of available bed days used
743
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839002). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Upmc Chautauqua reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 5,925 | 1,077 | 20,162 | 27,164 |
| Discharges | 1,140 | 117 | 3,695 | 4,952 |
| Average length of stay | 5.2 days | 9.2 days | 5.5 days | 5.5 days |
| Average daily census | 16.2 | 3.0 | 55.2 | 74.4 |
7,570
Medicare Advantage days
1,342 discharges
6,326
Medicaid managed care days
1,392 discharges
1,384
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 234 | 25,078 | 5,524 | 29% |
| Intensive care unit | 23 | 982 | 401 | 12% |
| Nursery | 1,104 | |||
| Subprovider - ipf | 30 | 9,455 | 663 | 86% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839002, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Upmc Chautauqua treats Medicare patients for most often, in 2024. 571 Medicare discharges in 21 published DRGs; 0% surgical; 79% 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 | 144 | $23,078 | $14,617 | $10,385 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 66 | $18,401 | $9,508 | $8,281 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 39 | $25,357 | $12,741 | $11,410 | 1.70 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 28 | $19,282 | $10,275 | $8,677 | 1.59 |
| Renal failure with CCMS-DRG 683, medical | 25 | $11,070 | $6,390 | $4,982 | 0.90 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $15,102 | $5,024 | $6,796 | 0.74 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 23 | $10,484 | $5,393 | $4,718 | 0.79 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $17,427 | $9,963 | $7,842 | 1.50 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $14,782 | $9,237 | $6,652 | 1.33 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 19 | $12,761 | $7,028 | $5,742 | 1.03 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $25,814 | $8,620 | $11,616 | 1.23 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 18 | $13,479 | $7,148 | $6,066 | 0.98 |
| Cellulitis without MCCMS-DRG 603, medical | 17 | $9,727 | $5,868 | $4,377 | 0.88 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $9,300 | $5,916 | $4,185 | 0.81 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $13,669 | $5,650 | $6,151 | 0.80 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $18,531 | $12,385 | $8,339 | 1.65 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 13 | $11,798 | $5,780 | $5,309 | 0.82 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 13 | $10,162 | $4,819 | $4,573 | 0.78 |
| Syncope and collapseMS-DRG 312, medical | 12 | $12,400 | $6,396 | $5,580 | 0.86 |
| Diabetes with CCMS-DRG 638, medical | 12 | $9,515 | $6,309 | $4,282 | 0.90 |
See all 21 Medicare inpatient DRGs at Upmc Chautauqua
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) Upmc Chautauqua billed Medicare for most in 2024: 601 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Urology and Related ServicesAPC 5375 | 92 | 89 | $17,733 | $4,327 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 70 | 66 | $5,987 | $1,315 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 55 | 54 | $7,160 | $2,228 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 48 | 39 | $7,564 | $1,718 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 42 | 40 | $13,249 | $2,944 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 39 | 34 | $7,867 | $2,693 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 38 | 32 | $43,065 | $12,297 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 37 | 37 | $9,371 | $2,483 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 36 | 34 | $5,289 | $1,239 | $1,196 |
| Level 1 Nerve ProceduresAPC 5431 | 30 | 24 | $5,880 | $1,627 | $1,407 |
See all 16 Medicare outpatient services at Upmc Chautauqua
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.
ZIP codes with the most Medicare inpatient stays at Upmc Chautauqua in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,003 in 2020 to 2,364 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 14701 | 1,263 | 53% | 6,970 | $29.3M | 60% | 61% |
| 14750 | 147 | 6% | 709 | $3.3M | 63% | 62% |
| 14738 | 127 | 5% | 739 | $3.3M | 70% | 62% |
| 14733 | 109 | 5% | 502 | $2.3M | 65% | 72% |
| 14710 | 80 | 3% | 378 | $1.7M | 54% | 56% |
| 14772 | 66 | 3% | 366 | $1.7M | 51% | 60% |
| 14712 | 60 | 3% | 269 | $1.1M | 48% | 51% |
| 14747 | 58 | 2% | 225 | $1.1M | 62% | 57% |
| 14782 | 55 | 2% | 241 | $1.2M | 69% | 49% |
| 14757 | 46 | 2% | 357 | $1.1M | 31% | 36% |
| 14740 | 41 | 2% | 207 | $843,706 | 76% | 64% |
| 16345 | 30 | 1% | 105 | $467,847 | 17% | |
| 14767 | 27 | 1% | 113 | $481,883 | 63% | 100% |
| 16350 | 24 | 1% | 93 | $402,040 | 21% | |
| 14781 | 22 | 1% | 142 | $525,990 | 27% | 18% |
| 16365 | 22 | 1% | 108 | $514,881 | 2% | |
| 14779 | 21 | 1% | 142 | $510,819 | 7% | |
| 14048 | 20 | 1% | 159 | $741,712 | 3% | 4% |
| 14755 | 19 | 1% | 103 | $411,264 | 20% | 14% |
| 14063 | 18 | 1% | 113 | $415,611 | 4% | 4% |
| 14787 | 17 | 1% | 133 | $321,348 | 8% | 6% |
| 14702 | 16 | 1% | 96 | $278,460 | 100% | 100% |
| 14720 | 15 | 1% | 78 | $440,248 | 54% | 67% |
| 14138 | 14 | 1% | 54 | $266,490 | 30% | |
| 14723 | 13 | 1% | 78 | $330,141 | 100% |
Source: CMS Hospital Service Area file. Shares are of the 2,364 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Upmc Chautauqua reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
6
Operating rooms
1
Endoscopy rooms
1
Cardiac catheterization rooms
30
Psychiatric unit beds
10
Rehabilitation unit beds
6
Off-site locations
211
Registered nurses
18
Licensed practical nurses
3
Physicians
1
Nurse practitioners
1
Physician assistants
9
Pharmacists
6
Respiratory therapists
6
Physical therapists
2
Occupational therapists
4
Speech pathologists and audiologists
16
Radiology technicians
1
Nuclear medicine technicians
1
Laboratory technicians
22
Medical technologists
3
Dietitians
7
Social workers
431
Other personnel
Source: CMS Provider of Services file.
395 clinicians who bill Medicare list Upmc Chautauqua as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Bela Ajtai, MD, PHD
Neurology Physician
NPI 1316155500
See commercial rates for Bela Ajtai, MD, PHDKathe Bryson, M.D.
Rheumatology Physician
NPI 1043206303
See commercial rates for Kathe Bryson, M.D.Leeza Patel, MD
Rheumatology Physician
NPI 1881034841
See commercial rates for Leeza Patel, MDSebastian Wilk, MD
Rheumatology Physician
NPI 1619389475
See commercial rates for Sebastian Wilk, MDJairus Ibabao, MD
Hematology & Oncology Physician
NPI 1568465458
See commercial rates for Jairus Ibabao, MDBennett Myers, M.D.
Neurology Physician
NPI 1437211414
See commercial rates for Bennett Myers, M.D.Mark Schulte, M.D.
Rheumatology Physician
NPI 1093973471
See commercial rates for Mark Schulte, M.D.Robert Haverly, M.D.
Ophthalmology Physician
NPI 1821080722
See commercial rates for Robert Haverly, M.D.Ryan White, MD
Urology Physician
NPI 1912932799
See commercial rates for Ryan White, MDEric Arnone, M.D.
Urology Physician
NPI 1447578943
See commercial rates for Eric Arnone, M.D.Mohamed Kourtu, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1659360931
See commercial rates for Mohamed Kourtu, M.D.Anthony Bartholomew, MD
Internal Medicine Physician
NPI 1992771935
See commercial rates for Anthony Bartholomew, MDMichael Weingarten, M.D.
Rheumatology Physician
NPI 1750590253
See commercial rates for Michael Weingarten, M.D.Chelsea Lanphere, PA-C
Physician Assistant
NPI 1417403452
See commercial rates for Chelsea Lanphere, PA-CBenjamin Luong, M.D.
Urology Physician
NPI 1336439744
See commercial rates for Benjamin Luong, M.D.Karen Bellini, DO
Neurology Physician
NPI 1114288198
See commercial rates for Karen Bellini, DOK Chevli, M.D.
Urology Physician
NPI 1215934781
See commercial rates for K Chevli, M.D.Raman Sood, M.D.
Medical Oncology Physician
NPI 1740272459
See commercial rates for Raman Sood, M.D.Jessica Currie
Family Nurse Practitioner
NPI 1063978153
See commercial rates for Jessica CurrieJohn Susz, DPM
Podiatrist
NPI 1790736734
See commercial rates for John Susz, DPMJoseph Greco, M.D.
Urology Physician
NPI 1487650016
See commercial rates for Joseph Greco, M.D.Luisa Rojas, M.D
Neuromuscular Medicine (Psychiatry & Neurology) Physician
NPI 1326247594
See commercial rates for Luisa Rojas, M.DKevin Taylor, M.D.
Diagnostic Radiology Physician
NPI 1396122149
See commercial rates for Kevin Taylor, M.D.Dana Jackson, MD
Diagnostic Radiology Physician
NPI 1780825984
See commercial rates for Dana Jackson, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Upmc Chautauqua reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $450.4M | 270.0% |
| Inpatient | $128.5M | 77.0% |
| Outpatient | $321.9M | 192.9% |
| Contractual allowances and discounts | -$283.6M | -170.0% |
| Net patient revenue | $166.9M | 100.0% |
| Operating expenses | -$170.6M | -102.2% |
| Operating income from patient care | -$3.7M | -2.2% |
| Other income | $13.3M | 8.0% |
| Contributions and donations | $712,879 | 0.4% |
| Government appropriations | $2.6M | 1.5% |
| COVID-19 relief funding | -$193,765 | -0.1% |
| Other | $10.2M | 6.1% |
| Net income | $9.6M | 5.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $74.4M | 16.5% |
| Medicaid (including managed care) | $99.1M | 22.0% |
| Other payers and self-pay | $277M | 61.5% |
| Total charges | $450.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839002, as submitted. 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 Upmc Chautauqua's latest cost report.
-2.2%
Operating margin
Operating income from patient care / net patient revenue
5.3%
Total margin
Net income / net patient revenue plus other income
10.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
43% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$34.84
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.8%
Return on assets
Net income for a year / total assets
8.6%
Return on equity
Net income for a year / fund balance
0.01
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.75
Current ratio
Current assets / current liabilities
1.20
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
77 days
Days in patient receivables
Net patient receivables / daily net patient revenue
66 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.27
Asset turnover
Total revenue for a year / total assets
4.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839002, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Upmc Chautauqua owned and owed at the end of its reporting period (Dec 2025), across all fund types: $141.3M in total assets and a $111.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $96,040 | 0.1% |
| Patient receivables, net | $35.1M | 24.8% |
| Inventory | $1.1M | 0.8% |
| Total current assets | $21.9M | 15.5% |
| Property and equipment, net of depreciation | $80.9M | 57.2% |
| Investments and other assets | $38.5M | 27.3% |
| Total assets | $141.3M | 100.0% |
| Current liabilities | $29.2M | 20.7% |
| Long-term debt | $832,857 | 0.6% |
| Total liabilities | $30M | 21.3% |
| Fund balance (net assets) | $111.3M | 78.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839002, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Upmc Chautauqua provided without full payment, as reported on Worksheet S-10 of its cost report.
$2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4.2M
Bad debt
Patient bills written off as uncollectible, at charges
-$1.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$8,253
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$3.3M
Total unreimbursed and uncompensated care
2.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$63,000
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 839002, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Upmc Chautauqua's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $93.3M | $102.6M | $126.8M | $149.3M | $163.5M | $166.9M |
| Operating expenses | $124.2M | $131.7M | $148.9M | $152.6M | $162.3M | $170.6M |
| Operating margin | -33.2% | -28.4% | -17.4% | -2.2% | 0.8% | -2.2% |
| Net income | -$10.8M | -$13.3M | $6M | $13.8M | $14.1M | $9.6M |
| Total assets | $84.9M | $106.7M | $113.7M | $106.3M | $120.4M | $141.3M |
| Discharges | 4,428 | 4,441 | 4,345 | 4,347 | 4,620 | 4,952 |
| Inpatient days | 22,650 | 26,974 | 25,368 | 24,671 | 23,662 | 27,164 |
| Medicare Advantage days | 4,470 | 6,995 | 6,891 | 6,665 | 7,636 | 7,570 |
| Beds | 187 | 297 | 287 | 287 | 287 | 287 |
| Employees (FTE) | 655 | 650 | 657 | 711 | 747 | 743 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839002, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Upmc Chautauqua 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 | $17.1M | $112.4M | 0.15 | ||
| Laboratory | $4.2M | $14.3M | $51.4M | 0.28 | 15,248 |
| Radiology-diagnostic | $4.6M | $12.4M | $56.7M | 0.22 | 17,019 |
| Emergency | $4.9M | $10.1M | $31.5M | 0.32 | 21,352 |
| Medical supplies charged to patient | $6.9M | $16.3M | 0.42 | ||
| Operating room | $2.2M | $6.9M | $46.6M | 0.15 | 16,976 |
| Impl. dev. charged to patients | $4.5M | $10.9M | 0.41 | ||
| Delivery room & labor room | $3.3M | $4.4M | 0.75 | 5,079 | |
| All other oasas programs-o/p | $1.2M | $2.8M | $3.6M | 0.78 | 10,750 |
| Endoscopy | $860,023 | $2.7M | $9.8M | 0.28 | 6,630 |
| Physical therapy | $1.2M | $2.4M | $2.5M | 0.98 | 7,825 |
| Asc (non-distinct part) | $1.1M | $2.3M | $5.6M | 0.40 | 6,092 |
| Respiratory therapy | $743,086 | $2M | $8.9M | 0.23 | 3,059 |
| Mental health clinic | $975,447 | $2M | $3.7M | 0.54 | 8,310 |
| Cancer treatment services | $1.6M | $2M | $648,887 | 3.08 | 7,113 |
| Electrocardiology | $857,005 | $1.9M | $16.3M | 0.12 | 3,367 |
| Mri | $620,366 | $1.6M | $7.4M | 0.22 | 2,000 |
| Oasas visit services | $611,054 | $1.5M | $1.7M | 0.88 | 8,065 |
| Observation beds (non-distinct part | $1.3M | $1M | 1.25 | ||
| Speech pathology | $539,787 | $1.1M | $1M | 1.06 | 2,702 |
| Blood storing processing & trans. | $910,144 | $1M | 0.89 | 400 | |
| Cardiac catheterization | $259,652 | $773,305 | $3.8M | 0.21 | 2,901 |
| Wound care | $238,732 | $682,373 | $258,754 | 2.64 | 2,996 |
| Renal dialysis | $266,040 | $574,630 | $625,526 | 0.92 | |
| Anesthesiology | $41,957 | $221,206 | $2.7M | 0.08 | 448 |
| Diabetes | $44,193 | $144,480 | $93,752 | 1.54 | 664 |
| Electroencephalography | $52,698 | $104,080 | $513,612 | 0.20 | 110 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $11.2M | $24.2M | $29M | 0.83 | 54,207 |
| Subprovider - ipf | $3.5M | $8.9M | $14M | 0.64 | 22,595 |
| Intensive care unit | $1.7M | $3.9M | $5.4M | 0.73 | 12,128 |
| Nursery | $328,028 | $656,774 | 0.50 | 640 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3M | $18.4M | 58,248 | $50.42 | 73,705 |
| Employee benefits department | $270,278 | $12.9M | 5,088 | $53.12 | 10,886 |
| Maintenance & repairs | $1.2M | $4.7M | 37,980 | $32.25 | 176,380 |
| Cap rel costs-mvble equip | $4.2M | ||||
| Cap rel costs-bldg & fixt | $4.1M | 552,548 | |||
| Operation of plant | $724,675 | $2.7M | 33,557 | $21.60 | 551 |
| Housekeeping | $2M | $2.4M | 92,822 | $21.07 | 1,360 |
| Dietary - other | $1.3M | $2.3M | 5,469 | ||
| Nursing administration | $1.6M | $2.2M | 1,174 | ||
| Pharmacy | $1.8M | $1.9M | 2,845 | ||
| Social service | $771,217 | $834,556 | 23,635 | $32.63 | 1,867 |
| Central service & supply | $463,478 | $832,688 | 1,491 | ||
| Laundry & linen service | $748,841 | 2,518 | |||
| Paramed education-radiology | $158,509 | $332,394 | 1,013 | ||
| Paramed ed prgm-lab | $149,486 | $149,796 | 542 | ||
| Medical records & library | $87,306 | $120,296 | 3,855 | $22.65 | 3,031 |
| Cafeteria | $182,336 | -$68,298 | 8,971 | $20.33 | 3,526 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839002, as submitted. 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 Upmc Chautauqua for an inpatient stay.
1.43
Case mix index
Higher than 20% 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).
40.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,117
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 | 1.36 | 1.36 | 1.51 | 1.53 | 1.50 | 1.44 | 1.43 |
| Wage index | 0.873 | 0.859 | 0.852 | 1.218 | 1.306 | 1.370 | 1.427 |
| Readmissions adjustment | -1.10% | -0.39% | -0.54% | -0.03% | -0.03% | -0.12% | -0.10% |
| Value-based purchasing adjustment | -0.91% | -0.36% | -0.36% | -0.34% | -0.79% | -0.65% | 0.00% |
| Medicare inpatient stays | 1,674 | 1,674 | 1,242 | 1,148 | 1,096 | 1,088 | 1,117 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Upmc Chautauqua reports to Medicare as owners or with operational control.
Upmc Chautauqua Services, Inc.
5% or greater direct ownership interest, 100%, since 2016
Sources: CMS Hospital All Owners.
The officers and board members on Upmc Chautauqua's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 14 of 16 are shown.
Upmc Chautauqua At Wca files the Form 990 for the tax ID insurers list for Upmc Chautauqua, so these people may lead the wider organization rather than Upmc Chautauqua alone.
| Name | Title |
|---|---|
| David Gibbons | Board Member/vice Chair |
| Brian Durniok | President/coo (to Sept 2025) |
| Bradley Dinger | Board Member/treasurer/cfo |
| Cecil M Miller III | Secretary/vp Of Operations |
| Kimberly Fish | Assistant Secretary |
| William Geary Mdphd | Board Member/chair |
Board members: James Donnelly, Lynn Rupp, Steven Kilburn, Brenda Ireland, Richard E Turner III, Cristie Herbst, Mark Raimy, Michael Sullivan To 91624.
Source: IRS Form 990 Part VII filed by Upmc Chautauqua At Wca (EIN 16-0743226), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2019
340B ID DSH330239, registered as a disproportionate share hospital; 1 registered outpatient sites; 12 active contract pharmacies. Authorizing official: Brad N Dinger, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Wca Hospital
FAA location ID 4NK0, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Psychiatric
CCN 33S239, certified 1989, Medicare prospective payment
Source: Worksheet S-2 Part I of Upmc Chautauqua's latest Medicare cost report (HCRIS).
About Upmc Chautauqua's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Chautauqua range from $603 to $1,048 across 3 insurers. UnitedHealthcare's rate is $1,048. The median at nearby comparable hospitals is $571. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Upmc Chautauqua range from $180 to $555 across 3 insurers. Aetna's rate is $555. The median at nearby comparable hospitals is $173. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Upmc Chautauqua range from $1,080 to $2,797 across 3 insurers. Blue Cross Blue Shield's rate is $1,855. The median at nearby comparable hospitals is $1,270. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Chautauqua range from $218 to $392 across 3 insurers. UnitedHealthcare's rate is $221. The median at nearby comparable hospitals is $120. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Chautauqua has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Upmc Chautauqua for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Upmc Chautauqua's base inpatient payments by an estimated 0.10% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (144 discharges), heart failure and shock with mcc (66 discharges), respiratory infections and inflammations with mcc (39 discharges).
Upmc Chautauqua's Medicare case mix index is 1.43 for fiscal year 2027, higher than 20% of hospitals paid under the inpatient prospective payment system.
Upmc Chautauqua reported 4,952 inpatient discharges and 27,164 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Upmc Chautauqua reported 743 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Upmc Chautauqua reported $166.9M in net patient revenue on $450.4M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -2.2%, and net income of $9.6M.
Upmc Chautauqua reported $3.3M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $2M of charity care at cost.
Upmc Chautauqua's Medicare enrollment lists Tracy Gates as President since 2025.
Insurers' price transparency files list Upmc Chautauqua under employer identification number 16-0743226 ((multi-state) Womans Christian Association Hospital). 64 health plans and networks list 16-0743226 for it.
Yes. HRSA's 340B database lists Upmc Chautauqua (340B ID DSH330239) as a participating disproportionate share hospital since 2019, with 12 active contract pharmacies.
395 clinicians who bill Medicare list Upmc Chautauqua as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (41), internal medicine physician (39), physician assistant (28).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Upmc Chautauqua, effective 2015.
In its Medicare enrollment, Upmc Chautauqua reports Upmc Chautauqua Services, Inc. as 5% or greater direct ownership interest (100%).
CMS lists 26 services at Upmc Chautauqua, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Upmc Chautauqua came from ZIP codes 14701 (1,263), 14750 (147), 14738 (127).
Upmc Chautauqua has 287 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 95 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Upmc Chautauqua is located at 207 Foote Avenue, Jamestown, NY 14701. Its main phone number is (716) 487-0141.
Upmc Chautauqua's CMS Certification Number (CCN), also called its Medicare provider number, is 330239.
The National Provider Identifier (NPI) on file for Upmc Chautauqua is 1770573222.
Upmc Chautauqua is affiliated with UPMC.
Upmc Chautauqua lists 35 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.
168 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.
For hospital finance and compliance teams
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.
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