Healthcare Pricing Data: BUFFALO, NY
4 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
4
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
3.2x
Across all procedures
vs National Average
-42%
Chargemaster rates
About This Data
BUFFALO, NY has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 3.2x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in BUFFALO is OTHER VASCULAR PROCEDURES WITH MCC (DRG 252), with an average chargemaster rate of $96,736 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $50,710 | 4 | 3.2x |
| RENAL FAILURE WITH MCC | 682 | $42,372 | 4 | 3.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $38,084 | 4 | 3.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $37,008 | 4 | 2.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $32,443 | 4 | 3.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $31,189 | 4 | 3.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $29,518 | 4 | 4.0x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $27,778 | 4 | 2.9x |
| DIABETES WITH CC | 638 | $26,661 | 4 | 4.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $26,139 | 4 | 2.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $25,742 | 4 | 3.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $24,031 | 4 | 2.9x |
| RENAL FAILURE WITH CC | 683 | $22,912 | 4 | 3.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $20,736 | 4 | 3.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $19,604 | 4 | 3.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $18,321 | 4 | 3.5x |
| CELLULITIS WITHOUT MCC | 603 | $17,868 | 4 | 2.9x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $96,736 | 3 | 2.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $73,910 | 3 | 3.4x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $73,759 | 3 | 2.0x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $71,752 | 3 | 2.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $63,093 | 3 | 3.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $57,639 | 3 | 2.3x |
| DIABETES WITH MCC | 637 | $50,686 | 3 | 4.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $47,010 | 3 | 2.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $43,180 | 3 | 2.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $39,131 | 3 | 3.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $34,216 | 3 | 2.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $33,025 | 3 | 3.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $27,952 | 3 | 4.1x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in BUFFALO With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error