Erie County Medical Center
Erie County Medical Center in Buffalo, NY charges 3.9x the Medicare reimbursement rate across 57 analyzed procedures, reflecting this nonprofit hospital's pricing structure.
Buffalo, NY 14215 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.9x
Charge / Medicare rate
Max markup
9.25x
Worst procedure
Procedures analyzed
57
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $216,618 | $108,309 | — | 9.3x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $258,075 | $129,037 | — | 7x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $60,802 | $30,401 | — | 5.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $42,535 | $21,267 | — | 5.9x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $113,507 | $56,754 | — | 5.4x |
| DIABETES WITH CC | 638 | $36,024 | $18,012 | — | 5.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $37,456 | $18,728 | — | 5.3x |
| RENAL FAILURE WITH CC | 683 | $37,887 | $18,944 | — | 5.3x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $32,311 | $16,156 | — | 5.2x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | 918 | $33,318 | $16,659 | — | 5.1x |
| DIABETES WITH MCC | 637 | $51,585 | $25,793 | — | 4.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $31,605 | $15,803 | — | 4.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $34,239 | $17,120 | — | 4.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $29,758 | $14,879 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $53,386 | $26,693 | — | 4.4x |
| PNEUMOTHORAX WITH CC | 200 | $38,513 | $19,257 | — | 4.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $29,896 | $14,948 | — | 4.3x |
| RENAL FAILURE WITH MCC | 682 | $64,140 | $32,070 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $36,059 | $18,029 | — | 4.3x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $36,550 | $18,275 | — | 4.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,819 | $13,409 | — | 4.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $53,384 | $26,692 | — | 4.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,317 | $14,658 | — | 4.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $43,225 | $21,613 | — | 4.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $33,848 | $16,924 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $41,091 | $20,546 | — | 4.1x |
| SYNCOPE AND COLLAPSE | 312 | $30,953 | $15,476 | — | 4.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $30,879 | $15,439 | — | 4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $94,066 | $47,033 | — | 4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,156 | $20,578 | — | 4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $43,747 | $21,874 | — | 3.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $23,947 | $11,973 | — | 3.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $41,550 | $20,775 | — | 3.7x |
| CELLULITIS WITHOUT MCC | 603 | $25,108 | $12,554 | — | 3.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $32,404 | $16,202 | — | 3.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $58,689 | $29,344 | — | 3.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $27,839 | $13,919 | — | 3.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $36,202 | $18,101 | — | 3.3x |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | 239 | $119,582 | $59,791 | — | 3.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $74,395 | $37,198 | — | 3.2x |
| SEIZURES WITHOUT MCC | 101 | $25,399 | $12,700 | — | 3.2x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $131,404 | $65,702 | — | 3.2x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $41,130 | $20,565 | — | 3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $52,308 | $26,154 | — | 3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $37,746 | $18,873 | — | 3x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $20,625 | $10,312 | — | 2.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $50,893 | $25,447 | — | 2.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $36,795 | $18,397 | — | 2.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $46,710 | $23,355 | — | 2.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $43,594 | $21,797 | — | 2.5x |
Showing 50 of 57 procedures
How ERIE COUNTY MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use