Kaleida Health
KALEIDA HEALTH in Buffalo, NY charges 3.5x the Medicare reimbursement rate across 148 analyzed procedures, reflecting the pricing patterns typical of nonprofit-private hospital systems.
Buffalo, NY 14210 · Acute Care Hospitals · CMS Rating: 3/5
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
3.46x
Charge / Medicare rate
Max markup
6.11x
Worst procedure
Procedures analyzed
148
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $30,120 | $15,060 | — | 6.1x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $97,019 | $48,509 | — | 5.3x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $217,544 | $108,772 | — | 5.1x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $26,612 | $13,306 | — | 5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $64,140 | $32,070 | — | 5x |
| SEIZURES WITH MCC | 100 | $90,846 | $45,423 | — | 5x |
| DIABETES WITH MCC | 637 | $63,234 | $31,617 | — | 5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $30,811 | $15,406 | — | 4.9x |
| DIABETES WITH CC | 638 | $31,127 | $15,564 | — | 4.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $154,191 | $77,095 | — | 4.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $93,295 | $46,648 | — | 4.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $64,837 | $32,419 | — | 4.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $16,990 | $8,495 | — | 4.5x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $66,559 | $33,280 | — | 4.5x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $63,610 | $31,805 | — | 4.5x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $173,187 | $86,593 | — | 4.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,526 | $17,263 | — | 4.4x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $78,371 | $39,185 | — | 4.4x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $104,220 | $52,110 | — | 4.3x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $173,406 | $86,703 | — | 4.3x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $178,767 | $89,383 | — | 4.3x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT | 216 | $312,404 | $156,202 | — | 4.3x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $104,774 | $52,387 | — | 4.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $30,778 | $15,389 | — | 4.2x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $50,042 | $25,021 | — | 4.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $33,440 | $16,720 | — | 4.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $96,547 | $48,273 | — | 4.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $66,160 | $33,080 | — | 4.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,684 | $11,842 | — | 4.1x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $209,725 | $104,863 | — | 4.1x |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $30,514 | $15,257 | — | 4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $64,338 | $32,169 | — | 4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $28,409 | $14,204 | — | 4x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $49,911 | $24,956 | — | 4x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $34,956 | $17,478 | — | 4x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $39,885 | $19,942 | — | 4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $22,084 | $11,042 | — | 4x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $55,776 | $27,888 | — | 4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $30,269 | $15,135 | — | 3.9x |
| SYNCOPE AND COLLAPSE | 312 | $25,394 | $12,697 | — | 3.9x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $22,645 | $11,322 | — | 3.9x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $91,739 | $45,870 | — | 3.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $37,514 | $18,757 | — | 3.9x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $32,117 | $16,059 | — | 3.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $108,216 | $54,108 | — | 3.8x |
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $638,338 | $319,169 | — | 3.8x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $51,632 | $25,816 | — | 3.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $48,900 | $24,450 | — | 3.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $25,049 | $12,525 | — | 3.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $36,074 | $18,037 | — | 3.7x |
Showing 50 of 148 procedures
How KALEIDA HEALTH 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