Kenmore Mercy Hospital
Kenmore Mercy Hospital in Kenmore, NY charges 2.9x the Medicare reimbursement rate on average across 28 analyzed procedures at this nonprofit-private facility.
Kenmore, NY 14217 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
B
Good
Avg markup vs Medicare
2.89x
Charge / Medicare rate
Max markup
4.92x
Worst procedure
Procedures analyzed
28
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 |
|---|---|---|---|---|---|
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $51,575 | $25,788 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $20,599 | $10,300 | — | 3.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $19,463 | $9,732 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $14,565 | $7,282 | — | 3.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $31,090 | $15,545 | — | 3.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $16,320 | $8,160 | — | 3.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $15,587 | $7,793 | — | 3.2x |
| RENAL FAILURE WITH CC | 683 | $17,291 | $8,646 | — | 3.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $40,006 | $20,003 | — | 3.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $18,172 | $9,086 | — | 3.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $24,420 | $12,210 | — | 2.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $22,592 | $11,296 | — | 2.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $25,546 | $12,773 | — | 2.9x |
| DIABETES WITH CC | 638 | $15,801 | $7,901 | — | 2.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $36,440 | $18,220 | — | 2.8x |
| CELLULITIS WITHOUT MCC | 603 | $14,721 | $7,360 | — | 2.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $12,335 | $6,168 | — | 2.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $22,822 | $11,411 | — | 2.7x |
| DIABETES WITH MCC | 637 | $25,717 | $12,859 | — | 2.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $30,868 | $15,434 | — | 2.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $12,696 | $6,348 | — | 2.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $65,462 | $32,731 | — | 2.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $30,981 | $15,490 | — | 2.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $31,879 | $15,940 | — | 2.3x |
| RENAL FAILURE WITH MCC | 682 | $21,663 | $10,831 | — | 2.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $30,403 | $15,201 | — | 2.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $56,884 | $28,442 | — | 2x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $43,903 | $21,952 | — | 2x |
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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