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MERCY HOSPITAL OF BUFFALO

BUFFALO, NY 14220 · Acute Care Hospitals

80 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

80

With CMS pricing data

Avg Charge-to-Medicare Ratio

3.0x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to NY hospitals

Understanding Your Costs

When you receive a bill from MERCY HOSPITAL OF BUFFALO, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MERCY HOSPITAL OF BUFFALO lists chargemaster rates that average 3.0x the corresponding Medicare reimbursement amount across 80 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in NY has a chargemaster-to-Medicare ratio of 3.8x, with ratios across the state ranging from 1.1x to 12.4x. At 3.0x, this facility’s average ratio is below the state median. 124 hospitals in NY report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at MERCY HOSPITAL OF BUFFALO is ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC (DRG 283). The listed chargemaster rate is $59,687, while Medicare reimburses $8,621 for the same procedure — a ratio of 6.9x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

MERCY HOSPITAL OF BUFFALO is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC283$59,687$8,6216.9x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$19,728$2,9966.6x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$73,662$15,3624.8x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$22,979$5,3364.3x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$11,560$2,6924.3x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$27,427$6,5414.2x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$49,594$11,8554.2x
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DIABETES WITH MCC637$37,238$9,1214.1x
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DIABETES WITH CC638$19,476$4,8204.0x
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GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$11,337$2,8254.0x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$22,412$5,7813.9x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$15,787$4,0813.9x
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PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR041$52,886$13,7923.8x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$17,878$4,7583.8x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$14,971$4,1933.6x
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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$107,537$30,4603.5x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$18,783$5,3413.5x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$20,405$5,8873.5x
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$14,110$4,0993.4x
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PULMONARY EMBOLISM WITHOUT MCC176$15,009$4,3823.4x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$30,294$8,8553.4x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$63,921$18,7403.4x
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SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$28,030$8,3223.4x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$26,175$7,8843.3x
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RENAL FAILURE WITH MCC682$29,611$8,9223.3x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$16,300$4,9653.3x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$40,726$12,6873.2x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$13,193$4,1043.2x
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SIMPLE PNEUMONIA AND PLEURISY WITH CC194$15,685$5,0093.1x
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MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC372$19,872$6,3423.1x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$19,705$6,3683.1x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$123,907$40,1463.1x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$15,963$5,1923.1x
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RED BLOOD CELL DISORDERS WITHOUT MCC812$17,129$5,6343.0x
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SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$178,782$58,9233.0x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$19,026$6,3513.0x
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OTHER FACTORS INFLUENCING HEALTH STATUS951$10,832$3,6073.0x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$85,199$28,6833.0x
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SYNCOPE AND COLLAPSE312$15,401$5,3092.9x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$100,345$34,8162.9x
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CELLULITIS WITHOUT MCC603$14,976$5,2962.8x
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RENAL FAILURE WITH CC683$15,438$5,4832.8x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$32,075$11,4092.8x
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OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$40,609$14,4772.8x
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KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$23,129$8,2692.8x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$21,127$7,5342.8x
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FRACTURES OF HIP AND PELVIS WITHOUT MCC536$12,624$4,5322.8x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$13,524$4,8922.8x
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$32,195$11,7382.7x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$35,764$13,0372.7x
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Showing 50 of 80 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across NY hospitals

1.1x
Median: 3.8x
12.4x
3.0x

124 hospitals in NY report pricing data to CMS. This facility's average ratio of 3.0x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About MERCY HOSPITAL OF BUFFALO

How much does MERCY HOSPITAL OF BUFFALO charge compared to Medicare?

According to CMS IPPS data, MERCY HOSPITAL OF BUFFALO's listed chargemaster rates average 3.0x the Medicare reimbursement amount across 80 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at MERCY HOSPITAL OF BUFFALO?

The procedure with the highest chargemaster-to-Medicare ratio at MERCY HOSPITAL OF BUFFALO is ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC (DRG 283), with a listed charge of $59,687 compared to Medicare reimbursement of $8,621 — a ratio of 6.9x. Source: CMS IPPS Provider Summary.

Is MERCY HOSPITAL OF BUFFALO expensive compared to other NY hospitals?

MERCY HOSPITAL OF BUFFALO's average chargemaster-to-Medicare ratio is 3.0x. Ratios vary significantly across NY hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for MERCY HOSPITAL OF BUFFALO come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from MERCY HOSPITAL OF BUFFALO is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does MERCY HOSPITAL OF BUFFALO in BUFFALO, NY accept Medicare?

MERCY HOSPITAL OF BUFFALO is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MERCY HOSPITAL OF BUFFALO directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.