Mercy Hospital of Buffalo
MERCY HOSPITAL OF BUFFALO charges 3.0x the Medicare reimbursement rate across 80 analyzed procedures, positioning this Buffalo nonprofit among mid-range pricing tiers for the region.
Buffalo, NY 14220 · 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
3.03x
Charge / Medicare rate
Max markup
6.92x
Worst procedure
Procedures analyzed
80
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $59,687 | $29,844 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $19,728 | $9,864 | — | 6.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $73,662 | $36,831 | — | 4.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $22,979 | $11,490 | — | 4.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $11,560 | $5,780 | — | 4.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $27,427 | $13,714 | — | 4.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $49,594 | $24,797 | — | 4.2x |
| DIABETES WITH MCC | 637 | $37,238 | $18,619 | — | 4.1x |
| DIABETES WITH CC | 638 | $19,476 | $9,738 | — | 4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $11,337 | $5,669 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $22,412 | $11,206 | — | 3.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $15,787 | $7,894 | — | 3.9x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $52,886 | $26,443 | — | 3.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $17,878 | $8,939 | — | 3.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $14,971 | $7,485 | — | 3.6x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $107,537 | $53,769 | — | 3.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $18,783 | $9,392 | — | 3.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $20,405 | $10,202 | — | 3.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $14,110 | $7,055 | — | 3.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $15,009 | $7,504 | — | 3.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $30,294 | $15,147 | — | 3.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $63,921 | $31,961 | — | 3.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $28,030 | $14,015 | — | 3.4x |
| RENAL FAILURE WITH MCC | 682 | $29,611 | $14,806 | — | 3.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $26,175 | $13,088 | — | 3.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $16,300 | $8,150 | — | 3.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $40,726 | $20,363 | — | 3.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $13,193 | $6,597 | — | 3.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $15,685 | $7,843 | — | 3.1x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $19,872 | $9,936 | — | 3.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $19,705 | $9,852 | — | 3.1x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $123,907 | $61,954 | — | 3.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $15,963 | $7,981 | — | 3.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $17,129 | $8,565 | — | 3x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $178,782 | $89,391 | — | 3x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $10,832 | $5,416 | — | 3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $19,026 | $9,513 | — | 3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $85,199 | $42,599 | — | 3x |
| SYNCOPE AND COLLAPSE | 312 | $15,401 | $7,700 | — | 2.9x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $100,345 | $50,173 | — | 2.9x |
| CELLULITIS WITHOUT MCC | 603 | $14,976 | $7,488 | — | 2.8x |
| RENAL FAILURE WITH CC | 683 | $15,438 | $7,719 | — | 2.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $40,609 | $20,305 | — | 2.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $32,075 | $16,037 | — | 2.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $23,129 | $11,564 | — | 2.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $21,127 | $10,564 | — | 2.8x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $12,624 | $6,312 | — | 2.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $13,524 | $6,762 | — | 2.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $35,764 | $17,882 | — | 2.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $32,195 | $16,098 | — | 2.7x |
Showing 50 of 80 procedures
How MERCY HOSPITAL OF BUFFALO 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