Sisters of Charity Hospital
Sisters of Charity Hospital in Buffalo, NY charges 2.8x the Medicare reimbursement rate across 19 analyzed procedures, reflecting the pricing structure at this nonprofit facility.
Buffalo, NY 14214 · 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
B
Good
Avg markup vs Medicare
2.78x
Charge / Medicare rate
Max markup
4.16x
Worst procedure
Procedures analyzed
19
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 |
|---|---|---|---|---|---|
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $27,972 | $13,986 | — | 4.2x |
| DIABETES WITH CC | 638 | $20,016 | $10,008 | — | 3.4x |
| RENAL FAILURE WITH MCC | 682 | $36,147 | $18,073 | — | 3.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $54,299 | $27,150 | — | 3.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $16,086 | $8,043 | — | 3.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $15,790 | $7,895 | — | 2.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $20,307 | $10,153 | — | 2.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $12,422 | $6,211 | — | 2.8x |
| RENAL FAILURE WITH CC | 683 | $17,581 | $8,791 | — | 2.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $26,482 | $13,241 | — | 2.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $24,297 | $12,148 | — | 2.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $33,925 | $16,963 | — | 2.7x |
| CELLULITIS WITHOUT MCC | 603 | $14,613 | $7,306 | — | 2.7x |
| CELLULITIS WITH MCC | 602 | $22,519 | $11,260 | — | 2.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $16,639 | $8,319 | — | 2.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $24,366 | $12,183 | — | 2.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $28,220 | $14,110 | — | 2.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $16,422 | $8,211 | — | 2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $16,895 | $8,447 | — | 1.9x |
How SISTERS OF CHARITY HOSPITAL 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