80/100
#346 nationally
Kaleida Health
100 High Street, Buffalo, NY 14210 · (716) 859-8620
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Kaleida Health billed $2.72 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 2.7x
- volume-weighted across all its priced work
- Procedures priced
- 177
- inpatient and outpatient combined
- Rank in NY
- #40
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 77% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 74% of U.S. hospitals.
Better than 69% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,053 | $14,441 | $2,861 | -26% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
485 | $6,352 | $3,425 | -75% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
449 | $54,285 | $21,970 | -17% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
355 | $41,463 | $13,688 | -34% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
271 | $6,637 | $2,111 | -49% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
243 | $16,600 | $5,396 | -40% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
240 | $10,042 | $3,641 | -51% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
232 | $2,861 | $710 | -9% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
210 | $34,221 | $14,448 | -21% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
182 | $71,328 | $32,943 | -43% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$99,766 | $22,409 | +25% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
$201,543 | $56,133 | +22% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$45,094 | $14,965 | +11% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$195,947 | $63,724 | +9% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$58,991 | $16,325 | +5% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$70,527 | $18,479 | +4% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$51,713 | $17,852 | +4% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$32,144 | $9,774 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$6,352 | $3,425 | -75% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$17,354 | $11,649 | -74% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
$12,937 | $7,918 | -71% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$38,591 | $24,595 | -71% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$31,405 | $20,498 | -69% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$30,197 | $18,548 | -68% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$12,092 | $6,060 | -65% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$35,744 | $20,608 | -63% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.