90/100
#87 nationally
Kenmore Mercy Hospital
2950 Elmwood Avenue, Kenmore, NY 14217 · (716) 447-6100
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Kenmore Mercy Hospital billed $2.29 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
- 2.3x
- volume-weighted across all its priced work
- Procedures priced
- 37
- inpatient and outpatient combined
- Rank in NY
- #18
- 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 86% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 91% of U.S. hospitals.
Better than 95% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
283 | $31,207 | $13,503 | -50% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
168 | $7,925 | $2,888 | -59% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
100 | $44,460 | $18,755 | -32% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
68 | $41,472 | $18,917 | -50% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
58 | $25,733 | $10,840 | -41% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
49 | $18,823 | $5,919 | -46% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
43 | $18,782 | $7,166 | -53% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
33 | $22,197 | $12,134 | -52% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
30 | $27,972 | $14,591 | -49% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
28 | $12,902 | $8,122 | -61% |
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 |
|---|---|---|---|
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$56,826 | $18,626 | -16% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$16,696 | $3,668 | -28% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$6,026 | $1,698 | -30% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$44,460 | $18,755 | -32% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$21,473 | $7,046 | -32% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$33,444 | $13,387 | -37% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$18,957 | $7,820 | -38% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$18,117 | $7,596 | -41% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$14,847 | $9,008 | -64% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$12,902 | $8,122 | -61% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$7,925 | $2,888 | -59% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$13,429 | $7,427 | -58% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$36,974 | $18,077 | -58% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$13,215 | $6,908 | -58% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$37,630 | $18,342 | -56% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$17,278 | $7,820 | -56% |
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.