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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Erie County Medical Center

The Erie County Medical Center Corporation · Buffalo, NY

462 Grider Street, Buffalo, NY 14215(716) 898-3936

2 of 5

CMS star rating

956

Beds

14,912

Inpatient discharges a year

$766.9M

Net patient revenue a year

28

In-network payers

Photo 1: D-Day, CC BY-SA 3.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Erie County Medical Center is a 956-bed voluntary non-profit - private hospital in Buffalo, NY, affiliated with The Erie County Medical Center Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 224 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
330219
NPI
1437197985
Website
ecmc.edu
Health system
The Erie County Medical Center Corporation
Teaching
Major teaching hospital
County
Erie County
Metro area
Buffalo-Cheektowaga, NY MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Erie County Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Ear, nose and throat

Correction of the nasal septum

CPT 30520

$7,592

negotiated rate

Aetna$7,592
Medicare $3,744Nearby hospitals $2,724179% above nearby hospitals

117 Medicare claims in Level 4 ENT Procedures (CMS 2024)

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$286 - $2,043

from 3 insurers · median $2,040

Blue Cross$286
Insurer A*est.$2,040
Insurer B*$2,043
Medicare $617Nearby hospitals $616231% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$203,482

negotiated rate

Aetna$203,482
Medicare $90,833Nearby hospitals $158,67528% above nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$642 - $4,576

from 2 insurers · median $2,609

Blue Cross$642
Insurer A*$4,576
Medicare $1,024Nearby hospitals $1,80345% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Erie County Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*10
479%
100
Insurer B*24
209%
222
Insurer C*16
97%
49

How we chose these services: 5 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Erie County Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

  • Quality

    2 of 5 stars

    • 325 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.06%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 47 services, including trauma & transplant care
    • 511 affiliated clinicians
    See doctors and services
  • Finances

    $766.9M net patient revenue

    • Operating margin on patient care -28.5%
    • $86.4M unreimbursed and uncompensated care
    • -$13.4M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Erie County Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
83-0382654Erie County Medical Center Corporation52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 47 more1437197985 Erie County Medical Center Corporation1962618405 Erie County Medical Center Corporation1215143029 Erie County Medical Center Corporationand 15 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

462 Grider Street, Buffalo, NY 14215

(716) 898-3936

Get directions

Frequently asked questions

About Erie County Medical Center's rates and hospital price transparency.

How much does an MRI cost at Erie County Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Erie County Medical Center range from $362 to $4,055 across 3 insurers. UnitedHealthcare's rate is $4,055. The median at nearby comparable hospitals is $603. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Erie County Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Erie County Medical Center range from $363 to $1,585 across 3 insurers. Aetna's rate is $456. The median at nearby comparable hospitals is $470. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Erie County Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Erie County Medical Center range from $2,912 to $4,576 across 2 insurers. Blue Cross Blue Shield's rate is $2,912. The median at nearby comparable hospitals is $1,813. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Erie County Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Erie County Medical Center range from $146 to $371 across 3 insurers. Blue Cross Blue Shield's rate is $146. The median at nearby comparable hospitals is $135. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Erie County Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Erie County Medical Center range from $40,121 to $40,121 across 1 insurers. Aetna's rate is $40,121. The median at nearby comparable hospitals is $31,260. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Erie County Medical Center's CMS star rating?

Erie County Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Erie County Medical Center a teaching hospital?

Yes. CMS counts 0.44 Medicare-funded residents per bed at Erie County Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Erie County Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Erie County Medical Center's base inpatient payments by an estimated 0.06% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Erie County Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (90 discharges), alcohol, drug abuse or dependence without rehabilitation therapy without mcc (75 discharges), heart failure and shock with mcc (60 discharges).

What is Erie County Medical Center's case mix index?

Erie County Medical Center's Medicare case mix index is 1.97 for fiscal year 2027, higher than 76% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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