PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Kaleida Health

Kaleida Health · Buffalo, NY

100 High Street, Buffalo, NY 14203(716) 859-8620

3 of 5

CMS star rating

1,068

Beds

49,100

Inpatient discharges a year

$1.9B

Net patient revenue a year

13

In-network payers

Photo 1: Fortunate4now, CC0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Kaleida Health is a 1068-bed voluntary non-profit - private hospital in Buffalo, NY, affiliated with Kaleida Health. Below you'll find publicly disclosed negotiated rates and facility details, including 13 in-network payers and 105 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
330005
NPI
1366473183
Health system
Kaleida Health
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
2022

Prices for common services

The 24 services Kaleida Health 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$4,288 - $14,907

from 4 insurers · median $11,716

UnitedHealthcare$4,288
Insurer A*$10,602
Insurer B*$12,831
Insurer C*$14,907

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$16,627 - $21,200

from 4 insurers · median $18,676

UnitedHealthcare$17,773
Insurer A*$16,627
Insurer B*$19,579
Insurer C*$21,200

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,842 - $5,738

from 3 insurers · median $4,181

Blue Cross$4,181
Insurer A*$3,842
Insurer B*$5,738
Medicare $3,635Nearby hospitals $5,18319% below nearby hospitals

52 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$6,288 - $21,745

from 4 insurers · median $15,256

Blue Cross$11,670
Insurer A*$6,288
Insurer B*$18,842
Insurer C*$21,745
Medicare $11,938Nearby hospitals $12,96818% above nearby hospitals

100 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Kaleida Health

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*15
181%
26
Insurer B*22
174%
00
Insurer C*23
124%
413
Insurer D*24
88%
712

How we chose these services: 7 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 8 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 Kaleida Health, 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
Cigna
Aspirus Health PlanBanner HealthEMI HealthHealth AllianceHealth Alliance HAPJohns Hopkins Health Plans

More about this hospital

  • Quality

    3 of 5 stars

    • 230 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.47%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Major teaching hospital
    • 37 services, including trauma care
    • 1,688 affiliated clinicians
    See doctors and services
  • Finances

    $1.9B net patient revenue

    • Operating margin on patient care 0.7%
    • $123.8M unreimbursed and uncompensated care
    • $182.2M net income
    See finances
  • Ownership and leadership

    Owned by Kaleida Health

    • Private (not for profit)
    • Donald Boyd, chief executive
    • 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 Kaleida Health in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
16-1533232(multi-state) Kaleida Health25Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 20 more1104956358 Kaleida Health1053441907 Kaleida Health1639209596 Kaleida Healthand 66 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

100 High Street, Buffalo, NY 14203

(716) 859-8620

Get directions

Frequently asked questions

About Kaleida Health's rates and hospital price transparency.

How much does a CT scan cost at Kaleida Health?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Kaleida Health range from $300 to $618 across 3 insurers. Aetna's rate is $300. The median at nearby comparable hospitals is $468. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Kaleida Health?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Kaleida Health range from $1,052 to $2,492 across 4 insurers. Cigna's rate is $1,648. The median at nearby comparable hospitals is $1,919. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Kaleida Health?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Kaleida Health range from $4,288 to $14,907 across 4 insurers. UnitedHealthcare's rate is $4,288. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Kaleida Health?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Kaleida Health range from $92 to $123 across 3 insurers. Blue Cross Blue Shield's rate is $92. The median at nearby comparable hospitals is $163. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Kaleida Health's CMS star rating?

Kaleida Health has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Kaleida Health a teaching hospital?

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

Does Medicare penalize Kaleida Health for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Kaleida Health's base inpatient payments by an estimated 0.47% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Kaleida Health?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (449 discharges), heart failure and shock with mcc (210 discharges), percutaneous and other intracardiac procedures without mcc (182 discharges).

What is Kaleida Health's case mix index?

Kaleida Health's Medicare case mix index is 2.24 for fiscal year 2027, higher than 89% of hospitals paid under the inpatient prospective payment system.

How many patients does Kaleida Health admit?

Kaleida Health reported 49,100 inpatient discharges and 289,689 inpatient days from Jan 1, 2025 to Dec 31, 2025.

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
Talk to us about your MRF
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
Talk to us about your chargemaster