Medicine & Surgery · Inpatient
Major cardiothoracic procedure with cardiac catheterization and MCC
MS-DRG 216
$168,753 - $172,344
from 2 insurers · median $170,548
Hospital reports cardiac thoracic surgery services to CMS
Trinity Health · Kenmore, NY
3 of 5
CMS star rating
337
Beds
5,910
Inpatient discharges a year
$220.2M
Net patient revenue a year
29
In-network payers
Kenmore Mercy Hospital is a 337-bed voluntary non-profit - church hospital in Kenmore, NY, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 210 disclosed rate categories.
The 24 services Kenmore Mercy Hospital 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.
Medicine & Surgery · Inpatient
MS-DRG 216
$168,753 - $172,344
from 2 insurers · median $170,548
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$65,318
negotiated rate
27 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$2,523 - $12,905
from 3 insurers · median $11,351
49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$4,682 - $12,905
from 3 insurers · median $7,234
49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$3,727 - $12,905
from 3 insurers · median $10,318
49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$42,112 - $44,848
from 2 insurers · median $43,480
Hospital reports neurosurgical services to CMS
CT imaging
CPT 74177
$348 - $745
from 3 insurers · median $695
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$33,274 - $33,823
from 2 insurers · median $33,548
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$1,936 - $2,380
from 2 insurers · median $2,158
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$216 - $1,166
from 3 insurers · median $963
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$12,350 - $15,489
from 2 insurers · median $13,920
43 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$3,768 - $22,691
from 2 insurers · median $13,230
Typical for a hospital with this service line
Orthopedics and pain
CPT 27446
$23,461 - $27,406
from 2 insurers · median $25,433
283 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 70450
$120 - $231
from 3 insurers · median $223
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$792 - $2,554
from 3 insurers · median $1,817
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$34 - $186
from 3 insurers · median $161
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$441 - $2,764
from 3 insurers · median $2,540
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$166 - $509
from 3 insurers · median $445
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$2,871 - $21,115
from 3 insurers · median $15,489
Typical for a hospital with this service line
Gynecology
CPT 58661
$2,772 - $12,905
from 2 insurers · median $7,839
Typical for a hospital with this service line
Gynecology
CPT 58558
$2,870 - $6,910
from 2 insurers · median $4,890
Typical for a hospital with this service line
Mammography
CPT 77067
$91 - $145
from 3 insurers · median $128
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$282 - $374
from 3 insurers · median $346
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$274 - $745
from 3 insurers · median $648
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 209% | 15 | 5 |
| Insurer B* | 16 | 181% | 15 | 1 |
| Insurer C* | 21 | 72% | 9 | 10 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 7 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 Kenmore Mercy Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.




Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$220.2M net patient revenue
Ownership and leadership
Owned by Catholic Health System
The employer identification numbers (EINs) health plans and networks list for Kenmore Mercy Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 16-0762843Kenmore Mercy Hospital | 55Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health and 50 more | 1770598104 Kenmore Mercy Hospital1164436283 Kenmore Mercy Hospital1659909752 Kenmore Mercy Hospitaland 4 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.
2950 Elmwood Avenue, Kenmore, NY 14217
(716) 447-6100
How Kenmore Mercy Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 6 measures
0 better, 5 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 6 measures
1 better, 4 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
76%
Higher than 65% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.95
Lower than 55% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
236 min
Higher than 93% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
28%
Lower than 97% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | Worse on 1 of 6 measures | |
| Safety | No different on 6 measures | |
| Readmissions | Mixed on 6 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 76% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.95 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 236 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 28% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Kenmore Mercy Hospital's inpatient payments for its readmissions, quality and cost results.
-0.29% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.78% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Kenmore Mercy Hospital, beside the US median and the average of NY hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Kenmore Mercy Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 36 cases | 5.1 | 4.1 | 3.952 | Worse than 87% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,157 cases | 4.2 | 3.9 | 3.707 | Worse than 63% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 43 cases | 12.8 | 11.8 | 11.31 | Worse than 80% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 1.91 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 45 cases | 9 | 8.5 | 8.316 | Worse than 63% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 139 cases | 15.2 | 11 | 10.43 | Worse than 97% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 137 cases | 16.2 | 15.2 | 14.6 | Worse than 65% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 149 cases | 13.8 | 11.6 | 11.03 | Worse than 80% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,785 cases | 0.33 | 0.51 | 0.9123 | No Different Than the National Rate | Better than 76% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 184 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,284 cases | 0.19 | 0.2 | 0.2101 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,210 cases | 0.29 | 0.27 | 0.2858 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 482 cases | 2.39 | 2.29 | 2.43 | No Different Than the National Rate | Worse than 69% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 231 cases | 2.04 | 1.63 | 1.674 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 235 cases | 11.37 | 8.88 | 9.324 | No Different Than the National Rate | Worse than 79% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 497 cases | 3.57 | 3.4 | 3.686 | No Different Than the National Rate | Worse than 65% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 212 cases | 4.47 | 5.105 | 5.465 | No Different Than the National Rate | Better than 83% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 146 cases | 1.67 | 1.72 | 1.729 | No Different Than the National Rate | Better than 70% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 375 cases | 0.95 | 1.02 | 1.053 | No Different Than the National Rate | Better than 73% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Kenmore Mercy Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 10.66 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 143 cases | 2 | 1.25 | 26.25 | Worse than 51% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 138 cases | 46.2 | 3.85 | 27.98 | Worse than 92% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 92 cases | 12.9 | 12.9 | 12.82 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.22 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.026 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 310 cases | 0.9 | 1 | 0.9336 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 93 cases | 14.4 | 14.4 | 14.47 | Worse than 50% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.69 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 199 cases | 17.8 | 19.8 | 20.27 | Better than 99% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 395 cases | 20.5 | 21.3 | 21.89 | Better than 75% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 32 cases | 5.4 | 5.8 | 5.589 | Better than 71% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 390 cases | 18.5 | 17.2 | 17.78 | Worse than 87% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Kenmore Mercy Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2612 | Better than the National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.823 | 1.504 | 1.692 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 5,387 | 1,370 | 8,161 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.641 | 0.9835 | 8.553 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.683 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.5488 | Better than the National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1924 | Better than the National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.626 | 1.392 | 1.442 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 7,107 | 1,799 | 8,098 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.789 | 1.377 | 10.38 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.583 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.4307 | Better than the National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2752 | No Different than National Benchmark | ||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.465 | 2.135 | 2.411 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 83 | 61 | 149 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.045 | 1.591 | 3.939 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.941 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0 | 0.7155 | 0.7341 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4218 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.517 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 90.43 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.7508 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.708 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.049 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.166 | 0.193 | 0.2613 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.276 | 1.855 | 1.903 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 34,685 | 14,451 | 80,977 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.017 | 0.567 | 5.587 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 3.796 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.992 | 0.597 | 0.6195 | No Different than National Benchmark | Worse than 79% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.435 | 0.127 | 0.1972 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.438 | 0.747 | 0.8371 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 34,685 | 13,646 | 73,951 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 13.3 | 5.683 | 38.28 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 11 | 2 | 12.57 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.827 | 0.279 | 0.3563 | No Different than National Benchmark | Worse than 91% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Kenmore Mercy Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 1,016 cases | 68 | 73 | 68.99 | Worse than 71% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,016 cases | 8 | 8 | 10.19 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 1,016 cases | 24 | 18 | 20.83 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,016 cases | 86 | 87 | 84.97 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,016 cases | 3 | 4 | 3.044 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,016 cases | 82 | 80 | 76.99 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,016 cases | 93 | 91 | 89.97 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,016 cases | 3 | 4 | 5.71 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,016 cases | 4 | 3 | 2.889 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,016 cases | 15 | 16 | 17.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,016 cases | 80 | 79 | 76.68 | Better than 53% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,016 cases | 91 | 91 | 89.46 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,016 cases | 5 | 5 | 6.31 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,016 cases | 3 | 3 | 2.674 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,016 cases | 15 | 16 | 17.01 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 1,016 cases | 63 | 61 | 58.86 | Better than 58% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,016 cases | 77 | 77 | 74.78 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,016 cases | 20 | 19 | 21.9 | Worse than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,016 cases | 3 | 3 | 2.274 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 1,016 cases | 17 | 19 | 19.23 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,016 cases | 88 | 86 | 83.85 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,016 cases | 12 | 13 | 15.46 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 1,016 cases | 4 | 3 | 2.896 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,016 cases | 88 | 87 | 84.54 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,016 cases | 12 | 14 | 16.81 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,016 cases | 88 | 86 | 83.19 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,016 cases | 75 | 74 | 71.59 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,016 cases | 6 | 7 | 8.014 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,016 cases | 19 | 19 | 20.4 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,016 cases | 78 | 77 | 74.66 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,016 cases | 6 | 6 | 6.893 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,016 cases | 16 | 17 | 18.44 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,016 cases | 86 | 85 | 82.9 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,016 cases | 3 | 3 | 4.479 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,016 cases | 11 | 11 | 12.62 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,016 cases | 7 | 8 | 10.63 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,016 cases | 18 | 20 | 23.59 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,016 cases | 75 | 72 | 65.78 | Better than 62% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,016 cases | 90 | 88 | 85.79 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,016 cases | 4 | 3 | 2.815 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,016 cases | 79 | 74 | 72.21 | Better than 76% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,016 cases | 10 | 9 | 11.03 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,016 cases | 11 | 16 | 16.76 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,016 cases | 78 | 75 | 72.71 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,016 cases | 4 | 5 | 7.086 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,016 cases | 18 | 20 | 20.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,016 cases | 80 | 77 | 73.59 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,016 cases | 3 | 4 | 6.164 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,016 cases | 17 | 19 | 20.24 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,016 cases | 89 | 86 | 83.55 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,016 cases | 2 | 3 | 4 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,016 cases | 9 | 11 | 12.45 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 1,016 cases | 47 | 59 | 49.08 | Worse than 86% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,016 cases | 15 | 9 | 16.57 | Worse than 79% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 1,016 cases | 38 | 31 | 34.35 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,016 cases | 76 | 82 | 75.47 | Worse than 80% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 1,016 cases | 2 | 3 | 2.296 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 1,016 cases | 4 | 5 | 7.297 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,016 cases | 76 | 71 | 66.23 | Better than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,016 cases | 90 | 87 | 84.56 | Better than 68% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,016 cases | 20 | 23 | 26.48 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,016 cases | 4 | 4 | 3.096 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,016 cases | 48 | 47 | 44.58 | Better than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,016 cases | 31 | 30 | 33.46 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,016 cases | 21 | 22 | 21.96 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 1,016 cases | 3 | 3 | 2.8 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,016 cases | 11 | 12 | 14.29 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,016 cases | 89 | 88 | 85.71 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Kenmore Mercy Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 7.9 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.158 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,767 cases | 55 | 79 | 69.3 | Worse than 82% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 394 cases | 238 | 154 | 206 | Worse than 92% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 373 cases | 236 | 148 | 200 | Worse than 93% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 326 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 11 cases | 326 | 293 | 350 | Worse than 63% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 38,385 cases | 3 | 1 | 2.294 | Worse than 78% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 11 cases | 91 | 74 | 67.28 | Better than 88% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 92.28 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 46.05 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 2,265 cases | 18 | 15 | 13.94 | Worse than 73% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 138 cases | 28 | 65 | 58.55 | Worse than 97% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 33 cases | 39 | 73 | 70.43 | Worse than 96% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 11 cases | 45 | 88 | 83.41 | Worse than 99% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 138 cases | 49 | 82 | 77.52 | Worse than 98% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 39 cases | 95 | 94 | 86.12 | Better than 51% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 113 cases | 96 | 98 | 96.71 | Worse than 66% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 77.25 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.87 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 4,219 cases | 91 | 90 | 85.23 | Better than 53% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 618 cases | 95 | 97 | 94.43 | Worse than 62% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Kenmore Mercy Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.2 | 5 | 5.231 | Better than 83% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 14.7 | 6.6 | 23.75 | Worse than 92% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Kenmore Mercy Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.02 | 0.99 | 0.9974 | Worse than 64% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Kenmore Mercy Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 30.89 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 7.74 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 20.53 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 5.155 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 46 | 34 | 27.68 | Better than 69% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.5 | 8.75 | 6.965 | Better than 69% of US hospitals | |
| VBP safety domain scoreFY 2026 | 25 | 40 | 38.92 | Worse than 78% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 6.25 | 10 | 9.798 | Worse than 78% of US hospitals | |
| VBP total performance scoreFY 2026 | 17.75 | 29.5 | 29.44 | Worse than 90% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 42 | 50 | 45 | 10 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 10.5 | 12.5 | 11.25 | 2.5 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 10 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 2.5 | 0 |
| VBP person and community engagement domain score | 29 | Not Available | Not Available | 12 | 20 | 46 |
| VBP person and community engagement weighted domain score | 7.25 | Not Available | Not Available | 3 | 5 | 11.5 |
| VBP safety domain score | 46 | Not Available | Not Available | 36 | 54 | 25 |
| VBP safety weighted domain score | 11.5 | Not Available | Not Available | 9 | 13.5 | 6.25 |
| VBP total performance score | 29.25 | Not Available | Not Available | 14.5 | 21 | 17.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Kenmore Mercy Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 0.989 | 0.9995 | 1.001 | Better than 57% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9565 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 53 cases | 1.049 | 0.9969 | 1.014 | Worse than 85% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 155 cases | 0.9996 | 0.9983 | 1.015 | Worse than 51% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9473 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 131 cases | 1.078 | 0.9955 | 1.019 | Worse than 88% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.021 | 0.9953 | 0.9777 | 0.9715 | 0.9602 | 0.989 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.053 | 1.016 | 1.036 | 1.09 | 1.088 | 1.049 |
| READM-30-HF-HRRP | 1 | 0.9866 | 1 | 0.9486 | 1.013 | 0.9996 |
| READM-30-HIP-KNEE-HRRP | 0.9262 | 0.9938 | 0.8899 | 0.9051 | 0.9628 | N/A |
| READM-30-PN-HRRP | 0.9923 | 1.043 | 1.099 | 1.081 | 1.097 | 1.078 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Kenmore Mercy Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.103 | 0.489 | 0.5606 | Better than 84% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.641 | 0.346 | 0.4123 | Worse than 84% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.424 | 0.559 | 0.6757 | Better than 64% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.606 | 0.6405 | 0.8339 | Better than 53% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9513 | 0.9628 | 1.099 | Better than 55% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.721 | 0.7945 | 0.793 | Better than 55% of US hospitals | |
| Total HAC scoreFY 2026 | -0.1908 | -0.0453 | 0.1475 | Better than 61% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.2079 | -0.428 | 0 | -0.018 | -0.2596 | -0.1908 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2015)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
184
Medicare-certified beds
15
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Kenmore Mercy Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
5,910
Inpatient discharges
Medicare 19%, Medicaid 2%
29,200
Inpatient days
54% of available bed days used
956
Employees (full-time equivalent)
4
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837310). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Kenmore Mercy Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 5,857 | 486 | 22,857 | 29,200 |
| Discharges | 1,151 | 108 | 4,651 | 5,910 |
| Average length of stay | 5.1 days | 4.5 days | 4.9 days | 4.9 days |
| Average daily census | 16.0 | 1.3 | 62.6 | 80.0 |
15,445
Medicare Advantage days
3,004 discharges
3,157
Medicaid managed care days
577 discharges
2,300
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 135 | 26,727 | 5,341 | 54% |
| Intensive care unit | 12 | 2,473 | 516 | 56% |
| Subprovider - irf | 30 | 7,161 | 1,973 | 65% |
| Skilled nursing facility | 160 | 49,519 | 3,171 | 85% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837310, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Kenmore Mercy Hospital treats Medicare patients for most often, in 2024. 570 Medicare discharges in 29 published DRGs; 12% surgical; 77% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 100 | $44,460 | $13,769 | $16,984 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 58 | $25,733 | $9,208 | $9,830 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $22,197 | $8,770 | $8,479 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 30 | $27,972 | $12,013 | $10,685 | 1.70 |
| Renal failure with CCMS-DRG 683, medical | 28 | $12,902 | $5,858 | $4,928 | 0.90 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 18 | $40,888 | $16,012 | $15,619 | 2.07 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $29,683 | $11,742 | $11,339 | 1.65 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 16 | $29,748 | $11,078 | $11,364 | 1.59 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 16 | $64,787 | $21,037 | $24,748 | 3.66 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $26,098 | $8,362 | $9,970 | 1.23 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 15 | $13,429 | $4,468 | $5,130 | 0.79 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 15 | $18,957 | $5,110 | $7,242 | 0.78 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $18,607 | $8,479 | $7,108 | 1.17 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 14 | $14,847 | $6,192 | $5,671 | 0.98 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $33,444 | $10,182 | $12,776 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $16,751 | $5,023 | $6,399 | 0.81 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 12 | $20,833 | $5,473 | $7,958 | 1.02 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $18,650 | $5,709 | $7,124 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $21,473 | $6,094 | $8,203 | 0.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $36,974 | $15,349 | $14,124 | 2.16 |
See all 29 Medicare inpatient DRGs at Kenmore Mercy Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Kenmore Mercy Hospital billed Medicare for most in 2024: 651 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 283 | 261 | $31,207 | $11,874 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 168 | 160 | $7,925 | $2,298 | $2,090 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 68 | 66 | $41,472 | $17,281 | $15,763 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 49 | 49 | $18,823 | $4,675 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 43 | 39 | $18,782 | $5,622 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 15 | $16,696 | $2,923 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 14 | $11,158 | $2,733 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 11 | 11 | $6,026 | $1,353 | $1,204 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Kenmore Mercy Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 3,398 in 2020 to 3,999 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 14150 | 725 | 18% | 3,502 | $28.5M | 36% | 39% |
| 14120 | 394 | 10% | 2,093 | $18.8M | 20% | 18% |
| 14217 | 388 | 10% | 1,943 | $14.9M | 41% | 42% |
| 14223 | 290 | 7% | 1,442 | $11M | 32% | 40% |
| 14094 | 234 | 6% | 1,169 | $10.3M | 10% | 3% |
| 14072 | 224 | 6% | 1,073 | $8.6M | 29% | 26% |
| 14207 | 207 | 5% | 1,612 | $14M | 24% | 32% |
| 14304 | 195 | 5% | 1,005 | $9M | 13% | 4% |
| 14216 | 164 | 4% | 838 | $6.3M | 22% | 19% |
| 14226 | 102 | 3% | 450 | $4.9M | 10% | 7% |
| 14221 | 100 | 3% | 432 | $4.1M | 4% | 4% |
| 14228 | 82 | 2% | 452 | $3.9M | 11% | 7% |
| 14305 | 59 | 1% | 267 | $2.4M | 7% | |
| 14213 | 58 | 1% | 215 | $1.5M | 9% | 6% |
| 14092 | 47 | 1% | 281 | $2.1M | 8% | 3% |
| 14131 | 42 | 1% | 228 | $1.8M | 14% | 5% |
| 14215 | 40 | 1% | 310 | $2.9M | 2% | 2% |
| 14225 | 40 | 1% | 230 | $2.7M | 3% | 3% |
| 14051 | 39 | 1% | 163 | $2.2M | 5% | 4% |
| 14202 | 35 | 1% | 215 | $1.2M | 9% | 7% |
| 14224 | 35 | 1% | 203 | $2.8M | 2% | 2% |
| 14214 | 33 | 1% | 145 | $1.1M | 5% | 5% |
| 14108 | 32 | 1% | 213 | $1.9M | 12% | |
| 14132 | 32 | 1% | 181 | $1.4M | 13% | |
| 14227 | 30 | 1% | 167 | $1.8M | 2% | 2% |
Source: CMS Hospital Service Area file. Shares are of the 3,999 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Kenmore Mercy Hospital reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
10
Operating rooms
3
Endoscopy rooms
20
Rehabilitation unit beds
3
Off-site locations
15
Registered nurses
6
Physicians
4
Nurse practitioners
6
Physician assistants
10
Pharmacists
11
Physical therapists
5
Occupational therapists
3
Speech pathologists and audiologists
2
Dietitians
6
Social workers
36
Other personnel
Source: CMS Provider of Services file.
515 clinicians who bill Medicare list Kenmore Mercy Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Robert Zielinski, MD
Hematology & Oncology Physician
NPI 1043260664
See commercial rates for Robert Zielinski, MDSunita Chadha, M.D.
Rheumatology Physician
NPI 1013176692
See commercial rates for Sunita Chadha, M.D.Adam Kotowski, MD
Hematology & Oncology Physician
NPI 1992813828
See commercial rates for Adam Kotowski, MDMichael Krabak, MD
Hematology & Oncology Physician
NPI 1578557302
See commercial rates for Michael Krabak, MDKeith Kaplan, M.D.
Diagnostic Radiology Physician
NPI 1285852566
See commercial rates for Keith Kaplan, M.D.Joseph Lang, M.D
Diagnostic Radiology Physician
NPI 1225422504
See commercial rates for Joseph Lang, M.DBrian Rambarran, MD, MPH
Urology Physician
NPI 1235391244
See commercial rates for Brian Rambarran, MD, MPHGregory Shields, MD
Diagnostic Radiology Physician
NPI 1013975895
See commercial rates for Gregory Shields, MDK Chevli, M.D.
Urology Physician
NPI 1215934781
See commercial rates for K Chevli, M.D.Anthony Notino, MD
Diagnostic Radiology Physician
NPI 1427014448
See commercial rates for Anthony Notino, MDJoseph Greco, M.D.
Urology Physician
NPI 1487650016
See commercial rates for Joseph Greco, M.D.Christopher Skomra, M.D.
Urology Physician
NPI 1841297496
See commercial rates for Christopher Skomra, M.D.Anees Ahmad, MD
Internal Medicine Physician
NPI 1881760049
See commercial rates for Anees Ahmad, MDSaralyn Notaro-Rietz, MD
Ophthalmology Physician
NPI 1013981836
See commercial rates for Saralyn Notaro-Rietz, MDLixin Zhang, M.D.
Neurology Physician
NPI 1154482859
See commercial rates for Lixin Zhang, M.D.John Rutkowski, M.D.
Urology Physician
NPI 1902061914
See commercial rates for John Rutkowski, M.D.Robert Conti, MD
Diagnostic Radiology Physician
NPI 1750322947
See commercial rates for Robert Conti, MDJohn Bodkin, MD
Urology Physician
NPI 1144464942
See commercial rates for John Bodkin, MDSteven Horn, MD
Cardiovascular Disease Physician
NPI 1457324469
See commercial rates for Steven Horn, MDSridhar Rachala, MBBS
Orthopaedic Surgery Physician
NPI 1326279597
See commercial rates for Sridhar Rachala, MBBSPhilip Aliotta, M.D.
Urology Physician
NPI 1760455356
See commercial rates for Philip Aliotta, M.D.Alberto Benedicto, M.D.
Diagnostic Radiology Physician
NPI 1679506117
See commercial rates for Alberto Benedicto, M.D.Dennis Chugh, MD
Cardiovascular Disease Physician
NPI 1184695058
See commercial rates for Dennis Chugh, MDCharles Lesh, MD
Diagnostic Radiology Physician
NPI 1184670143
See commercial rates for Charles Lesh, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Kenmore Mercy Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $623.4M | 283.2% |
| Inpatient | $302.9M | 137.6% |
| Outpatient | $320.5M | 145.6% |
| Contractual allowances and discounts | -$403.2M | -183.2% |
| Net patient revenue | $220.2M | 100.0% |
| Operating expenses | -$223.6M | -101.6% |
| Operating income from patient care | -$3.4M | -1.6% |
| Other income | $5.1M | 2.3% |
| Investment income | $711,208 | 0.3% |
| Other | $4.4M | 2.0% |
| Net income | $1.7M | 0.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $57.1M | 9.2% |
| Medicaid (including managed care) | $98.9M | 15.9% |
| Other payers and self-pay | $467.4M | 75.0% |
| Total charges | $623.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837310, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Kenmore Mercy Hospital's latest cost report.
-1.6%
Operating margin
Operating income from patient care / net patient revenue
0.7%
Total margin
Net income / net patient revenue plus other income
5.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
53% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.78
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
0.9%
Return on assets
Net income for a year / total assets
4.7%
Return on equity
Net income for a year / fund balance
1.41
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.48
Current ratio
Current assets / current liabilities
0.55
Quick ratio
Cash, temporary investments and net receivables / current liabilities
22 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
50 days
Days in patient receivables
Net patient receivables / daily net patient revenue
131 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.25
Asset turnover
Total revenue for a year / total assets
19.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837310, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Kenmore Mercy Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $180.7M in total assets and a $36M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $12.8M | 7.1% |
| Patient receivables, net | $30.1M | 16.7% |
| Inventory | $4.1M | 2.3% |
| Total current assets | $114.5M | 63.3% |
| Property and equipment, net of depreciation | $52.1M | 28.9% |
| Investments and other assets | $14.1M | 7.8% |
| Total assets | $180.7M | 100.0% |
| Current liabilities | $77.4M | 42.8% |
| Long-term debt | $50.7M | 28.1% |
| Total liabilities | $144.7M | 80.1% |
| Fund balance (net assets) | $36M | 19.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837310, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Kenmore Mercy Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$4.9M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$5.6M
Bad debt
Patient bills written off as uncollectible, at charges
$555,701
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$6.7M
Total unreimbursed and uncompensated care
3.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 837310, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Kenmore Mercy Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $157.3M | $172.7M | $169.7M | $187.6M | $207.5M | $220.2M |
| Operating expenses | $176.9M | $186.8M | $197.5M | $201.3M | $213.3M | $223.6M |
| Operating margin | -12.4% | -8.2% | -16.4% | -7.3% | -2.8% | -1.6% |
| Net income | -$4.5M | -$3.4M | -$24.2M | -$4.8M | $10.2M | $1.7M |
| Total assets | $182.5M | $176.2M | $146.9M | $153.4M | $171.6M | $180.7M |
| Discharges | 5,528 | 5,315 | 6,284 | 6,311 | 6,044 | 5,910 |
| Inpatient days | 22,723 | 27,044 | 29,029 | 28,585 | 29,558 | 29,200 |
| Medicare Advantage days | 9,742 | 11,390 | 13,932 | 14,383 | 15,224 | 15,445 |
| Beds | 344 | 344 | 344 | 344 | 317 | 337 |
| Employees (FTE) | 802 | 805 | 837 | 837 | 872 | 956 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837310, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Kenmore Mercy Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Impl. dev. charged to patients | $43.6M | $91.9M | 0.47 | ||
| Medical supplies charged to patient | $1.2M | $13.1M | $20.5M | 0.64 | 16,295 |
| Emergency | $6.2M | $12.5M | $86.7M | 0.14 | 21,250 |
| Drugs charged to patients | $3M | $9.6M | $13.8M | 0.70 | 6,560 |
| Operating room | $10M | $8.9M | $102.7M | 0.09 | 31,137 |
| Laboratory | $1.7M | $5.7M | $8.5M | 0.67 | 13,493 |
| Respiratory therapy | $1.7M | $3.8M | $17.6M | 0.22 | 6,010 |
| Radiology-diagnostic | $3.4M | $3.7M | $19.4M | 0.19 | 17,676 |
| Physical therapy | $1.6M | $3.3M | $8.8M | 0.37 | 20,524 |
| Observation beds (non-distinct part | $3.1M | $17.9M | 0.17 | ||
| Ct scan | $916,781 | $2.4M | $21.5M | 0.11 | 3,158 |
| Anesthesiology | $2.1M | $30.2M | 0.07 | ||
| Electrocardiology | $820,285 | $1.5M | $7.9M | 0.18 | 1,618 |
| Blood storing processing & trans. | $181,632 | $1.1M | $3.9M | 0.28 | |
| Ultrasound diagnostic | $634,386 | $1.1M | $4.4M | 0.25 | |
| Renal dialysis | $428,375 | $989,759 | $329,703 | 3.00 | |
| Clinic | $379,893 | $874,599 | $358,450 | 2.44 | 11,981 |
| Radioisotope | $203,307 | $661,759 | $1.6M | 0.41 | 1,582 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $18.2M | $38.6M | $90.7M | 0.43 | 76,085 |
| Skilled nursing facility | $14.7M | $33M | $21.7M | 1.52 | |
| Subprovider - irf | $5.4M | $10.4M | $22M | 0.47 | 17,116 |
| Intensive care unit | $4.8M | $6.9M | $31.1M | 0.22 | 8,278 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $18.8M | $27.8M | 370,492 | $50.44 | 61,482 |
| Employee benefits department | $13,703 | $18.9M | 779 | $17.59 | 1,507 |
| Operation of plant | $1.2M | $7.1M | 32,899 | $36.98 | 89,161 |
| Cap rel costs-mvble equip | $5.7M | ||||
| Cap rel costs-bldg & fixt | $4.1M | 452,319 | |||
| Housekeeping | $2.3M | $2.9M | 102,898 | $22.14 | 5,058 |
| Dietary - other | $1.7M | $2.7M | 16,011 | ||
| Nursing administration | $1.5M | $1.7M | 2,900 | ||
| Laundry & linen service | $764,205 | 3,714 | |||
| I&r services-other prgm costs apprv | $119,605 | $313,435 | |||
| Medical records & library | $156,877 | $173,024 | 6,821 | $22.88 | 3,591 |
| Paramed ed prgm-nursing | $2,004 | $142,888 | 300 | ||
| Supervising physicians - teaching | $136,763 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837310, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Kenmore Mercy Hospital for an inpatient stay.
1.71
Case mix index
Higher than 54% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
20.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,149
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.74 | 1.73 | 1.63 | 1.67 | 1.65 | 1.68 | 1.71 |
| Wage index | 1.032 | 1.030 | 1.026 | 1.218 | 1.306 | 1.370 | 1.427 |
| Readmissions adjustment | -0.15% | -0.15% | -0.19% | -0.07% | -0.28% | -0.40% | -0.29% |
| Value-based purchasing adjustment | -0.65% | -0.12% | -0.12% | -0.77% | -0.62% | -0.12% | -0.78% |
| Medicare inpatient stays | 1,494 | 1,494 | 1,080 | 1,186 | 1,130 | 1,112 | 1,149 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Kenmore Mercy Hospital reports to Medicare as owners or with operational control.
Catholic Health System
Operational/managerial control, 100%, since 2014
Sources: CMS Hospital All Owners.
The officers and board members on Kenmore Mercy Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 13 of 14 are shown.
| Name | Title |
|---|---|
| Joyce Markiewicz | President & CEO Administration Ch |
| James Garvey | Executive VP, COO |
| David Macholz | Chief Financial Officer |
| Martin Boryszak | Senior VP Of Acute Care & President Of Mhb |
| Dr Michael Galang | Senior VP, Chief Information Officer |
| Charles Urlaub | Senior VP Strategic Growth & Partnerships |
| Laura Cianflone | Senior VP Human Resources |
| Walter Ludwig | President & CEO Kmh |
| Leonardo Sette-Camara | General Counsel |
| Lisa Cilano | Senior VP, Rmc & Business Advisory |
| Thomas Gleason | Senior VP Home & Community Based Care |
| Bartholomew Rodrigues | Executive VP - Chief Mission & Ethics Officer |
| Dr Erik Diringer | Physician Intensivist Kmh |
| Edward Stehlik | Physician Medical Staff Kmh |
| Dr Michael Gough | Physician Intensivist Kmh |
| Dr James Fitzpatrick | Physician Kenmore Specialty Kmh |
| Rebecca McCormick Boyle | Chief Integration Officer |
| Russell Edwards | VP Finance & Corporate Controller |
| Tarvinder Gilotra | Physician Infectious Disease Kmh |
| Megan Aldrich | President Of Sisters Of Charity Hospital |
| Hans Cassagnol | Chief Physician Executive |
| Victor Filadora | Chief Physician Executive |
| Catherine Mohr | Chief Nursing Officer |
Board members: Douglas Bean, Anthony Burgio, Adam Dean, Carol Heckman Esq, Sister Marcia Ann Flutko, Nelson J Grimm Phd, Toni Murphy DO, Monsignor Robert E Zapfel, David Godfrey, R Keith Felstead DO, Alexis Agnello.
Source: IRS Form 990 Part VII filed by Kenmore Mercy Hospital (EIN 16-0762843), via the IRS e-file data. A health system's return can cover several hospitals.
Kenmore mercy hospital
CCN 33T102, certified 1994, Medicare prospective payment
The mcauley residence
CCN 335433, certified 1974, Medicare prospective payment
Source: Worksheet S-2 Part I of Kenmore Mercy Hospital's latest Medicare cost report (HCRIS).
About Kenmore Mercy Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Kenmore Mercy Hospital range from $274 to $745 across 3 insurers. Aetna's rate is $274. The median at nearby comparable hospitals is $505. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Kenmore Mercy Hospital range from $348 to $745 across 3 insurers. Blue Cross Blue Shield's rate is $695. The median at nearby comparable hospitals is $381. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Kenmore Mercy Hospital range from $792 to $2,554 across 3 insurers. Aetna's rate is $1,817. The median at nearby comparable hospitals is $1,730. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Kenmore Mercy Hospital range from $91 to $145 across 3 insurers. UnitedHealthcare's rate is $91. The median at nearby comparable hospitals is $126. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Kenmore Mercy Hospital range from $33,274 to $33,823 across 2 insurers. UnitedHealthcare's rate is $33,823. The median at nearby comparable hospitals is $24,191. What a patient pays depends on their plan's deductible, coinsurance and network status.
Kenmore Mercy Hospital 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.
CMS reports no Medicare-funded interns or residents at Kenmore Mercy Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Kenmore Mercy Hospital's base inpatient payments by an estimated 0.29% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (100 discharges), heart failure and shock with mcc (58 discharges), simple pneumonia and pleurisy with mcc (33 discharges).
Kenmore Mercy Hospital's Medicare case mix index is 1.71 for fiscal year 2027, higher than 54% of hospitals paid under the inpatient prospective payment system.
Kenmore Mercy Hospital reported 5,910 inpatient discharges and 29,200 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Kenmore Mercy Hospital reported 956 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Kenmore Mercy Hospital reported $220.2M in net patient revenue on $623.4M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -1.6%, and net income of $1.7M.
Kenmore Mercy Hospital reported $6.7M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $4.9M of charity care at cost.
Kenmore Mercy Hospital's 2024 IRS Form 990 lists Joyce Markiewicz as President & CEO Administration Ch.
Insurers' price transparency files list Kenmore Mercy Hospital under employer identification number 16-0762843 (Kenmore Mercy Hospital). 55 health plans and networks list 16-0762843 for it.
515 clinicians who bill Medicare list Kenmore Mercy Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (50), internal medicine physician (49), family medicine physician (34).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Kenmore Mercy Hospital, effective 2015.
In its Medicare enrollment, Kenmore Mercy Hospital reports Catholic Health System as Operational/managerial control (100%).
CMS lists 35 services at Kenmore Mercy Hospital, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Kenmore Mercy Hospital came from ZIP codes 14150 (725), 14120 (394), 14217 (388).
Kenmore Mercy Hospital has 337 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 184 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Kenmore Mercy Hospital is located at 2950 Elmwood Avenue, Kenmore, NY 14217. Its main phone number is (716) 447-6100.
Kenmore Mercy Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 330102.
The National Provider Identifier (NPI) on file for Kenmore Mercy Hospital is 1770598104.
Kenmore Mercy Hospital is affiliated with Trinity Health.
Kenmore Mercy Hospital lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
210 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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