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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Kenmore Mercy Hospital

Trinity Health · Kenmore, NY

2950 Elmwood Avenue, Kenmore, NY 14217(716) 447-6100

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

About this hospital

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.

  • Disproportionate share hospital
CCN
330102
NPI
1770598104
Health system
Trinity Health
Teaching
No Medicare-funded residents
County
Erie County
Metro area
Buffalo-Cheektowaga, NY MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2024

Prices for common services

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

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$168,753 - $172,344

from 2 insurers · median $170,548

UnitedHealthcare$172,344
Insurer A*$168,753
Medicare $90,833Nearby hospitals $121,10941% above nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$65,318

negotiated rate

UnitedHealthcare$65,318
Medicare $23,212Nearby hospitals $41,26958% above nearby hospitals

27 Medicare discharges for this DRG in CMS hospital data

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$2,523 - $12,905

from 3 insurers · median $11,351

Aetna$2,523
Insurer A*$11,351
Insurer B*$12,905
Medicare $6,721Nearby hospitals $4,412157% above nearby hospitals

49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$4,682 - $12,905

from 3 insurers · median $7,234

UnitedHealthcare$12,905
Insurer A*$4,682
Insurer B*$7,234
Medicare $6,721Nearby hospitals $4,31868% above nearby hospitals

49 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Kenmore Mercy Hospital

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*24
209%
155
Insurer B*16
181%
151
Insurer C*21
72%
910

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.

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 PlanBanner HealthCenteneEMI HealthEmblemHealth

More about this hospital

  • Quality

    3 of 5 stars

    • 236 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.29%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 35 services
    • 515 affiliated clinicians
    See doctors and services
  • Finances

    $220.2M net patient revenue

    • Operating margin on patient care -1.6%
    • $6.7M unreimbursed and uncompensated care
    • $1.7M net income
    See finances
  • Ownership and leadership

    Owned by Catholic Health System

    • Private (not for profit)
    • Joyce Markiewicz, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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 itOrganization NPIs
16-0762843Kenmore Mercy Hospital55Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health and 50 more1770598104 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.

Location

2950 Elmwood Avenue, Kenmore, NY 14217

(716) 447-6100

Get directions

Frequently asked questions

About Kenmore Mercy Hospital's rates and hospital price transparency.

How much does an MRI cost at Kenmore Mercy Hospital?

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.

How much does a CT scan cost at Kenmore Mercy Hospital?

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.

How much does a colonoscopy cost at Kenmore Mercy Hospital?

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.

How much does a mammogram cost at Kenmore Mercy Hospital?

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.

How much does hip or knee replacement cost at Kenmore Mercy Hospital?

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.

What is Kenmore Mercy Hospital's CMS star rating?

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.

Is Kenmore Mercy Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Kenmore Mercy Hospital for fiscal year 2027.

Does Medicare penalize Kenmore Mercy Hospital for readmissions?

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.

What are the most common Medicare inpatient stays at Kenmore Mercy Hospital?

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).

What is Kenmore Mercy Hospital's case mix index?

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.

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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
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