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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mercy Hospital Of Buffalo

Trinity Health · Buffalo, NY

565 Abbott Road, Buffalo, NY 14220(716) 826-7000

2 of 5

CMS star rating

435

Beds

18,250

Inpatient discharges a year

$558.7M

Net patient revenue a year

29

In-network payers

About this hospital

Mercy Hospital Of Buffalo is a 435-bed voluntary non-profit - private hospital in Buffalo, NY, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 220 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • Helipad
CCN
330279
NPI
1164464921
Health system
Trinity Health
Teaching
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
2024

Prices for common services

The 24 services Mercy Hospital Of Buffalo 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

$8,525 - $10,951

from 2 insurers · median $9,738

Aetna$8,525
Insurer A*$10,951

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

$14,545 - $15,126

from 2 insurers · median $14,835

Aetna$14,545
Insurer A*$15,126

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

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$8,903 - $12,905

from 2 insurers · median $10,904

UnitedHealthcare$12,905
Insurer A*$8,903
Medicare $6,716Nearby hospitals $9,60214% above nearby hospitals

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

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$1,818 - $12,905

from 3 insurers · median $11,555

Aetna$1,818
Insurer A*$11,555
Insurer B*$12,905
Medicare $6,716Nearby hospitals $5,89996% above nearby hospitals

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

How the insurers pay at Mercy Hospital Of Buffalo

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%
512
Insurer B*18
187%
161
Insurer C*21
42%
216

How we chose these services: 7 appear in this hospital's own Medicare claims, 10 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 Mercy Hospital Of Buffalo, 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

    2 of 5 stars

    • 307 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.52%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 41 services
    • 817 affiliated clinicians
    See doctors and services
  • Finances

    $558.7M net patient revenue

    • Operating margin on patient care 0.6%
    • $8.3M unreimbursed and uncompensated care
    • $23.9M net income
    See finances
  • Ownership and leadership

    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 Mercy Hospital Of Buffalo in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
16-0756336Mercy Hospital Of Buffalo57Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health, Aspirus Health Plan and 52 more1164464921 Mercy Hospital Of Buffalo1144262908 Mercy Hospital Of Buffalo1659310605 Mercy Hospital Of Buffaloand 16 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

565 Abbott Road, Buffalo, NY 14220

(716) 826-7000

Get directions

Frequently asked questions

About Mercy Hospital Of Buffalo's rates and hospital price transparency.

How much does an MRI cost at Mercy Hospital Of Buffalo?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital Of Buffalo range from $283 to $1,445 across 3 insurers. UnitedHealthcare's rate is $745. 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 Mercy Hospital Of Buffalo?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Hospital Of Buffalo range from $329 to $745 across 3 insurers. Blue Cross Blue Shield's rate is $699. The median at nearby comparable hospitals is $416. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mercy Hospital Of Buffalo?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Mercy Hospital Of Buffalo range from $953 to $2,554 across 3 insurers. Aetna's rate is $953. The median at nearby comparable hospitals is $1,689. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercy Hospital Of Buffalo?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Hospital Of Buffalo range from $8,525 to $10,951 across 2 insurers. Aetna's rate is $8,525. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercy Hospital Of Buffalo?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Hospital Of Buffalo range from $91 to $140 across 3 insurers. Aetna's rate is $127. The median at nearby comparable hospitals is $146. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercy Hospital Of Buffalo's CMS star rating?

Mercy Hospital Of Buffalo 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 Mercy Hospital Of Buffalo a teaching hospital?

Yes. CMS counts 0.05 Medicare-funded residents per bed at Mercy Hospital Of Buffalo for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Mercy Hospital Of Buffalo for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercy Hospital Of Buffalo's base inpatient payments by an estimated 0.52% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (302 discharges), heart failure and shock with mcc (145 discharges), respiratory infections and inflammations with mcc (55 discharges).

What is Mercy Hospital Of Buffalo's case mix index?

Mercy Hospital Of Buffalo's Medicare case mix index is 1.96 for fiscal year 2027, higher than 75% 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.

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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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  • Missing, duplicate and outdated charge lines identified
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  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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