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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Niagara Falls Memorial Medical Center

Niagara Falls Memorial Medical Center · Niagara Falls, NY

621 Tenth Street, Niagara Falls, NY 14301(716) 278-4000

1 of 5

CMS star rating

133

Beds

3,363

Inpatient discharges a year

$98.7M

Net patient revenue a year

38

In-network payers

About this hospital

Niagara Falls Memorial Medical Center is a 133-bed voluntary non-profit - other hospital in Niagara Falls, NY, affiliated with Niagara Falls Memorial Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 223 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
CCN
330065
NPI
1285717298
Health system
Niagara Falls Memorial Medical Center
Teaching
Teaching hospital
County
Niagara County
Metro area
Buffalo-Cheektowaga, NY MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

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

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

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,304 - $9,164

from 2 insurers · median $5,734

UnitedHealthcare$2,304
Insurer A*$9,164

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$3,277 - $13,966

from 2 insurers · median $8,622

UnitedHealthcare$3,277
Insurer A*$13,966

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$2,304 - $9,164

from 2 insurers · median $5,734

UnitedHealthcare$2,304
Insurer A*$9,164

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$36,681 - $51,233

from 2 insurers · median $43,957

Aetna$51,233
Insurer A*$36,681
Medicare $27,950Nearby hospitals $65,31833% below nearby hospitals

Hospital reports neurosurgical services to CMS

How the insurers pay at Niagara Falls Memorial Medical Center

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

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
116%
218
Insurer B*15
65%
213
Insurer C*24
60%
314

How we chose these services: 3 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 11 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 Niagara Falls Memorial Medical Center, or start a free trial.

Insurance Accepted

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

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

More about this hospital

  • Quality

    1 of 5 stars

    • 229 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.20%)
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • Teaching hospital
    • 37 services
    • 229 affiliated clinicians
    See doctors and services
  • Finances

    $98.7M net patient revenue

    • Operating margin on patient care -50.9%
    • $17M unreimbursed and uncompensated care
    • $1.6M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Joseph A Ruffolo, 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 Niagara Falls Memorial Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
16-0743094Niagara Falls Memorial Medical Center57Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health, Aspirus Health Plan and 52 more1285717298 Niagara Falls Memorial Medical Center1982659256 Niagara Falls Memorial Medical Center1376629485 Niagara Falls Memorial Medical Centerand 5 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

621 Tenth Street, Niagara Falls, NY 14301

(716) 278-4000

Get directions

Frequently asked questions

About Niagara Falls Memorial Medical Center's rates and hospital price transparency.

How much does an MRI cost at Niagara Falls Memorial Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Niagara Falls Memorial Medical Center range from $210 to $694 across 3 insurers. Blue Cross Blue Shield's rate is $363. The median at nearby comparable hospitals is $626. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Niagara Falls Memorial Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Niagara Falls Memorial Medical Center range from $283 to $550 across 3 insurers. Aetna's rate is $284. The median at nearby comparable hospitals is $597. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Niagara Falls Memorial Medical Center?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Niagara Falls Memorial Medical Center range from $1,301 to $1,992 across 3 insurers. Blue Cross Blue Shield's rate is $1,992. The median at nearby comparable hospitals is $1,178. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Niagara Falls Memorial Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Niagara Falls Memorial Medical Center range from $2,304 to $9,164 across 2 insurers. UnitedHealthcare's rate is $2,304. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Niagara Falls Memorial Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Niagara Falls Memorial Medical Center range from $93 to $153 across 3 insurers. Aetna's rate is $93. The median at nearby comparable hospitals is $133. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Niagara Falls Memorial Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Niagara Falls Memorial Medical Center range from $6,593 to $28,097 across 2 insurers. Aetna's rate is $28,097. The median at nearby comparable hospitals is $33,548. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Niagara Falls Memorial Medical Center's CMS star rating?

Niagara Falls Memorial Medical Center has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Niagara Falls Memorial Medical Center a teaching hospital?

Yes. CMS counts 0.07 Medicare-funded residents per bed at Niagara Falls Memorial Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Niagara Falls Memorial Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Niagara Falls Memorial Medical Center's base inpatient payments by an estimated 0.20% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Niagara Falls Memorial Medical Center?

In 2024, the most common were psychoses (67 discharges), heart failure and shock with mcc (36 discharges), septicemia or severe sepsis without mv >96 hours with mcc (12 discharges).

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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