New York / Kenmore Mercy Hospital
CMS certification 330102 · Kenmore, NY · 5 entries in CMS's price-transparency list
Kenmore Mercy Hospital: charges and Medicare payments
Kenmore Mercy Hospital reported 570 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 2.2 times what it was paid — among the lower ratios in New York, number 88 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 100 stays at an average charge of $44,460, 51% below the national average. It also billed 651 outpatient services, charging 2.77 times what Medicare paid.
- 1Medicare inpatient stays 570
- 2Charge ÷ paid, inpatient 2.2×
- 3Rank in NY (highest ratio = 1) 88 of 123
- 4CMS price-transparency actions 5
Inpatient stays
For the 29 DRGs that can be compared with the national average, Kenmore Mercy Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 100 | $44,460 | -51% | $18,755 |
| 291 Heart Failure and Shock with MCC | 58 | $25,733 | -54% | $10,840 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $22,197 | -63% | $12,134 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $27,972 | -60% | $14,591 |
| 683 Renal Failure with CC | 28 | $12,902 | -68% | $8,122 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $40,888 | -59% | $17,461 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $29,683 | -60% | $13,829 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $29,748 | -61% | $12,198 |
| 460 Spinal Fusion except Cervical without MCC | 16 | $64,786 | -62% | $35,705 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $26,098 | -55% | $10,833 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $13,429 | -67% | $7,427 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $18,957 | -49% | $7,820 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $18,607 | -64% | $9,567 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $14,847 | -69% | $9,008 |
| 682 Renal Failure with MCC | 13 | $33,444 | -49% | $13,387 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $16,751 | -56% | $7,086 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $20,833 | -63% | $12,509 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $18,650 | -59% | $10,477 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $21,473 | -44% | $7,046 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $36,974 | -67% | $18,077 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $17,284 | -52% | $6,365 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 12 | $79,545 | -61% | $37,096 |
| 552 Medical Back Problems without MCC | 12 | $17,278 | -65% | $7,820 |
| 603 Cellulitis without MCC | 12 | $18,117 | -51% | $7,596 |
| 638 Diabetes with CC | 12 | $17,768 | -57% | $7,302 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 12 | $56,826 | -24% | $18,626 |
| 389 Gastrointestinal Obstruction with CC | 11 | $13,215 | -66% | $6,908 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 11 | $62,918 | -49% | $27,021 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $37,630 | -63% | $18,342 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 283 | $31,207 | $13,503 |
| Comprehensive Observation Services | 168 | $7,925 | $2,888 |
| Level 6 Musculoskeletal Procedures | 68 | $41,472 | $18,917 |
| Level 1 Laparoscopy and Related Services | 49 | $18,823 | $5,919 |
| Level 4 Musculoskeletal Procedures | 43 | $18,782 | $7,166 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 15 | $16,696 | $3,668 |
| Level 3 Musculoskeletal Procedures | 14 | $11,158 | $3,432 |
| Level 2 Vascular Procedures | 11 | $6,026 | $1,698 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kenmore Mercy Hospital charged $44,460 on average, 62% less than the New York average of $116,930, and was paid $18,755 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Kenmore Mercy Hospital charged $25,733 on average, 68% less than the New York average of $81,161, and was paid $10,840 against a state average of $16,034. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Kenmore Mercy Hospital charged $22,197 on average, 71% less than the New York average of $77,177, and was paid $12,134 against a state average of $15,976. For Respiratory Infections and Inflammations with MCC (DRG 177), Kenmore Mercy Hospital charged $27,972 on average, 70% less than the New York average of $94,371, and was paid $14,591 against a state average of $19,472. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $31,207 was 54% below the state average of $67,926. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $7,925 was 70% below the state average of $26,675. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $41,472 was 50% below the state average of $82,540. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $18,823 was 46% below the state average of $35,085.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Kenmore Mercy Hospital in Kenmore, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-09-30 (CMS case 2705)
- CAP Request — 2025-01-10 (CMS case 2705)
- CAP Request — 2025-03-06 (CMS case 2705)
- Closure Notice — 2025-04-02 (CMS case 2705)
- Warning Notice — 2026-05-27 (CMS case 7886)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.