New York / Sisters of Charity Hospital
CMS certification 330078 · Buffalo, NY · 5 entries in CMS's price-transparency list
Sisters of Charity Hospital: charges and Medicare payments
Sisters of Charity Hospital reported 441 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 2.05 times what it was paid — among the lower ratios in New York, number 96 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: 69 stays at an average charge of $44,581, 51% below the national average. It also billed 835 outpatient services, charging 3.01 times what Medicare paid.
- 1Medicare inpatient stays 441
- 2Charge ÷ paid, inpatient 2.05×
- 3Rank in NY (highest ratio = 1) 96 of 123
- 4CMS price-transparency actions 5
Inpatient stays
For the 21 DRGs that can be compared with the national average, Sisters of Charity Hospital charged more than the national average in 1 (5%). 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 | 69 | $44,581 | -51% | $20,548 |
| 291 Heart Failure and Shock with MCC | 58 | $24,327 | -57% | $13,673 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $33,224 | -53% | $19,386 |
| 378 Gastrointestinal Hemorrhage with CC | 22 | $17,065 | -65% | $11,510 |
| 603 Cellulitis without MCC | 22 | $15,812 | -58% | $9,416 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $30,170 | -50% | $14,510 |
| 682 Renal Failure with MCC | 19 | $43,971 | -33% | $18,354 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $99,049 | -57% | $47,452 |
| 300 Peripheral Vascular Disorders with CC | 17 | $24,837 | -50% | $11,920 |
| 895 Alcohol, Drug Abuse or Dependence with Rehabilitation... | 17 | $61,416 | +80% | $20,977 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $25,435 | -58% | $15,381 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $25,748 | -48% | $10,926 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $14,126 | -65% | $8,557 |
| 683 Renal Failure with CC | 15 | $25,745 | -37% | $12,770 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $16,600 | -57% | $7,500 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $30,951 | -64% | $17,264 |
| 638 Diabetes with CC | 14 | $20,134 | -52% | $11,367 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $42,410 | -26% | $13,424 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $32,510 | -56% | $17,089 |
| 253 Other Vascular Procedures with CC | 11 | $58,102 | -56% | $24,736 |
| 299 Peripheral Vascular Disorders with MCC | 11 | $19,634 | -74% | $14,264 |
Outpatient services
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sisters of Charity Hospital charged $44,581 on average, 62% less than the New York average of $116,930, and was paid $20,548 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Sisters of Charity Hospital charged $24,327 on average, 70% less than the New York average of $81,161, and was paid $13,673 against a state average of $16,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Sisters of Charity Hospital charged $33,224 on average, 65% less than the New York average of $94,371, and was paid $19,386 against a state average of $19,472. For Gastrointestinal Hemorrhage with CC (DRG 378), Sisters of Charity Hospital charged $17,065 on average, 73% less than the New York average of $63,735, and was paid $11,510 against a state average of $11,955. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $32,326 was 52% below the state average of $67,926. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $7,216 was 73% below the state average of $26,675. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $18,517 was 47% below the state average of $35,085. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $43,736 was 47% below the state average of $82,540.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sisters of Charity Hospital in Buffalo, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-07-20 (CMS case 429)
- Closure Notice — 2022-01-25 (CMS case 429)
- Warning Notice — 2025-03-07 (CMS case 3198)
- Closure Notice — 2025-06-09 (CMS case 3198)
- Warning Notice — 2026-06-24 (CMS case 8116)
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.