87/100
#142 nationally
Highland Hospital
1000 South Avenue, Rochester, NY 14617 · (585) 341-6711
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Highland Hospital billed $2.40 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 2.4x
- volume-weighted across all its priced work
- Procedures priced
- 82
- inpatient and outpatient combined
- Rank in NY
- #27
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 87% of U.S. hospitals.
Better than 94% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 85% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
280 | $12,471 | $2,869 | -36% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
233 | $37,747 | $20,112 | -42% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
211 | $31,729 | $13,523 | -49% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
144 | $25,239 | $12,754 | -42% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
102 | $6,977 | $1,719 | -31% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
77 | $21,400 | $5,429 | -22% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
72 | $20,985 | $6,050 | -40% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
71 | $11,004 | $2,160 | -15% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
64 | $12,371 | $3,315 | -32% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
60 | $14,599 | $3,647 | -29% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$43,945 | $14,664 | +5% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$41,699 | $11,422 | about average |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$140,542 | $47,294 | -3% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$47,923 | $19,724 | -4% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$17,770 | $3,379 | -7% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$10,426 | $1,704 | -7% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$32,323 | $9,357 | -13% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$11,004 | $2,160 | -15% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
$14,881 | $8,682 | -59% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
$17,240 | $10,687 | -58% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
$17,670 | $9,340 | -55% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$16,756 | $8,991 | -54% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$17,812 | $11,515 | -53% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$23,230 | $12,886 | -52% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$15,537 | $8,188 | -52% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$107,495 | $51,036 | -52% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.