CostGrade
A

83/100

#279 nationally

Rochester General Hospital

1425 Portland Avenue, Rochester, NY 14621 · (585) 922-4000

Charges close to what care is actually paid for

For every $1 of care Medicare actually paid for here, Rochester General Hospital billed $2.68 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
2.7x
volume-weighted across all its priced work
Procedures priced
125
inpatient and outpatient combined
Rank in NY
#37
lower markup ranks higher
CMS quality stars
2/5
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.

Inpatient charge markup 28.7/35

Better than 82% of U.S. hospitals.

Outpatient charge markup 22.3/25

Better than 89% of U.S. hospitals.

Price level vs national median 24.4/30

Better than 81% of U.S. hospitals.

Price consistency 7.5/10

Better than 75% 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

340 $10,420 $2,834 -46%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

221 $13,038 $3,415 -48%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

205 $56,755 $22,197 -13%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

140 $30,391 $13,619 -30%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

127 $8,568 $1,602 -15%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

115 $100,001 $24,907 -25%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

107 $12,233 $3,354 -36%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

85 $49,397 $11,295 -27%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

82 $11,447 $3,591 -45%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

82 $12,506 $5,382 -54%

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
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

$54,212 $7,257 +41%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

$26,031 $3,970 +15%
Level 3 ENT Procedures

APC 5163 · Hospital outpatient visit

$7,205 $1,323 +13%
Red Blood Cell Disorders with Major Complications

MS-DRG 811 · Inpatient stay

$56,696 $13,292 about average
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

$12,593 $2,129 about average
Respiratory Failure

MS-DRG 189 · Inpatient stay

$45,681 $15,733 -6%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

$47,618 $12,926 -7%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

$48,567 $19,076 -12%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Level 4 ENT Procedures

APC 5164 · Hospital outpatient visit

$5,625 $1,870 -70%
Extracranial Procedures without Complications/mcc

MS-DRG 039 · Inpatient stay

$17,416 $16,607 -67%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

$53,244 $34,298 -63%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

$30,729 $17,808 -63%
Cranial and Peripheral Nerve Disorders without Major Complications

MS-DRG 074 · Inpatient stay

$18,958 $11,506 -60%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

$27,617 $16,930 -59%
Disorders of the Biliary Tract with Complications

MS-DRG 445 · Inpatient stay

$21,391 $10,979 -58%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

$21,715 $12,969 -55%

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.