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.
Better than 82% of U.S. hospitals.
Better than 89% of U.S. hospitals.
Better than 81% of U.S. hospitals.
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.