74/100
#524 nationally
Rome Memorial Hospital, Inc
1500 North James Street, Rome, NY 13440 · (315) 338-7000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Rome Memorial Hospital, Inc billed $3.26 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
- 3.3x
- volume-weighted across all its priced work
- Procedures priced
- 26
- inpatient and outpatient combined
- Rank in NY
- #51
- 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 77% of U.S. hospitals.
Better than 67% of U.S. hospitals.
Better than 73% of U.S. hospitals.
Better than 82% 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 |
275 | $21,098 | $2,894 | +9% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
176 | $45,746 | $17,061 | -30% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
50 | $5,824 | $1,719 | -42% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
43 | $39,771 | $14,387 | -28% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
43 | $13,606 | $3,696 | -34% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
41 | $31,271 | $9,379 | -20% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
38 | $31,913 | $10,894 | -34% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
34 | $34,874 | $11,361 | -20% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
30 | $21,917 | $6,118 | -38% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
29 | $7,838 | $2,017 | -33% |
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 |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$21,098 | $2,894 | +9% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$29,598 | $7,227 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$10,748 | $1,704 | -4% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$11,518 | $2,160 | -11% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$15,198 | $3,013 | -14% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$15,461 | $3,379 | -19% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$34,874 | $11,361 | -20% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$31,271 | $9,379 | -20% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$55,951 | $33,361 | -61% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$24,985 | $11,973 | -46% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$35,106 | $13,930 | -44% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$32,769 | $14,435 | -42% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,824 | $1,719 | -42% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$24,137 | $7,585 | -39% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$21,917 | $6,118 | -38% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$13,606 | $3,696 | -34% |
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.