Healthcare Pricing Data: ROCHESTER, NY
4 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
4
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
3.1x
Across all procedures
vs National Average
-42%
Chargemaster rates
About This Data
ROCHESTER, NY has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 3.1x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in ROCHESTER is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $145,993 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $145,993 | 4 | 3.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $56,762 | 4 | 3.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $52,754 | 4 | 3.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $47,623 | 4 | 3.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $43,781 | 4 | 2.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $43,445 | 4 | 3.0x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $39,060 | 4 | 2.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $35,440 | 4 | 3.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $35,420 | 4 | 3.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $35,052 | 4 | 3.5x |
| RENAL FAILURE WITH MCC | 682 | $35,038 | 4 | 3.0x |
| DIABETES WITH MCC | 637 | $30,949 | 4 | 2.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $30,886 | 4 | 3.0x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $30,205 | 4 | 2.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $29,406 | 4 | 2.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,305 | 4 | 4.0x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $27,732 | 4 | 3.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $26,622 | 4 | 4.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $26,045 | 4 | 2.9x |
| DIABETES WITH CC | 638 | $23,892 | 4 | 3.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $23,821 | 4 | 2.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $21,523 | 4 | 2.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $20,232 | 4 | 2.8x |
| RENAL FAILURE WITH CC | 683 | $20,169 | 4 | 3.0x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $19,369 | 4 | 3.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $19,115 | 4 | 2.7x |
| SYNCOPE AND COLLAPSE | 312 | $18,041 | 4 | 2.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $17,355 | 4 | 3.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $17,275 | 4 | 3.1x |
| CELLULITIS WITHOUT MCC | 603 | $17,001 | 4 | 2.7x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in ROCHESTER With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error