Rochester General Hospital
Rochester General Hospital in Rochester, NY charges 3.3x the Medicare reimbursement rate across 92 analyzed procedures at this nonprofit-private facility.
Rochester, NY 14621 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
3.31x
Charge / Medicare rate
Max markup
5.51x
Worst procedure
Procedures analyzed
92
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CELLULITIS WITH MCC | 602 | $55,551 | $27,775 | — | 5.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $75,173 | $37,587 | — | 5.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $26,822 | $13,411 | — | 4.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,164 | $13,082 | — | 4.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $38,331 | $19,165 | — | 4.5x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $57,861 | $28,930 | — | 4.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,468 | $14,734 | — | 4.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $102,544 | $51,272 | — | 4.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $22,936 | $11,468 | — | 4.2x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $144,829 | $72,414 | — | 4.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $54,400 | $27,200 | — | 4.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $28,702 | $14,351 | — | 4.1x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $96,523 | $48,262 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $32,102 | $16,051 | — | 4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $24,524 | $12,262 | — | 4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $54,159 | $27,079 | — | 4x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $136,162 | $68,081 | — | 3.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $162,704 | $81,352 | — | 3.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $64,381 | $32,191 | — | 3.9x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $57,324 | $28,662 | — | 3.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $58,450 | $29,225 | — | 3.8x |
| HYPERTENSION WITHOUT MCC | 305 | $21,708 | $10,854 | — | 3.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $52,930 | $26,465 | — | 3.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $20,217 | $10,108 | — | 3.7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $19,636 | $9,818 | — | 3.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $191,433 | $95,716 | — | 3.7x |
| HEADACHES WITHOUT MCC | 103 | $24,130 | $12,065 | — | 3.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $35,613 | $17,807 | — | 3.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $148,047 | $74,024 | — | 3.6x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $111,362 | $55,681 | — | 3.6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $189,051 | $94,526 | — | 3.6x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $36,585 | $18,293 | — | 3.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $27,732 | $13,866 | — | 3.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $21,044 | $10,522 | — | 3.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $27,465 | $13,732 | — | 3.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $65,582 | $32,791 | — | 3.5x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $23,671 | $11,836 | — | 3.5x |
| CHEST PAIN | 313 | $19,370 | $9,685 | — | 3.5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $59,841 | $29,921 | — | 3.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $41,273 | $20,636 | — | 3.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $35,581 | $17,791 | — | 3.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $105,879 | $52,940 | — | 3.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $23,258 | $11,629 | — | 3.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $36,649 | $18,324 | — | 3.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $27,405 | $13,702 | — | 3.3x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $114,189 | $57,095 | — | 3.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $82,021 | $41,010 | — | 3.2x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $56,076 | $28,038 | — | 3.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $23,151 | $11,575 | — | 3.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $25,212 | $12,606 | — | 3.1x |
Showing 50 of 92 procedures
How ROCHESTER GENERAL HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use