Hospital Costs > In New York > Rochester General Hospital, procedure costs

Rochester General Hospital, procedure costs

1425 Portland Avenue, Rochester, NY 14621,

Procedure Costs @ Rochester General Hospital
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc376152 / 19$26.157,10595 / 36$12.655,501538 / 42$11.082,501507 / 38
Heart Failure & Shock W Mcc19094 / 8$18.607,50346 / 25$10.322,001547 / 41$9.161,081543 / 36
Heart Failure & Shock W Cc145133 / 18$14.355,60508 / 31$7.210,201764 / 56$6.078,151759 / 50
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc132432 / 46$32.085,50318 / 32$14.509,901482 / 35$11.998,801448 / 30
Pulmonary Edema & Respiratory Failure10796 / 5$21.344,40494 / 29$9.016,381384 / 44$7.559,851380 / 40
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc105102 / 21$16.702,60494 / 34$7.744,211627 / 51$6.467,851620 / 47
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc101174 / 36$12.454,90447 / 33$5.726,171923 / 57$4.631,381909 / 61
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc81115 / 16$42.686,7093 / 10$13.885,80730 / 10$11.332,80726 / 9
Cellulitis W/O Mcc80109 / 32$13.016,40591 / 38$6.233,501718 / 56$5.006,151711 / 55
G.I. Hemorrhage W Cc74144 / 32$16.176,30410 / 30$7.404,031483 / 53$5.941,721479 / 45
Renal Failure W Mcc70125 / 17$24.956,40456 / 21$11.165,701422 / 27$10.005,301422 / 24
Intracranial Hemorrhage Or Cerebral Infarction W Mcc64104 / 14$39.345,80676 / 27$13.404,60927 / 32$10.751,00924 / 17
Heart Failure & Shock W/O Cc/Mcc5852 / 13$10.508,90322 / 26$5.183,831298 / 50$4.087,981288 / 43
Infectious & Parasitic Diseases W O.R. Procedure W Mcc5767 / 14$82.475,80272 / 14$36.168,00771 / 17$32.282,40765 / 11
Circulatory Disorders Except Ami, W Card Cath W/O Mcc56132 / 23$17.997,3068 / 6$7.947,661042 / 19$6.463,091039 / 20
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs56126 / 25$23.365,30681 / 33$7.841,681364 / 39$6.498,961361 / 38
Chronic Obstructive Pulmonary Disease W Mcc55147 / 40$14.095,00255 / 19$8.012,221587 / 37$6.963,711579 / 42
Chronic Obstructive Pulmonary Disease W Cc55124 / 28$14.652,00480 / 37$6.745,471539 / 49$5.579,621533 / 47
Transient Ischemia5570 / 16$15.373,40318 / 28$5.524,201018 / 40$4.080,051013 / 32
Renal Failure W Cc49172 / 41$14.574,10424 / 25$7.081,881668 / 44$6.061,491659 / 48
Kidney & Urinary Tract Infections W/O Mcc47186 / 56$17.198,701249 / 54$6.005,721909 / 58$4.836,661898 / 58
Major Cardiovasc Procedures W/O Mcc4655 / 10$71.670,80274 / 16$23.592,50527 / 12$20.599,80527 / 11
Diabetes W Cc4646 / 9$12.897,10197 / 13$6.134,48948 / 23$5.012,72944 / 21
Syncope & Collapse45124 / 51$13.939,90323 / 27$5.623,801181 / 37$4.359,401174 / 37
Simple Pneumonia & Pleurisy W Mcc45160 / 35$21.520,90473 / 32$9.799,471468 / 33$8.619,731468 / 30
Cardiac Arrhythmia & Conduction Disorders W Mcc4380 / 21$16.915,00191 / 14$9.033,331322 / 36$7.998,841319 / 38
Simple Pneumonia & Pleurisy W Cc42161 / 48$13.072,40361 / 30$7.300,261234 / 61$5.252,311230 / 22
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents4159 / 10$55.547,9053 / 5$20.967,60289 / 3$17.823,40287 / 2
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc4012 / 5$99.260,2011 / 1$39.382,9028 / 2$34.684,9028 / 2
Cardiac Arrhythmia & Conduction Disorders W Cc40121 / 33$12.910,50309 / 23$6.055,951489 / 48$4.964,351484 / 46
Acute Myocardial Infarction, Discharged Alive W Cc3952 / 10$16.346,60153 / 14$7.595,23960 / 30$6.546,74958 / 33
Hip & Femur Procedures Except Major Joint W Cc38105 / 32$30.189,00229 / 23$12.822,801174 / 24$11.556,401160 / 27
Coronary Bypass W Cardiac Cath W/O Mcc3739 / 6$70.393,0029 / 1$30.567,50354 / 6$27.694,80354 / 6
Respiratory System Diagnosis W Ventilator Support <96 Hours3794 / 17$39.307,60305 / 23$15.378,00996 / 20$14.091,70986 / 22
Red Blood Cell Disorders W/O Mcc37106 / 40$13.661,50326 / 20$6.032,271337 / 36$5.072,461328 / 38
Acute Myocardial Infarction, Discharged Alive W Mcc3689 / 28$21.309,80188 / 16$11.703,201048 / 34$10.487,301045 / 33
Major Cardiovasc Procedures W Mcc3533 / 6$83.515,2068 / 3$37.785,40332 / 5$33.825,40332 / 5
Chest Pain35116 / 43$12.458,50272 / 23$4.810,061178 / 27$3.918,601171 / 34
Major Small & Large Bowel Procedures W Cc3375 / 17$51.656,10459 / 29$18.043,601050 / 24$16.173,901038 / 29
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc33117 / 40$8.489,55193 / 14$4.601,641387 / 53$3.272,001381 / 53
Esophagitis, Gastroent & Misc Digest Disorders W Mcc3363 / 14$16.916,80109 / 8$8.490,24756 / 14$7.260,58751 / 16
Other Vascular Procedures W Cc3270 / 22$26.303,4025 / 1$17.076,90422 / 6$14.520,90420 / 5
Diabetes W Mcc3225 / 3$24.733,20168 / 7$9.694,19405 / 5$8.712,06405 / 4
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3294 / 30$17.395,40268 / 12$7.890,69938 / 16$6.868,34935 / 13
Spinal Fusion Except Cervical W/O Mcc30164 / 24$72.592,70411 / 29$27.637,30625 / 16$22.579,80621 / 12
G.I. Hemorrhage W Mcc3091 / 25$27.948,00263 / 12$12.123,30898 / 17$10.839,50893 / 15
G.I. Obstruction W Cc2963 / 17$13.772,60212 / 14$6.657,621218 / 38$5.622,451214 / 40
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc2940 / 10$140.465,0015 / 2$57.450,5053 / 2$53.180,0053 / 1
Permanent Cardiac Pacemaker Implant W Cc2948 / 12$34.539,9041 / 5$15.392,60242 / 2$14.312,90241 / 5
Kidney & Urinary Tract Infections W Mcc28116 / 35$20.002,50571 / 20$8.256,111335 / 32$7.105,181331 / 32
Seizures W/O Mcc2781 / 33$12.532,60155 / 16$5.851,67776 / 28$4.675,30773 / 26
Extracranial Procedures W/O Cc/Mcc2771 / 11$9.143,048 / 1$7.783,93513 / 12$5.797,22512 / 8
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc2791 / 13$87.515,0036 / 3$32.351,80172 / 3$30.127,10172 / 6
Other Circulatory System Diagnoses W Mcc2789 / 22$24.071,30102 / 7$12.701,00697 / 8$11.575,90695 / 9
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc2631 / 11$37.133,50109 / 8$14.386,40374 / 5$12.514,70373 / 8
Septicemia Or Severe Sepsis W Mv 96+ Hours2666 / 27$94.973,90154 / 14$38.075,00485 / 7$36.445,70484 / 7
Circulatory Disorders Except Ami, W Card Cath W Mcc2667 / 15$38.883,80140 / 8$16.717,70687 / 15$15.001,10680 / 15
Major Small & Large Bowel Procedures W Mcc2659 / 17$92.258,50314 / 15$37.814,40875 / 18$34.861,50873 / 20
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2694 / 29$10.628,60312 / 27$5.443,191326 / 51$4.108,271315 / 42
Permanent Cardiac Pacemaker Implant W Mcc2527 / 5$42.950,7014 / 1$21.837,00188 / 2$20.630,50188 / 2
Respiratory Infections & Inflammations W Mcc24112 / 31$22.926,20169 / 9$13.022,90976 / 19$11.626,30966 / 17
Dysequilibrium2441 / 16$13.280,1092 / 11$4.986,71319 / 13$3.662,75319 / 14
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc24142 / 65$14.237,00866 / 48$5.340,171677 / 56$4.288,541672 / 53
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2478 / 29$15.247,80270 / 16$6.305,38957 / 28$4.242,71953 / 24
Poisoning & Toxic Effects Of Drugs W/O Mcc2437 / 11$10.661,60126 / 7$4.984,42584 / 14$4.175,62583 / 16
Medical Back Problems W/O Mcc2398 / 41$16.714,30320 / 22$6.209,39957 / 28$5.121,30954 / 30
O.R. Procedures For Obesity W/O Cc/Mcc2354 / 12$31.055,0096 / 18$10.828,80208 / 5$8.936,78208 / 9
Complications Of Treatment W Mcc2328 / 3$24.932,5030 / 4$11.672,80127 / 1$11.072,10127 / 3
Poisoning & Toxic Effects Of Drugs W Mcc2349 / 4$22.368,00161 / 5$9.789,57560 / 5$8.800,91558 / 6
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2231 / 10$16.322,20179 / 17$5.563,41551 / 16$4.473,86547 / 17
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc2224 / 7$19.629,0043 / 5$7.126,41143 / 1$5.948,91143 / 4
Cranial & Peripheral Nerve Disorders W/O Mcc2147 / 14$12.458,2059 / 2$6.558,19365 / 9$5.271,10365 / 9
Other Disorders Of Nervous System W Cc2135 / 12$14.756,4082 / 1$6.413,33325 / 4$5.390,71325 / 5
Other Digestive System Diagnoses W Cc2176 / 28$17.231,60251 / 13$7.417,19829 / 22$5.870,38825 / 20
Infectious & Parasitic Diseases W O.R. Procedure W Cc2115 / 3$39.047,3053 / 2$17.932,70218 / 5$15.785,40218 / 5
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc20104 / 38$12.961,80248 / 18$5.436,75432 / 16$4.186,10431 / 14
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc2042 / 24$17.882,30303 / 23$6.034,50524 / 27$4.649,40522 / 30
Other Circulatory System O.R. Procedures1936 / 10$56.157,60136 / 7$22.060,80320 / 4$20.362,80320 / 6
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1970 / 14$11.516,9015 / 3$8.233,21281 / 8$5.507,89280 / 3
Signs & Symptoms W/O Mcc1972 / 31$13.971,80273 / 15$5.540,11670 / 29$3.981,32667 / 18
Pulmonary Embolism W/O Mcc1955 / 15$15.313,80166 / 12$7.630,16560 / 22$5.288,95557 / 11
Peripheral Vascular Disorders W Cc1965 / 29$13.645,20131 / 5$7.015,95775 / 15$6.099,84772 / 19
Seizures W Mcc1947 / 12$32.431,70217 / 3$13.590,30417 / 13$9.693,26417 / 3
Organic Disturbances & Mental Retardation1841 / 20$19.223,00160 / 8$7.374,39251 / 7$5.980,22251 / 7
Other Vascular Procedures W/O Cc/Mcc1838 / 12$21.430,2016 / 2$11.773,10261 / 5$9.525,72260 / 3
Hip & Femur Procedures Except Major Joint W Mcc1745 / 14$51.057,20187 / 9$20.195,80524 / 6$18.507,20521 / 7
Cellulitis W Mcc1741 / 20$19.898,90122 / 8$9.730,47476 / 5$8.633,65474 / 4
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc1733 / 10$79.562,5019 / 3$35.388,9075 / 2$31.451,5075 / 2
Other Vascular Procedures W Mcc1780 / 25$54.682,50112 / 9$19.281,20241 / 2$18.238,60240 / 2
Cranial & Peripheral Nerve Disorders W Mcc1719 / 4$17.495,6013 / 1$9.029,8276 / 1$8.458,8876 / 1
Nonspecific Cerebrovascular Disorders W Cc1739 / 4$18.019,7096 / 1$6.902,65252 / 1$5.772,71252 / 2
Other Digestive System Diagnoses W Mcc1745 / 18$26.559,60113 / 3$12.759,50245 / 12$9.782,53245 / 4
Postoperative & Post-Traumatic Infections W/O Mcc1638 / 10$27.139,60244 / 15$7.924,69277 / 14$6.638,50277 / 16
Disorders Of The Biliary Tract W Cc1638 / 16$19.803,0064 / 5$7.647,00275 / 8$6.696,56275 / 10
Diabetes W/O Cc/Mcc1622 / 11$8.559,9426 / 2$4.639,75151 / 3$3.489,06151 / 4
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1665 / 18$361.960,00145 / 7$141.101,00314 / 4$132.895,00313 / 8
Simple Pneumonia & Pleurisy W/O Cc/Mcc1677 / 35$12.219,30432 / 23$5.421,001460 / 38$4.325,311452 / 44
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1657 / 20$21.202,10325 / 15$8.397,38729 / 14$7.450,56727 / 17
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1654 / 9$23.131,90249 / 9$8.799,8848 / 7$4.409,3148 / 1
Headaches W/O Mcc1627 / 6$12.965,3029 / 2$4.908,19116 / 1$3.765,50116 / 1
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents1629 / 5$56.779,0029 / 2$20.283,70160 / 2$19.355,60159 / 3
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc1512 / 2$25.693,2032 / 2$10.554,5040 / 1$9.353,9340 / 1
Major Chest Procedures W Cc1559 / 14$42.232,5057 / 4$12.734,703 / 1$10.392,703 / 1
Degenerative Nervous System Disorders W/O Mcc1563 / 32$21.418,80276 / 16$7.509,07463 / 18$5.911,47463 / 15
Disorders Of Pancreas Except Malignancy W Cc1447 / 16$14.257,9099 / 4$6.773,64644 / 13$5.823,86641 / 14
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1451 / 16$45.790,2082 / 3$20.618,80476 / 6$19.102,90473 / 6
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1433 / 16$17.672,20116 / 9$5.540,86204 / 8$4.488,00204 / 8
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1455 / 13$43.964,7090 / 9$12.265,90360 / 7$10.985,60359 / 7
Red Blood Cell Disorders W Mcc1457 / 26$16.955,4088 / 3$8.746,71582 / 10$7.724,29579 / 9
Coronary Bypass W Cardiac Cath W Mcc1343 / 11$110.746,0027 / 2$45.175,50225 / 2$43.518,40225 / 3
G.I. Obstruction W/O Cc/Mcc1358 / 26$12.811,80351 / 26$4.963,23952 / 35$3.811,92949 / 39
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1342 / 13$34.363,4078 / 6$13.072,60358 / 2$11.892,10356 / 5
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1363 / 14$44.085,30245 / 5$15.099,00317 / 5$12.399,00317 / 4
Peripheral Vascular Disorders W Mcc1336 / 18$29.354,80187 / 6$9.786,38339 / 6$8.770,77339 / 8
Bronchitis & Asthma W Cc/Mcc1363 / 29$14.929,20189 / 8$6.508,85704 / 13$5.476,08700 / 20
Other Kidney & Urinary Tract Diagnoses W Mcc1388 / 35$23.230,90201 / 11$10.482,80596 / 11$9.512,46594 / 12
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1283 / 27$52.874,20126 / 7$13.804,20373 / 3$12.712,80369 / 7
Hypertension W/O Mcc1253 / 24$10.634,8074 / 7$4.949,83496 / 14$3.726,00494 / 15
Other Circulatory System Diagnoses W Cc1254 / 20$12.625,9051 / 1$7.001,58442 / 8$6.312,83441 / 11
Cirrhosis & Alcoholic Hepatitis W Mcc1230 / 9$20.457,2012 / 1$11.638,20122 / 1$10.824,40122 / 3
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1152 / 21$65.763,5053 / 5$31.278,50379 / 6$30.343,90379 / 7
Nervous System Neoplasms W Mcc1137 / 14$26.679,7057 / 4$9.098,73130 / 2$8.030,91130 / 2
Other Kidney & Urinary Tract Diagnoses W Cc1192 / 30$11.898,7050 / 1$6.975,55416 / 9$5.922,09416 / 7
Digestive Malignancy W Cc1136 / 17$18.727,8032 / 1$9.078,4586 / 6$6.629,8285 / 2
Pulmonary Embolism W Mcc1132 / 8$26.353,00114 / 6$11.131,90351 / 6$9.302,18351 / 6
Peritoneal Adhesiolysis W Cc1128 / 9$32.372,6015 / 1$15.511,50141 / 2$14.044,50141 / 4
Major Small & Large Bowel Procedures W/O Cc/Mcc1153 / 20$40.711,10312 / 15$11.684,90364 / 11$8.939,64364 / 5
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W/O Cc/Mcc116 / 2$91.650,703 / 1$34.010,702 / 1$32.517,502 / 1
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc1180 / 18$4.040,361 / 1$7.780,55184 / 4$7.401,27184 / 6
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1133 / 12$52.242,8063 / 3$20.243,80290 / 3$19.069,40288 / 6
Total 130 procedures4.485discharges

DATA

Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014

Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.

Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.

Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration

Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.