University of Rochester Medical Center · Rochester, NY
3 of 5
CMS star rating
261
Beds
15,282
Inpatient discharges a year
$556.7M
Net patient revenue a year
28
In-network payers
Highland Hospital is a 261-bed voluntary non-profit - private hospital in Rochester, NY, affiliated with University of Rochester Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 173 disclosed rate categories.
The 24 services Highland Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Gynecology
CPT 58558
$6,390 - $12,069
from 4 insurers · median $8,419
64 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$9,235
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$13,134
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$9,255 - $13,701
from 3 insurers · median $12,816
72 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$8,168 - $22,535
from 3 insurers · median $14,111
49 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$873 - $2,595
from 3 insurers · median $1,029
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$6,030 - $8,633
from 3 insurers · median $7,590
56 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$21,263
negotiated rate
61 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 43239
$2,693 - $5,644
from 4 insurers · median $3,939
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$209 - $2,251
from 4 insurers · median $1,769
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,709 - $12,816
from 3 insurers · median $9,758
72 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$3,259 - $6,299
from 4 insurers · median $4,131
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$10,646 - $16,393
from 3 insurers · median $12,816
72 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$78 - $585
from 4 insurers · median $457
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$12,017 - $22,535
from 3 insurers · median $12,777
49 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$109 - $360
from 3 insurers · median $255
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,235
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Nuclear imaging
CPT 78452
$1,341 - $5,815
from 3 insurers · median $3,783
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$7,923 - $21,284
from 4 insurers · median $16,265
Typical for a hospital with this service line
CT imaging
CPT 70450
$97 - $769
from 4 insurers · median $233
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$10,425 - $12,550
from 2 insurers · median $11,487
Typical for a hospital with this service line
CT imaging
CPT 74176
$69 - $1,622
from 4 insurers · median $558
Common here, based on CMS Medicare volume
Urology
CPT 50590
$6,207 - $7,473
from 2 insurers · median $6,840
60 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 57288
$7,627 - $10,605
from 3 insurers · median $8,809
11 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 11 | 405% | 11 | 0 |
| Insurer B* | 20 | 280% | 0 | 0 |
| Insurer C* | 17 | 172% | 5 | 9 |
| Insurer D* | 22 | 164% | 17 | 1 |
How we chose these services: 10 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Highland Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$556.7M net patient revenue
Ownership and leadership
Owned by Strong Partners Healthsystem, Inc
The employer identification numbers (EINs) health plans and networks list for Highland Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 16-0743037Highland Hospital of Rochester | 40Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 35 more | 1972548568 Highland Hospital Of Rochester1962725739 Highland Hospital Of Rochester1376820241 Highland Hospital Of Rochesterand 16 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1000 South Avenue, Rochester, NY 14620
(585) 341-6736
How Highland Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 8 measures
1 better, 7 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 9 measures
0 better, 7 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
72%
Higher than 51% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.98
Higher than 58% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
304 min
Higher than 99% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
50%
Lower than 81% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | Better on 1 of 6 measures | |
| Safety | Better on 1 of 8 measures | |
| Readmissions | Worse on 2 of 9 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 72% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.98 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 304 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 50% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Highland Hospital's inpatient payments for its readmissions, quality and cost results.
-0.30% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.93% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Highland Hospital, beside the US median and the average of NY hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Highland Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 224 cases | 3.7 | 4.1 | 3.952 | Better than 67% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 4,255 cases | 3.3 | 3.9 | 3.707 | Better than 83% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.31 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 1.91 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 72 cases | 6.9 | 8.5 | 8.316 | Better than 89% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 266 cases | 9.7 | 11 | 10.43 | Better than 74% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 284 cases | 9.6 | 15.2 | 14.6 | Better than 99% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 176 cases | 10.4 | 11.6 | 11.03 | Better than 72% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 4,325 cases | 0.85 | 0.51 | 0.9123 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 30 cases | 188 | 173 | 184 | No Different Than the National Rate | Worse than 73% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 5,126 cases | 0.17 | 0.2 | 0.2101 | No Different Than the National Rate | Better than 84% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 4,950 cases | 0.37 | 0.27 | 0.2858 | No Different Than the National Rate | Worse than 97% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 937 cases | 2.76 | 2.29 | 2.43 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 450 cases | 1.55 | 1.63 | 1.674 | No Different Than the National Rate | Better than 73% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 445 cases | 6.05 | 8.88 | 9.324 | No Different Than the National Rate | Better than 93% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 965 cases | 3.82 | 3.4 | 3.686 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 441 cases | 4.22 | 5.105 | 5.465 | No Different Than the National Rate | Better than 89% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 213 cases | 1.98 | 1.72 | 1.729 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 827 cases | 1.37 | 1.02 | 1.053 | No Different Than the National Rate | Worse than 92% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Highland Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 10.66 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 301 cases | 35.2 | 1.25 | 26.25 | Worse than 86% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 299 cases | 18.1 | 3.85 | 27.98 | Worse than 70% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 1,035 cases | 13.9 | 12.9 | 12.82 | No Different Than the National Rate | Worse than 87% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 32 cases | 9.8 | 10.7 | 11.22 | No Different Than the National Rate | Better than 78% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 32 cases | 5 | 5.3 | 5.026 | No Different Than the National Rate | Better than 68% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 473 cases | 1.1 | 1 | 0.9336 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 60 cases | 13.9 | 14.4 | 14.47 | Better than 72% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.69 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 294 cases | 20.4 | 19.8 | 20.27 | Worse than 73% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 923 cases | 21.5 | 21.3 | 21.89 | Worse than 55% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 223 cases | 5 | 5.8 | 5.589 | Better than 91% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 855 cases | 16.4 | 17.2 | 17.78 | Better than 83% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Highland Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.667 | 0.172 | 0.2612 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.093 | 1.504 | 1.692 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 9,741 | 1,370 | 8,161 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 9.746 | 0.9835 | 8.553 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 12 | 0 | 4.683 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.231 | 0.484 | 0.5488 | No Different than National Benchmark | Worse than 90% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.187 | 0.138 | 0.1924 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.958 | 1.392 | 1.442 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 10,229 | 1,799 | 8,098 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 13.03 | 1.377 | 10.38 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 6 | 0 | 4.583 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.461 | 0.399 | 0.4307 | Better than the National Benchmark | Worse than 57% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.318 | 0.2345 | 0.2752 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.41 | 2.135 | 2.411 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 151 | 61 | 149 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 4.003 | 1.591 | 3.939 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 4 | 1 | 2.941 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.999 | 0.7155 | 0.7341 | No Different than National Benchmark | Worse than 69% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.026 | 0.211 | 0.4218 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.537 | 3.068 | 3.517 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 242 | 38 | 90.43 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 1.944 | 0.328 | 0.7508 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.708 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 0.514 | 0.812 | 1.049 | No Different than National Benchmark | Better than 71% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.527 | 0.193 | 0.2613 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.383 | 1.855 | 1.903 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 115,749 | 14,451 | 80,977 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 5.811 | 0.567 | 5.587 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 7 | 0 | 3.796 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 1.205 | 0.597 | 0.6195 | No Different than National Benchmark | Worse than 86% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.247 | 0.127 | 0.1972 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.625 | 0.747 | 0.8371 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 110,920 | 13,646 | 73,951 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 44.62 | 5.683 | 38.28 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 18 | 2 | 12.57 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.403 | 0.279 | 0.3563 | Better than the National Benchmark | Worse than 67% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Highland Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 1,104 cases | 56 | 73 | 68.99 | Worse than 98% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,104 cases | 15 | 8 | 10.19 | Worse than 89% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 1,104 cases | 29 | 18 | 20.83 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,104 cases | 79 | 87 | 84.97 | Worse than 94% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,104 cases | 2 | 4 | 3.044 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,104 cases | 75 | 80 | 76.99 | Worse than 78% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,104 cases | 90 | 91 | 89.97 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,104 cases | 6 | 4 | 5.71 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,104 cases | 3 | 3 | 2.889 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,104 cases | 19 | 16 | 17.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,104 cases | 79 | 79 | 76.68 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,104 cases | 91 | 91 | 89.46 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,104 cases | 5 | 5 | 6.31 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,104 cases | 3 | 3 | 2.674 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,104 cases | 16 | 16 | 17.01 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 1,104 cases | 57 | 61 | 58.86 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,104 cases | 75 | 77 | 74.78 | Worse than 63% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,104 cases | 22 | 19 | 21.9 | Worse than 65% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,104 cases | 2 | 3 | 2.274 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 1,104 cases | 21 | 19 | 19.23 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,104 cases | 83 | 86 | 83.85 | Worse than 74% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,104 cases | 17 | 13 | 15.46 | Worse than 79% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 1,104 cases | 3 | 3 | 2.896 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,104 cases | 83 | 87 | 84.54 | Worse than 79% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,104 cases | 17 | 14 | 16.81 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,104 cases | 83 | 86 | 83.19 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,104 cases | 74 | 74 | 71.59 | Better than 48% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,104 cases | 8 | 7 | 8.014 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,104 cases | 18 | 19 | 20.4 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,104 cases | 77 | 77 | 74.66 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,104 cases | 5 | 6 | 6.893 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,104 cases | 18 | 17 | 18.44 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,104 cases | 86 | 85 | 82.9 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,104 cases | 3 | 3 | 4.479 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,104 cases | 11 | 11 | 12.62 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,104 cases | 12 | 8 | 10.63 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,104 cases | 22 | 20 | 23.59 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,104 cases | 66 | 72 | 65.78 | Worse than 72% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,104 cases | 86 | 88 | 85.79 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,104 cases | 3 | 3 | 2.815 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,104 cases | 72 | 74 | 72.21 | Worse than 62% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,104 cases | 10 | 9 | 11.03 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,104 cases | 18 | 16 | 16.76 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,104 cases | 71 | 75 | 72.71 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,104 cases | 7 | 5 | 7.086 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,104 cases | 22 | 20 | 20.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,104 cases | 71 | 77 | 73.59 | Worse than 81% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,104 cases | 6 | 4 | 6.164 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,104 cases | 23 | 19 | 20.24 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,104 cases | 81 | 86 | 83.55 | Worse than 83% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,104 cases | 4 | 3 | 4 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,104 cases | 15 | 11 | 12.45 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 1,104 cases | 50 | 59 | 49.08 | Worse than 80% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,104 cases | 16 | 9 | 16.57 | Worse than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 1,104 cases | 34 | 31 | 34.35 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,104 cases | 76 | 82 | 75.47 | Worse than 80% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 1,104 cases | 2 | 3 | 2.296 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 1,104 cases | 6 | 5 | 7.297 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,104 cases | 72 | 71 | 66.23 | Better than 51% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,104 cases | 88 | 87 | 84.56 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,104 cases | 22 | 23 | 26.48 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,104 cases | 4 | 4 | 3.096 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,104 cases | 42 | 47 | 44.58 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,104 cases | 33 | 30 | 33.46 | Worse than 62% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,104 cases | 25 | 22 | 21.96 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 1,104 cases | 3 | 3 | 2.8 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,104 cases | 16 | 12 | 14.29 | Worse than 81% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,104 cases | 84 | 88 | 85.71 | Worse than 81% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Highland Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 7.9 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.158 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 8,861 cases | 1 | 0 | 0.2381 | Worse than 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 3,885 cases | 65 | 79 | 69.3 | Worse than 71% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 408 cases | 302 | 154 | 206 | Worse than 98% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 398 cases | 304 | 148 | 200 | Worse than 99% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 326 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 350 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 47,439 cases | 4 | 1 | 2.294 | Worse than 88% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 67.28 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 96 cases | 99 | 97 | 92.28 | Better than 63% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 46.05 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 3,903 cases | 18 | 15 | 13.94 | Worse than 73% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 386 cases | 50 | 65 | 58.55 | Worse than 81% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 124 cases | 68 | 73 | 70.43 | Worse than 61% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 57 cases | 82 | 88 | 83.41 | Worse than 68% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 386 cases | 83 | 82 | 77.52 | Better than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 223 cases | 65 | 94 | 86.12 | Worse than 98% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 115 cases | 97 | 98 | 96.71 | Worse than 51% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 77.25 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 114 cases | 95 | 94 | 92.87 | Better than 54% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 85.23 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.43 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Highland Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.9 | 5 | 5.231 | Worse than 77% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 13 | 6.6 | 23.75 | Worse than 90% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Highland Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.91 | 0.99 | 0.9974 | Better than 84% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Highland Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 50 | 20 | 30.89 | Better than 89% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 12.5 | 5 | 7.74 | Better than 89% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 70 | 10 | 20.53 | Better than 92% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 17.5 | 2.5 | 5.155 | Better than 91% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 20 | 34 | 27.68 | Worse than 78% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 5 | 8.75 | 6.965 | Worse than 78% of US hospitals | |
| VBP safety domain scoreFY 2026 | 30 | 40 | 38.92 | Worse than 68% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 7.5 | 10 | 9.798 | Worse than 68% of US hospitals | |
| VBP total performance scoreFY 2026 | 42.5 | 29.5 | 29.44 | Better than 84% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 64 | 62.5 | 36.67 | 22.5 | 7.5 | 50 |
| VBP clinical outcomes weighted domain score | 16 | 15.63 | 9.167 | 5.625 | 1.875 | 12.5 |
| VBP efficiency and cost reduction domain score | 60 | Not Available | 60 | 70 | 70 | 70 |
| VBP efficiency and cost reduction weighted domain score | 15 | Not Available | 15 | 17.5 | 17.5 | 17.5 |
| VBP person and community engagement domain score | 21 | Not Available | Not Available | 4 | 5 | 20 |
| VBP person and community engagement weighted domain score | 5.25 | Not Available | Not Available | 1 | 1.25 | 5 |
| VBP safety domain score | 12 | Not Available | Not Available | 10 | 8 | 30 |
| VBP safety weighted domain score | 3 | Not Available | Not Available | 2.5 | 2 | 7.5 |
| VBP total performance score | 39.25 | Not Available | Not Available | 26.63 | 22.63 | 42.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Highland Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.001 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9565 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 69 cases | 1.024 | 0.9969 | 1.014 | Worse than 72% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 300 cases | 1.027 | 0.9983 | 1.015 | Worse than 68% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.047 | 0.9916 | 0.9473 | Worse than 66% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 274 cases | 1.031 | 0.9955 | 1.019 | Worse than 70% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9854 | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.043 | 1.092 | 1.06 | 0.985 | 0.9786 | 1.024 |
| READM-30-HF-HRRP | 0.9732 | 1.006 | 1.075 | 1.054 | 1.051 | 1.027 |
| READM-30-HIP-KNEE-HRRP | 0.9246 | 0.9989 | 1.17 | 1.3 | 1.253 | 1.047 |
| READM-30-PN-HRRP | 0.9492 | 0.9621 | 1.022 | 1.063 | 1.027 | 1.031 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Highland Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.65 | 0.489 | 0.5606 | Worse than 67% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.412 | 0.346 | 0.4123 | Worse than 60% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.56 | 0.559 | 0.6757 | Worse than 95% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.995 | 0.6405 | 0.8339 | Worse than 77% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9786 | 0.9628 | 1.099 | Worse than 58% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.159 | 0.7945 | 0.793 | Worse than 73% of US hospitals | |
| Total HAC scoreFY 2026 | 0.6127 | -0.0453 | 0.1475 | Worse than 84% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | Yes | Yes | Yes |
| Total HAC score | -0.0637 | 0.288 | 0 | 0.8026 | 0.8806 | 0.6127 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2016)
Accreditation
Major
Medical school affiliation
Private (not for profit)
Ownership type
261
Medicare-certified beds
552
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Highland Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
15,282
Inpatient discharges
Medicare 16%, Medicaid 2%
95,060
Inpatient days
100% of available bed days used
2,723
Employees (full-time equivalent)
90
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 843709). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Highland Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 17,410 | 2,089 | 75,561 | 95,060 |
| Discharges | 2,479 | 256 | 12,547 | 15,282 |
| Average length of stay | 7.0 days | 8.2 days | 6.0 days | 6.2 days |
| Average daily census | 47.7 | 5.7 | 207.0 | 260.4 |
44,060
Medicare Advantage days
6,084 discharges
12,613
Medicaid managed care days
1,948 discharges
9,822
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 247 | 86,429 | 16,632 | 96% |
| Intensive care unit | 14 | 3,859 | 778 | 76% |
| Nursery | 4,772 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843709, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Highland Hospital treats Medicare patients for most often, in 2024. 1,723 Medicare discharges in 56 published DRGs; 12% surgical; 70% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 233 | $37,747 | $15,697 | $16,080 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 144 | $25,239 | $10,363 | $10,752 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 59 | $29,725 | $10,707 | $12,663 | 1.33 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 56 | $17,933 | $5,779 | $7,640 | 0.79 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 55 | $23,281 | $7,853 | $9,918 | 1.03 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 51 | $45,610 | $14,440 | $19,430 | 1.88 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 51 | $27,693 | $13,912 | $11,797 | 1.65 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 49 | $30,417 | $13,802 | $12,958 | 1.70 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 44 | $16,957 | $5,557 | $7,224 | 0.78 |
| Renal failure with CCMS-DRG 683, medical | 39 | $19,050 | $7,355 | $8,115 | 0.90 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 37 | $54,868 | $17,621 | $23,374 | 2.07 |
| Cellulitis without MCCMS-DRG 603, medical | 37 | $16,076 | $7,310 | $6,848 | 0.88 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 35 | $23,230 | $11,175 | $9,896 | 1.32 |
| Renal failure with MCCMS-DRG 682, medical | 35 | $28,792 | $12,195 | $12,265 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 33 | $20,526 | $6,057 | $8,744 | 0.81 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 33 | $94,183 | $37,541 | $40,122 | 5.00 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 32 | $28,488 | $7,298 | $12,136 | 0.99 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 32 | $32,323 | $7,192 | $13,770 | 0.90 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 29 | $26,007 | $10,382 | $11,079 | 1.23 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 29 | $24,436 | $7,540 | $10,410 | 0.98 |
See all 56 Medicare inpatient DRGs at Highland Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Highland Hospital billed Medicare for most in 2024: 1,442 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 280 | 264 | $12,471 | $2,279 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 211 | 205 | $31,729 | $11,889 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 102 | 98 | $6,977 | $1,368 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 77 | 69 | $21,400 | $4,314 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 72 | 71 | $20,985 | $4,806 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 71 | 39 | $11,004 | $1,719 | $1,516 |
| Level 4 Gynecologic ProceduresAPC 5414 | 64 | 60 | $12,371 | $2,641 | $2,389 |
| Level 4 Urology and Related ServicesAPC 5374 | 60 | 53 | $14,599 | $2,896 | $2,629 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 56 | 53 | $14,852 | $2,817 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 50 | 49 | $28,188 | $5,509 | $4,982 |
See all 26 Medicare outpatient services at Highland Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Highland Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 7,225 in 2020 to 8,550 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 14450 | 645 | 8% | 4,233 | $22.6M | 34% | 30% |
| 14580 | 580 | 7% | 4,023 | $22.1M | 21% | 15% |
| 14534 | 519 | 6% | 3,255 | $17.7M | 42% | 37% |
| 14620 | 405 | 5% | 2,833 | $15.6M | 39% | 38% |
| 14623 | 353 | 4% | 2,908 | $14.7M | 36% | 34% |
| 14624 | 333 | 4% | 2,994 | $15M | 16% | 16% |
| 14618 | 308 | 4% | 2,393 | $12.2M | 39% | 38% |
| 14609 | 305 | 4% | 2,160 | $11.9M | 14% | 10% |
| 14526 | 296 | 3% | 2,164 | $11.3M | 34% | 22% |
| 14610 | 290 | 3% | 1,785 | $10.4M | 39% | 33% |
| 14611 | 235 | 3% | 1,800 | $8.9M | 19% | 13% |
| 14621 | 214 | 3% | 1,665 | $9.1M | 11% | 9% |
| 14467 | 209 | 2% | 1,896 | $9.4M | 42% | 36% |
| 14612 | 186 | 2% | 1,319 | $7.3M | 8% | 8% |
| 14625 | 166 | 2% | 1,043 | $6.3M | 36% | 27% |
| 14606 | 163 | 2% | 1,220 | $7M | 9% | 9% |
| 14586 | 159 | 2% | 979 | $5.4M | 38% | 27% |
| 14420 | 145 | 2% | 893 | $4.8M | 17% | 15% |
| 14626 | 144 | 2% | 1,128 | $5.5M | 6% | 8% |
| 14619 | 135 | 2% | 834 | $4.7M | 22% | 21% |
| 14616 | 126 | 1% | 997 | $5.4M | 8% | 6% |
| 14617 | 122 | 1% | 811 | $4.5M | 11% | 8% |
| 14607 | 106 | 1% | 700 | $4M | 25% | 26% |
| 14559 | 101 | 1% | 853 | $5.2M | 12% | 9% |
| 14445 | 97 | 1% | 711 | $3.7M | 32% | 26% |
Source: CMS Hospital Service Area file. Shares are of the 8,550 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Highland Hospital reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
17
Operating rooms
3
Endoscopy rooms
27
Off-site locations
552
Registered nurses
76
Licensed practical nurses
3
Physicians
2
Resident physicians
77
Nurse practitioners
92
Physician assistants
6
Nurse anesthetists (CRNAs)
32
Pharmacists
25
Respiratory therapists
17
Physical therapists
11
Occupational therapists
5
Speech pathologists and audiologists
52
Radiology technicians
2
Nuclear medicine technicians
13
Laboratory technicians
25
Medical technologists
6
Dietitians
31
Social workers
1,378
Other personnel
Source: CMS Provider of Services file.
1,050 clinicians who bill Medicare list Highland Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Rishi Balkissoon, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1285868604
See commercial rates for Rishi Balkissoon, MDJaved Malik, MD
Diagnostic Radiology Physician
NPI 1134113780
See commercial rates for Javed Malik, MDHannah Gales
Physician Assistant
NPI 1740757889
See commercial rates for Hannah GalesScott Mcmorris
Nurse Practitioner
NPI 1649945387
See commercial rates for Scott McmorrisGlynis Scott, MD
Dermatopathology Physician
NPI 1497782056
See commercial rates for Glynis Scott, MDRobert Ambrosini, M.D.
Diagnostic Radiology Physician
NPI 1346549573
See commercial rates for Robert Ambrosini, M.D.Imran Chaudhary, MD
Interventional Cardiology Physician
NPI 1154361509
See commercial rates for Imran Chaudhary, MDDaniel Chun, MD
Internal Medicine Physician
NPI 1730536301
See commercial rates for Daniel Chun, MDVektra Casler, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1427435965
See commercial rates for Vektra Casler, MDJohn Ginnetti, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1578887691
See commercial rates for John Ginnetti, MDNathan Kaplan, MD
Orthopaedic Surgery Physician
NPI 1447592183
See commercial rates for Nathan Kaplan, MDMark Mirabelli, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1518054949
See commercial rates for Mark Mirabelli, MDJeffrey Kallas, M.D.
Diagnostic Radiology Physician
NPI 1518353614
See commercial rates for Jeffrey Kallas, M.D.Gerald Holzwasser, M.D.
Diagnostic Radiology Physician
NPI 1730118076
See commercial rates for Gerald Holzwasser, M.D.Brian Tan, M.D.
Diagnostic Radiology Physician
NPI 1871524660
See commercial rates for Brian Tan, M.D.Leonard Kolodny, M.D.
Diagnostic Radiology Physician
NPI 1356371991
See commercial rates for Leonard Kolodny, M.D.Gissou Azabdaftari, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1952348575
See commercial rates for Gissou Azabdaftari, MDAizaz Shaikh, MD
Diagnostic Radiology Physician
NPI 1750514816
See commercial rates for Aizaz Shaikh, MDDamien Dawson, MD
Diagnostic Radiology Physician
NPI 1306177308
See commercial rates for Damien Dawson, MDJason Pacos, MD
Cardiovascular Disease Physician
NPI 1861501413
See commercial rates for Jason Pacos, MDConstantine Michaelides, MD
Diagnostic Radiology Physician
NPI 1477661270
See commercial rates for Constantine Michaelides, MDRaymond Tan, M.D.
Diagnostic Radiology Physician
NPI 1780615575
See commercial rates for Raymond Tan, M.D.Michael Vornovitsky, M.D.
Cardiovascular Disease Physician
NPI 1114242500
See commercial rates for Michael Vornovitsky, M.D.Leah Rossett, M.D.
Diagnostic Radiology Physician
NPI 1518301787
See commercial rates for Leah Rossett, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Highland Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.6B | 290.5% |
| Inpatient | $600.1M | 107.8% |
| Outpatient | $1B | 182.7% |
| Contractual allowances and discounts | -$1.1B | -190.5% |
| Net patient revenue | $556.7M | 100.0% |
| Operating expenses | -$581.3M | -104.4% |
| Operating income from patient care | -$24.6M | -4.4% |
| Other income | $71M | 12.8% |
| Contributions and donations | $1M | 0.2% |
| Investment income | $2.9M | 0.5% |
| Other | $67.1M | 12.0% |
| Other expenses | $12.1M | 2.2% |
| Net income | $58.5M | 10.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $115.3M | 8.7% |
| Medicaid (including managed care) | $225.3M | 17.0% |
| Other payers and self-pay | $984.7M | 74.3% |
| Total charges | $1.3B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843709, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Highland Hospital's latest cost report.
-4.4%
Operating margin
Operating income from patient care / net patient revenue
9.3%
Total margin
Net income / net patient revenue plus other income
12.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
59% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$48.52
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
9.2%
Return on assets
Net income for a year / total assets
14.0%
Return on equity
Net income for a year / fund balance
0.14
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
4.11
Current ratio
Current assets / current liabilities
3.62
Quick ratio
Cash, temporary investments and net receivables / current liabilities
188 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
32 days
Days in patient receivables
Net patient receivables / daily net patient revenue
61 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.99
Asset turnover
Total revenue for a year / total assets
15.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 843709, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Highland Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $635.6M in total assets and a $418M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $288.2M | 45.4% |
| Patient receivables, net | $49.2M | 7.7% |
| Inventory | $9.3M | 1.5% |
| Total current assets | $383.2M | 60.3% |
| Property and equipment, net of depreciation | $217.7M | 34.2% |
| Investments and other assets | $34.7M | 5.5% |
| Total assets | $635.6M | 100.0% |
| Current liabilities | $93.1M | 14.7% |
| Long-term debt | $57.8M | 9.1% |
| Total liabilities | $217.6M | 34.2% |
| Fund balance (net assets) | $418M | 65.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 843709, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Highland Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$8.3M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4.7M
Bad debt
Patient bills written off as uncollectible, at charges
$41.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$122,503
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$51.3M
Total unreimbursed and uncompensated care
8.8% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 843709, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Highland Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $366.3M | $400.8M | $433.4M | $456.8M | $508.4M | $556.7M |
| Operating expenses | $399M | $427.6M | $467.8M | $506.9M | $538.5M | $581.3M |
| Operating margin | -8.9% | -6.7% | -7.9% | -11.0% | -5.9% | -4.4% |
| Net income | $5M | $27.2M | -$3.3M | $6.4M | $26.1M | $58.5M |
| Total assets | $508.6M | $575.4M | $556.3M | $549.4M | $580.9M | $635.6M |
| Discharges | 17,397 | 16,692 | 15,399 | 14,440 | 14,820 | 15,282 |
| Inpatient days | 85,626 | 89,298 | 92,372 | 91,729 | 90,436 | 95,060 |
| Medicare Advantage days | 27,141 | 32,727 | 34,554 | 38,118 | 39,106 | 44,060 |
| Beds | 241 | 247 | 261 | 261 | 261 | 261 |
| Employees (FTE) | 2,602 | 2,694 | 2,852 | 2,470 | 2,673 | 2,723 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843709, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Highland Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $11.2M | $57.5M | $199.1M | 0.29 | 37,704 |
| Clinic | $48.3M | $51.5M | $41.5M | 1.24 | |
| Impl. dev. charged to patients | $32.2M | $62.8M | 0.51 | ||
| Emergency | $14.9M | $26.1M | $130.3M | 0.20 | 18,634 |
| Radiology-diagnostic | $8.7M | $19.8M | $115.7M | 0.17 | 14,365 |
| Drugs charged to patients | $19.5M | $20.1M | 0.97 | ||
| Laboratory | $5.9M | $17.2M | $82.4M | 0.21 | 7,863 |
| Observation beds (non-distinct part | $13.5M | $11.3M | 1.20 | ||
| Radiology-therapeutic | $6.4M | $11.4M | $91.2M | 0.13 | 14,729 |
| Delivery room & labor room | $3.8M | $8.6M | $22.1M | 0.39 | 12,394 |
| Electrocardiology | $4.2M | $8.2M | $40.6M | 0.20 | 5,057 |
| Medical supplies charged to patient | $6.9M | $35.7M | 0.19 | ||
| Anesthesiology | $2.1M | $6.6M | $32.4M | 0.20 | 493 |
| Respiratory therapy | $2.8M | $5.2M | $29.7M | 0.17 | 1,444 |
| Recovery room | $2.5M | $4.9M | $39.5M | 0.12 | 6,887 |
| Endoscopy | $1.4M | $4.6M | $36M | 0.13 | 6,795 |
| Blood storing processing & trans. | $984,929 | $2.9M | $24.6M | 0.12 | 655 |
| Observation beds (distinct part) | $2.7M | $2.9M | $4.3M | 0.66 | 8,909 |
| Physical therapy | $1.9M | $2.8M | $4.9M | 0.57 | 995 |
| Ct scan | $1.3M | $2.8M | $54.4M | 0.05 | 1,033 |
| Renal dialysis | $1.1M | $1.8M | $7M | 0.25 | 2,259 |
| Occupational therapy | $815,674 | $1.2M | $3.2M | 0.39 | 638 |
| Speech pathology | $473,381 | $692,768 | $2.9M | 0.23 | 594 |
| Audiology | $92,105 | $136,640 | $372,326 | 0.37 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $50.3M | $131.1M | $200.3M | 0.65 | 92,070 |
| Intensive care unit | $4.8M | $10.3M | $22.4M | 0.46 | 9,250 |
| Nursery | $2.8M | $2.3M | $10.5M | 0.22 | 2,899 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $2.7M | $76M | 65,629 | $41.83 | 2,985 |
| Administrative & general | $18.4M | $21.4M | 289,008 | $65.12 | 45,193 |
| Pharmacy | $6.5M | $15.7M | 4,502 | ||
| Cap rel costs-mvble equip | $13.8M | ||||
| Cap rel costs-bldg & fixt | $11.4M | 413,569 | |||
| Supervising physicians - other | $20.5M | $10.4M | 19,077 | ||
| Nursing administration | $8.3M | $8.8M | 3,793 | ||
| Housekeeping | $6.6M | $8M | 270,213 | $24.31 | 1,993 |
| I&r services-salary & fringes apprv | $6.6M | $7.8M | |||
| Supervising physicians - teaching | $7.3M | ||||
| Social service | $3.8M | $5.3M | 103,379 | $37.13 | 2,872 |
| Maintenance & repairs | $2.9M | $5.2M | 120,883 | $24.17 | 47,156 |
| Operation of plant | $2.5M | $5M | 80,184 | $31.49 | 8,677 |
| Central service & supply | $2.9M | $4.5M | 8,459 | ||
| Medical records & library | $4.3M | $4.5M | 50,942 | $81.93 | 646 |
| Dietary - raw food | $3.5M | 3,027 | |||
| Dietary - other | $3.9M | $2.3M | 11,332 | ||
| Laundry & linen service | $348,449 | $354,654 | 14,414 | $24.17 | 2,022 |
| Paramed ed prgm-(specify) | $205,450 | $225,981 |
Source: CMS cost report (HCRIS, Form 2552-10), report 843709, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Highland Hospital for an inpatient stay.
1.56
Case mix index
Higher than 34% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.33 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
22.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,509
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.52 | 1.52 | 1.63 | 1.65 | 1.63 | 1.61 | 1.56 |
| Wage index | 0.998 | 0.982 | 0.980 | 1.218 | 1.306 | 1.370 | 1.427 |
| Readmissions adjustment | 0.00% | -0.05% | -0.16% | -1.02% | -1.14% | -0.72% | -0.30% |
| Value-based purchasing adjustment | +0.92% | +0.52% | +0.52% | -0.64% | +0.53% | +0.03% | +0.93% |
| Medicare inpatient stays | 3,279 | 3,279 | 2,835 | 2,434 | 2,534 | 2,513 | 2,509 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Highland Hospital reports to Medicare as owners or with operational control.
Strong Partners Healthsystem, Inc
Operational/managerial control, 100%, since 1966
Sources: CMS Hospital All Owners.
The officers and board members on Highland Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 29 of 31 are shown.
Highland Hospital Of Rochester files the Form 990 for the tax ID insurers list for Highland Hospital, so these people may lead the wider organization rather than Highland Hospital alone.
| Name | Title |
|---|---|
| Steven I Goldstein | CEO |
| Michael Apostolakos MD | Chief Medical Officer |
| Carrie Fuller Spencer | CFO |
| Melissa Derleth | CNO |
| Thomas Greiner Jr | Chair |
| Kenneth Marvald | Vice Chair |
| Kathleen Whelehan | Treasurer |
| Christine Wagner Ssj PhD | Secretary |
Board members: Robert Mccann MD, Joseph Nicholas MD, Mark Cronin, Richard Lefrois, Coral Surgeon MD, Jerome Underwood, Curt Provenzo, Patrick Guisto, Michael Riordan, Michael Mcrae, Ann Marie Cook, John Lefrois, Mark Siwiec.
Source: IRS Form 990 Part VII filed by Highland Hospital Of Rochester (EIN 16-0743037), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID RRC330164-00, registered as a rural referral center. Authorizing official: Carrie Fuller Spencer, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Highland Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Highland Hospital range from $873 to $2,595 across 3 insurers. Cigna's rate is $1,029. The median at nearby comparable hospitals is $547. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Highland Hospital range from $3,259 to $6,299 across 4 insurers. Cigna's rate is $3,446. The median at nearby comparable hospitals is $953. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Highland Hospital range from $9,235 to $9,235 across 1 insurers. Aetna's rate is $9,235. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Highland Hospital range from $78 to $585 across 4 insurers. Aetna's rate is $346. The median at nearby comparable hospitals is $119. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Highland Hospital range from $21,263 to $21,263 across 1 insurers. Aetna's rate is $21,263. The median at nearby comparable hospitals is $31,309. What a patient pays depends on their plan's deductible, coinsurance and network status.
Highland Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
Yes. CMS counts 0.33 Medicare-funded residents per bed at Highland Hospital for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Highland Hospital's base inpatient payments by an estimated 0.30% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (233 discharges), heart failure and shock with mcc (144 discharges), simple pneumonia and pleurisy with mcc (59 discharges).
Highland Hospital's Medicare case mix index is 1.56 for fiscal year 2027, higher than 34% of hospitals paid under the inpatient prospective payment system.
Highland Hospital reported 15,282 inpatient discharges and 95,060 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Highland Hospital reported 2,723 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Highland Hospital reported $556.7M in net patient revenue on $1.6B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -4.4%, and net income of $58.5M.
Highland Hospital reported $51.3M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $8.3M of charity care at cost.
Highland Hospital's Medicare enrollment lists Maura Snyder as CEO since 2024.
Insurers' price transparency files list Highland Hospital under employer identification number 16-0743037 (Highland Hospital of Rochester). 40 health plans and networks list 16-0743037 for it.
HRSA's 340B database lists Highland Hospital (340B ID RRC330164-00) as no longer participating since 2026.
1,050 clinicians who bill Medicare list Highland Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (132), family medicine physician (105), physician assistant (81).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Highland Hospital, effective 2016.
In its Medicare enrollment, Highland Hospital reports Strong Partners Healthsystem, Inc as Operational/managerial control (100%).
CMS lists 37 services at Highland Hospital, including Acute Renal Dialysis, Alcohol and/or Drug Service, Anesthesia, Audiology, Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Highland Hospital came from ZIP codes 14450 (645), 14580 (580), 14534 (519).
Highland Hospital has 261 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Highland Hospital is located at 1000 South Avenue, Rochester, NY 14620. Its main phone number is (585) 341-6736.
Highland Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 330164.
The National Provider Identifier (NPI) on file for Highland Hospital is 1972548568.
Highland Hospital is affiliated with University of Rochester Medical Center.
Highland Hospital lists 28 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
173 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers