Rochester Regional Health System · Rochester, NY
2 of 5
CMS star rating
516
Beds
26,062
Inpatient discharges a year
$1.4B
Net patient revenue a year
38
In-network payers
Rochester General Hospital is a 516-bed voluntary non-profit - private hospital in Rochester, NY, affiliated with Rochester Regional Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 269 disclosed rate categories.
The 24 services Rochester General 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.
Childbirth · Inpatient
MS-DRG 807
$8,653 - $8,680
from 2 insurers · median $8,666
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
$12,345 - $12,848
from 2 insurers · median $12,596
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 · Inpatient
MS-DRG 216
$125,954 - $127,119
from 2 insurers · median $126,536
16 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 470
$24,168 - $24,835
from 2 insurers · median $24,501
38 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$8,653 - $8,680
from 2 insurers · median $8,666
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
Medicine & Surgery · Inpatient
MS-DRG 460
$46,923 - $47,075
from 2 insurers · median $46,999
17 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58571
$2,728 - $30,704
from 2 insurers · median $16,716
31 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58558
$1,613 - $9,350
from 3 insurers · median $1,819
23 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$1,819 - $3,004
from 3 insurers · median $2,620
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,728 - $10,342
from 3 insurers · median $6,946
56 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Ear, nose and throat
CPT 69436
$1,819 - $5,290
from 3 insurers · median $4,482
11 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Digestive procedures
CPT 49650
$1,819 - $17,462
from 2 insurers · median $9,641
58 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,204 - $3,456
from 3 insurers · median $2,416
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,658 - $17,462
from 3 insurers · median $5,611
58 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Ear, nose and throat
CPT 30520
$1,954 - $9,577
from 3 insurers · median $2,487
42 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Digestive procedures
CPT 45378
$1,819 - $2,686
from 2 insurers · median $2,253
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$99 - $600
from 3 insurers · median $302
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$109 - $1,008
from 3 insurers · median $332
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$209 - $1,578
from 3 insurers · median $616
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$38 - $251
from 3 insurers · median $203
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$418 - $3,976
from 3 insurers · median $3,740
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,033 - $17,462
from 2 insurers · median $10,748
Typical for a hospital with this service line
Urology
CPT 50590
$1,819 - $10,182
from 2 insurers · median $6,000
82 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
MRI imaging
CPT 70553
$251 - $1,970
from 3 insurers · median $1,008
Common here, based on CMS Medicare volume
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* | 24 | 283% | 18 | 3 |
| Insurer B* | 13 | 190% | 6 | 7 |
| Insurer C* | 24 | 68% | 3 | 18 |
How we chose these services: 11 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 4 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 Rochester General Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by DNV
Finances
$1.4B net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Rochester General 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 |
|---|---|---|
| 16-0743134Rochester General Hospital | 74Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 69 more | 1255360517 Rochester General Hospital1174620629 Rochester General Hospital1326143058 Rochester General Hospitaland 54 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.
1425 Portland Avenue, Rochester, NY 14621
(585) 922-4000
How Rochester General Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 1 of 8 measures
1 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Worse on 2 of 8 measures
1 better, 5 no different, 2 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 11 measures
0 better, 8 no different, 3 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
60%
Lower than 86% 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)
1.76
Higher than 99% 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
233 min
Higher than 92% 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
45%
Lower than 87% 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 | 2 of 5 | |
| Death rates | Better on 1 of 8 measures | |
| Safety | Worse on 2 of 8 measures | |
| Readmissions | Worse on 3 of 11 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 60% | 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) | 1.76 | 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 | 233 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 45% | 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 Rochester General Hospital's inpatient payments for its readmissions, quality and cost results.
-0.44% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.02% 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 Rochester General 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 | Rochester General Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 264 cases | 3.3 | 4.1 | 3.952 | Better than 85% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 7,150 cases | 2.8 | 3.9 | 3.707 | Better than 96% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 142 cases | 10.6 | 11.8 | 11.31 | Better than 86% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 70 cases | 1.6 | 2.3 | 1.91 | Better than 91% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 92 cases | 7.9 | 8.5 | 8.316 | Better than 65% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 346 cases | 10.7 | 11 | 10.43 | Better than 55% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 240 cases | 13 | 15.2 | 14.6 | Better than 81% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 634 cases | 9.8 | 11.6 | 11.03 | Better than 83% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 5,687 cases | 2.27 | 0.51 | 0.9123 | Worse Than the National Rate | Worse than 99% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 110 cases | 174 | 173 | 184 | No Different Than the National Rate | Worse than 51% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 6,752 cases | 0.35 | 0.2 | 0.2101 | No Different Than the National Rate | Worse than 98% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 7,066 cases | 0.39 | 0.27 | 0.2858 | No Different Than the National Rate | Worse than 99% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,826 cases | 4.42 | 2.29 | 2.43 | Worse Than the National Rate | Worse than 99% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 986 cases | 1.46 | 1.63 | 1.674 | No Different Than the National Rate | Better than 84% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 952 cases | 11.02 | 8.88 | 9.324 | No Different Than the National Rate | Worse than 76% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,934 cases | 5.59 | 3.4 | 3.686 | Worse Than the National Rate | Worse than 98% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 992 cases | 7.01 | 5.105 | 5.465 | No Different Than the National Rate | Worse than 93% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 419 cases | 1.82 | 1.72 | 1.729 | No Different Than the National Rate | Worse than 76% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 1,327 cases | 1.54 | 1.02 | 1.053 | No Different Than the National Rate | Worse than 96% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Rochester General Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 188 cases | 56.1 | 4.2 | 10.66 | Worse than 96% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 417 cases | 44.4 | 1.25 | 26.25 | Worse than 90% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 233 cases | 84.2 | 3.85 | 27.98 | Worse than 98% 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 · 396 cases | 12.8 | 12.9 | 12.82 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 145 cases | 8.9 | 10.7 | 11.22 | No Different Than the National Rate | Better than 95% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 145 cases | 4.1 | 5.3 | 5.026 | No Different Than the National Rate | Better than 97% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 590 cases | 1 | 1 | 0.9336 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 678 cases | 15.7 | 14.4 | 14.47 | Worse than 93% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 188 cases | 9.9 | 10.9 | 10.69 | Better than 80% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 508 cases | 21.4 | 19.8 | 20.27 | Worse than 93% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,625 cases | 22.8 | 21.3 | 21.89 | Worse than 87% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 261 cases | 7.7 | 5.8 | 5.589 | Worse than 99% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 944 cases | 17 | 17.2 | 17.78 | Better than 59% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Rochester General 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 | 0.242 | 0.172 | 0.2612 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.85 | 1.504 | 1.692 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 20,156 | 1,370 | 8,161 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 20.97 | 0.9835 | 8.553 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 10 | 0 | 4.683 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.477 | 0.484 | 0.5488 | Better than the National Benchmark | Better than 50% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.286 | 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 | 0.945 | 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 | 15,156 | 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 | 20.24 | 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 | 11 | 0 | 4.583 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.544 | 0.399 | 0.4307 | Better than the National Benchmark | Worse than 64% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.156 | 0.2345 | 0.2752 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.183 | 2.135 | 2.411 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 328 | 61 | 149 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 8.159 | 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 | 0.49 | 0.7155 | 0.7341 | No Different than National Benchmark | Better than 65% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.44 | 0.211 | 0.4218 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.703 | 3.068 | 3.517 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 206 | 38 | 90.43 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 1.736 | 0.328 | 0.7508 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 0.708 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 1.728 | 0.812 | 1.049 | No Different than National Benchmark | Worse than 80% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.313 | 0.193 | 0.2613 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.28 | 1.855 | 1.903 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 188,648 | 14,451 | 80,977 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 11.87 | 0.567 | 5.587 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 8 | 0 | 3.796 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.674 | 0.597 | 0.6195 | No Different than National Benchmark | Worse than 57% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.387 | 0.127 | 0.1972 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.691 | 0.747 | 0.8371 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 182,768 | 13,646 | 73,951 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 88.04 | 5.683 | 38.28 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 46 | 2 | 12.57 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.522 | 0.279 | 0.3563 | Better than the National Benchmark | Worse than 77% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Rochester General Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 3,464 cases | 58 | 73 | 68.99 | Worse than 96% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 3,464 cases | 16 | 8 | 10.19 | Worse than 92% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 3,464 cases | 26 | 18 | 20.83 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 3,464 cases | 80 | 87 | 84.97 | Worse than 91% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 3,464 cases | 2 | 4 | 3.044 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 3,464 cases | 71 | 80 | 76.99 | Worse than 93% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 3,464 cases | 88 | 91 | 89.97 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 3,464 cases | 7 | 4 | 5.71 | Worse than 86% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 3,464 cases | 2 | 3 | 2.889 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 3,464 cases | 22 | 16 | 17.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 3,464 cases | 74 | 79 | 76.68 | Worse than 83% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 3,464 cases | 89 | 91 | 89.46 | Worse than 71% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 3,464 cases | 7 | 5 | 6.31 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 3,464 cases | 2 | 3 | 2.674 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 3,464 cases | 19 | 16 | 17.01 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 3,464 cases | 53 | 61 | 58.86 | Worse than 90% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 3,464 cases | 71 | 77 | 74.78 | Worse than 90% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 3,464 cases | 26 | 19 | 21.9 | Worse than 88% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 3,464 cases | 2 | 3 | 2.274 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 3,464 cases | 21 | 19 | 19.23 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 3,464 cases | 85 | 86 | 83.85 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 3,464 cases | 15 | 13 | 15.46 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 3,464 cases | 3 | 3 | 2.896 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 3,464 cases | 85 | 87 | 84.54 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 3,464 cases | 15 | 14 | 16.81 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 3,464 cases | 85 | 86 | 83.19 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 3,464 cases | 69 | 74 | 71.59 | Worse than 81% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 3,464 cases | 9 | 7 | 8.014 | Worse than 75% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 3,464 cases | 22 | 19 | 20.4 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 3,464 cases | 74 | 77 | 74.66 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 3,464 cases | 7 | 6 | 6.893 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 3,464 cases | 19 | 17 | 18.44 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,464 cases | 81 | 85 | 82.9 | Worse than 80% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,464 cases | 5 | 3 | 4.479 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,464 cases | 14 | 11 | 12.62 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 3,464 cases | 15 | 8 | 10.63 | Worse than 92% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 3,464 cases | 26 | 20 | 23.59 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 3,464 cases | 59 | 72 | 65.78 | Worse than 91% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 3,464 cases | 83 | 88 | 85.79 | Worse than 90% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 3,464 cases | 2 | 3 | 2.815 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 3,464 cases | 67 | 74 | 72.21 | Worse than 89% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 3,464 cases | 14 | 9 | 11.03 | Worse than 87% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 3,464 cases | 19 | 16 | 16.76 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 3,464 cases | 67 | 75 | 72.71 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 3,464 cases | 9 | 5 | 7.086 | Worse than 86% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 3,464 cases | 24 | 20 | 20.21 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 3,464 cases | 68 | 77 | 73.59 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 3,464 cases | 7 | 4 | 6.164 | Worse than 81% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 3,464 cases | 25 | 19 | 20.24 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,464 cases | 78 | 86 | 83.55 | Worse than 93% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,464 cases | 5 | 3 | 4 | Worse than 86% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,464 cases | 17 | 11 | 12.45 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 3,464 cases | 43 | 59 | 49.08 | Worse than 93% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 3,464 cases | 22 | 9 | 16.57 | Worse than 95% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 3,464 cases | 35 | 31 | 34.35 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 3,464 cases | 71 | 82 | 75.47 | Worse than 94% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 3,464 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 · 3,464 cases | 9 | 5 | 7.297 | Worse than 82% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 3,464 cases | 60 | 71 | 66.23 | Worse than 86% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 3,464 cases | 82 | 87 | 84.56 | Worse than 85% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 3,464 cases | 31 | 23 | 26.48 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 3,464 cases | 2 | 4 | 3.096 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 3,464 cases | 39 | 47 | 44.58 | Worse than 89% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 3,464 cases | 39 | 30 | 33.46 | Worse than 89% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 3,464 cases | 22 | 22 | 21.96 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 3,464 cases | 2 | 3 | 2.8 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 3,464 cases | 14 | 12 | 14.29 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 3,464 cases | 86 | 88 | 85.71 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Rochester General Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very 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 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 11,313 cases | 70 | 79 | 69.3 | Worse than 64% 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 · 74,137 cases | 239 | 154 | 206 | Worse than 92% 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 · 69,556 cases | 233 | 148 | 200 | Worse than 92% 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 · 4,418 cases | 355 | 247 | 326 | Worse than 81% of US hospitals | |
| 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 · 255 cases | 414 | 293 | 350 | Worse than 86% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 97,971 cases | 1 | 1 | 2.294 | Better than 42% 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 · 49 cases | 100 | 97 | 92.28 | The best result, shared by 27% 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 · 46 cases | 46 | 53 | 46.05 | Worse than 61% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 6,203 cases | 12 | 15 | 13.94 | Better than 69% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 105 cases | 45 | 65 | 58.55 | Worse than 87% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 19 cases | 42 | 73 | 70.43 | Worse than 94% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.41 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 105 cases | 74 | 82 | 77.52 | Worse than 76% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 53 cases | 70 | 94 | 86.12 | Worse than 97% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 492 cases | 99 | 98 | 96.71 | Better than 70% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 109 cases | 81 | 75 | 77.25 | Better than 70% of US hospitals | |
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 481 cases | 97 | 94 | 92.87 | Better than 73% 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 | Rochester General Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7 | 5 | 5.231 | Worse than 70% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10.9 | 6.6 | 23.75 | Worse than 85% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Rochester General 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 | 0.92 | 0.99 | 0.9974 | Better than 81% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Rochester General Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 65 cases | 72.3 | 60.8 | 64.14 | Better than 81% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 65 cases | 50.8 | 35.5 | 45.75 | Better than 86% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 9,359 cases | 0.25 | 0.05 | 0.188 | Better than 78% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 9,359 cases | 0.33 | 0.03 | 0.1882 | Better than 83% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 311 cases | 92 | 87 | 77.76 | Better than 63% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 119 cases | 90.8 | 78.1 | 83.01 | Better than 96% of US hospitals | |
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 134 cases | 17.2 | 19.1 | 18.47 | No Different Than the National Rate | Better than 80% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 522 cases | 79 | 92 | 85.51 | Worse than 75% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 22 cases | 86 | 74 | 63.27 | Better than 63% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 21 cases | 90 | 81 | 73.44 | Better than 65% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 46 cases | 59 | 77 | 73.79 | Worse than 68% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 46 cases | 54 | 56 | 60.31 | Worse than 52% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 60 cases | 93 | 64 | 51.16 | Better than 83% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 60 cases | 90 | 4 | 20.6 | Better than 95% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 641 cases | 85 | 77 | 70.93 | Better than 57% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Rochester General Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 45 | 20 | 30.89 | Better than 87% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 11.25 | 5 | 7.74 | Better than 87% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 40 | 10 | 20.53 | Better than 77% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 5.155 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 17 | 34 | 27.68 | Worse than 85% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 4.25 | 8.75 | 6.965 | Worse than 85% of US hospitals | |
| VBP safety domain scoreFY 2026 | 15 | 40 | 38.92 | Worse than 90% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 3.75 | 10 | 9.798 | Worse than 91% of US hospitals | |
| VBP total performance scoreFY 2026 | 29.25 | 29.5 | 29.44 | Worse than 50% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 66 | 65 | 52 | 35 | 30 | 45 |
| VBP clinical outcomes weighted domain score | 16.5 | 16.25 | 13 | 8.75 | 7.5 | 11.25 |
| VBP efficiency and cost reduction domain score | 30 | Not Available | 20 | 20 | 30 | 40 |
| VBP efficiency and cost reduction weighted domain score | 7.5 | Not Available | 5 | 5 | 7.5 | 10 |
| VBP person and community engagement domain score | 11 | Not Available | Not Available | 1 | 0 | 17 |
| VBP person and community engagement weighted domain score | 2.75 | Not Available | Not Available | 0.25 | 0 | 4.25 |
| VBP safety domain score | 26 | Not Available | Not Available | 8 | 10 | 15 |
| VBP safety weighted domain score | 6.5 | Not Available | Not Available | 2 | 2.5 | 3.75 |
| VBP total performance score | 33.25 | Not Available | Not Available | 16 | 17.5 | 29.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Rochester General Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 196 cases | 1.034 | 0.9995 | 1.001 | Worse than 71% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 · 91 cases | 0.9993 | 1 | 0.9565 | Better than 50% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 90 cases | 1.09 | 0.9969 | 1.014 | Worse than 96% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 423 cases | 1.073 | 0.9983 | 1.015 | Worse than 87% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.054 | 0.9916 | 0.9473 | Worse than 68% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 193 cases | 1.121 | 0.9955 | 1.019 | Worse than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.088 | 1.104 | 1.164 | 1.104 | 1.118 | 1.034 |
| READM-30-CABG-HRRP | 1.131 | 1.045 | 1.195 | 1.179 | 1.175 | 0.9993 |
| READM-30-COPD-HRRP | 1.136 | 1.05 | 1.088 | 1.091 | 1.137 | 1.09 |
| READM-30-HF-HRRP | 1.09 | 1.081 | 1.082 | 1.01 | 1.003 | 1.073 |
| READM-30-HIP-KNEE-HRRP | 1.028 | 1.13 | 1.088 | 1.062 | 1.01 | 1.054 |
| READM-30-PN-HRRP | 1.036 | 1.028 | 1.034 | 1.023 | 1.13 | 1.121 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Rochester General Hospital | US median | NY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.61 | 0.489 | 0.5606 | Worse than 62% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.453 | 0.346 | 0.4123 | Worse than 66% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.974 | 0.559 | 0.6757 | Worse than 81% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.978 | 0.6405 | 0.8339 | Worse than 76% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.758 | 0.9628 | 1.099 | Worse than 99% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.063 | 0.7945 | 0.793 | Worse than 68% of US hospitals | |
| Total HAC scoreFY 2026 | 0.7931 | -0.0453 | 0.1475 | Worse than 90% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | No | N/A | Yes | Yes | Yes |
| Total HAC score | 0.3463 | 0.0798 | 0 | 0.7056 | 0.7648 | 0.7931 |
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.
DNV (since 2021)
Accreditation
Major
Medical school affiliation
Private (not for profit)
Ownership type
528
Medicare-certified beds
770
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Rochester General Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
26,062
Inpatient discharges
Medicare 14%, Medicaid 4%
175,114
Inpatient days
102% of available bed days used
6,352
Employees (full-time equivalent)
217
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838525). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Rochester General Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 28,627 | 5,893 | 140,594 | 175,114 |
| Discharges | 3,523 | 965 | 21,574 | 26,062 |
| Average length of stay | 8.1 days | 6.1 days | 6.5 days | 6.7 days |
| Average daily census | 78.4 | 16.1 | 385.2 | 479.8 |
88,061
Medicare Advantage days
11,893 discharges
29,073
Medicaid managed care days
5,870 discharges
3,484
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 430 | 155,180 | 24,382 | 99% |
| Intensive care unit | 16 | 5,547 | 1,932 | 95% |
| Surgical intensive care unit | 24 | 9,129 | 2,313 | 104% |
| Nursery | 5,258 | |||
| Subprovider - ipf | 30 | 9,077 | 1,020 | 83% |
| Subprovider - irf | 16 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838525, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Rochester General Hospital treats Medicare patients for most often, in 2024. 2,545 Medicare discharges in 89 published DRGs; 23% surgical; 65% 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 | 205 | $56,755 | $17,629 | $22,191 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 140 | $30,391 | $11,675 | $11,883 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 77 | $48,567 | $15,599 | $18,990 | 1.70 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 72 | $19,468 | $6,860 | $7,612 | 0.79 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 62 | $69,121 | $21,968 | $27,026 | 2.16 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 59 | $150,953 | $44,905 | $59,023 | 4.88 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 57 | $27,459 | $8,846 | $10,737 | 1.06 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 51 | $45,681 | $10,879 | $17,861 | 1.23 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 51 | $133,524 | $45,088 | $52,208 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 50 | $25,354 | $9,192 | $9,913 | 1.03 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 45 | $29,959 | $10,553 | $11,714 | 1.33 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 43 | $170,092 | $56,472 | $66,506 | 6.25 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 41 | $28,216 | $7,821 | $11,033 | 0.98 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 40 | $36,289 | $14,053 | $14,189 | 1.59 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 39 | $22,956 | $7,172 | $8,976 | 0.78 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 38 | $60,328 | $18,702 | $23,588 | 2.00 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 38 | $43,187 | $14,668 | $16,886 | 1.65 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 37 | $100,972 | $29,153 | $39,480 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 37 | $19,240 | $7,745 | $7,523 | 0.86 |
| Renal failure with CCMS-DRG 683, medical | 37 | $22,400 | $7,815 | $8,758 | 0.90 |
See all 89 Medicare inpatient DRGs at Rochester General 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) Rochester General Hospital billed Medicare for most in 2024: 2,125 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 340 | 303 | $10,420 | $2,244 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 221 | 217 | $13,038 | $2,436 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 127 | 119 | $8,568 | $1,266 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 115 | 111 | $100,001 | $23,268 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 107 | 97 | $12,233 | $2,667 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 85 | 81 | $49,397 | $9,663 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 82 | 76 | $11,447 | $2,829 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 82 | 72 | $12,506 | $4,262 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 65 | 61 | $30,970 | $11,805 | $10,772 |
| Level 2 Endovascular ProceduresAPC 5192 | 65 | 57 | $23,901 | $4,753 | $4,338 |
See all 36 Medicare outpatient services at Rochester General 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 Rochester General 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 14,127 in 2020 to 14,920 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 14580 | 1,525 | 10% | 10,261 | $72.9M | 55% | 61% |
| 14609 | 1,303 | 9% | 11,167 | $73.5M | 59% | 62% |
| 14621 | 1,299 | 9% | 9,661 | $63.1M | 66% | 70% |
| 14617 | 707 | 5% | 5,640 | $41.4M | 64% | 67% |
| 14612 | 609 | 4% | 4,655 | $39M | 28% | 28% |
| 14622 | 535 | 4% | 4,026 | $28.7M | 72% | 73% |
| 14450 | 466 | 3% | 3,165 | $23.9M | 24% | 29% |
| 14616 | 455 | 3% | 3,414 | $25.9M | 28% | 27% |
| 14626 | 399 | 3% | 2,983 | $27.2M | 17% | 15% |
| 14606 | 379 | 3% | 2,998 | $23.9M | 22% | 21% |
| 14605 | 359 | 2% | 2,711 | $16.3M | 62% | 62% |
| 14611 | 339 | 2% | 2,672 | $18.6M | 27% | 25% |
| 14526 | 310 | 2% | 2,359 | $17.2M | 36% | 44% |
| 14624 | 301 | 2% | 2,448 | $21.6M | 14% | 11% |
| 14519 | 293 | 2% | 2,566 | $20M | 53% | 60% |
| 14613 | 289 | 2% | 2,613 | $16.5M | 45% | 48% |
| 14604 | 240 | 2% | 1,686 | $9.9M | 37% | 37% |
| 14615 | 236 | 2% | 1,675 | $14.1M | 30% | 27% |
| 14589 | 202 | 1% | 1,586 | $10.6M | 44% | 39% |
| 14513 | 196 | 1% | 1,670 | $14.9M | 14% | 12% |
| 14610 | 194 | 1% | 1,261 | $9.6M | 26% | 29% |
| 14468 | 191 | 1% | 1,193 | $12.3M | 18% | 16% |
| 14534 | 184 | 1% | 1,172 | $9.9M | 15% | 20% |
| 14020 | 180 | 1% | 1,832 | $15.5M | 11% | 12% |
| 14608 | 177 | 1% | 1,158 | $7.3M | 33% | 31% |
Source: CMS Hospital Service Area file. Shares are of the 14,920 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 Rochester General Hospital reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
23
Operating rooms
3
Endoscopy rooms
4
Cardiac catheterization rooms
30
Psychiatric unit beds
16
Rehabilitation unit beds
15
Off-site locations
770
Registered nurses
66
Licensed practical nurses
278
Physicians
118
Resident physicians
75
Nurse practitioners
160
Physician assistants
11
Nurse anesthetists (CRNAs)
53
Pharmacists
60
Respiratory therapists
15
Physical therapists
6
Occupational therapists
7
Speech pathologists and audiologists
63
Radiology technicians
2
Nuclear medicine technicians
98
Medical technologists
5
Dietitians
39
Social workers
2
Psychologists
1,043
Other personnel
Source: CMS Provider of Services file.
1,883 clinicians who bill Medicare list Rochester General 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.
Keith Schroeder, M.D.
Diagnostic Radiology Physician
NPI 1295724425
See commercial rates for Keith Schroeder, M.D.Ryan Evans, M.D.
Neurology Physician
NPI 1245242981
See commercial rates for Ryan Evans, M.D.Amy Marcinkowski, MD
Diagnostic Radiology Physician
NPI 1265753784
See commercial rates for Amy Marcinkowski, MDLawrence Pardee, MD
Neurology Physician
NPI 1417963166
See commercial rates for Lawrence Pardee, MDPhilip Speller, M.D.
Diagnostic Radiology Physician
NPI 1174598833
See commercial rates for Philip Speller, M.D.James Azurin, MD MS
Neurology Physician
NPI 1932182649
See commercial rates for James Azurin, MD MSScott Biehl, D.O.
Sports Medicine (Family Medicine) Physician
NPI 1023464203
See commercial rates for Scott Biehl, D.O.Adel Soliman, M.D.
Cardiovascular Disease Physician
NPI 1265433403
See commercial rates for Adel Soliman, M.D.Gregory Finkbeiner, MD
Specialist
NPI 1285669218
See commercial rates for Gregory Finkbeiner, MDSenthil Natarajan, M.D.
Cardiovascular Disease Physician
NPI 1487655692
See commercial rates for Senthil Natarajan, M.D.Everett Weiss, MD
Orthopaedic Surgery Physician
NPI 1841453768
See commercial rates for Everett Weiss, MDScott Mcmorris
Nurse Practitioner
NPI 1649945387
See commercial rates for Scott McmorrisCollin Rioux, PA-C
Physician Assistant
NPI 1699251108
See commercial rates for Collin Rioux, PA-CJames Foster, M.D.
Orthopaedic Surgery Physician
NPI 1679832174
See commercial rates for James Foster, M.D.Timothy Bucklaew, PA
Physician Assistant
NPI 1407310741
See commercial rates for Timothy Bucklaew, PAScott Lapoint, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1720051907
See commercial rates for Scott Lapoint, M.D.Kevin Lightner, MD
Diagnostic Radiology Physician
NPI 1780912659
See commercial rates for Kevin Lightner, MDLouis Gianakakis, M.D.
Diagnostic Radiology Physician
NPI 1760465900
See commercial rates for Louis Gianakakis, M.D.David Cywinski, MD
Sports Medicine (Internal Medicine) Physician
NPI 1194762716
See commercial rates for David Cywinski, MDBaktash Bootorabi, MD
Diagnostic Radiology Physician
NPI 1992758551
See commercial rates for Baktash Bootorabi, MDAlena Levit, MD
Diagnostic Radiology Physician
NPI 1801024674
See commercial rates for Alena Levit, MDChristine Blonski, D.O.
Sports Medicine (Family Medicine) Physician
NPI 1356565790
See commercial rates for Christine Blonski, D.O.Stamatia Destounis, MD
Diagnostic Radiology Physician
NPI 1871550293
See commercial rates for Stamatia Destounis, MDSarah Vanderlinde, MD
Diagnostic Radiology Physician
NPI 1215127253
See commercial rates for Sarah Vanderlinde, MDSource: 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 Rochester General Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $4.1B | 293.1% |
| Inpatient | $1.6B | 112.5% |
| Outpatient | $2.5B | 180.5% |
| Contractual allowances and discounts | -$2.7B | -193.1% |
| Net patient revenue | $1.4B | 100.0% |
| Operating expenses | -$1.8B | -127.5% |
| Operating income from patient care | -$385.2M | -27.5% |
| Other income | $414.9M | 29.7% |
| Investment income | $6.2M | 0.4% |
| Government appropriations | $13M | 0.9% |
| Other | $395.8M | 28.3% |
| Other expenses | $41.5M | 3.0% |
| Net income | $71.3M | 5.1% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $292M | 8.3% |
| Medicaid (including managed care) | $880.9M | 25.0% |
| Other payers and self-pay | $2.3B | 66.6% |
| Total charges | $3.5B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838525, 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 Rochester General Hospital's latest cost report.
-27.5%
Operating margin
Operating income from patient care / net patient revenue
3.9%
Total margin
Net income / net patient revenue plus other income
7.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
49% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$50.83
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.9%
Return on assets
Net income for a year / total assets
12.0%
Return on equity
Net income for a year / fund balance
0.56
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
0.99
Current ratio
Current assets / current liabilities
0.60
Quick ratio
Cash, temporary investments and net receivables / current liabilities
34 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
36 days
Days in patient receivables
Net patient receivables / daily net patient revenue
107 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.98
Asset turnover
Total revenue for a year / total assets
12.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838525, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Rochester General Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $1.8B in total assets and a $592.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $160M | 8.7% |
| Patient receivables, net | $139.6M | 7.6% |
| Inventory | $20.7M | 1.1% |
| Total current assets | $496.9M | 27.0% |
| Property and equipment, net of depreciation | $666M | 36.1% |
| Investments and other assets | $680.1M | 36.9% |
| Total assets | $1.8B | 100.0% |
| Current liabilities | $502.1M | 27.2% |
| Long-term debt | $333.1M | 18.1% |
| Total liabilities | $1.3B | 67.8% |
| Fund balance (net assets) | $592.8M | 32.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838525, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Rochester General Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$20.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6.1M
Bad debt
Patient bills written off as uncollectible, at charges
$58.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$81.2M
Total unreimbursed and uncompensated care
4.6% 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 838525, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Rochester General Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $893M | $1B | $1.1B | $1.3B | $1.3B | $1.4B |
| Operating expenses | $1B | $1.2B | $1.3B | $1.5B | $1.7B | $1.8B |
| Operating margin | -13.9% | -12.3% | -27.9% | -15.2% | -25.8% | -27.5% |
| Net income | $60.3M | $78M | -$120.8M | $157.3M | $1.7M | $71.3M |
| Total assets | $1.7B | $1.7B | $1.9B | $1.8B | $1.7B | $1.8B |
| Discharges | 26,726 | 26,674 | 24,188 | 25,180 | 26,150 | 26,062 |
| Inpatient days | 146,040 | 172,411 | 164,066 | 166,859 | 174,203 | 175,114 |
| Medicare Advantage days | 60,260 | 75,054 | 78,380 | 78,736 | 84,081 | 88,061 |
| Beds | 516 | 516 | 516 | 516 | 516 | 516 |
| Employees (FTE) | 5,771 | 6,387 | 6,308 | 3,361 | 6,122 | 6,352 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838525, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Rochester General 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $425.5M | $345.1M | 1.23 | ||
| Clinic | $161.7M | $124.5M | $213.1M | 0.58 | 113,547 |
| Operating room | $56.1M | $97.1M | $262.2M | 0.37 | 46,370 |
| Laboratory | $34.6M | $79M | $420M | 0.19 | 17,554 |
| Emergency | $47.7M | $58.6M | $371.4M | 0.16 | 39,726 |
| Medical supplies charged to patient | $56.4M | $164M | 0.34 | ||
| Cardiopulmonary | $48M | $50.3M | $283.8M | 0.18 | 21,694 |
| Impl. dev. charged to patients | $42M | $169.3M | 0.25 | ||
| Radiology-diagnostic | $11.2M | $37.5M | $164M | 0.23 | 4,888 |
| Radiology-therapeutic | $14.8M | $20.6M | $64.4M | 0.32 | 41,865 |
| Renal dialysis | $9.3M | $20.5M | $103M | 0.20 | 1,945 |
| Mental health clinic | $13.1M | $17.6M | $32.6M | 0.54 | |
| Respiratory therapy | $10.4M | $12.1M | $101.9M | 0.12 | 7,036 |
| Electrocardiology | $1.7M | $11.9M | $38M | 0.31 | 2,509 |
| Blood storing processing & trans. | $2M | $8M | $47.7M | 0.17 | |
| Ct scan | $1.6M | $7.5M | $70.7M | 0.11 | 454 |
| Mri | $2.2M | $5.1M | $34.9M | 0.15 | 470 |
| Electroencephalography | $7.5M | $4.5M | $11.4M | 0.40 | 4,834 |
| Observation beds (non-distinct part | $4.1M | $22.5M | 0.18 | ||
| Physical therapy | $4.4M | $3.2M | $28.7M | 0.11 | 2,140 |
| Ultrasound diagnostic | $1M | $3.1M | $18.9M | 0.16 | 491 |
| Endoscopy | $1.8M | $2.9M | $18M | 0.16 | |
| Home program dialysis | $743,793 | $2.5M | $13.5M | 0.18 | |
| Cytology | $1.3M | $2.4M | $11.6M | 0.21 | 889 |
| Comprehensive pros with clinic | $1.3M | $2.1M | $3.4M | 0.61 | |
| Intravenous therapy | $1M | $1.8M | $4.5M | 0.41 | 170 |
| Occupational therapy | $1.5M | $1.5M | $11.8M | 0.13 | 218 |
| Chemical dependency | $760,676 | $1.3M | $2.8M | 0.48 | |
| Speech pathology | $894,201 | $1M | $8.4M | 0.12 | 219 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $83.3M | $186.5M | $362M | 0.52 | 159,863 |
| Surgical intensive care unit | $11.3M | $23M | $50.3M | 0.46 | 12,875 |
| Intensive care unit | $5.6M | $14.1M | $31.8M | 0.44 | |
| Subprovider - ipf | $6.4M | $9.8M | $20.3M | 0.48 | 14,872 |
| Nursery | $3.2M | $6.6M | $10.5M | 0.63 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $51.7M | $136.7M | 1,117,892 | $44.07 | 53,605 |
| Cap rel costs-mvble equip | $42.5M | ||||
| Employee benefits department | $5.2M | $39.9M | 109,546 | $45.74 | 394 |
| Pharmacy | $12.4M | $30M | 8,294 | ||
| Cap rel costs-bldg & fixt | $22.3M | 676,175 | |||
| Operation of plant | $8.4M | $17.3M | 268,119 | $31.14 | 31,417 |
| I&r services-salary & fringes apprv | $22.5M | $15.2M | 5,352 | ||
| Supervising physicians - teaching | $4.8M | $12.4M | 16,473 | ||
| Housekeeping | $109,285 | $11.5M | 2,101 | $52.02 | 6,328 |
| Biomedical engineering | $163,282 | $9.1M | 2,272 | ||
| Nursing administration | $6.3M | $8.7M | 3,939 | ||
| Medical records & library | $3.9M | $7.1M | 135,890 | $28.97 | 664 |
| Nursing program aas | $5.2M | $6.3M | |||
| Dietary - other | $4.7M | $6M | 17,914 | ||
| Cap rel bld & fix crit care | $5.2M | ||||
| Cap rel mov equip crit care | $3.7M | ||||
| Central service & supply | $1.7M | $3.1M | 15,473 | ||
| Transportation | $3.1M | 245 | |||
| Sterile processing | $2M | $3M | 6,885 | ||
| Social service | $2.7M | $2.8M | 87,638 | $30.89 | 2,970 |
| Laundry & linen service | $2.5M | 3,511 | |||
| Nursing program | $403,922 | $440,649 | 991 | ||
| Paramed ed prgm-spiritual care | $263,392 | $280,360 | |||
| Paramed ed prgm-pharmacy | $111,515 | $275,393 | |||
| Paramed ed prgm-(specify) | $214,173 | $165,265 | 1,247 | ||
| Paramed ed prgm- surg tech program | $55,640 | $89,865 | |||
| Paramed ed prgm rad tech program | $151,046 | $37,348 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838525, 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 Rochester General Hospital for an inpatient stay.
2.11
Case mix index
Higher than 84% 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
0.45 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
31.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
3,479
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 | 2.13 | 2.13 | 2.19 | 2.24 | 2.20 | 2.09 | 2.11 |
| Wage index | 0.884 | 0.895 | 0.980 | 1.218 | 1.306 | 1.370 | 1.427 |
| Readmissions adjustment | -1.18% | -1.01% | -0.88% | -1.26% | -0.87% | -0.93% | -0.44% |
| Value-based purchasing adjustment | +0.25% | +0.13% | +0.13% | -0.50% | -0.48% | -0.43% | +0.02% |
| Medicare inpatient stays | 5,758 | 5,758 | 4,569 | 3,626 | 3,523 | 3,547 | 3,479 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Rochester General Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
| Name | Title |
|---|---|
| Richard Davis PhD | CEO |
| Thomas Crilly | CFO |
| Jennifer Eslinger | COO |
| Tammy Snyder | President |
| Charles Whipple | General Counsel |
| Christian Casini | Assistant Secretary |
| Tricia Gatlin Ph D RN | Chair Of The Board |
| Jeffrey C Mapstone | Treasurer |
| Julia Tedesco | Secretary |
| Kathy Vaeth Ph D | Vice Chair |
Board members: Marcy C Mulconry MD, Rania Ayyad MD, Laurie Lerner MD, Leon T Sawyko, Linda Becker, Mike Cicero, Walter Larkin, Karen M Gallina, Sara Kelly PhD, Ernest Lamour, Adam Zinkin MD.
Source: IRS Form 990 Part VII filed by The Rochester General Hospital (EIN 16-0743134), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2019
340B ID DSH330125, registered as a disproportionate share hospital; 93 registered outpatient sites; 172 active contract pharmacies. Authorizing official: Shawn Bishop, Vice President, Rrh Revenue & Reimbursement.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Rochester general hospital - psych
CCN 33S125, certified 1987, Medicare prospective payment
Rochester general hospital - rehab
CCN 33T125, certified 1997, Medicare prospective payment
Rochester general hospital - seneca
CCN 333554, certified 2004
Rochester general hospital - bay cre
CCN 333569, certified 2013
Source: Worksheet S-2 Part I of Rochester General Hospital's latest Medicare cost report (HCRIS).
About Rochester General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Rochester General Hospital range from $251 to $1,970 across 3 insurers. Blue Cross Blue Shield's rate is $1,970. The median at nearby comparable hospitals is $571. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Rochester General Hospital range from $99 to $600 across 3 insurers. Blue Cross Blue Shield's rate is $600. The median at nearby comparable hospitals is $126. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Rochester General Hospital range from $1,204 to $3,456 across 3 insurers. UnitedHealthcare's rate is $3,456. The median at nearby comparable hospitals is $1,669. 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 Rochester General Hospital range from $8,653 to $8,680 across 2 insurers. Aetna's rate is $8,653. 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 Rochester General Hospital range from $24,168 to $24,835 across 2 insurers. Aetna's rate is $24,168. The median at nearby comparable hospitals is $34,586. What a patient pays depends on their plan's deductible, coinsurance and network status.
Rochester General Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
Yes. CMS counts 0.45 Medicare-funded residents per bed at Rochester General Hospital for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Rochester General Hospital's base inpatient payments by an estimated 0.44% 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 (205 discharges), heart failure and shock with mcc (140 discharges), respiratory infections and inflammations with mcc (77 discharges).
Rochester General Hospital's Medicare case mix index is 2.11 for fiscal year 2027, higher than 84% of hospitals paid under the inpatient prospective payment system.
Rochester General Hospital reported 26,062 inpatient discharges and 175,114 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Rochester General Hospital reported 6,352 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Rochester General Hospital reported $1.4B in net patient revenue on $4.1B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -27.5%, and net income of $71.3M.
Rochester General Hospital reported $81.2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $20.7M of charity care at cost.
Rochester General Hospital's 2024 IRS Form 990 lists Richard Davis PhD as CEO.
Insurers' price transparency files list Rochester General Hospital under employer identification number 16-0743134 (Rochester General Hospital). 74 health plans and networks list 16-0743134 for it.
Yes. HRSA's 340B database lists Rochester General Hospital (340B ID DSH330125) as a participating disproportionate share hospital since 2019, with 172 active contract pharmacies.
1,883 clinicians who bill Medicare list Rochester General Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (213), physician assistant (158), internal medicine physician (147).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Rochester General Hospital, effective 2021.
CMS lists 46 services at Rochester General Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Rochester General Hospital came from ZIP codes 14580 (1,525), 14609 (1,303), 14621 (1,299).
Rochester General Hospital has 516 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 528 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Rochester General Hospital is located at 1425 Portland Avenue, Rochester, NY 14621. Its main phone number is (585) 922-4000.
Rochester General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 330125.
The National Provider Identifier (NPI) on file for Rochester General Hospital is 1255360517.
Rochester General Hospital is affiliated with Rochester Regional Health System.
Rochester General Hospital lists 38 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.
269 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