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Short Term Acute Care HospitalVoluntary Non-Profit - Private

The Unity Hospital Of Rochester

Rochester Regional Health System · Rochester, NY

1555 Long Pond Road, Rochester, NY 14626(585) 723-7000

2 of 5

CMS star rating

588

Beds

18,354

Inpatient discharges a year

$715.7M

Net patient revenue a year

31

In-network payers

About this hospital

The Unity Hospital Of Rochester is a 588-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 31 in-network payers and 257 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
330226
NPI
1760421713
Health system
Rochester Regional Health System
Teaching
Teaching hospital
County
Monroe County
Metro area
Rochester, NY MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services The Unity Hospital Of Rochester 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

Vaginal delivery, hospital stay

MS-DRG 807

$2,906 - $9,119

from 4 insurers · median $8,077

Blue Cross$2,906
Insurer A*est.$7,474
Insurer B*$8,680
Insurer C*$9,119

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$4,396 - $13,924

from 4 insurers · median $12,942

Blue Cross$4,396
Insurer A*$12,345
Insurer B*$13,540
Insurer C*est.$13,924

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 obstetrics / child birth services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$10,127 - $34,551

from 4 insurers · median $26,037

Aetna$27,240
Insurer A*$10,127
Insurer B*$24,835
Insurer C*est.$34,551
Medicare $11,984Nearby hospitals $33,91223% below nearby hospitals

67 Medicare discharges for this DRG in CMS hospital data

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,857 - $9,737

from 3 insurers · median $6,030

Aetna$2,857
Insurer A*$6,030
Insurer B*$9,737
Medicare $3,625Nearby hospitals $5,23415% above nearby hospitals

22 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at The Unity Hospital Of Rochester

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
294%
183
Insurer B*20
115%
58
Insurer C*23
63%
711
Insurer D*6
-
00

How we chose these services: 7 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 9 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 The Unity Hospital Of Rochester, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    2 of 5 stars

    • 299 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.37%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Teaching hospital
    • 41 services
    • 775 affiliated clinicians
    See doctors and services
  • Finances

    $715.7M net patient revenue

    • Operating margin on patient care -7.0%
    • $13.1M unreimbursed and uncompensated care
    • $33M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Richard O Davis, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for The Unity Hospital Of Rochester in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
23-7221763The Unity Hospital of Rochester55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 50 more1760421713 The Unity Hospital Of Rochester1457395766 The Unity Hospital Of Rochester1417005372 The Unity Hospital Of Rochesterand 34 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.

Location

1555 Long Pond Road, Rochester, NY 14626

(585) 723-7000

Get directions

Frequently asked questions

About The Unity Hospital Of Rochester's rates and hospital price transparency.

How much does a CT scan cost at The Unity Hospital Of Rochester?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at The Unity Hospital Of Rochester range from $109 to $1,049 across 3 insurers. Blue Cross Blue Shield's rate is $109. The median at nearby comparable hospitals is $671. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at The Unity Hospital Of Rochester?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at The Unity Hospital Of Rochester range from $409 to $3,599 across 3 insurers. UnitedHealthcare's rate is $3,599. The median at nearby comparable hospitals is $1,385. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at The Unity Hospital Of Rochester?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at The Unity Hospital Of Rochester range from $2,906 to $9,119 across 4 insurers. Blue Cross Blue Shield's rate is $2,906. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at The Unity Hospital Of Rochester?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at The Unity Hospital Of Rochester range from $10,127 to $34,551 across 4 insurers. Aetna's rate is $27,240. The median at nearby comparable hospitals is $33,912. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is The Unity Hospital Of Rochester's CMS star rating?

The Unity Hospital Of Rochester 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.

Is The Unity Hospital Of Rochester a teaching hospital?

Yes. CMS counts 0.24 Medicare-funded residents per bed at The Unity Hospital Of Rochester for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize The Unity Hospital Of Rochester for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts The Unity Hospital Of Rochester's base inpatient payments by an estimated 1.37% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at The Unity Hospital Of Rochester?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (184 discharges), heart failure and shock with mcc (123 discharges), respiratory infections and inflammations with mcc (83 discharges).

What is The Unity Hospital Of Rochester's case mix index?

The Unity Hospital Of Rochester's Medicare case mix index is 1.54 for fiscal year 2027, higher than 32% of hospitals paid under the inpatient prospective payment system.

How many patients does The Unity Hospital Of Rochester admit?

The Unity Hospital Of Rochester reported 18,354 inpatient discharges and 102,734 inpatient days from Jan 1, 2025 to Dec 31, 2025.

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CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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