The Unity Hospital Of Rochester Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for The Unity Hospital Of Rochester, Rochester, NY in 2024, from traditional Medicare claims. Back to the The Unity Hospital Of Rochester profile, with quality ratings, finances and negotiated rates.
1,598
Medicare inpatient discharges
In 57 published DRGs
1.54
Case mix index
IPPS FY 2027
10%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
1,172
Medicare outpatient services
In 25 service groups
Inpatient stays by major diagnostic category
Respiratory system282 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 83 | $37,336 | $13,291 | $15,868 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 57 | $26,315 | $10,640 | $11,184 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 49 | $24,015 | $10,136 | $10,206 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 28 | $26,187 | $8,061 | $11,130 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 20 | $14,236 | $6,048 | $6,050 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $34,144 | $8,002 | $14,511 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 16 | $16,396 | $7,442 | $6,968 | 0.85 |
| Respiratory infections and inflammations without cc/mccMS-DRG 179, medical | 11 | $18,766 | $5,806 | $7,976 | 0.76 |
Infectious and parasitic diseases260 discharges in 3 DRGs
| 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 | 184 | $38,620 | $15,802 | $16,414 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 51 | $20,492 | $8,142 | $8,709 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 25 | $150,934 | $52,478 | $64,147 | 5.00 |
Circulatory system237 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 123 | $25,793 | $10,987 | $10,962 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 34 | $17,541 | $7,088 | $7,455 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 19 | $11,848 | $5,187 | $5,035 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $44,853 | $16,906 | $19,063 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $38,200 | $17,921 | $16,235 | 2.09 |
| Hypertension with MCCMS-DRG 304, medical | 11 | $20,434 | $10,284 | $8,684 | 1.15 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $14,097 | $5,497 | $5,991 | 0.75 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $22,605 | $10,062 | $9,607 | 1.20 |
Kidney and urinary tract189 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 65 | $13,545 | $6,865 | $5,757 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 33 | $16,818 | $7,311 | $7,148 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 29 | $42,631 | $14,955 | $18,118 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 24 | $22,057 | $12,336 | $9,374 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 20 | $15,610 | $9,149 | $6,634 | 1.02 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 18 | $16,367 | $10,086 | $6,956 | 1.17 |
Musculoskeletal system and connective tissue165 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 58 | $36,464 | $15,171 | $15,497 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 21 | $43,177 | $17,625 | $18,350 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 14 | $15,617 | $6,725 | $6,637 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $16,887 | $7,498 | $7,177 | 0.90 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 13 | $43,711 | $21,311 | $18,577 | 2.48 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 12 | $45,040 | $21,314 | $19,142 | 2.96 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 11 | $69,158 | $27,142 | $29,392 | 3.49 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 11 | $17,422 | $6,238 | $7,404 | 0.79 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 11 | $14,025 | $6,256 | $5,961 | 0.82 |
Digestive system157 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 47 | $13,600 | $6,224 | $5,780 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 39 | $19,189 | $7,926 | $8,155 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 20 | $46,266 | $18,260 | $19,663 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $43,047 | $15,623 | $18,295 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $12,365 | $6,436 | $5,255 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 12 | $27,620 | $10,812 | $11,738 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $10,531 | $7,090 | $4,476 | 0.94 |
Nervous system110 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 26 | $16,006 | $8,654 | $6,803 | 1.06 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 18 | $17,060 | $11,580 | $7,250 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 18 | $16,453 | $8,182 | $6,993 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $37,713 | $16,291 | $16,028 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 17 | $17,869 | $7,846 | $7,594 | 1.02 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $35,954 | $14,353 | $15,280 | 1.79 |
Endocrine, nutritional and metabolic96 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 36 | $13,226 | $6,442 | $5,621 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 29 | $17,464 | $7,450 | $7,422 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 19 | $31,728 | $11,958 | $13,484 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $32,715 | $11,757 | $13,904 | 1.45 |
Skin, subcutaneous tissue and breast51 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 39 | $14,211 | $6,238 | $6,039 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $43,304 | $9,349 | $18,404 | 1.49 |
Alcohol and drug use26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical | 14 | $57,594 | $11,438 | $24,477 | 1.61 |
| Alcohol, drug abuse or dependence, left amaMS-DRG 894, medical | 12 | $23,449 | $4,135 | $9,966 | 0.57 |
Mental diseases and disorders13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 13 | $13,720 | $13,576 | $5,831 | 1.76 |
Factors influencing health status12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 12 | $14,954 | $5,658 | $6,355 | 0.80 |
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.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 273 | 253 | $7,766 | $2,236 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 175 | 173 | $29,003 | $11,945 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 88 | 79 | $4,306 | $1,592 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 78 | 68 | $11,042 | $2,554 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 58 | 42 | $7,573 | $1,519 | $1,407 |
| Level 1 Endovascular ProceduresAPC 5191 | 54 | 54 | $12,012 | $2,434 | $2,208 |
| Level 2 Endovascular ProceduresAPC 5192 | 47 | 39 | $19,572 | $4,828 | $4,338 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 46 | 46 | $18,302 | $4,448 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 40 | 36 | $10,108 | $2,595 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 34 | 34 | $39,546 | $18,072 | $15,763 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 33 | 31 | $9,848 | $1,370 | $1,220 |
| Level 2 Vascular ProceduresAPC 5182 | 29 | 27 | $3,034 | $1,343 | $1,204 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 25 | 23 | $16,932 | $6,043 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 22 | 20 | $11,349 | $2,787 | $2,636 |
| Level 4 Gynecologic ProceduresAPC 5414 | 22 | 22 | $10,948 | $2,358 | $2,389 |
| Level 5 Urology and Related ServicesAPC 5375 | 20 | 19 | $13,367 | $4,371 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 19 | 19 | $40,756 | $10,015 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 17 | 16 | $10,030 | $2,400 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 16 | 16 | $21,197 | $5,509 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 15 | 12 | $13,507 | $3,220 | $2,930 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 14 | 14 | $27,358 | $9,635 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 13 | $20,659 | $3,163 | $2,833 |
| Level 4 Vascular ProceduresAPC 5184 | 12 | 11 | $15,449 | $4,642 | $3,946 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | 11 | $8,011 | $1,358 | $1,196 |
| Level 4 Urology and Related ServicesAPC 5374 | 11 | $11,343 | $2,945 | $2,629 |
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.