Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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ROCHESTER GENERAL HOSPITAL

Rochester, NY · CCN 330125 · Rates published

You selected 470 (MS_DRG)

Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC

This hospital’s price: $15,040 across 14 payers · range $7,794-$25,215

Source: https://msc.rochesterregional.org/practitionerPortal/docs/160743134_rochester-general-hospital_standardcharges.csv · observed 2024-12-30

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

27,116 distinct procedures filed
31 distinct payers
1,164,581 rate rows
2024-12-30 last MRF observed · ⚠ 20 mo old

392,396 of 1,164,581 rate rows are consumer-grade (33.7%)

772,185 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 769,518
template filing: same amount across many unrelated codes — excluded 699
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 672
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 322
exceeds 3× this hospital's gross charge for a DRG stay — excluded 320
exceeds 10× this hospital's gross charge — excluded from medians 297
per-diem day rate — not a per-procedure price 236
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 91
placeholder amount (≤ $0.02) — excluded from medians 30

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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Source MRF file https://msc.rochesterregional.org/practitionerPortal/docs/160743134_rochester-general-hospital_standardcharges.csv
Found on page https://www.rochesterregional.org/billing-and-insurance/transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint d3f9cd2e2cd5baf2… · 1,355,057,885 bytes · first seen 2026-05-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
1614
APR_DRG
Cardiac Defibrillator & Heart Assist Implant 9 $134,510.29 $399,607.58 $241,998.73 nat. median
$209,486

1.2× median
1
MS_DRG
Heart Transplant Or Implant Of Heart Assist System With McC 14 $13,449.03 $363,121.24 $209,318.61 nat. median
$261,939

0.8× median
44
APR_DRG
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $105,320.58 $312,889.86 $189,483.26 nat. median
$127,600

1.5× median
3
MS_DRG
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $41,893.72 $285,692.02 $163,792.87 nat. median
$199,832

0.8× median
54
APR_DRG
Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 $80,362.45 $238,743.41 $144,580.84 nat. median
$88,000

1.6× median
3034
APR_DRG
Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 $63,490.97 $188,621.05 $133,217.95 nat. median
$84,380

1.6× median
1613
APR_DRG
Cardiac Defibrillator & Heart Assist Implant 9 $57,343.22 $673,874.06 $120,318.63 nat. median
$127,938

0.9× median
904
APR_DRG
Major Larynx & Trachea Procedures 9 $65,448.53 $194,436.63 $117,749.06 nat. median
$117,387

1.0× median
4
MS_DRG
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 20 $41,893.72 $215,262.75 $117,495.55 nat. median
$132,706

0.9× median
1624
APR_DRG
Cardiac Valve Procedures W Ami Or Complex Pdx 9 $54,692.15 $303,013.10 $114,756.11 nat. median
$82,636

1.4× median
43
APR_DRG
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $58,689.44 $174,356.53 $105,588.73 nat. median
$78,024

1.4× median
6124
APR_DRG
Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond 9 $49,382.45 $146,707.00 $103,615.18 nat. median
$69,517

1.5× median
234
APR_DRG
Spinal Procedures 9 $47,100.86 $252,046.43 $98,827.92 nat. median
$50,029

2.0× median
53
APR_DRG
Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 $53,806.33 $159,849.61 $96,803.48 nat. median
$52,271

1.9× median
3044
APR_DRG
Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 9 $53,512.03 $158,975.29 $96,273.99 nat. median
$61,288

1.6× median
3124
APR_DRG
Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 9 $52,463.60 $155,860.60 $94,387.76 nat. median
$52,235

1.8× median
6804
APR_DRG
Major O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 9 $52,137.25 $154,891.05 $93,800.61 nat. median
$65,652

1.4× median
4474
APR_DRG
Other Kidney, Urinary Tract & Related Procedures 9 $44,469.61 $222,627.64 $93,306.98 nat. median
$46,522

outlier · 2.0×
6904
APR_DRG
Acute Leukemia 9 $51,011.32 $151,546.10 $91,774.94 nat. median
$59,140

1.6× median
4054
APR_DRG
Other Procedures For Endocrine, Nutritional & Metabolic Disorders 9 $48,884.17 $145,226.70 $87,947.97 nat. median
$42,254

outlier · 2.1×
6084
APR_DRG
Neonate Bwt 1250-1499g W Or Without Other Significant Condition 9 $41,857.59 $124,351.91 $87,826.39 nat. median
$64,930

1.4× median
1634
APR_DRG
Cardiac Valve Procedures Without Ami Or Complex Pdx 9 $41,068.51 $122,007.67 $86,170.72 nat. median
$68,121

1.3× median
1694
APR_DRG
Major Abdominal Vascular Procedures 9 $41,860.50 $124,360.56 $85,557.89 nat. median
$51,655

1.7× median
3033
APR_DRG
Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 $40,724.67 $120,986.18 $85,449.26 nat. median
$56,360

1.5× median
9504
APR_DRG
Extensive Procedure Unrelated To Principal Diagnosis 9 $47,288.52 $140,486.28 $85,077.22 nat. median
$53,396

1.6× median
3214
APR_DRG
Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp 9 $41,168.74 $122,305.46 $84,144.02 nat. median
$42,727

2.0× median
6083
APR_DRG
Neonate Bwt 1250-1499g W Or Without Other Significant Condition 9 $39,766.58 $118,139.85 $83,438.98 nat. median
$53,072

1.6× median
212
MS_DRG
Concomitant Aortic And Mitral Valve Procedures 20 $20,176.43 $144,327.38 $82,251.90 nat. median
$100,978

0.8× median
204
APR_DRG
Craniotomy For Trauma 9 $38,987.98 $158,088.31 $81,805.32 nat. median
$43,984

1.9× median
215
MS_DRG
Other Heart Assist System Implant 20 $23,394.54 $136,878.32 $80,136.43 nat. median
$98,002

0.8× median
8504
APR_DRG
Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 9 $44,446.88 $132,044.26 $79,964.80 nat. median
$67,813

1.2× median
9124
APR_DRG
Musculoskeletal & Other Procedures For Multiple Significant Trauma 9 $44,154.91 $131,176.86 $79,439.51 nat. median
$55,212

1.4× median
9114
APR_DRG
Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma 9 $37,824.17 $112,369.29 $79,363.39 nat. median
$54,718

1.5× median
2604
APR_DRG
Major Pancreas, Liver & Shunt Procedures 9 $43,280.16 $128,578.11 $77,865.74 nat. median
$52,494

1.5× median
6123
APR_DRG
Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond 9 $36,965.74 $109,819.02 $77,562.20 nat. median
$46,953

1.7× median
214
APR_DRG
Craniotomy Except For Trauma 9 $42,201.43 $125,373.40 $75,924.99 nat. median
$53,568

1.4× median
4444
APR_DRG
Renal Dialysis Access Device Procedure Only 9 $36,050.19 $242,452.58 $75,641.19 nat. median
$34,722

outlier · 2.2×
42
APR_DRG
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $41,893.72 $124,459.25 $75,371.39 nat. median
$53,325

1.4× median
41
APR_DRG
Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $41,893.72 $124,459.25 $75,371.39 nat. median
$43,550

1.7× median
1612
APR_DRG
Cardiac Defibrillator & Heart Assist Implant 9 $35,710.43 $419,654.32 $74,928.29 nat. median
$93,192

0.8× median
1654
APR_DRG
Coronary Bypass W Ami Or Complex Pdx 9 $41,241.01 $122,520.15 $74,197.09 nat. median
$62,300

1.2× median
1214
APR_DRG
Other Respiratory & Chest Procedures 9 $35,299.57 $104,869.12 $74,066.22 nat. median
$42,762

1.7× median
4014
APR_DRG
Pituitary & Adrenal Procedures 9 $40,722.92 $120,980.98 $73,264.99 nat. median
$42,748

1.7× median
2204
APR_DRG
Major Stomach, Esophageal & Duodenal Procedures 8 $41,305.70 $94,460.61 $73,191.24 nat. median
$52,747

1.4× median
216
MS_DRG
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 $14,136.49 $130,051.02 $72,093.76 nat. median
$92,900

0.8× median
894
APR_DRG
Major Cranial/Facial Bone Procedures 9 $39,737.44 $118,053.29 $71,492.00 nat. median
$47,250

1.5× median
4414
APR_DRG
Major Bladder Procedures 9 $39,415.16 $117,095.85 $70,912.18 nat. median
$56,140

1.3× median
3084
APR_DRG
Hip And Femur Fracture Repair 9 $33,619.41 $141,261.07 $70,540.89 nat. median
$29,506

outlier · 2.4×
1623
APR_DRG
Cardiac Valve Procedures W Ami Or Complex Pdx 9 $33,432.34 $185,226.51 $70,148.37 nat. median
$54,568

1.3× median
6214
APR_DRG
Neonate Bwt 2000-2499g W Major Anomaly 8 $39,583.00 $90,521.03 $70,138.72 nat. median
$69,851

1.0× median

Other procedures at this hospital

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