Hospital · CCN 330164
Highland Hospital
1000 South Avenue, Rochester, NY 14617 · Monroe County
Part of University of Rochester Medical Center · 261 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
56 admission types 43 outpatient services
Billed per dollar paid, all admissions
2.14×
$57.3M billed against $26.8M paid across 1,723 Medicare discharges; the national figure is 5.03×.
—
of adults in Monroe County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
4.2%
uninsured in the county · state 5.7%
$73K
median household income
2.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ
31.4%
obesity in the countyⓘ
11.2%
diagnosed diabetes (PLACES)
6.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
233
$37,747
$20,112
1.9× st 4.8×
291
Heart failure and shock with mcc
144
$25,239
$12,754
2.0× st 5.1×
193
Simple pneumonia and pleurisy with mcc
59
$29,725
$15,164
2.0× st 4.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
56
$17,933
$8,416
2.1× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
55
$23,281
$11,419
2.0× st 4.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
51
$45,610
$19,759
2.3× st 4.7×
698
Other kidney and urinary tract diagnoses with mcc
51
$27,693
$15,954
1.7× st 4.9×
177
Respiratory infections and inflammations with mcc
49
$30,417
$16,728
1.8× st 4.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
44
$16,957
$8,510
2.0× st 4.6×
683
Renal failure with cc
39
$19,050
$9,418
2.0× st 5.0×
481
Hip and femur procedures except major joint with cc
37
$54,868
$19,531
2.8× st 4.8×
603
Cellulitis without mcc
37
$16,076
$9,003
1.8× st 4.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
35
$23,230
$12,886
1.8× st 4.8×
682
Renal failure with mcc
35
$28,792
$14,755
2.0× st 5.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
33
$94,183
$48,750
1.9× st 4.7×
690
Kidney and urinary tract infections without mcc
33
$20,526
$9,051
2.3× st 5.2×
178
Respiratory infections and inflammations with cc
32
$28,488
$9,961
2.9× st 5.6×
812
Red blood cell disorders without mcc
32
$32,323
$9,357
3.5× st 5.2×
189
Pulmonary edema and respiratory failure
29
$26,007
$12,629
2.1× st 5.0×
378
Gastrointestinal hemorrhage with cc
29
$24,436
$10,144
2.4× st 5.5×
389
Gastrointestinal obstruction with cc
24
$17,900
$8,161
2.2× st 5.7×
057
Degenerative nervous system disorders without mcc
24
$29,248
$14,601
2.0× st 4.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
24
$48,505
$20,584
2.4× st 4.8×
699
Other kidney and urinary tract diagnoses with cc
23
$17,812
$11,515
1.5× st 5.4×
190
Chronic obstructive pulmonary disease with mcc
23
$43,945
$14,664
3.0× st 4.7×
637
Diabetes with mcc
22
$42,054
$15,655
2.7× st 4.8×
552
Medical back problems without mcc
22
$21,997
$9,785
2.2× st 5.3×
314
Other circulatory system diagnoses with mcc
22
$52,176
$20,917
2.5× st 5.1×
312
Syncope and collapse
21
$20,316
$8,864
2.3× st 5.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
20
$38,501
$17,322
2.2× st 5.4×
394
Other digestive system diagnoses with cc
20
$17,670
$9,340
1.9× st 5.4×
951
Other factors influencing health status
20
$13,454
$6,735
2.0× st 5.0×
638
Diabetes with cc
20
$19,294
$9,919
1.9× st 4.9×
377
Gastrointestinal hemorrhage with mcc
19
$46,019
$17,679
2.6× st 5.3×
689
Kidney and urinary tract infections with mcc
19
$41,699
$11,422
3.7× st 5.3×
194
Simple pneumonia and pleurisy with cc
19
$16,662
$8,898
1.9× st 4.9×
884
Organic disturbances and intellectual disability
19
$47,923
$19,724
2.4× st 4.3×
388
Gastrointestinal obstruction with mcc
17
$31,737
$16,628
1.9× st 6.0×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
16
$16,756
$8,991
1.9× st 5.2×
948
Signs and symptoms without mcc
16
$15,537
$8,188
1.9× st 5.7×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
15
$17,240
$10,687
1.6× st 5.4×
092
Other disorders of nervous system with cc
14
$25,031
$10,565
2.4× st 5.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
14
$26,193
$11,031
2.4× st 5.7×
309
Cardiac arrhythmia and conduction disorders with cc
14
$15,109
$8,153
1.9× st 5.1×
521
Hip replacement with principal diagnosis of hip fracture with mcc
13
$62,194
$26,022
2.4× st 5.9×
870
Septicemia or severe sepsis with mv >96 hours
13
$139,938
$62,142
2.3× st 4.3×
439
Disorders of pancreas except malignancy with cc
13
$14,881
$8,682
1.7× st 5.4×
643
Endocrine disorders with mcc
13
$41,688
$16,516
2.5× st 5.8×
602
Cellulitis with mcc
12
$29,378
$21,123
1.4× st 5.6×
467
Revision of hip or knee replacement with cc
12
$76,053
$27,917
2.7× st 4.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
12
$51,680
$22,202
2.3× st 5.0×
252
Other vascular procedures with mcc
11
$140,542
$47,294
3.0× st 4.8×
454
Combined anterior and posterior spinal fusion with cc
11
$107,495
$51,036
2.1× st 4.0×
445
Disorders of the biliary tract with cc
11
$25,182
$12,043
2.1× st 5.8×
390
Gastrointestinal obstruction without cc/mcc
11
$17,425
$6,507
2.7× st 5.5×
308
Cardiac arrhythmia and conduction disorders with mcc
11
$33,221
$11,340
2.9× st 5.4×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
280
$12,471
$2,869
4.3×
5115
Level 5 Musculoskeletal Procedures
211
$31,729
$13,523
2.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
102
$6,977
$1,719
4.1×
5375
Level 5 Urology and Related Services
77
$21,400
$5,429
3.9×
5361
Level 1 Laparoscopy and Related Services
72
$20,985
$6,050
3.5×
5373
Level 3 Urology and Related Services
71
$11,004
$2,160
5.1×
5414
Level 4 Gynecologic Procedures
64
$12,371
$3,315
3.7×
5374
Level 4 Urology and Related Services
60
$14,599
$3,647
4.0×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
56
$14,852
$3,564
4.2×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
50
$28,188
$6,914
4.1×
5362
Level 2 Laparoscopy and Related Services
49
$36,572
$10,902
3.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
38
$18,325
$4,041
4.5×
5116
Level 6 Musculoskeletal Procedures
37
$41,014
$19,711
2.1×
5114
Level 4 Musculoskeletal Procedures
34
$23,901
$7,585
3.2×
5165
Level 5 ENT Procedures
34
$22,240
$5,918
3.8×
5153
Level 3 Airway Endoscopy
31
$9,547
$1,800
5.3×
5183
Level 3 Vascular Procedures
31
$17,770
$3,379
5.3×
5302
Level 2 Upper GI Procedures
28
$8,186
$2,017
4.1×
5154
Level 4 Airway Endoscopy
23
$16,023
$3,970
4.0×
5465
Level 5 Neurostimulator and Related Procedures
17
$74,744
$32,821
2.3×
5112
Level 2 Musculoskeletal Procedures
16
$10,426
$1,704
6.1×
5184
Level 4 Vascular Procedures
14
$22,742
$5,827
3.9×
5113
Level 3 Musculoskeletal Procedures
13
$16,777
$3,432
4.9×
5313
Level 3 Lower GI Procedures
12
$11,754
$2,779
4.2×
5376
Level 6 Urology and Related Services
11
$25,510
$9,760
2.6×
5415
Level 5 Gynecologic Procedures
11
$24,004
$5,274
4.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5193
Level 3 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.