Strong Memorial Hospital
601 Elmwood Ave, Rochester, NY 14642 · 128 Priced Procedures · 68% Patient Recommendation
Typical commercial prices here are +15% above the fair benchmark (1.15×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.15× fair market pricing.
Specialty Drug & Surgical Margin Engine
Strong Memorial Hospital concentrates commercial margin in outpatient surgical suites (5.6× Medicare) and specialty drug infusions (0.9× Medicare) relative to routine diagnostics (3.2×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.92× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 17% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (64/100 safety score) with 68% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 5.6× markup over Medicare rates
- Commercial insurance median sits at 1.02× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.46×) jump +43% above the median procedure ratio (Q50 1.02×)
- Unnegotiated chargemaster list prices average 5.0× Medicare (20¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Strong Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 128 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $43,475 | 1.4× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $26,709 | 1.4× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $26,532 | 1.4× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $24,372 | 1.4× |
| Total hip replacement CPT Code: 27130 | $21,719 | unverified |
| Total knee replacement CPT Code: 27447 | $21,719 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $11,570 | 1.4× |
| Breast lump removal CPT Code: 19120 | $6,624 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $5,535 | 1.6× |
| Bunion correction surgery CPT Code: 28296 | $5,535 | 1.6× |
| C-section delivery (full package) CPT Code: 59510 | $4,785 | 1.6× |
| Vaginal delivery (full package) CPT Code: 59400 | $4,330 | 1.6× |
| Cataract surgery with lens implant CPT Code: 66984 | $3,904 | 1.5× |
| Trauma team activation HCPCS Code: G0390 | $3,268 | 2.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,522 | 0.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,439 | 1.4× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,247 | 1.5× |
| Inguinal hernia repair CPT Code: 49505 | $1,207 | 0.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $757 | 0.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $625 | 1.2× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $620 | 0.6× |
| Upper endoscopy with biopsy CPT Code: 43239 | $607 | 0.6× |
| Blood transfusion CPT Code: 36430 | $551 | 1.1× |
| MRI, brain (no contrast) CPT Code: 70551 | $505 | 1.5× |
| MRI, knee or other leg joint CPT Code: 73721 | $505 | 1.4× |
Audit a Bill or Quote at Strong Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $26,836
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.7% of gross = $26,836).
Self-Pay Cash Rate ($36,953) Beats Your Bill
Strong Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $36,953 (vs. $43,475 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($104,340) is $73,565 above the denoised Fair BaseRate ($30,775) and 4.4× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (25.7% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Strong Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-03-19·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (884 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Strong Memorial Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.