New York / Rome Memorial Hospital, Inc
CMS certification 330215 · Rome, NY
Rome Memorial Hospital, Inc: charges and Medicare payments
Rome Memorial Hospital, Inc reported 463 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 2.72 times what it was paid — mid-range in New York, number 64 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 176 stays at an average charge of $45,746, 49% below the national average. It also billed 578 outpatient services, charging 6.23 times what Medicare paid.
- 1Medicare inpatient stays 463
- 2Charge ÷ paid, inpatient 2.72×
- 3Rank in NY (highest ratio = 1) 64 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 13 DRGs that can be compared with the national average, Rome Memorial Hospital, Inc charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 176 | $45,746 | -49% | $17,061 |
| 177 Respiratory Infections and Inflammations with MCC | 43 | $39,771 | -44% | $14,387 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 41 | $31,271 | -36% | $9,379 |
| 189 Pulmonary Edema and Respiratory Failure | 38 | $31,913 | -45% | $10,894 |
| 291 Heart Failure and Shock with MCC | 34 | $34,874 | -38% | $11,361 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $32,769 | -55% | $14,435 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $24,985 | -58% | $11,973 |
| 481 Hip and Femur Procedures except Major Joint with CC | 17 | $57,186 | -43% | $17,594 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $29,598 | -22% | $7,227 |
| 460 Spinal Fusion except Cervical without MCC | 16 | $55,951 | -67% | $33,361 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $64,613 | -37% | $18,904 |
| 603 Cellulitis without MCC | 11 | $22,234 | -40% | $8,131 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $21,886 | -41% | $7,089 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 275 | $21,098 | $2,894 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 50 | $5,824 | $1,719 |
| Level 4 Urology and Related Services | 43 | $13,606 | $3,696 |
| Level 1 Laparoscopy and Related Services | 30 | $21,917 | $6,118 |
| Level 2 Upper GI Procedures | 29 | $7,838 | $2,017 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 27 | $15,198 | $3,013 |
| Level 5 Urology and Related Services | 24 | $18,789 | $5,486 |
| Level 3 Musculoskeletal Procedures | 21 | $15,187 | $3,302 |
| Level 5 Musculoskeletal Procedures | 19 | $35,106 | $13,930 |
| Level 4 Musculoskeletal Procedures | 17 | $24,137 | $7,585 |
| Level 2 Musculoskeletal Procedures | 16 | $10,748 | $1,704 |
| Level 3 Urology and Related Services | 16 | $11,518 | $2,160 |
| Level 3 Vascular Procedures | 11 | $15,461 | $3,379 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Rome Memorial Hospital, Inc charged $45,746 on average, 61% less than the New York average of $116,930, and was paid $17,061 against a state average of $24,426. For Respiratory Infections and Inflammations with MCC (DRG 177), Rome Memorial Hospital, Inc charged $39,771 on average, 58% less than the New York average of $94,371, and was paid $14,387 against a state average of $19,472. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Rome Memorial Hospital, Inc charged $31,271 on average, 49% less than the New York average of $61,129, and was paid $9,379 against a state average of $12,692. For Pulmonary Edema and Respiratory Failure (DRG 189), Rome Memorial Hospital, Inc charged $31,913 on average, 57% less than the New York average of $74,150, and was paid $10,894 against a state average of $15,119. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,098 was 21% below the state average of $26,675. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,824 was 55% below the state average of $12,815. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $13,606 was 33% below the state average of $20,339. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $21,917 was 38% below the state average of $35,085.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.