Rochester General Hospital
1425 Portland Avenue, Rochester, NY · Rochesterregional · · NPI 1255360517
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $105.94 | $162.98 | $15.15 – $37.77 | 8 |
| 17-hydroxypregnenolone CPT 84143 | $82.55 | $127.00 | $19.68 – $29.42 | 8 |
| 17-ketosteroids CPT 83586 | $46.32 | $71.26 | $9.49 – $16.51 | 8 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $5.42 – $6.92 | 2 |
| 1st psyc collab care mgmt CPT 99492 | $214.12 | $329.42 | not published | 0 |
| 1st/sbsq psyc collab care CPT 99494 | $87.29 | $134.29 | not published | 0 |
| 2019-ncov diagnostic p HCPCS U0001 | $100.26 | $154.24 | $32.33 – $46.34 | 8 |
| 24 hr ambulatory b/p monitor CPT 93786 | $335.52 | $516.18 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,086.62 | $3,210.18 | not published | 0 |
| 2nd order venous cath CPT 36012 | $738.11 | $1,135.56 | not published | 0 |
| 3d ech img cgen car anomal CPT 93319 | $587.18 | $903.35 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $4,233.80 | $6,513.54 | $385.20 – $385.20 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $443.83 | $682.82 | $23.63 – $23.63 | 1 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $3.06 – $10.90 | 3 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.62 – $6.46 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $40.37 | $62.11 | $9.83 – $14.38 | 8 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $160.48 | $246.89 | $33.36 – $33.36 | 1 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $269.62 | $414.80 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $282.54 | $434.68 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $294.61 | $453.24 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $243.57 | $374.72 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $259.43 | $399.12 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $258.55 | $397.77 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $284.42 | $437.57 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $333.37 | $512.88 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $126.91 | $195.25 | $44.05 – $83.40 | 5 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $43.44 | $66.83 | $8.61 – $15.49 | 8 |
| Abd aorta w/runoff s&i CPT 75630 | $5,491.15 | $8,447.92 | $95.28 – $95.28 | 1 |
| Abd/low ext cath 1st CPT 36245 | $827.33 | $1,272.81 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $1,111.21 | $1,709.55 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $1,322.09 | $2,033.99 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $303.85 | $467.46 | not published | 0 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $875.65 | $1,347.15 | not published | 0 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $425.45 | $654.54 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $845.92 | $1,301.42 | $288.33 – $288.33 | 1 |
| Abdominal CT scan (with contrast) CPT 74160 | $845.92 | $1,301.42 | $254.17 – $254.17 | 1 |
| Abdominal CT scan (without contrast) CPT 74150 | $520.31 | $800.48 | $120.65 – $120.65 | 1 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,648.98 | $2,536.89 | $347.10 – $347.10 | 1 |
| Abdominal MRI (with contrast) CPT 74182 | $1,648.98 | $2,536.89 | $327.30 – $327.30 | 1 |
| Abdominal MRI (without contrast) CPT 74181 | $1,006.36 | $1,548.25 | $188.34 – $188.34 | 1 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,195.76 | $3,378.09 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $425.45 | $654.54 | $113.60 – $113.60 | 1 |
| Abdominal Ultrasound (limited) CPT 76705 | $425.45 | $654.54 | $86.99 – $86.99 | 1 |
| Abdominal X-ray (2 views) CPT 74019 | $275.16 | $423.33 | $37.49 – $37.49 | 1 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $275.16 | $423.33 | $50.86 – $50.86 | 1 |
| Abdominal X-ray (single view) CPT 74018 | $201.75 | $310.38 | $31.06 – $31.06 | 1 |
| Abdominoplasty 15830 CPT 15830 | $15,027.54 | $23,119.29 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,195.76 | $3,378.09 | not published | 0 |
| Abl1 gene CPT 81170 | $879.38 | $1,352.90 | $199.69 – $387.00 | 8 |
| Ablate arrhythmia add on CPT 93655 | $8,445.81 | $12,993.55 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $14,590.10 | $22,446.30 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $14,590.10 | $22,446.30 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $11,565.71 | $17,793.40 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $14,223.16 | $21,881.79 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $21,158.42 | $32,551.42 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $2,195.76 | $3,378.09 | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $14,223.16 | $21,881.79 | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $8,911.31 | $13,709.71 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $1,049.07 | $1,613.95 | not published | 0 |
| Ablation cryo thigh/knee CPT 27599 | $544.83 | $838.20 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,467.95 | $2,258.39 | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | $18.61 | $28.63 | $8.66 – $16.57 | 5 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,582.16 | $7,049.47 | not published | 0 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $6,025.66 | $9,270.24 | not published | 0 |
| Access thoracic lymph duct CPT 38794 | $919.24 | $1,414.22 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.06 – $0.17 | 5 |
| Acetaminophen level CPT 80143 | $49.56 | $76.25 | $16.78 – $29.08 | 8 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $25.18 – $54.99 | 5 |
| Acetone qualitative CPT 82009 | $16.35 | $25.16 | $0.51 – $5.83 | 8 |
| Acetylcholine receptor modulating antibody CPT 86043 | $26.72 | $41.10 | $7.23 – $15.54 | 8 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $9.85 – $15.85 | 8 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.36 – $3.45 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $8.46 – $15.63 | 4 |
| Acne surgery 10040 CPT 10040 | $584.21 | $898.79 | not published | 0 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $211.28 | $325.05 | not published | 0 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $141.73 | $218.05 | not published | 0 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $391.06 | $601.63 | not published | 0 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $109.25 | $168.07 | not published | 0 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $37.62 | $57.87 | not published | 0 |
| Acromp/acromionectomy prtl CPT 23130 | $8,441.76 | $12,987.33 | not published | 0 |
| Acth stimulation panel CPT 80402 | not published | not published | $76.63 – $112.18 | 8 |
| Acth stimulation panel CPT 80406 | not published | not published | $68.10 – $100.96 | 8 |
| Actigraphy testing CPT 95803 | $192.19 | $295.67 | not published | 0 |
| Actinotherapy uv light CPT 96900 | $81.33 | $125.12 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $172.39 | $265.21 | $41.97 – $74.30 | 8 |
| Acute venous thrombus image CPT 78456 | not published | not published | $352.79 – $352.79 | 1 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.06 – $0.16 | 5 |
| #acylcarnitineprfl CPT 82017 | $61.05 | $93.92 | $9.42 – $21.76 | 8 |
| Acylcarnitines qual CPT 82016 | not published | not published | $12.22 – $21.27 | 8 |
| Adapter b 8 channel 10cm HCPCS C1883 | $128.43 | $197.59 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.52 – $2.21 | 5 |
| Adenovirus ag ia CPT 87301 | $28.22 | $43.42 | $8.11 – $15.45 | 8 |
| Adenovirus antibody,serum - quest CPT 86603 | $46.58 | $71.66 | $8.11 – $16.60 | 8 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $10.10 – $28.07 | 8 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $6.80 – $8.69 | 2 |
| Adh-sendout CPT 84588 | $122.82 | $188.96 | $27.63 – $43.78 | 8 |
| Adj gastric band via subq port CPT 43999 | $2,195.76 | $3,378.09 | not published | 0 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $14,590.10 | $22,446.30 | not published | 0 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,699.50 | $4,153.08 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $0.51 | $0.78 | $0.22 – $0.68 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.