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 |
|---|---|---|---|---|
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $527.84 | $812.06 | not published | 0 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $67.32 – $136.62 | 4 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $63.98 | $98.43 | $26.59 – $51.76 | 5 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $335.52 | $516.18 | not published | 0 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $1.93 – $2.46 | 2 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $30.26 – $74.21 | 5 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $305.85 – $1,052.89 | 3 |
| Dermagraft HCPCS Q4106 | not published | not published | $45.89 – $58.64 | 2 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $50.72 – $132.25 | 4 |
| Derm autograft trnk/arm/leg CPT 15130 | $2,699.50 | $4,153.08 | not published | 0 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $137.93 – $296.79 | 2 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $252.92 – $1,784.08 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $14,572.26 | $22,418.86 | not published | 0 |
| Description not available HCPCS S0013 | not published | not published | $13.18 – $16.85 | 2 |
| Design mlc device for imrt CPT 77338 | $1,157.38 | $1,780.58 | $369.36 – $369.36 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $3.36 – $18.11 | 5 |
| Desoxycorticosterone CPT 82633 | $112.12 | $172.50 | $27.30 – $39.96 | 8 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $12,051.32 | $18,540.50 | not published | 0 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $12,051.32 | $18,540.50 | not published | 0 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $584.21 | $898.79 | not published | 0 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $1,107.30 | $1,703.54 | not published | 0 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $303.83 | $467.43 | not published | 0 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $584.21 | $898.79 | not published | 0 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $584.21 | $898.79 | not published | 0 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $497.06 | $764.71 | not published | 0 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $473.39 | $728.29 | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $584.21 | $898.79 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $5,482.43 | $8,434.51 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $583.90 | $898.30 | not published | 0 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $3,186.98 | $4,903.04 | not published | 0 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $584.21 | $898.79 | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $2,699.50 | $4,153.08 | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | $2,699.50 | $4,153.08 | not published | 0 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $584.21 | $898.79 | not published | 0 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $1,651.23 | $2,540.35 | not published | 0 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $1,107.30 | $1,703.54 | not published | 0 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $2,699.50 | $4,153.08 | not published | 0 |
| Destruction 2-14 lesions 17003 CPT 17003 | $99.37 | $152.87 | not published | 0 |
| Destruction anal lesion(s) CPT 46924 | $7,499.82 | $11,538.19 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $584.21 | $898.79 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,739.66 | $2,676.40 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $5,482.43 | $8,434.51 | not published | 0 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $7,499.82 | $11,538.19 | not published | 0 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $1,107.30 | $1,703.54 | not published | 0 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $1,107.30 | $1,703.54 | not published | 0 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $1,107.30 | $1,703.54 | not published | 0 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $1,107.30 | $1,703.54 | not published | 0 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $2,699.50 | $4,153.08 | not published | 0 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $1,107.30 | $1,703.54 | not published | 0 |
| Destruction rectal tumor 45190 CPT 45190 | $7,499.82 | $11,538.19 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $17.67 – $38.74 | 8 |
| Detect agnt mult dna direc CPT 87800 | $145.18 | $223.36 | $28.19 – $56.33 | 8 |
| Determination venous press CPT 93770 | $194.12 | $298.64 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $141.93 | $218.36 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $391.54 | $602.37 | $97.25 – $137.97 | 2 |
| Device ablt adv novasure HCPCS C1886 | $8,775.00 | $13,500.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $2,565.91 | $3,947.55 | $1,133.18 – $1,447.95 | 3 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $195.78 | $301.20 | $48.63 – $61.54 | 2 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $201.75 | $310.38 | $33.04 – $33.04 | 1 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $98.66 – $191.48 | 3 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.17 – $1.59 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.08 – $0.10 | 3 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $0.32 | $0.49 | $0.10 – $0.29 | 5 |
| Dexamethasone intra implant HCPCS J7312 | $414.35 | $637.46 | $201.26 – $394.79 | 5 |
| Dexamethasone panel CPT 80420 | not published | not published | $63.49 – $208.83 | 8 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.62 – $0.62 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $57.08 – $378.48 | 5 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $31.67 – $66.56 | 3 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.12 – $1.43 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.31 – $3.62 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $6.34 – $8.46 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $7.40 | $11.39 | $1.75 – $5.68 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $2.94 – $7.13 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $80.47 | $123.80 | $19.60 – $28.68 | 8 |
| Diabetes (HbA1c) Test CPT 83036 | $35.15 | $54.07 | $8.56 – $12.53 | 8 |
| Diab manage trn ind/group HCPCS G0109 | $44.10 | $67.84 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $335.52 | $516.18 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $76.37 | $117.49 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $76.37 | $117.49 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $563.86 | $867.48 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $563.86 | $867.48 | $54.97 – $54.97 | 1 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $311.47 | $479.18 | $163.58 – $163.58 | 1 |
| Diagnostic Mammogram (one breast) CPT 77065 | $248.64 | $382.53 | $127.58 – $127.58 | 1 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $6,547.37 | $10,072.88 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $1,251.44 | $1,925.29 | not published | 0 |
| Dialysis training complete CPT 90989 | $1,033.55 | $1,590.08 | not published | 0 |
| Dialysis training incompl CPT 90993 | $1,033.55 | $1,590.08 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.18 | $0.28 | $0.07 – $0.15 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $6.58 – $16.99 | 5 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $11.15 – $53.82 | 5 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.24 – $0.32 | 4 |
| Diffusing capacity CPT 94729 | $227.90 | $350.62 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $6.34 – $30.18 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,775.76 – $9,385.15 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | $48.04 | $73.91 | $10.61 – $20.72 | 8 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $164.78 | $253.50 | $56.17 – $116.21 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | $542.37 | $834.41 | not published | 0 |
| Dilate esophagus CPT 43453 | $4,441.33 | $6,832.82 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $2,195.76 | $3,378.09 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $2,650.22 | $4,077.26 | not published | 0 |
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.