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 |
|---|---|---|---|---|
| Dilate tear duct opening CPT 68801 | $440.81 | $678.17 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $324.29 | $498.91 | not published | 0 |
| Dilate urethra stricture CPT 53601 | $335.52 | $516.18 | not published | 0 |
| Dilation/female urethra/initial 53660 CPT 53660 | $482.35 | $742.07 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $3,186.98 | $4,903.04 | not published | 0 |
| Dilation of urethra CPT 53661 | $335.52 | $516.18 | not published | 0 |
| Dilation of vagina CPT 57400 | $7,627.40 | $11,734.46 | not published | 0 |
| Dilation salivary duct 42650 CPT 42650 | $3,453.20 | $5,312.61 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $4,335.25 | $6,669.61 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $7,428.10 | $11,427.84 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.03 – $0.03 | 2 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $56.42 – $73.81 | 3 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $0.90 – $15.94 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,121.44 | $1,725.30 | $668.08 – $1,374.53 | 5 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.16 | $1.79 | $0.02 – $0.02 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.18 | $1.82 | $0.70 – $2.62 | 5 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $98.56 | $151.63 | $66.16 – $86.62 | 3 |
| Dipyridamole injection HCPCS J1245 | $1.44 | $2.21 | $4.28 – $8.41 | 5 |
| Disability dlco CPT 94727 | $482.35 | $742.07 | not published | 0 |
| Disaccharidases CPT 82657 | $65.34 | $100.53 | $15.91 – $28.60 | 8 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $130.06 – $130.06 | 1 |
| Division of fallopian tube 58605 CPT 58605 | $1,847.98 | $2,843.05 | not published | 0 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $5,864.93 | $9,022.97 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $168.67 – $359.91 | 8 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $166.55 – $354.53 | 8 |
| Dmpk gene detc abnor allele CPT 81234 | $364.25 | $560.39 | $83.83 – $176.73 | 8 |
| Dna antibody native/double stranded CPT 86225 | $49.75 | $76.54 | $5.25 – $17.72 | 8 |
| Dna gardnerella CPT 87510 | $72.57 | $111.65 | $14.09 – $25.86 | 8 |
| Dna probe chlamydia CPT 87490 | not published | not published | $8.11 – $29.35 | 8 |
| Dna probe gc CPT 87590 | not published | not published | $8.11 – $34.68 | 8 |
| Dna trichomonas CPT 87660 | $72.57 | $111.65 | $14.09 – $25.86 | 8 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $11.50 | $17.69 | $6.08 – $15.23 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.64 – $3.29 | 5 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $48.96 – $49.76 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $60.32 – $83.24 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.63 – $1.38 | 5 |
| Doppler echo complete CPT 93320 | $408.75 | $628.85 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,909.45 | $6,014.54 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $482.35 | $742.07 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $335.52 | $516.18 | not published | 0 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $52.13 – $102.68 | 4 |
| Dornhoffer fixed part w/window HCPCS L8614 | $36,623.70 | $56,344.15 | not published | 0 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $166.66 | $256.40 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $233.02 – $453.89 | 5 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.74 – $9.73 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $102.34 – $457.47 | 5 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.10 – $0.10 | 2 |
| Dpyd gene common variants CPT 81232 | $488.01 | $750.79 | $109.48 – $225.50 | 8 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,994.36 | $3,068.25 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,899.40 | $2,922.16 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $4,582.16 | $7,049.47 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $1,994.36 | $3,068.25 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $618.08 | $950.90 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $4,582.16 | $7,049.47 | not published | 0 |
| Drainage of eye CPT 65800 | $4,946.91 | $7,610.63 | not published | 0 |
| Drainage of eye CPT 65810 | $3,549.34 | $5,460.52 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $1,994.36 | $3,068.25 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $586.66 | $902.56 | not published | 0 |
| Drainage of mouth lesion CPT 41007 | $3,762.02 | $5,787.73 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $7,267.74 | $11,181.14 | not published | 0 |
| Drainage of mouth lesion CPT 41015 | $1,628.32 | $2,505.11 | not published | 0 |
| Drainage of mouth lesion CPT 41016 | $11,200.30 | $17,231.23 | not published | 0 |
| Drainage of mouth lesion CPT 41017 | $4,858.50 | $7,474.61 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $618.08 | $950.90 | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | $1,628.32 | $2,505.11 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $3,186.98 | $4,903.04 | not published | 0 |
| Drainage of rectal abscess 45020 CPT 45020 | $7,499.82 | $11,538.19 | not published | 0 |
| Drainage of throat abscess CPT 42725 | $9,633.61 | $14,820.94 | not published | 0 |
| Drain bladder by trocar/cath CPT 51101 | $3,243.02 | $4,989.26 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $335.52 | $516.18 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $4,582.16 | $7,049.47 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $4,582.16 | $7,049.47 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $852.20 | $1,311.08 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $584.21 | $898.79 | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | $7,746.22 | $11,917.26 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $5,754.62 | $8,853.26 | not published | 0 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $2.40 – $3.07 | 2 |
| Drain ovarn cyst abd CPT 58805 | $7,627.40 | $11,734.46 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,776.90 | $8,887.54 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $584.21 | $898.79 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $584.21 | $898.79 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,107.30 | $1,703.54 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $38.54 – $90.05 | 4 |
| Drm agrft t/a/l ea addl CPT 15131 | $4,141.43 | $6,371.43 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $918.99 | $1,413.83 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $4,582.16 | $7,049.47 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $1,628.32 | $2,505.11 | not published | 0 |
| Drng of palm multi bursas 26030 CPT 26030 | $8,441.76 | $12,987.33 | not published | 0 |
| Drng of palm single bursa 26025 CPT 26025 | $6,184.83 | $9,515.12 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $4,582.16 | $7,049.47 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.35 – $4.65 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $7.06 – $11.88 | 4 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $12.49 – $24.19 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $28.17 | $43.34 | $11.88 – $23.52 | 4 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $19.24 | $29.60 | $2.49 – $17.59 | 4 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $37.79 – $48.29 | 2 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $171.50 – $171.50 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $90.64 | $139.45 | $25.82 – $32.99 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $121.80 | $187.38 | $49.93 – $96.25 | 4 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $233.20 – $233.20 | 1 |
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.