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 |
|---|---|---|---|---|
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $80.28 | $123.50 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $80.28 | $123.50 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $636.72 | $979.57 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $93.72 | $144.19 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $80.28 | $123.50 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $80.28 | $123.50 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $80.22 | $123.41 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $67.74 | $104.21 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $80.28 | $123.50 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $90.69 | $139.52 | not published | 0 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $67.74 | $104.21 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $67.74 | $104.21 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $67.74 | $104.21 | $14.00 – $14.00 | 1 |
| Administration vaccine pneumococcal HCPCS G0009 | $67.74 | $104.21 | $14.00 – $14.00 | 1 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $67.74 | $104.21 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $37.94 – $77.66 | 5 |
| Adrenal cortex & medulla img CPT 78075 | $3,133.32 | $4,820.50 | $522.80 – $522.80 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.68 – $1.59 | 3 |
| Aep hearing status deter i&r CPT 92651 | $366.43 | $563.74 | not published | 0 |
| Aep neurodiagnostic i&r CPT 92653 | $689.09 | $1,060.14 | not published | 0 |
| Aep thrshld est mlt freq i&r CPT 92652 | $689.09 | $1,060.14 | not published | 0 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,172.45 – $4,053.68 | 4 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $726,970.92 – $726,970.92 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $72.57 | $111.65 | $17.67 – $25.86 | 8 |
| #afb mycobacteria suscep. #1 CPT 87190 | $21.44 | $32.98 | $4.99 – $9.43 | 8 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $417.47 | $642.26 | $101.67 – $148.81 | 8 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $85.80 – $176.73 | 8 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $172.13 – $354.53 | 8 |
| Aflibercept injection HCPCS J0178 | $1,542.79 | $2,373.52 | $751.65 – $1,578.20 | 5 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $11.88 – $11.88 | 1 |
| Afo molded ankle gauntlet HCPCS L1904 | $872.39 | $1,342.14 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $1,126.12 | $1,732.49 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $1,899.72 | $2,922.64 | not published | 0 |
| Afo tib fx cast molded to pt HCPCS L2108 | $2,326.17 | $3,578.72 | not published | 0 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $1,387.25 | $2,134.23 | not published | 0 |
| After cataract laser surgery CPT 66821 | $1,639.22 | $2,521.88 | not published | 0 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $212.66 – $429.16 | 5 |
| Ag detect nos ia single CPT 87450 | not published | not published | $6.74 – $6.74 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $25.50 – $25.50 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $870.76 | $1,339.63 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $22.82 | $35.11 | $4.56 – $10.04 | 8 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $48.60 – $101.91 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $40.76 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $77.11 | $118.63 | $50.00 – $101.91 | 4 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $44.99 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $12.06 – $43.78 | 8 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $20.93 | $32.20 | $5.03 – $7.46 | 8 |
| Albumin serum plasma or whole blood CPT 82040 | $17.91 | $27.56 | $4.36 – $6.39 | 8 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.19 – $0.25 | 3 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.20 – $0.55 | 4 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.26 – $0.44 | 4 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.07 – $0.13 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $15.54 – $22.28 | 8 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $17.69 – $17.69 | 1 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $34.38 – $34.38 | 1 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $34.38 – $34.38 | 1 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $5,551.47 – $7,093.54 | 4 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $110.60 – $161.90 | 8 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,407.86 – $4,488.36 | 5 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $4.71 – $6.01 | 2 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $2.38 – $3.04 | 2 |
| Alkaline phosphatase CPT 84075 | $18.74 | $28.83 | $4.56 – $6.68 | 8 |
| Allergen alpha lactalbumin ige CPT 86008 | $64.90 | $99.85 | $3.69 – $23.13 | 8 |
| Allergen egg white ige CPT 86003 | $18.88 | $29.05 | $3.69 – $6.73 | 8 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $28.85 | $44.39 | $7.03 – $10.28 | 8 |
| Allergy injections; 2 or more 95117 CPT 95117 | $132.75 | $204.23 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $132.75 | $204.23 | not published | 0 |
| Allergy Skin Testing CPT 95004 | $97.10 | $149.39 | not published | 0 |
| Allg patch or app # of tests 95044 CPT 95044 | $97.10 | $149.39 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $78.17 – $164.85 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $101.72 – $229.77 | 4 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $29.91 – $58.56 | 2 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $151.17 – $460.92 | 4 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $47.21 | $72.63 | $85.96 – $116.30 | 3 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $123.80 – $310.50 | 4 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $245.30 – $562.92 | 4 |
| Alloskin HCPCS Q4115 | not published | not published | $12.86 – $26.07 | 2 |
| Alloskin ac, 1 cm HCPCS Q4141 | $71.03 | $109.28 | $100.84 – $128.86 | 3 |
| All tstg perq&iq drugs/biol CPT 95018 | $114.07 | $175.49 | not published | 0 |
| All tstg perq&iq w/venoms CPT 95017 | $114.07 | $175.49 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.29 – $9.48 | 5 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $233.08 | $358.59 | $25.58 – $83.09 | 8 |
| Alpha-fetoprotein amniotic CPT 82106 | $60.71 | $93.40 | $10.10 – $21.93 | 8 |
| Alpha-fetoprotein tumor marker CPT 82105 | $60.71 | $93.40 | $6.57 – $21.63 | 8 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $6.56 – $13.09 | 4 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $182.29 | $280.44 | $86.79 – $175.62 | 5 |
| Alt/sgpt CPT 84460 | $19.18 | $29.50 | $4.66 – $6.84 | 8 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.53 – $9.00 | 3 |
| Aluminum - quest CPT 82108 | $92.22 | $141.87 | $22.45 – $32.87 | 8 |
| Alveoloplasty each quadrant CPT 41874 | $7,267.74 | $11,181.14 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $410.43 | $631.43 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $732.82 | $1,127.42 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | $335.52 | $516.18 | not published | 0 |
| Amifostine HCPCS J0207 | not published | not published | $1,071.41 – $1,478.54 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $1.57 | $2.42 | $0.61 – $2.21 | 5 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $2.02 – $7.73 | 8 |
| Amino acid screen, urine CPT 82128 | not published | not published | $9.29 – $17.89 | 8 |
| Amino acid single qual CPT 82127 | not published | not published | $9.29 – $18.29 | 8 |
| Amino acids quant 2-5 CPT 82136 | $61.05 | $93.92 | $9.42 – $25.30 | 8 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.57 – $1.59 | 2 |
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.