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 |
|---|---|---|---|---|
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $75.34 | $115.91 | $18.34 – $26.84 | 8 |
| Immunoassay tumor qual CPT 86294 | $74.96 | $115.32 | $8.11 – $32.99 | 8 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $43.36 | $66.70 | $10.56 – $15.45 | 8 |
| Immunodiffusion nes CPT 86329 | not published | not published | $12.22 – $18.12 | 8 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $20.00 – $20.00 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $80.88 | $124.43 | $19.69 – $28.82 | 8 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $207.45 | $319.15 | $16.41 – $43.45 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $595.91 | $916.79 | $19.44 – $58.03 | 3 |
| Immunoglobulin assay CPT 86023 | $45.09 | $69.37 | $10.98 – $16.07 | 8 |
| Immunology procedure CPT 86849 | $187.70 | $288.77 | not published | 0 |
| Impact tooth remov part bony HCPCS D7230 | $226.20 | $348.00 | not published | 0 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $1,265.45 | $1,946.84 | not published | 0 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,635.04 | $2,515.44 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $45,435.42 | $69,900.64 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $8,925.46 | $13,731.47 | not published | 0 |
| Implant hormone pellet(s) 11980 CPT 11980 | $440.81 | $678.17 | not published | 0 |
| Implant neuroelectrodes CPT 64553 | $9,307.82 | $14,319.73 | not published | 0 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $9,652.50 | $14,850.00 | not published | 0 |
| Implant spine infusion pump CPT 62362 | $10,406.19 | $16,009.53 | not published | 0 |
| Implant tcat pulm vlv perq CPT 33477 | $21,540.15 | $33,138.69 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $411.03 | $632.36 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $9,307.82 | $14,319.73 | not published | 0 |
| Implnt spinl canal catheter 62350 CPT 62350 | $11,663.44 | $17,943.76 | not published | 0 |
| Impres&prep facial prosth CPT 21088 | $6,004.78 | $9,238.13 | not published | 0 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $42.54 – $83.75 | 5 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $3,862.35 – $4,935.23 | 3 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $3,862.35 – $4,935.23 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $587.24 | $903.45 | $1,931.18 – $2,467.61 | 3 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $6,071.94 | $9,341.44 | $669.37 – $938.63 | 3 |
| In-111 pentetreotide HCPCS A9572 | $13,998.44 | $21,536.06 | $3,947.40 – $3,947.40 | 1 |
| In-111 satumomab pend HCPCS A4642 | $2,908.33 | $4,474.36 | not published | 0 |
| Inactivated je vacc im CPT 90738 | not published | not published | $293.02 – $374.42 | 4 |
| Incise/drain eyelid lining CPT 68020 | $2,183.25 | $3,358.85 | not published | 0 |
| Incise tear duct opening 68440 CPT 68440 | $918.99 | $1,413.83 | not published | 0 |
| Incise tendon(s) & muscle(s) CPT 23406 | $10,599.52 | $16,306.96 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $4,582.16 | $7,049.47 | not published | 0 |
| Incision of achilles tendon CPT 27605 | $5,136.30 | $7,902.00 | not published | 0 |
| Incision of breast lesion CPT 19020 | $4,582.16 | $7,049.47 | not published | 0 |
| Incision of eardrum CPT 69420 | $533.22 | $820.34 | not published | 0 |
| Incision of foot fascia CPT 28008 | $7,939.45 | $12,214.54 | not published | 0 |
| Incision of hip tendon CPT 27000 | $5,136.30 | $7,902.00 | not published | 0 |
| Incision of hip tendons CPT 27006 | $7,939.45 | $12,214.54 | not published | 0 |
| Incision of tendon & muscle CPT 23405 | $14,590.10 | $22,446.30 | not published | 0 |
| Incision of thigh tendon CPT 27306 | $7,939.45 | $12,214.54 | not published | 0 |
| Incision of thigh tendons CPT 27307 | $7,939.45 | $12,214.54 | not published | 0 |
| Incision of toe tendons 28011 CPT 28011 | $3,413.24 | $5,251.14 | not published | 0 |
| Incision of tongue fold CPT 41010 | $2,785.18 | $4,284.89 | not published | 0 |
| Incision of windpipe CPT 31610 | $10,989.17 | $16,906.41 | not published | 0 |
| Incision secondary cataract CPT 66820 | $4,946.91 | $7,610.63 | not published | 0 |
| Incision tendon sheath CPT 26055 | $3,251.90 | $5,002.93 | not published | 0 |
| Incisn of toe tndn CPT 28010 | $4,572.13 | $7,034.04 | not published | 0 |
| Incisn windpipe CPT 31600 | $5,971.77 | $9,187.34 | not published | 0 |
| Incobotulinumtoxin a HCPCS J0588 | $10.80 | $16.61 | $5.17 – $10.25 | 5 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $10.20 – $10.60 | 2 |
| Induced ab 1+vag supp d&c CPT 59856 | $6,482.18 | $9,972.59 | not published | 0 |
| Induced abortion dilat&evac CPT 59841 | $6,206.72 | $9,548.80 | not published | 0 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $146.13 | $224.82 | $42.12 – $90.56 | 8 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $25.00 – $25.00 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | $471.70 | $725.70 | $80.80 – $168.15 | 8 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $8.11 – $19.35 | 8 |
| Infect ag eia influenza a or b ea CPT 87400 | $43.39 | $66.75 | $10.10 – $18.23 | 8 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $535.91 | $824.48 | $221.64 – $332.11 | 8 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $887.32 | $1,365.10 | $221.64 – $332.11 | 8 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $465.84 | $716.67 | $113.45 – $166.06 | 8 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $931.68 | $1,433.35 | $226.90 – $332.11 | 8 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $18.10 – $42.27 | 8 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $10.10 – $45.52 | 8 |
| Infect ag ia optc obs influenza CPT 87804 | $48.52 | $74.64 | $10.10 – $21.35 | 8 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $43.39 | $66.75 | $10.10 – $15.45 | 8 |
| Infect ag if hep delta agent CPT 87380 | $59.39 | $91.37 | $10.10 – $23.68 | 8 |
| Infect ag if influenza a CPT 87276 | not published | not published | $10.10 – $20.73 | 8 |
| Infect ag if influenza b CPT 87275 | not published | not published | $10.10 – $15.80 | 8 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $10.10 – $20.12 | 8 |
| Infect ag if nos ea CPT 87299 | $33.51 | $51.56 | $10.10 – $20.77 | 8 |
| Infect ag if pneumocystis carinii CPT 87281 | $43.39 | $66.75 | $8.11 – $15.45 | 8 |
| Infect ag if varicella zoster CPT 87290 | $43.39 | $66.75 | $8.11 – $17.31 | 8 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $30.81 – $68.98 | 8 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $21.64 – $45.27 | 8 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $37.75 – $55.26 | 8 |
| Infect ag na hpv high-risk types CPT 87624 | $127.02 | $195.41 | $28.13 – $45.27 | 8 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $307.96 | $473.78 | $53.98 – $123.58 | 8 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $45.23 – $66.19 | 8 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $78.08 | $120.13 | $46.18 – $66.19 | 8 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,055.35 | $1,623.62 | $358.81 – $537.65 | 8 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,768.39 | $2,720.60 | $430.66 – $630.37 | 8 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $94.33 | $145.13 | $15.35 – $33.63 | 8 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $24.83 – $53.38 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $43.39 | $66.75 | $9.49 – $15.45 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $39.34 | $60.52 | $8.11 – $17.31 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | not published | not published | $10.10 – $17.83 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $43.39 | $66.75 | $10.10 – $15.45 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $52.06 | $80.09 | $8.11 – $18.55 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $37.38 | $57.51 | $9.10 – $13.33 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $37.38 | $57.51 | $9.10 – $13.33 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $87.15 | $134.08 | $18.67 – $31.06 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $43.39 | $66.75 | $5.25 – $15.45 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $43.39 | $66.75 | $10.10 – $15.45 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $43.39 | $66.75 | $10.10 – $15.45 | 8 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $127.02 | $195.41 | $30.93 – $45.27 | 8 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $127.02 | $195.41 | $21.64 – $45.27 | 8 |
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.