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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $127.02 | $195.41 | $30.93 – $48.08 | 8 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,508.29 | $2,320.44 | $358.07 – $537.65 | 8 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $82.65 | $127.16 | $30.93 – $45.27 | 8 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $77.79 | $119.68 | $21.64 – $45.27 | 8 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $127.02 | $195.41 | $30.93 – $53.77 | 8 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $127.02 | $195.41 | $21.64 – $45.27 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $143.24 | $220.37 | $30.79 – $66.19 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $335.96 | $516.86 | $85.59 – $183.99 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $316.20 | $486.46 | $85.59 – $183.99 | 8 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $127.02 | $195.41 | $30.93 – $45.27 | 8 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $68.43 | $105.27 | $21.64 – $45.27 | 8 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $136.85 | $210.54 | $63.16 – $90.53 | 8 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $41.68 – $99.03 | 8 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $611.79 – $876.90 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $981.72 | $1,510.34 | $355.22 – $537.65 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $464.39 | $714.45 | $109.34 – $165.49 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $734.19 | $1,129.53 | $157.79 – $339.26 | 8 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $155.01 | $238.47 | $37.75 – $55.26 | 8 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $155.01 | $238.47 | $37.75 – $55.26 | 8 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $155.01 | $238.47 | $37.75 – $55.26 | 8 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $307.96 | $473.78 | $75.00 – $109.78 | 8 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $464.26 | $714.25 | $97.27 – $183.99 | 8 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $238.93 | $367.59 | $31.90 – $65.55 | 5 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $100.30 | $154.31 | $22.28 – $69.00 | 5 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $119.34 | $183.60 | $22.71 – $130.58 | 5 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $18.30 – $37.69 | 8 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $169.88 | $261.36 | $37.19 – $160.30 | 3 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $51.68 | $79.50 | $23.46 – $55.43 | 2 |
| Infuse radioactive materials CPT 77750 | not published | not published | $196.37 – $196.37 | 1 |
| Ingest challenge ea addl 60 min CPT 95079 | $416.55 | $640.85 | not published | 0 |
| Ingest challenge ini 120 min CPT 95076 | $1,454.78 | $2,238.13 | not published | 0 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $527.84 | $812.06 | not published | 0 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $406.48 | $625.36 | not published | 0 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $62.44 | $96.06 | not published | 0 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $11.37 | $17.49 | $5.92 – $11.42 | 3 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $13.72 | $21.11 | $6.89 – $13.57 | 5 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.09 | 2 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.17 | 5 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.06 – $0.29 | 5 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.05 – $0.10 | 3 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $4,105.61 – $7,200.15 | 3 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $91.72 – $91.72 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $13.23 – $13.75 | 2 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,243.97 – $121,641.16 | 3 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $6.09 – $11.48 | 3 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.91 – $35.48 | 2 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $852.31 – $866.20 | 2 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | $625.98 | $963.04 | $302.06 – $640.70 | 3 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.55 – $2.80 | 5 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.33 – $9.60 | 3 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $121.85 – $123.84 | 2 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $28.64 – $109.17 | 5 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.73 – $10.11 | 2 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $127.50 – $172.50 | 4 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $38.31 | $58.94 | $16.81 – $33.20 | 5 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,494.78 – $6,560.58 | 3 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.99 – $1.99 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.19 – $6.12 | 5 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $49.87 – $51.83 | 2 |
| Inj. asceniv HCPCS J1554 | not published | not published | $482.59 – $943.49 | 5 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $49.14 – $101.36 | 5 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $31.59 – $32.10 | 2 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $101.27 – $102.92 | 2 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $74.09 – $149.28 | 5 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $47.66 – $60.90 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $364.38 | $560.59 | $161.34 – $321.22 | 5 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $37.76 – $48.24 | 4 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,968,000.00 – $2,968,000.00 | 1 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.19 – $76.53 | 5 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $210.46 – $402.93 | 5 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.16 – $0.33 | 3 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $25.22 – $25.63 | 2 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $46.72 – $63.20 | 4 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $46.72 – $63.20 | 4 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.43 – $11.20 | 5 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $75.99 – $102.81 | 4 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $413.32 – $420.05 | 2 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,653.26 – $3,295.91 | 3 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | $651.35 | $1,002.07 | $333.00 – $638.53 | 5 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $1,584.84 – $2,025.07 | 2 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.41 – $1.44 | 2 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.49 – $0.67 | 3 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $57.65 – $327.94 | 5 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $0.81 – $1.05 | 4 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $249.90 – $259.70 | 2 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.25 – $3.20 | 5 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $0.86 – $1.88 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $0.86 – $0.88 | 2 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $5.87 – $16.65 | 5 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $4.87 – $10.06 | 5 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.15 – $4.38 | 5 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $7.09 – $15.80 | 5 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $104.66 – $133.73 | 4 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.20 – $28.55 | 5 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | $563.11 | $866.32 | $82.00 – $385.94 | 3 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.74 – $91.20 | 2 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $3.48 – $4.45 | 2 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $2.31 – $5.41 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $277.15 | $426.39 | not published | 0 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $89.11 – $113.86 | 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.