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 |
|---|---|---|---|---|
| Intracranial limited study CPT 93888 | $425.45 | $654.54 | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $1,628.32 | $2,505.11 | not published | 0 |
| Intraoral periapical first HCPCS D0220 | $19.50 | $30.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $54.55 | $83.93 | $11.47 – $19.45 | 8 |
| Intrm oph exam est patient CPT 92012 | $391.06 | $601.63 | not published | 0 |
| Intro cath dialysis circuit CPT 36901 | $2,053.14 | $3,158.68 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $12,648.13 | $19,458.66 | not published | 0 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $20,251.58 | $31,156.28 | not published | 0 |
| Intro catheter aorta CPT 36200 | $1,236.94 | $1,902.99 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $1,108.27 | $1,705.03 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $378.20 | $581.85 | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $831.56 | $1,279.33 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $618.08 | $950.90 | not published | 0 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $326.16 – $416.76 | 3 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $0.36 | $0.55 | $0.32 – $0.73 | 4 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $0.40 | $0.61 | $0.15 – $0.44 | 4 |
| Io radiation tx management CPT 77469 | not published | not published | $403.96 – $403.96 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | $26,584.59 | $40,899.37 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $173.67 – $339.61 | 5 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.40 – $0.69 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.77 – $8.29 | 5 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $64.87 – $124.36 | 5 |
| Iron CPT 83540 | $23.42 | $36.03 | $5.08 – $8.35 | 8 |
| Iron binding capacity CPT 83550 | $31.63 | $48.66 | $5.08 – $11.27 | 8 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $24.84 | $38.22 | $17.39 – $33.93 | 5 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.71 – $8.88 | 8 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $0.46 | $0.70 | $0.23 – $0.49 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $92.99 | $143.06 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $192.19 | $295.67 | not published | 0 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $335.52 | $516.18 | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $77.44 – $149.86 | 5 |
| Ivc venogram s&i CPT 75825 | $5,491.15 | $8,447.92 | $90.95 – $90.95 | 1 |
| IV Fluids (each additional hour) CPT 96361 | $133.11 | $204.79 | not published | 0 |
| IV Fluids (first hour) CPT 96360 | $348.36 | $535.94 | not published | 0 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $107.37 – $157.94 | 4 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $168.98 | $259.97 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | $837.15 | $1,287.93 | $60.96 – $60.96 | 1 |
| IV Medicine Infusion (additional drug) CPT 96367 | $80.28 | $123.50 | not published | 0 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $133.11 | $204.79 | not published | 0 |
| IV Medicine Infusion (first hour) CPT 96365 | $348.36 | $535.94 | not published | 0 |
| IV Push Injection (each additional drug) CPT 96375 | $133.11 | $204.79 | not published | 0 |
| IV Push Injection (first drug) CPT 96374 | $348.36 | $535.94 | not published | 0 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $190.82 – $190.82 | 1 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $336.54 | $517.76 | $161.60 – $161.60 | 1 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $127.18 – $257.40 | 5 |
| Jak2 targeted sequence analysis CPT 81279 | $492.40 | $757.54 | $112.23 – $238.91 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | $5,712.22 | $8,788.03 | not published | 0 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $201.75 | $310.38 | $62.24 – $62.24 | 1 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $275.16 | $423.33 | $46.39 – $46.39 | 1 |
| John cunningham antibody CPT 86711 | $52.10 | $80.15 | $12.39 – $21.79 | 8 |
| Ketamine and metabolite screen - quest CPT 80357 | $335.41 | $516.02 | not published | 0 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $12.49 – $19.96 | 8 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $29.58 | $45.50 | $7.20 – $10.54 | 8 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $2.27 | $3.49 | $0.33 – $2.27 | 5 |
| Kidney function study CPT 78725 | not published | not published | $121.76 – $121.76 | 1 |
| Kidney imaging morphology CPT 78700 | $1,067.57 | $1,642.41 | $197.00 – $197.00 | 1 |
| Kidney imag w/bld flow multi CPT 78709 | $1,129.74 | $1,738.06 | $389.28 – $389.28 | 1 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,129.74 | $1,738.06 | $245.50 – $245.50 | 1 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $425.45 | $654.54 | $106.80 – $106.80 | 1 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $425.45 | $654.54 | $49.87 – $49.87 | 1 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $56.56 | $87.02 | not published | 0 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $4.90 – $6.26 | 2 |
| Kit gene analys d816 variant CPT 81273 | $366.03 | $563.13 | $78.21 – $161.08 | 8 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $29.53 – $37.73 | 2 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $26.94 – $66.59 | 4 |
| Knee MRI (with and without contrast) CPT 73723 | $1,648.98 | $2,536.89 | $417.89 – $417.89 | 1 |
| Knee MRI (with contrast) CPT 73722 | $1,648.98 | $2,536.89 | $355.02 – $355.02 | 1 |
| Knee MRI (without contrast) CPT 73721 | $1,006.36 | $1,548.25 | $209.62 – $209.62 | 1 |
| Knee X-ray CPT 73564 | $275.16 | $423.33 | $56.80 – $56.80 | 1 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $201.75 | $310.38 | $38.97 – $38.97 | 1 |
| Knee X-ray (3 views, both knees) CPT 73562 | $201.75 | $310.38 | $48.87 – $48.87 | 1 |
| Knee X-ray (standing, both knees) CPT 73565 | $201.75 | $310.38 | $49.87 – $49.87 | 1 |
| Ko rigid without joints pre ots HCPCS L1836 | $249.87 | $384.42 | not published | 0 |
| Ko single upright pre cst HCPCS L1843 | $1,680.18 | $2,584.89 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $2,418.09 | $3,720.14 | not published | 0 |
| Kras gene addl variants CPT 81276 | $566.48 | $871.51 | $119.49 – $249.29 | 8 |
| Kras gene variants exon 2 CPT 81275 | $566.48 | $871.51 | $123.68 – $249.29 | 8 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,565.91 | $3,947.55 | $1,133.18 – $1,447.95 | 3 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $25.68 | $39.50 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.34 – $0.52 | 3 |
| Lab pathology consultation CPT 80500 | not published | not published | $12.90 – $12.90 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $41.97 – $41.97 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | not published | not published | $0.20 – $0.45 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $21.83 | $33.59 | $5.08 – $7.79 | 8 |
| Lactated ringers intravenous solution HCPCS J7120 | $11.54 | $17.75 | $2.38 – $12.73 | 4 |
| Lactic acid CPT 83605 | $38.67 | $59.49 | $9.39 – $14.93 | 8 |
| Lactoferrin fecal qualitative CPT 83630 | $71.06 | $109.32 | $5.25 – $25.41 | 8 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $11.39 – $25.32 | 8 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $34.82 – $124.33 | 5 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $0.03 | $0.05 | $0.04 – $0.04 | 1 |
| Laparoscopy lymph node biop CPT 38570 | $14,223.16 | $21,881.79 | not published | 0 |
| Laparoscopy lysis CPT 58660 | $14,223.16 | $21,881.79 | not published | 0 |
| Laparoscopy surg colpopexy CPT 57425 | $23,062.44 | $35,480.68 | not published | 0 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | $1,591.12 | $2,447.87 | not published | 0 |
| Laparo-vag hyst incl t/o CPT 58552 | $23,062.44 | $35,480.68 | not published | 0 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | $14,253.97 | $21,929.19 | not published | 0 |
| Lap jejunostomy 44186 CPT 44186 | $10,821.09 | $16,647.83 | not published | 0 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $418.44 | $643.75 | not published | 0 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $1,345.65 | $2,070.23 | not published | 0 |
| Laronidase injection HCPCS J1931 | not published | not published | $36.86 – $74.30 | 5 |
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.