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 |
|---|---|---|---|---|
| Laryngoscopy and dilation CPT 31528 | $7,261.94 | $11,172.21 | not published | 0 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $4,480.42 | $6,892.95 | not published | 0 |
| Laryngoscopy telescopic CPT 31579 | $1,200.54 | $1,846.99 | $98.57 – $98.57 | 1 |
| Laryngoscopy w/bx & op scope CPT 31536 | $7,364.23 | $11,329.58 | not published | 0 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $1,345.65 | $2,070.23 | not published | 0 |
| Laser surgery eye strands CPT 67031 | $1,639.22 | $2,521.88 | not published | 0 |
| Laser surg penis lesion(s) CPT 54057 | $2,699.50 | $4,153.08 | not published | 0 |
| Lavage cannulation maxillary sinus CPT 31000 | $533.22 | $820.34 | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,568.66 | $3,951.78 | not published | 0 |
| Lead capillary CPT 83655 | $43.81 | $67.40 | $10.67 – $15.62 | 8 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $856.22 | $1,317.26 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $5,993.53 | $9,220.81 | not published | 0 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $875.65 | $1,347.15 | not published | 0 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $845.92 | $1,301.42 | $166.56 – $166.56 | 1 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $520.31 | $800.48 | $124.11 – $124.11 | 1 |
| Legion pneumo dna dir prob CPT 87540 | $47.22 | $72.65 | $17.67 – $25.86 | 8 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $36.80 – $53.87 | 8 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $875.65 | $1,347.15 | not published | 0 |
| Leishmania antibody CPT 86717 | $44.32 | $68.19 | $8.11 – $15.80 | 8 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $3.78 – $13.80 | 5 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $7.04 – $13.40 | 8 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $362.47 | $557.64 | $168.04 – $623.33 | 5 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,686.90 | $5,672.16 | $1,680.34 – $3,105.89 | 5 |
| Leuprolide acetate injeciton HCPCS J9218 | $34.18 | $52.59 | $17.66 – $69.99 | 5 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $494.78 – $706.67 | 3 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $56.12 – $128.14 | 5 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.38 – $2.96 | 4 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.08 – $1.75 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.04 – $0.12 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $47.96 | $73.79 | $10.61 – $20.67 | 8 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $2.13 – $11.32 | 5 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $5.89 – $5.98 | 2 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $6,095.95 | $9,378.39 | not published | 0 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.04 – $0.06 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.01 – $0.01 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.01 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $53.18 | $81.81 | $12.95 – $22.92 | 8 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $3,168.00 | $4,873.85 | not published | 0 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $5,265.85 | $8,101.31 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $5,765.71 | $8,870.33 | not published | 0 |
| Liletta, 52 mg HCPCS J7297 | $1,968.28 | $3,028.12 | $912.71 – $1,166.24 | 3 |
| Limited ankle motion ea jnt HCPCS L2200 | $88.37 | $135.95 | not published | 0 |
| Limited visual field xm CPT 92081 | $192.19 | $295.67 | not published | 0 |
| Lincomycin injection HCPCS J2010 | not published | not published | $5.31 – $17.97 | 5 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $2.70 – $18.40 | 5 |
| Lipase CPT 83690 | $24.96 | $38.40 | $5.66 – $8.89 | 8 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $7,267.74 | $11,181.14 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $99.26 | $152.70 | $21.88 – $43.68 | 8 |
| Lipoprotein blood quant CPT 83704 | $114.17 | $175.64 | $27.81 – $44.11 | 8 |
| Lipoprotein direct measurement hdl CPT 83718 | $29.67 | $45.64 | $5.08 – $10.57 | 8 |
| Lipoprotein direct measurement ldl CPT 83721 | $34.54 | $53.14 | $8.09 – $13.54 | 8 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $21.96 – $44.11 | 8 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $443,124.00 – $992,114.07 | 4 |
| Listeria monocytogenes CPT 86723 | $47.72 | $73.41 | $8.11 – $17.02 | 8 |
| Lithium therapeutic drug level CPT 80178 | $23.92 | $36.80 | $5.82 – $10.31 | 8 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $8,313.00 | $12,789.23 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $610.08 | $938.58 | $105.72 – $227.29 | 8 |
| Liver elastography 91200 CPT 91200 | $482.35 | $742.07 | not published | 0 |
| Liver Function Test CPT 80076 | $29.58 | $45.50 | $7.06 – $12.75 | 8 |
| Liver imaging CPT 78201 | not published | not published | $224.72 – $224.72 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $249.96 – $249.96 | 1 |
| Liver/spleen imag static only CPT 78215 | $1,067.57 | $1,642.41 | $230.16 – $230.16 | 1 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,067.57 | $1,642.41 | $155.91 – $155.91 | 1 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $0.20 | $0.30 | $0.72 – $3.00 | 4 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $98.24 – $125.53 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $195.43 – $396.25 | 5 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1.44 | $2.21 | $1.27 – $2.80 | 5 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $145.94 | $224.53 | not published | 0 |
| Low cost skin substitute app HCPCS C5277 | $1,651.23 | $2,540.35 | not published | 0 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $215.09 | $330.91 | $128.45 – $128.45 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,772.65 | $2,727.16 | $204.67 – $204.67 | 1 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,772.65 | $2,727.16 | $166.56 – $166.56 | 1 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $520.31 | $800.48 | $123.61 – $123.61 | 1 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,648.98 | $2,536.89 | $314.93 – $314.93 | 1 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,648.98 | $2,536.89 | $277.31 – $277.31 | 1 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,006.36 | $1,548.25 | $182.40 – $182.40 | 1 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $275.16 | $423.33 | $43.93 – $43.93 | 1 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $275.16 | $423.33 | $60.26 – $60.26 | 1 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $275.16 | $423.33 | $70.17 – $70.17 | 1 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $201.75 | $310.38 | $35.02 – $35.02 | 1 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.90 – $20.70 | 3 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $536.98 | $826.13 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $1,959.48 | $3,014.58 | not published | 0 |
| Lso s/c shell/panel prefab HCPCS L0639 | $2,011.64 | $3,094.83 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $19.38 – $28.37 | 8 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.86 – $2.38 | 2 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $121.15 – $121.15 | 1 |
| Lumizyme injection HCPCS J0221 | not published | not published | $192.62 – $387.78 | 5 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $870.76 | $1,339.63 | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $335.52 | $516.18 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $482.35 | $742.07 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,067.57 | $1,642.41 | $259.85 – $259.85 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $194.67 – $390.91 | 5 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $39.45 – $77.99 | 5 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $287.60 – $367.49 | 3 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $361.46 | $556.10 | $229.50 – $293.25 | 3 |
| Lvad shower bag heartmate HCPCS Q0501 | $877.50 | $1,350.00 | not published | 0 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $17.67 – $25.86 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $1,129.74 | $1,738.06 | $382.00 – $382.00 | 1 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $32.90 – $47.16 | 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.