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 |
|---|---|---|---|---|
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $125.19 – $357.48 | 3 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,103.21 – $1,409.66 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $8,118.07 | $12,489.34 | $3,599.80 – $7,376.93 | 5 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $222.32 – $429.22 | 3 |
| Pelvic control pelvic sling HCPCS L2580 | $955.25 | $1,469.62 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $845.92 | $1,301.42 | $287.84 – $287.84 | 1 |
| Pelvic CT scan (with contrast) CPT 72193 | $845.92 | $1,301.42 | $255.17 – $255.17 | 1 |
| Pelvic CT scan (without contrast) CPT 72192 | $520.31 | $800.48 | $122.63 – $122.63 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,648.98 | $2,536.89 | $344.64 – $344.64 | 1 |
| Pelvic MRI (with contrast) CPT 72196 | $1,648.98 | $2,536.89 | $279.29 – $279.29 | 1 |
| Pelvic MRI (without contrast) CPT 72195 | $1,006.36 | $1,548.25 | $237.84 – $237.84 | 1 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $10,372.22 | $15,957.26 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $425.45 | $654.54 | $107.78 – $107.78 | 1 |
| Pelvic Ultrasound (limited) CPT 76857 | $425.45 | $654.54 | $40.47 – $40.47 | 1 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $275.16 | $423.33 | $29.08 – $29.08 | 1 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $275.16 | $423.33 | $45.91 – $45.91 | 1 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $57.69 – $111.78 | 5 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.54 – $21.94 | 5 |
| Peng benzathine/procaine inj HCPCS J0558 | $39.88 | $61.36 | $14.95 – $37.48 | 5 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $62.04 | $95.44 | $18.75 – $46.79 | 5 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.77 – $2.10 | 5 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $40.94 – $57.64 | 3 |
| Penile injection CPT 54235 | $293.47 | $451.49 | not published | 0 |
| Penile vascular study CPT 93980 | $425.45 | $654.54 | not published | 0 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | not published | not published | $0.23 – $0.24 | 2 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $69.73 – $207.58 | 4 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $43.10 – $62.30 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,496.41 – $4,880.20 | 5 |
| Perc cryo ablate renal tum CPT 50593 | $23,062.44 | $35,480.68 | not published | 0 |
| Perc d-e cor revasc chro add HCPCS C9608 | $10,530.12 | $16,200.18 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $25,833.90 | $39,744.46 | not published | 0 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $10,033.73 | $15,436.51 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $20,251.58 | $31,156.28 | not published | 0 |
| Perc d-e cor stent ather br HCPCS C9603 | $10,033.73 | $15,436.51 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $25,833.90 | $39,744.46 | not published | 0 |
| Perc drug-el cor stent bran HCPCS C9601 | $10,033.73 | $15,436.51 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $20,251.58 | $31,156.28 | not published | 0 |
| Perc rf ablate renal tumor CPT 50592 | $14,223.16 | $21,881.79 | not published | 0 |
| Percut ablate liver rf CPT 47382 | $14,223.16 | $21,881.79 | not published | 0 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $86.61 | $133.25 | $39.56 – $197.39 | 5 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $3,377.96 | $5,196.86 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,377.96 | $5,196.86 | not published | 0 |
| Peripheral vascular rehab CPT 93668 | $167.65 | $257.93 | not published | 0 |
| Peri-proc device eval icd CPT 93287 | $64.47 | $99.19 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $1,668.17 | $2,566.42 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | $1,211.40 | $1,863.69 | not published | 0 |
| Perit-vens shunt pat tst CPT 78291 | $1,067.57 | $1,642.41 | $284.11 – $284.11 | 1 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.47 – $0.75 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | $3,172.03 | $4,880.04 | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | $21,071.89 | $32,418.29 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $1,385.57 | $2,131.64 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $1,994.36 | $3,068.25 | not published | 0 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $9,442.38 | $14,526.74 | not published | 0 |
| Perq plmt bile duct stent CPT 47538 | $14,223.16 | $21,881.79 | not published | 0 |
| Perq plmt bile duct stent CPT 47539 | $14,223.16 | $21,881.79 | not published | 0 |
| Perq plmt bile duct stent CPT 47540 | $14,223.16 | $21,881.79 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $259.28 | $398.89 | not published | 0 |
| Perq transcath closure each CPT 93592 | $19,431.82 | $29,895.11 | not published | 0 |
| Perq transcath closure pda CPT 93582 | $25,833.90 | $39,744.46 | not published | 0 |
| Perq transcath cls aortic CPT 93591 | $25,833.90 | $39,744.46 | not published | 0 |
| Perq transcath cls mitral CPT 93590 | $25,833.90 | $39,744.46 | not published | 0 |
| Perq transcath septal reduxn CPT 93583 | $14,845.70 | $22,839.54 | not published | 0 |
| Pertussis ag if CPT 87265 | not published | not published | $8.11 – $15.45 | 8 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $15.16 – $30.95 | 5 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $59.98 – $123.99 | 5 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $120.51 | $185.40 | not published | 0 |
| Pessary reusable rub anytype HCPCS A4561 | $47.81 | $73.56 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,004.95 | $6,161.46 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $3,751.71 | $5,771.86 | not published | 0 |
| Pet image w/ct lmtd CPT 78814 | $3,751.71 | $5,771.86 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $152.13 | $234.05 | $21.57 – $21.57 | 1 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $187.00 | $287.69 | $32.20 – $32.20 | 1 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $131.16 | $201.78 | $10.83 – $10.83 | 1 |
| Pharmacologic management w/psytx CPT 90863 | $224.78 | $345.82 | not published | 0 |
| Ph body fluid CPT 83986 | $12.95 | $19.93 | $1.97 – $4.62 | 8 |
| Phencyclidine (pcp) CPT 83992 | $221.96 | $341.47 | $12.95 – $12.95 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $28.61 – $60.25 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $44.86 | $69.01 | $10.10 – $19.74 | 8 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $413.81 – $704.87 | 5 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.01 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $125.08 – $160.43 | 3 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.59 – $1.17 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $47.96 | $73.79 | $10.61 – $17.09 | 8 |
| Phlebotomy therapeutic CPT 99195 | $335.52 | $516.18 | not published | 0 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $6,509.50 | $10,014.62 | not published | 0 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $6,509.50 | $10,014.62 | not published | 0 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | $152.13 | $234.05 | not published | 0 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | $187.00 | $287.69 | not published | 0 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | $131.16 | $201.78 | not published | 0 |
| Phosphorus CPT 84100 | $17.15 | $26.39 | $4.18 – $6.11 | 8 |
| Phosphorus 24 hour urine CPT 84105 | $18.74 | $28.83 | $4.52 – $7.46 | 8 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $31.11 – $31.11 | 1 |
| Phys blood bank serv reactj CPT 86078 | $318.32 | $489.72 | $31.32 – $31.32 | 1 |
| Phys blood bank serv xmatch CPT 86077 | $92.99 | $143.06 | $29.86 – $29.86 | 1 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $361.30 | $555.84 | $71.18 – $71.18 | 1 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $181.16 | $278.70 | $71.18 – $71.18 | 1 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $272.25 | $418.85 | $71.18 – $71.18 | 1 |
| Physical Therapy Re-Evaluation CPT 97164 | $181.16 | $278.70 | $48.84 – $48.84 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $5.51 | $8.48 | $2.76 – $7.42 | 5 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $568.56 – $726.49 | 3 |
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.