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 |
|---|---|---|---|---|
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,146.40 | $3,302.15 | $526.41 – $526.41 | 1 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,219.59 | $4,953.21 | $1,031.91 – $1,031.91 | 1 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,535.44 | $3,900.68 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $6,509.50 | $10,014.62 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $6,509.50 | $10,014.62 | not published | 0 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $9,733.81 | $14,975.09 | not published | 0 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $14,590.10 | $22,446.30 | not published | 0 |
| Rp therapy unlisted px CPT 79999 | $676.80 | $1,041.23 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $30.86 | $47.47 | $10.10 – $16.90 | 8 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $295.80 – $295.80 | 1 |
| Rubella antibody igg CPT 86762 | $52.10 | $80.15 | $8.32 – $18.56 | 8 |
| Rubeola ag if CPT 87283 | not published | not published | $10.10 – $78.43 | 8 |
| Rubeola antibody igg CPT 86765 | $46.60 | $71.70 | $8.20 – $16.62 | 8 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $206.37 – $425.07 | 8 |
| Russell viper venom diluted CPT 85613 | $34.67 | $53.34 | $7.90 – $12.36 | 8 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $7,107.68 | $10,934.90 | $825.37 – $1,183.03 | 8 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $33.48 – $66.57 | 5 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $275.16 | $423.33 | $41.95 – $41.95 | 1 |
| Salivary gland function exam CPT 78232 | not published | not published | $125.22 – $125.22 | 1 |
| Salivary gland imaging CPT 78230 | not published | not published | $202.44 – $202.44 | 1 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $124.72 – $124.72 | 1 |
| Salmonella antibody CPT 86768 | $47.72 | $73.41 | $8.20 – $17.02 | 8 |
| Sargramostim injection HCPCS J2820 | not published | not published | $60.75 – $115.74 | 5 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $40.32 – $66.34 | 8 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $136.50 – $310.16 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | $120.26 | $185.01 | $27.14 – $45.58 | 8 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $18.56 – $90.67 | 8 |
| Sbrt management CPT 77435 | not published | not published | $968.70 – $968.70 | 1 |
| Sbsq psyc collab care mgmt CPT 99493 | $214.12 | $329.42 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $875.65 | $1,347.15 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $425.45 | $654.54 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $425.45 | $654.54 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $425.45 | $654.54 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $425.45 | $654.54 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $425.45 | $654.54 | not published | 0 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,994.36 | $3,068.25 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $9.31 – $23.92 | 8 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $9.31 – $41.20 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $16.88 – $56.72 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $19.38 – $34.17 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $16.33 – $34.89 | 8 |
| Screen cerv/vag thin layer HCPCS G0123 | $73.31 | $112.79 | $16.33 – $26.14 | 8 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $2,393.41 | $3,682.17 | not published | 0 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $57.57 | $88.57 | $10.98 – $23.28 | 8 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $102.30 | $157.39 | $19.67 – $36.47 | 8 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $135.87 | $209.03 | $12.18 – $59.79 | 8 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $18.24 – $31.06 | 8 |
| Screening Mammogram CPT 77067 | $284.38 | $437.51 | $135.00 – $135.00 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | $66.59 | $102.44 | $16.21 – $24.91 | 8 |
| Screen pap by tech w md supv HCPCS P3000 | $42.95 | $66.08 | $9.31 – $23.92 | 8 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $39.10 | $60.15 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $6,976.07 | $10,732.42 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $425.45 | $654.54 | $101.84 – $101.84 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $8,358.14 | $12,858.67 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $9.76 | $15.02 | $2.02 – $3.48 | 8 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,370.06 – $3,028.41 | 3 |
| Segmentectomy 32484 CPT 32484 | $15,583.72 | $23,974.95 | not published | 0 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | $1.83 | $2.82 | not published | 0 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $104.03 | $160.04 | $28.37 – $28.37 | 1 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $16.22 | $24.96 | not published | 0 |
| Semen analysis HCPCS G0027 | not published | not published | $3.18 – $8.38 | 8 |
| Semen analysis presence/motility CPT 89321 | $43.62 | $67.10 | $6.87 – $15.54 | 8 |
| Semen analysis w/count CPT 89310 | not published | not published | $5.66 – $11.11 | 8 |
| Sensorimotor examination CPT 92060 | $192.19 | $295.67 | not published | 0 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $52.40 – $247.68 | 8 |
| Serial tonometry CPT 92100 | $66.24 | $101.90 | not published | 0 |
| Serpina1 gene CPT 81332 | $157.96 | $243.02 | $37.30 – $56.31 | 8 |
| Sertraline (zoloft) - sendout CPT 80332 | $366.41 | $563.71 | not published | 0 |
| Set radiation therapy field CPT 77280 | $450.54 | $693.14 | $344.39 – $344.39 | 1 |
| Set radiation therapy field CPT 77285 | $1,157.38 | $1,780.58 | $588.29 – $588.29 | 1 |
| Set radiation therapy field CPT 77290 | $1,157.38 | $1,780.58 | $532.72 – $532.72 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $0.01 | $0.02 | $0.36 – $0.36 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $0.40 | $0.61 | $0.05 – $0.05 | 1 |
| Sex chromatin identification CPT 88130 | not published | not published | $13.27 – $23.19 | 8 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.05 – $10.31 | 8 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $117.11 – $249.29 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $584.21 | $898.79 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $584.21 | $898.79 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $1,107.30 | $1,703.54 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $1,107.30 | $1,703.54 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $584.21 | $898.79 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $584.21 | $898.79 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $584.21 | $898.79 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $1,107.30 | $1,703.54 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $584.21 | $898.79 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $584.21 | $898.79 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $584.21 | $898.79 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $8.11 – $31.58 | 8 |
| Sho insert w arch toe filler HCPCS L5000 | $965.64 | $1,485.60 | not published | 0 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $113.56 | $174.71 | $35.54 – $35.54 | 1 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $201.75 | $310.38 | $31.06 – $31.06 | 1 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $275.16 | $423.33 | $23.63 – $23.63 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,648.98 | $2,536.89 | $419.87 – $419.87 | 1 |
| Shoulder MRI (with contrast) CPT 73222 | $1,648.98 | $2,536.89 | $351.56 – $351.56 | 1 |
| Shoulder MRI (without contrast) CPT 73221 | $1,006.36 | $1,548.25 | $210.12 – $210.12 | 1 |
| Shoulder prosthesis removal CPT 23334 | $7,746.22 | $11,917.26 | not published | 0 |
| Shoulder X-ray CPT 73030 | $201.75 | $310.38 | $39.47 – $39.47 | 1 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $201.75 | $310.38 | $21.15 – $21.15 | 1 |
| Shrinker prosth below knee HCPCS L8440 | $103.41 | $159.09 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $275.16 | $423.33 | $91.45 – $91.45 | 1 |
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.