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 |
|---|---|---|---|---|
| Sialidase enzyme assay CPT 87905 | not published | not published | $10.77 – $15.76 | 8 |
| Sialography s&i CPT 70390 | $579.34 | $891.29 | $137.98 – $137.98 | 1 |
| Sialolithotomy 42330 CPT 42330 | $6,419.65 | $9,876.39 | not published | 0 |
| Sickling rbc CPT 85660 | $19.93 | $30.66 | $4.86 – $7.11 | 8 |
| Sig w/tndsc balloon dilation CPT 45340 | $3,186.98 | $4,903.04 | not published | 0 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $0.83 | 3 |
| Simple cystometrogram 51725 CPT 51725 | $293.47 | $451.49 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $108.36 – $237.35 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $845.92 | $1,301.42 | $185.86 – $185.86 | 1 |
| Sinus CT scan (with contrast) CPT 70487 | $845.92 | $1,301.42 | $147.25 – $147.25 | 1 |
| Sinus CT scan (without contrast) CPT 70486 | $520.31 | $800.48 | $131.04 – $131.04 | 1 |
| Sinus/juglr venogram s&i CPT 75860 | $5,491.15 | $8,447.92 | $112.60 – $112.60 | 1 |
| Sinus X-ray (complete) CPT 70220 | $201.75 | $310.38 | $40.47 – $40.47 | 1 |
| Sinus X-ray (limited) CPT 70210 | $201.75 | $310.38 | $35.51 – $35.51 | 1 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $54,404.11 – $105,629.24 | 4 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $0.97 – $19.64 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $73.28 – $219.28 | 5 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $139.67 | $214.88 | not published | 0 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $6.59 – $8.42 | 2 |
| Skin Biopsy CPT 11102 | $497.06 | $764.71 | not published | 0 |
| Skull X-ray (1 to 3 views) CPT 70250 | $275.16 | $423.33 | $39.97 – $39.97 | 1 |
| Skull X-ray (complete) CPT 70260 | $275.16 | $423.33 | $45.41 – $45.41 | 1 |
| Skyla, 13.5 mg HCPCS J7301 | $2,136.54 | $3,286.99 | $943.56 – $1,205.66 | 3 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $109.48 – $225.50 | 8 |
| Sleep study attended CPT 95807 | $1,454.78 | $2,238.13 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $3,243.02 | $4,989.26 | not published | 0 |
| Sleep study unattended CPT 95806 | $328.15 | $504.84 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $413.35 | $635.92 | not published | 0 |
| Sleeve irr assura 1pc disp HCPCS A4397 | not published | not published | $4.64 – $5.92 | 2 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $4.88 | $7.50 | not published | 0 |
| Slitting of prepuce CPT 54001 | $3,698.92 | $5,690.64 | not published | 0 |
| Slp pure tone screening CPT 92551 | $37.84 | $58.22 | not published | 0 |
| Sm-153 lexidron ther HCPCS A9604 | $25,564.12 | $39,329.42 | $17,585.51 – $22,470.38 | 2 |
| Small animal inoculation CPT 87003 | not published | not published | $14.84 – $21.72 | 8 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $336.54 | $517.76 | $119.67 – $119.67 | 1 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $275.40 – $275.40 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $19.49 | $29.99 | $4.73 – $6.95 | 8 |
| Smear gram stain CPT 87205 | $15.44 | $23.76 | $2.78 – $5.51 | 8 |
| Smear nasal eosinophil CPT 89190 | $17.18 | $26.43 | $4.18 – $7.47 | 8 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $21.70 | $33.38 | $5.29 – $7.73 | 8 |
| Smear wet mount CPT 87210 | $17.06 | $26.25 | $3.43 – $7.51 | 8 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $188.74 – $388.74 | 8 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $94.17 – $238.91 | 8 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $29.44 – $60.63 | 8 |
| Snrpn/ube3a gene CPT 81331 | $142.57 | $219.34 | $31.99 – $65.88 | 8 |
| So cap design without jnts cf HCPCS L3671 | $1,745.84 | $2,685.90 | not published | 0 |
| Socket insert below knee HCPCS L5655 | $652.18 | $1,003.35 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $76.54 | $117.76 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $17.59 | $27.06 | $4.29 – $6.53 | 8 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $4.57 | $7.03 | $1.99 – $7.24 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.29 – $6.12 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $3.27 | $5.03 | $0.66 – $5.52 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.08 – $0.16 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $3.56 | $5.47 | $2.18 – $8.77 | 5 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $388.93 | $598.36 | $71.79 – $140.58 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $17.41 | $26.79 | $4.24 – $6.20 | 8 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.79 – $0.82 | 2 |
| Soft interface below knee se HCPCS L2820 | $178.91 | $275.25 | not published | 0 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,210.78 – $1,735.45 | 8 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,076.25 – $1,542.62 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,959.66 – $4,242.18 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $941.72 – $1,349.79 | 8 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.85 – $4.92 | 2 |
| Somatosensory testing CPT 95927 | $482.35 | $742.07 | not published | 0 |
| Somatropin injection HCPCS J2941 | not published | not published | $155.10 – $209.50 | 4 |
| So neo gsap dna/dna&rna CPT 81459 | $9,754.50 | $15,006.92 | $2,690.60 – $3,856.52 | 8 |
| So neo gsap dna mcrstl ins CPT 81457 | $2,438.62 | $3,751.73 | $807.18 – $1,156.96 | 8 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $19.68 – $25.15 | 3 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $19.84 – $25.36 | 2 |
| Special casting material HCPCS A4590 | $82.73 | $127.28 | not published | 0 |
| Special physics consult CPT 77370 | $286.81 | $441.24 | $221.82 – $221.82 | 1 |
| Special radiation dosimetry CPT 77331 | $450.54 | $693.14 | $28.58 – $28.58 | 1 |
| Special radiation treatment CPT 77470 | $1,869.52 | $2,876.18 | $57.16 – $57.16 | 1 |
| Special supplies phys/qhp CPT 99070 | $72.60 | $111.69 | not published | 0 |
| Special teletx port plan CPT 77321 | $1,157.38 | $1,780.58 | $66.21 – $66.21 | 1 |
| Specific gravity body fluid CPT 84315 | $9.62 | $14.80 | $1.72 – $4.23 | 8 |
| Specimen fat stain CPT 89125 | $17.24 | $26.52 | $3.81 – $7.59 | 8 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $726.03 | $1,116.97 | $161.55 – $161.55 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $103.82 – $103.82 | 1 |
| Speech Therapy Session (one-on-one) CPT 92507 | $241.41 | $371.40 | $66.15 – $66.15 | 1 |
| Sperm antibody test CPT 89325 | not published | not published | $9.41 – $13.76 | 8 |
| Sperm evaluation test CPT 89329 | not published | not published | $17.63 – $25.27 | 8 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,231.28 | $1,894.28 | not published | 0 |
| Spine X-ray (single view, one level) CPT 72020 | $201.75 | $310.38 | $23.63 – $23.63 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $204.91 – $204.91 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $814.88 | $1,253.66 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $86.65 | $133.31 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $152.70 | $234.93 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $59.55 | $91.61 | not published | 0 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $2.89 | $4.45 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $152.70 | $234.93 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $6,649.42 | $10,229.87 | not published | 0 |
| Split blood or products CPT 86985 | $390.47 | $600.72 | not published | 0 |
| Sputum specimen collection CPT 89220 | $318.32 | $489.72 | $9.24 – $9.24 | 1 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,975.00 – $5,175.00 | 3 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $106.29 – $226.27 | 8 |
| Srs linear based CPT 77372 | $26,584.59 | $40,899.37 | $1,381.32 – $1,381.32 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $345.81 | $532.02 | $75.10 – $75.10 | 1 |
| Staph a dna amp probe CPT 87640 | $77.79 | $119.68 | $21.64 – $45.27 | 8 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $329.97 | $507.64 | $90.91 – $90.91 | 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.