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 |
|---|---|---|---|---|
| Assay rbc glutathione CPT 82979 | not published | not published | $6.07 – $12.18 | 8 |
| Assay toxin or antitoxin CPT 87230 | $71.44 | $109.91 | $9.49 – $25.46 | 8 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $303.50 | $466.92 | $86.01 – $86.01 | 1 |
| Assess cyst contrast inject CPT 49424 | $100.47 | $154.57 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $15.44 | $23.76 | $2.78 – $5.51 | 8 |
| Ast/sgot CPT 84450 | $18.74 | $28.83 | $4.56 – $6.68 | 8 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $442.81 – $872.68 | 8 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $187.04 – $312.05 | 8 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $88.64 – $165.58 | 5 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $20,251.58 | $31,156.28 | not published | 0 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $25,833.90 | $39,744.46 | not published | 0 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $83.83 – $176.73 | 8 |
| Atomic absorption CPT 82190 | not published | not published | $4.80 – $20.51 | 8 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $2.05 | $3.15 | $0.10 – $0.85 | 5 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $83.83 – $176.73 | 8 |
| Atxn1 gene detc abnor allele CPT 81178 | $346.90 | $533.70 | $83.83 – $176.73 | 8 |
| Atxn2 gene detc abnor allele CPT 81179 | $346.90 | $533.70 | $83.83 – $176.73 | 8 |
| Atxn3 gene detc abnor allele CPT 81180 | $346.90 | $533.70 | $83.83 – $176.73 | 8 |
| Atxn7 gene detc abnor allele CPT 81181 | $346.90 | $533.70 | $83.83 – $176.73 | 8 |
| Atxn8os gen detc abnor allel CPT 81182 | $346.90 | $533.70 | $83.83 – $176.73 | 8 |
| Audit/dast 15-30 min CPT 99408 | $169.58 | $260.90 | not published | 0 |
| Audit/dast over 30 min CPT 99409 | $272.27 | $418.87 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $16,190.22 | $24,908.03 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $14,590.10 | $22,446.30 | not published | 0 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,863.67 | $2,867.18 | $369.90 – $1,084.44 | 8 |
| Autologous blood process CPT 86890 | $595.91 | $916.79 | not published | 0 |
| Autolog prp not diab ulcer HCPCS G0460 | $2,699.50 | $4,153.08 | not published | 0 |
| Automated diff wbc count CPT 85004 | $23.40 | $36.00 | $3.20 – $8.35 | 8 |
| Autopsy (necropsy) complete CPT 88020 | $3,755.77 | $5,778.11 | not published | 0 |
| Autopsy (necropsy) complete CPT 88025 | $4,506.72 | $6,933.42 | not published | 0 |
| Autopsy (necropsy) complete CPT 88029 | $2,704.02 | $4,160.03 | not published | 0 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $94.72 – $182.75 | 5 |
| Av fistula revision CPT 36833 | $9,246.97 | $14,226.11 | not published | 0 |
| Av fuse uppr arm basilic CPT 36819 | $10,013.41 | $15,405.24 | not published | 0 |
| Av fuse uppr arm cephalic CPT 36818 | $9,246.97 | $14,226.11 | not published | 0 |
| Av fusion direct any site CPT 36821 | $5,265.85 | $8,101.31 | not published | 0 |
| Avul nail plate addl CPT 11732 | $236.70 | $364.15 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $584.21 | $898.79 | not published | 0 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $54.76 – $55.65 | 2 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $532,192.24 – $532,192.24 | 1 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.46 – $1.77 | 5 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $0.06 – $4.34 | 4 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $250.00 – $345.00 | 3 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $2.01 – $6.69 | 5 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $3.07 | $4.72 | $24.70 – $33.50 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.20 – $3.78 | 3 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $338.83 | $521.28 | $168.23 – $335.19 | 5 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $35.60 – $83.62 | 5 |
| Baclofen eval charges CPT 97750 | $106.11 | $163.25 | $28.94 – $28.94 | 1 |
| Bacterial meningitis antigen CPT 86403 | $36.88 | $56.74 | $3.79 – $14.89 | 8 |
| Bacterial vaginosis pcr CPT 87801 | $254.02 | $390.80 | $40.40 – $90.56 | 8 |
| Bactericidal level serum CPT 87197 | not published | not published | $13.24 – $19.38 | 8 |
| #bac vag cand-c. albicans naa CPT 87481 | $84.68 | $130.27 | $21.05 – $45.27 | 8 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $108.48 | $166.90 | $29.30 – $29.30 | 1 |
| Balloon dilate urtrl strix CPT 50706 | $774.08 | $1,190.89 | not published | 0 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $2,496.36 | $3,840.55 | not published | 0 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $336.54 | $517.76 | $227.45 – $227.45 | 1 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $336.54 | $517.76 | $149.35 – $149.35 | 1 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $336.54 | $517.76 | $98.37 – $98.37 | 1 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.18 – $0.23 | 2 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $13.82 – $17.65 | 2 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $8.44 – $10.79 | 2 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $6.16 – $7.88 | 2 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $4.48 – $5.73 | 2 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $8.30 – $10.60 | 2 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $7,627.40 | $11,734.46 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $127.02 | $195.41 | $30.93 – $45.27 | 8 |
| Bartonella dna quant CPT 87472 | not published | not published | $37.75 – $55.26 | 8 |
| Basiliximab HCPCS J0480 | not published | not published | $4,459.73 – $8,810.44 | 5 |
| Battery elec/combo vad, rep HCPCS Q0496 | $175.50 | $270.00 | not published | 0 |
| B cells total count CPT 86355 | $95.54 | $146.98 | $23.40 – $48.67 | 8 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $6.25 | $9.61 | $3.23 – $5.74 | 5 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $161.34 – $287.12 | 5 |
| Bcg vaccine percut CPT 90585 | not published | not published | $164.92 – $216.75 | 4 |
| Bckdhb gene CPT 81205 | not published | not published | $59.49 – $122.54 | 8 |
| Bebtelovimab injection HCPCS M0222 | $887.52 | $1,365.42 | not published | 0 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $45.32 – $59.57 | 3 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $4.02 – $5.14 | 2 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.83 – $7.32 | 5 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $113.98 | $175.35 | $52.27 – $103.97 | 5 |
| Below knee acrylic socket HCPCS L5629 | $809.82 | $1,245.88 | not published | 0 |
| Below knee total contact HCPCS L5637 | $704.41 | $1,083.71 | not published | 0 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $7.11 – $9.09 | 2 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $2.01 – $41.01 | 5 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.43 – $35.88 | 5 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.63 – $34.14 | 5 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $31.48 – $53.45 | 3 |
| Benign lesion paring 2-4 CPT 11056 | $584.21 | $898.79 | not published | 0 |
| Benign lesion paring 4+ CPT 11057 | $584.21 | $898.79 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $111.08 | $170.90 | $5.05 – $5.81 | 2 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $13.59 – $33.79 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $92.10 | $141.69 | $7.90 – $32.83 | 8 |
| Beta-2 microglobulin CPT 82232 | $58.54 | $90.06 | $12.63 – $20.87 | 8 |
| Beta-amyloid 1-40 CPT 82233 | $251.39 | $386.76 | $116.03 – $166.31 | 8 |
| Beta-amyloid 1-42 CPT 82234 | $35.95 | $55.31 | $116.03 – $166.31 | 8 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $14.61 | $22.48 | $6.80 – $14.21 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $72.45 – $139.58 | 5 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $19.07 – $96.29 | 5 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $21.11 – $84.65 | 5 |
| Bevacizumab injection HCPCS C9257 | $4.21 | $6.48 | $2.03 – $2.75 | 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.