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 |
|---|---|---|---|---|
| Ureteral reflux study CPT 78740 | not published | not published | $286.59 – $286.59 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $579.34 | $891.29 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $579.34 | $891.29 | $133.02 – $133.02 | 1 |
| Uric acid blood CPT 84550 | $16.35 | $25.16 | $3.96 – $5.83 | 8 |
| Uric acid urine CPT 84560 | $17.18 | $26.43 | $4.18 – $6.55 | 8 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.25 – $6.06 | 8 |
| Urinalysis microscopic only CPT 81015 | $11.02 | $16.95 | $2.02 – $3.93 | 8 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $7.83 | $12.04 | $1.58 – $2.80 | 8 |
| Urinalysis (with microscopy) CPT 81001 | $11.50 | $17.69 | $2.79 – $4.09 | 8 |
| Urinalysis (without microscopy) CPT 81003 | $8.13 | $12.51 | $1.98 – $2.90 | 8 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $96.89 – $96.89 | 1 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.08 – $3.93 | 2 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $4.18 – $5.34 | 2 |
| Urinary reflex study CPT 51792 | $192.19 | $295.67 | not published | 0 |
| Urine Culture Test CPT 87086 | $29.19 | $44.91 | $7.11 – $10.41 | 8 |
| Urine flow measurement 51736 CPT 51736 | $335.52 | $516.18 | not published | 0 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $6.62 – $8.45 | 2 |
| Urine pregnancy test CPT 81025 | $25.23 | $38.82 | $2.02 – $11.11 | 8 |
| Urine screen for bacteria CPT 81007 | not published | not published | $2.02 – $38.67 | 8 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $1.88 – $12.05 | 8 |
| Urography, antegrade CPT 74425 | $732.28 | $1,126.58 | $163.22 – $163.22 | 1 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $179.93 – $179.93 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $95.41 – $95.41 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $34.43 | $52.97 | $12.29 – $24.90 | 5 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $663.04 | $1,020.06 | $85.84 – $390.95 | 5 |
| Vaccine Administration (one shot) CPT 90471 | $67.74 | $104.21 | not published | 0 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $239.41 | $368.32 | $134.40 – $310.37 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $236.64 | $364.06 | $134.40 – $282.36 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $196.27 | $301.96 | $120.75 – $299.33 | 3 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $243.53 | $374.66 | $80.85 – $168.54 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $243.53 | $374.66 | $60.38 – $125.86 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | $57.91 | $89.09 | $28.79 – $36.79 | 4 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $135.58 | $208.58 | $96.57 – $123.40 | 4 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $122.60 | $188.62 | $61.25 – $78.27 | 4 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $211.02 | $324.64 | $150.19 – $191.91 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | $226.53 | $348.51 | $113.99 – $145.66 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $59.05 | $90.84 | $31.04 – $39.66 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $26.03 | $40.04 | $12.82 – $16.39 | 4 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $142.10 | $218.61 | $72.36 – $135.32 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $208.36 | $320.56 | $125.86 – $160.83 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $59.94 | $92.22 | $37.50 – $47.92 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $47.20 | $72.61 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $43.41 | $66.78 | $67.94 – $144.29 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $78.97 | $121.49 | $66.67 – $135.13 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $271.43 | $417.59 | $144.07 – $323.14 | 5 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $45.38 | $69.81 | $28.30 – $59.08 | 5 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $641.57 | $987.03 | $290.14 – $370.74 | 4 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $434.17 | $667.96 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $169.88 | $261.36 | $33.37 – $160.30 | 6 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $54.96 – $160.30 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $38.47 | $59.18 | $19.75 – $41.97 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $40.94 | $62.98 | $11.94 – $42.91 | 3 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $36.51 | $56.17 | $16.84 – $24.79 | 5 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $67.91 – $86.78 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $37.99 | $58.44 | $20.06 – $26.20 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $39.11 | $60.17 | $17.98 – $26.05 | 5 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.34 – $12.40 | 4 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $45.34 | $69.75 | $24.79 – $31.67 | 4 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $127.48 | $196.13 | $65.67 – $84.66 | 4 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $68.98 | $106.13 | $21.67 – $70.75 | 3 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.02 – $20.99 | 3 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $330.07 | $507.80 | $217.26 – $277.61 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $343.22 | $528.03 | $181.47 – $231.87 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $315.15 | $484.85 | $160.47 – $205.04 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $330.07 | $507.80 | $152.90 – $195.37 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | $183.83 | $282.81 | $93.90 – $119.98 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | $568.55 | $874.69 | $282.82 – $361.38 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $208.94 | $321.45 | $72.35 – $256.26 | 6 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $462.57 | $711.65 | $230.83 – $495.34 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $439.52 | $676.19 | $233.24 – $486.84 | 5 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $462.57 | $711.65 | $268.79 – $572.24 | 5 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $87.84 | $135.14 | $41.71 – $53.29 | 4 |
| Vaccine rabies im CPT 90675 | $791.49 | $1,217.68 | $314.62 – $672.27 | 5 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $531.55 | $817.77 | $309.75 – $325.45 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,031.86 | $1,587.47 | $519.75 – $606.96 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,031.86 | $1,587.47 | $519.75 – $606.96 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $508.64 | $782.53 | $294.00 – $312.48 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $174.28 | $268.12 | $141.15 – $180.35 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $174.28 | $268.12 | $97.60 – $124.72 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $97.06 | $149.33 | $39.05 – $73.96 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $83.37 | $128.26 | $29.34 – $83.83 | 5 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $86.72 – $164.83 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | $385.63 | $593.28 | $172.66 – $220.62 | 4 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $147.69 – $261.45 | 4 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,072.50 | $1,650.00 | not published | 0 |
| Vad cable power module dc input HCPCS Q0478 | $438.75 | $675.00 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $10,530.00 | $16,200.00 | not published | 0 |
| Vaginal bx CPT 58999 | $199.89 | $307.53 | not published | 0 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $2,837.29 | $4,365.06 | not published | 0 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | not published | not published | $0.04 – $0.05 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $49.02 | $75.41 | $10.61 – $21.12 | 8 |
| Valrubicin injection HCPCS J9357 | $2,820.82 | $4,339.73 | $1,282.44 – $2,759.19 | 5 |
| Valvuloplasty aortic CPT 92986 | $12,648.13 | $19,458.66 | not published | 0 |
| Valvuloplasty mitral CPT 92987 | $20,251.58 | $31,156.28 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.03 – $0.03 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.10 – $0.10 | 2 |
| Vancomycin hcl injection HCPCS J3370 | $3.74 | $5.76 | $4.15 – $8.58 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $49.02 | $75.41 | $10.61 – $17.47 | 8 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $21.64 – $45.27 | 8 |
| Vantas implant HCPCS J9225 | not published | not published | $5,263.77 – $6,725.92 | 2 |
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.