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 |
|---|---|---|---|---|
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $732.28 | $1,126.58 | $83.52 – $83.52 | 1 |
| X-ray ribs 2 views left CPT 71100 | $201.75 | $310.38 | $37.99 – $37.99 | 1 |
| X-ray sella turcica CPT 70240 | not published | not published | $34.02 – $34.02 | 1 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,211.40 | $1,863.69 | $51.36 – $51.36 | 1 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $87.48 – $87.48 | 1 |
| X-ray small intestine follow-through study CPT 74248 | $648.60 | $997.85 | $70.17 – $70.17 | 1 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $201.75 | $310.38 | $45.91 – $45.91 | 1 |
| X-ray surgical specimen CPT 76098 | $1,211.40 | $1,863.69 | $41.95 – $41.95 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $201.75 | $310.38 | $46.39 – $46.39 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $336.54 | $517.76 | $94.91 – $94.91 | 1 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $486.00 – $5,739.26 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $10.01 – $16.65 | 8 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.56 – $2.84 | 5 |
| Yersinia antibody CPT 86793 | not published | not published | $8.11 – $17.02 | 8 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $66,711.99 – $85,243.09 | 3 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $75.79 – $1,311.00 | 4 |
| Ziconotide injection HCPCS J2278 | $25.88 | $39.82 | $10.18 – $18.53 | 5 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.49 – $2.90 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.18 – $1.51 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | $129.92 | $199.88 | $39.68 – $66.19 | 8 |
| Zika virus igm antibody CPT 86794 | $42.67 | $65.64 | $13.03 – $21.74 | 8 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $9.00 – $22.62 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.11 – $22.08 | 5 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.13 – $33.67 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $12.17 | $18.72 | $5.00 – $27.94 | 5 |
| Zoster vaccine-live inj CPT 90736 | $449.25 | $691.16 | $229.68 – $293.48 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $117.11 – $249.29 | 8 |
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.