The Unity Hospital of Rochester
1555 Long Pond Road, Rochester, NY · Rochesterregional · · NPI 1760421713
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $15.15 – $37.77 | 8 |
| 17-hydroxypregnenolone CPT 84143 | $101.60 | $127.00 | $19.84 – $29.42 | 8 |
| 17-ketosteroids CPT 83586 | $57.01 | $71.26 | $9.49 – $16.51 | 8 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $10.59 – $10.59 | 1 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $5.42 – $8.59 | 3 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $17.65 – $17.65 | 1 |
| 1st psyc collab care mgmt CPT 99492 | $250.99 | $313.74 | not published | 0 |
| 1st/sbsq psyc collab care CPT 99494 | $107.43 | $134.29 | not published | 0 |
| 2019-ncov diagnostic p HCPCS U0001 | $123.39 | $154.24 | $31.25 – $46.34 | 7 |
| 24 hr ambulatory b/p monitor CPT 93786 | $412.94 | $516.18 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,240.14 | $2,800.18 | not published | 0 |
| 2nd order venous cath CPT 36012 | $908.45 | $1,135.56 | not published | 0 |
| 3d ech img cgen car anomal CPT 93319 | $722.68 | $903.35 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $4,242.90 | $5,303.62 | $481.49 – $481.49 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $546.26 | $682.82 | $29.54 – $29.54 | 1 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $2,616.20 – $2,616.20 | 1 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $3.06 – $9.48 | 3 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.62 – $5.62 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $49.69 | $62.11 | $9.70 – $14.38 | 8 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $197.51 | $246.89 | $56.79 – $56.79 | 1 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $331.84 | $414.80 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $347.74 | $434.68 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $362.59 | $453.24 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $304.15 | $380.19 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $319.30 | $399.12 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $318.22 | $397.77 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $350.06 | $437.57 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $410.30 | $512.88 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $156.20 | $195.25 | $44.05 – $62.50 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $53.46 | $66.83 | $10.45 – $15.49 | 8 |
| Abd aorta w/runoff s&i CPT 75630 | $6,758.34 | $8,447.92 | $119.11 – $119.11 | 1 |
| Abd/low ext cath 1st CPT 36245 | $861.80 | $1,077.25 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $867.10 | $1,083.88 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $1,349.35 | $1,686.69 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $106.06 | $132.58 | not published | 0 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $940.07 | $1,175.09 | not published | 0 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $456.76 | $570.95 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $795.04 | $993.80 | $360.42 – $360.42 | 1 |
| Abdominal CT scan (with contrast) CPT 74160 | $795.04 | $993.80 | $317.71 – $317.71 | 1 |
| Abdominal CT scan (without contrast) CPT 74150 | $489.02 | $611.28 | $150.81 – $150.81 | 1 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,652.32 | $2,065.40 | $433.88 – $433.88 | 1 |
| Abdominal MRI (with contrast) CPT 74182 | $1,652.32 | $2,065.40 | $409.13 – $409.13 | 1 |
| Abdominal MRI (without contrast) CPT 74181 | $1,307.22 | $1,634.02 | $235.42 – $235.42 | 1 |
| Abdominal pad HCPCS L1270 | not published | not published | $114.85 – $114.85 | 1 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,357.31 | $2,946.64 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $456.76 | $570.95 | $142.00 – $142.00 | 1 |
| Abdominal Ultrasound (limited) CPT 76705 | $456.76 | $570.95 | $108.73 – $108.73 | 1 |
| Abdominal X-ray (2 views) CPT 74019 | $338.66 | $423.33 | $46.86 – $46.86 | 1 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $338.66 | $423.33 | $63.57 – $63.57 | 1 |
| Abdominal X-ray (single view) CPT 74018 | $248.30 | $310.38 | $38.82 – $38.82 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,357.31 | $2,946.64 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $251.19 – $251.19 | 1 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $532.15 – $532.15 | 1 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $182.37 – $182.37 | 1 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $137.77 – $137.77 | 1 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $125.94 – $125.94 | 1 |
| Abl1 gene CPT 81170 | $1,082.32 | $1,352.90 | $199.69 – $387.00 | 8 |
| Ablate arrhythmia add on CPT 93655 | $2,304.14 | $2,880.17 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $15,663.61 | $19,579.51 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $12,416.68 | $15,520.85 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $13,908.29 | $17,385.36 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $24,480.21 | $30,600.26 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $2,120.49 | $2,650.61 | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $10,967.77 | $13,709.71 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $1,126.25 | $1,407.81 | not published | 0 |
| Ablation cryo thigh/knee CPT 27599 | $670.56 | $838.20 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,390.48 | $1,738.10 | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | $22.90 | $28.63 | $8.66 – $10.31 | 4 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $5,049.29 – $5,049.29 | 1 |
| Above knee cushion socket HCPCS L5648 | not published | not published | $1,155.53 – $1,155.53 | 1 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $1,610.04 – $1,610.04 | 1 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $3,269.71 – $3,269.71 | 1 |
| Above knee leather socket HCPCS L5642 | not published | not published | $1,167.71 – $1,167.71 | 1 |
| Above knee manual lock HCPCS L5925 | not published | not published | $530.65 – $530.65 | 1 |
| Above knee wood socket HCPCS L5644 | not published | not published | $932.79 – $932.79 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,919.31 | $6,149.14 | not published | 0 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $5.60 – $5.60 | 1 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $5.99 – $5.99 | 1 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $2.19 – $2.19 | 1 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $3.66 – $3.66 | 1 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $11.65 – $11.65 | 1 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $7,416.19 | $9,270.24 | not published | 0 |
| Access thoracic lymph duct CPT 38794 | $573.26 | $716.57 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.06 – $0.15 | 4 |
| Acetaminophen level CPT 80143 | $61.00 | $76.25 | $16.22 – $24.05 | 8 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $25.18 – $47.82 | 4 |
| Acetone qualitative CPT 82009 | $20.13 | $25.16 | $0.51 – $5.83 | 8 |
| Acetylcholine receptor modulating antibody CPT 86043 | $32.88 | $41.10 | $7.23 – $15.54 | 8 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $10.69 – $15.85 | 8 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.36 – $3.00 | 4 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $8.46 – $13.59 | 3 |
| Acne surgery 10040 CPT 10040 | $627.20 | $784.00 | not published | 0 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $419.83 | $524.79 | not published | 0 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $46.30 | $57.87 | not published | 0 |
| Acth stimulation panel CPT 80402 | not published | not published | $75.66 – $112.18 | 8 |
| Acth stimulation panel CPT 80406 | not published | not published | $68.09 – $100.96 | 8 |
| Actigraphy testing CPT 95803 | $193.78 | $242.22 | not published | 0 |
| Actinotherapy uv light CPT 96900 | $100.10 | $125.12 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $212.17 | $265.21 | $41.44 – $61.44 | 8 |
| Acute venous thrombus image CPT 78456 | not published | not published | $440.99 – $440.99 | 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.