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 |
|---|---|---|---|---|
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $8,058.30 | $10,072.88 | not published | 0 |
| Dialysis training complete CPT 90989 | $1,272.06 | $1,590.08 | not published | 0 |
| Dialysis training incompl CPT 90993 | $1,272.06 | $1,590.08 | not published | 0 |
| Diathermy eg microwave CPT 97024 | not published | not published | $11.55 – $11.55 | 1 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.22 | $0.28 | $0.07 – $0.13 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $6.58 – $14.77 | 4 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $11.15 – $46.80 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.24 – $0.28 | 4 |
| Diffusing capacity CPT 94729 | $139.21 | $174.01 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $6.34 – $9.57 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,775.76 – $5,306.40 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $59.13 | $73.91 | $10.61 – $17.13 | 8 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $202.80 | $253.50 | $56.17 – $101.05 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | $602.49 | $753.11 | not published | 0 |
| Dilate esophagus CPT 43453 | $4,437.10 | $5,546.38 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $399.13 | $498.91 | not published | 0 |
| Dilation of cervical canal 57800 CPT 57800 | $8,188.62 | $10,235.78 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $5,335.69 | $6,669.61 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $9,142.27 | $11,427.84 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.03 – $0.03 | 2 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $56.42 – $64.18 | 3 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $0.90 – $12.04 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,040.49 | $1,300.61 | $668.08 – $749.23 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.43 | $1.79 | $0.02 – $0.02 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.46 | $1.82 | $0.70 – $2.28 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $91.44 | $114.30 | $66.16 – $75.32 | 3 |
| Dipyridamole injection HCPCS J1245 | $1.34 | $1.67 | $4.28 – $8.41 | 4 |
| Disability dlco CPT 94727 | $517.84 | $647.30 | not published | 0 |
| Disaccharidases CPT 82657 | $80.42 | $100.53 | $19.29 – $28.60 | 8 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $162.57 – $162.57 | 1 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $119.47 – $119.47 | 1 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $290.24 – $290.24 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $7,218.38 | $9,022.97 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $168.67 – $359.91 | 8 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $166.55 – $354.53 | 8 |
| Dmpk gene detc abnor allele CPT 81234 | $448.31 | $560.39 | $83.83 – $176.73 | 8 |
| Dna antibody native/double stranded CPT 86225 | $61.23 | $76.54 | $5.25 – $17.72 | 8 |
| Dna gardnerella CPT 87510 | $89.32 | $111.65 | $14.09 – $25.86 | 8 |
| Dna probe chlamydia CPT 87490 | $89.32 | $111.65 | $8.11 – $29.35 | 8 |
| Dna probe gc CPT 87590 | $96.97 | $121.21 | $8.11 – $34.68 | 8 |
| Dna trichomonas CPT 87660 | $89.32 | $111.65 | $14.09 – $25.86 | 8 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $14.15 | $17.69 | $6.08 – $8.02 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.64 – $2.86 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $48.96 – $49.76 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $60.32 – $72.38 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.63 – $0.80 | 4 |
| Doppler echo complete CPT 93320 | $218.76 | $273.45 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $812.74 | $1,015.93 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $517.84 | $647.30 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $360.21 | $450.26 | not published | 0 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $52.13 – $57.92 | 3 |
| Dornhoffer fixed part w/window HCPCS L8614 | $45,075.32 | $56,344.15 | $30,263.52 – $30,263.52 | 1 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $205.12 | $256.40 | $137.71 – $137.71 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $233.02 – $258.91 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.74 – $8.46 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $102.34 – $397.80 | 4 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.10 – $0.10 | 2 |
| Dpyd gene common variants CPT 81232 | $600.63 | $750.79 | $152.08 – $225.50 | 8 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $31.57 – $31.57 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $2,141.10 | $2,676.38 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,912.34 | $2,390.42 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $4,246.30 | $5,307.87 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $2,141.10 | $2,676.38 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $663.57 | $829.46 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $4,919.31 | $6,149.14 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $2,141.10 | $2,676.38 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $722.05 | $902.56 | not published | 0 |
| Drainage of mouth lesion CPT 41007 | $4,250.09 | $5,312.61 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $7,390.54 | $9,238.18 | not published | 0 |
| Drainage of mouth lesion CPT 41016 | $14,293.47 | $17,866.84 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $663.57 | $829.46 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $3,126.62 | $3,908.28 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $360.21 | $450.26 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $4,919.31 | $6,149.14 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $4,919.31 | $6,149.14 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,390.48 | $1,738.10 | not published | 0 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $136.39 – $136.39 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $627.20 | $784.00 | not published | 0 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $2.40 – $4.98 | 3 |
| Drain ovarn cyst abd CPT 58805 | $7,587.16 | $9,483.95 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $8,316.18 | $10,395.23 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $627.20 | $784.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $627.20 | $784.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,188.79 | $1,485.99 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $38.54 – $55.93 | 3 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $139,633.92 – $139,633.92 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | $986.61 | $1,233.26 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $4,919.31 | $6,149.14 | not published | 0 |
| Drng of palm single bursa 26025 CPT 26025 | $7,612.10 | $9,515.12 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $4,919.31 | $6,149.14 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.35 – $2.03 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $7.06 – $10.33 | 4 |
| Drop lock knee HCPCS L2182 | not published | not published | $135.88 – $135.88 | 1 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $55.33 – $55.33 | 1 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $12.49 – $12.49 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $24.08 | $30.10 | $11.88 – $13.50 | 3 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $36.12 | $45.15 | $2.49 – $15.00 | 3 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $37.79 – $41.99 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $20.11 – $20.11 | 1 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $171.50 – $171.50 | 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.