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 |
|---|---|---|---|---|
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.12 – $0.14 | 4 |
| #acylcarnitineprfl CPT 82017 | $75.14 | $93.92 | $14.68 – $21.76 | 8 |
| Acylcarnitines qual CPT 82016 | not published | not published | $14.35 – $21.27 | 8 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $638.36 – $638.36 | 1 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $245.33 – $245.33 | 1 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $861.75 – $861.75 | 1 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $531.98 – $531.98 | 1 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $570.93 – $570.93 | 1 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $475.17 – $475.17 | 1 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $1,127.01 – $1,127.01 | 1 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $574.48 – $574.48 | 1 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $785.56 – $785.56 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.52 – $1.92 | 4 |
| Adenovirus ag ia CPT 87301 | $34.74 | $43.42 | $8.11 – $15.45 | 8 |
| Adenovirus antibody,serum - quest CPT 86603 | $57.33 | $71.66 | $8.11 – $16.60 | 8 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $14.65 – $28.07 | 8 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $5.41 – $7.56 | 3 |
| Adh-sendout CPT 84588 | $151.17 | $188.96 | $29.53 – $43.78 | 8 |
| Adj gastric band via subq port CPT 43999 | $2,211.34 | $2,764.17 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $0.62 | $0.78 | $0.22 – $0.59 | 4 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $86.17 | $107.71 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $86.17 | $107.71 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $761.03 | $951.29 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $100.60 | $125.75 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $86.17 | $107.71 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $86.17 | $107.71 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $43.76 | $54.70 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $83.37 | $104.21 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $86.17 | $107.71 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $86.17 | $107.71 | not published | 0 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $83.37 | $104.21 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $83.37 | $104.21 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $83.37 | $104.21 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $83.37 | $104.21 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $83.37 | $104.21 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $37.94 – $42.19 | 4 |
| Adrenal cortex & medulla img CPT 78075 | $3,363.86 | $4,204.83 | $653.50 – $653.50 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.68 – $0.76 | 2 |
| Aep hearing status deter i&r CPT 92651 | $450.99 | $563.74 | not published | 0 |
| Aep neurodiagnostic i&r CPT 92653 | $848.11 | $1,060.14 | not published | 0 |
| Aep thrshld est mlt freq i&r CPT 92652 | $848.11 | $1,060.14 | not published | 0 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,172.45 – $3,524.94 | 4 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $726,970.92 – $726,970.92 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $89.32 | $111.65 | $17.44 – $25.86 | 8 |
| #afb mycobacteria suscep. #1 CPT 87190 | $26.38 | $32.98 | $6.36 – $9.43 | 8 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $513.81 | $642.26 | $100.36 – $148.81 | 8 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $119.19 – $176.73 | 8 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $239.10 – $354.53 | 8 |
| Aflibercept injection HCPCS J0178 | $1,898.82 | $2,373.52 | $751.65 – $1,110.00 | 4 |
| Afo molded ankle gauntlet HCPCS L1904 | $1,073.71 | $1,342.14 | $720.89 – $720.89 | 1 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,372.21 – $1,372.21 | 1 |
| Afo molded to patient plasti HCPCS L1940 | $1,385.99 | $1,732.49 | $930.57 – $930.57 | 1 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $2,338.11 | $2,922.64 | $1,380.80 – $1,380.80 | 1 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $493.13 – $493.13 | 1 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $610.67 – $610.67 | 1 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $554.40 – $554.40 | 1 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $1,472.19 – $1,472.19 | 1 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $399.91 – $399.91 | 1 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $870.69 – $870.69 | 1 |
| Afo tib fx cast molded to pt HCPCS L2108 | $2,862.98 | $3,578.72 | $1,922.20 – $1,922.20 | 1 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $1,293.15 – $1,293.15 | 1 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $1,707.38 | $2,134.23 | $1,146.33 – $1,146.33 | 1 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $1,261.14 – $1,261.14 | 1 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $878.45 – $878.45 | 1 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $2,787.02 – $2,787.02 | 1 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $725.28 – $725.28 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $212.66 – $236.29 | 4 |
| Air conduction bilat CPT 92552 | not published | not published | $25.50 – $25.50 | 1 |
| Air injection into abdomen 49400 CPT 49400 | $163.09 | $203.86 | not published | 0 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $934.83 | $1,168.54 | not published | 0 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $3,870.34 – $3,870.34 | 1 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $2,544.49 – $2,544.49 | 1 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $884.86 – $884.86 | 1 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,896.58 – $1,896.58 | 1 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $925.20 – $925.20 | 1 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $126.78 – $126.78 | 1 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $317.39 – $317.39 | 1 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $206.84 – $206.84 | 1 |
| Ak open end sach HCPCS L5321 | not published | not published | $5,190.61 – $5,190.61 | 1 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $209.84 – $209.84 | 1 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $286.51 – $286.51 | 1 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $299.55 – $299.55 | 1 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $2,144.91 – $2,144.91 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $28.09 | $35.11 | $5.08 – $10.04 | 8 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $48.60 – $54.00 | 3 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $33.00 | 3 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $71.54 | $89.43 | $50.00 – $55.55 | 3 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $39.12 | 3 |
| Albumin ischemia modified CPT 82045 | not published | not published | $12.06 – $43.78 | 8 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $25.76 | $32.20 | $5.03 – $7.46 | 8 |
| Albumin serum plasma or whole blood CPT 82040 | $22.05 | $27.56 | $4.31 – $6.39 | 8 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.19 – $0.22 | 3 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.20 – $0.48 | 3 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.26 – $0.38 | 3 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.07 – $0.10 | 3 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $15.02 – $22.28 | 8 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $17.69 – $17.69 | 1 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $102.21 | $127.76 | $34.38 – $34.38 | 1 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $34.38 – $34.38 | 1 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $5,551.47 – $6,181.20 | 4 |
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.