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 |
|---|---|---|---|---|
| Galectin-3 CPT 82777 | $159.66 | $199.57 | $38.50 – $57.08 | 8 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,146.14 | $1,432.67 | $464.49 – $464.49 | 1 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,212.86 | $1,516.07 | $631.86 – $631.86 | 1 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $8.18 – $9.09 | 2 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $1,015.20 – $1,128.00 | 3 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $648.84 – $960.00 | 3 |
| Galsulfase injection HCPCS J1458 | not published | not published | $451.87 – $513.86 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $102.84 – $503.60 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | $76.73 | $95.91 | $49.12 – $55.39 | 4 |
| Gammaglobulin iga CPT 82784 | $41.42 | $51.77 | $8.09 – $12.00 | 8 |
| Gammaglobulin ige CPT 82785 | $73.30 | $91.63 | $12.63 – $21.23 | 8 |
| Gamma glutamyltransferase CPT 82977 | $32.06 | $40.08 | $5.08 – $9.29 | 8 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.87 – $7.87 | 1 |
| Gammaplex injection HCPCS J1557 | not published | not published | $62.91 – $118.52 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | $150.53 | $188.16 | $48.29 – $80.04 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $32.98 – $86.40 | 4 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $30.53 – $45.27 | 8 |
| Gardner vag dna quant CPT 87512 | not published | not published | $36.33 – $53.87 | 8 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.84 – $8.66 | 8 |
| Gastric emptying imag study CPT 78265 | not published | not published | $560.24 – $560.24 | 1 |
| Gastric emptying imag study CPT 78266 | not published | not published | $642.37 – $642.37 | 1 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $290.18 – $290.18 | 1 |
| Gastrin test CPT 82938 | not published | not published | $15.39 – $22.82 | 8 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $344.00 – $344.00 | 1 |
| Gated heart multiple CPT 78473 | not published | not published | $367.96 – $367.96 | 1 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $4.46 – $4.46 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $1.53 – $4.76 | 3 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $3.92 – $3.92 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.00 – $1.75 | 3 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $6.62 – $6.62 | 1 |
| Gba gene CPT 81251 | not published | not published | $41.11 – $60.95 | 8 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $95.40 – $95.40 | 1 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $113.09 – $113.09 | 1 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $132.42 – $132.42 | 1 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $70.77 – $70.77 | 1 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $80.82 – $80.82 | 1 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $93.05 – $93.05 | 1 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $126.24 – $126.24 | 1 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $150.52 – $150.52 | 1 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $178.29 – $178.29 | 1 |
| Gefitinib oral HCPCS J8565 | not published | not published | $148.62 – $311.56 | 3 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $97.83 – $97.83 | 1 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $3.34 – $3.34 | 1 |
| Gel-one HCPCS J7326 | $1,287.00 | $1,608.75 | $519.58 – $1,380.00 | 4 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $6.01 | $7.51 | $0.66 – $2.54 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.53 – $12.49 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $221.60 – $246.22 | 4 |
| General health panel CPT 80050 | $69.95 | $87.44 | $28.44 – $28.44 | 1 |
| Generator barostim neo2 2014 HCPCS C1767 | $480.00 | $600.00 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $62,740.72 | $78,425.90 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $8,012.46 | $10,015.57 | $2,130.25 – $3,158.64 | 8 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,033.76 – $3,015.57 | 8 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,377.14 – $6,490.25 | 8 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,357.66 – $3,495.84 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $2.81 | $3.51 | $2.13 – $2.86 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $72.94 | $91.18 | $10.61 – $21.13 | 8 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $4.68 – $19.15 | 4 |
| Ghs abscess perianal iandd CPT 46050 | $2,569.51 | $3,211.89 | not published | 0 |
| Ghs abscess postoperative iandd complex CPT 10180 | $8,316.18 | $10,395.23 | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $8.53 – $12.65 | 8 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $71.62 | $89.52 | $14.89 – $22.07 | 8 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $88.97 – $131.92 | 8 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $360.21 | $450.26 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $64.12 | $80.15 | $12.52 – $18.56 | 8 |
| Ghs bladder cath - complex-foley CPT 51703 | $517.84 | $647.30 | not published | 0 |
| Ghs bleeding time (ivy) CPT 85002 | $20.10 | $25.13 | $3.03 – $6.22 | 8 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $914.90 | $1,143.63 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $6,643.85 | $8,304.81 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $319.11 | $398.89 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $86.17 | $107.71 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $156.33 | $195.41 | $21.64 – $45.27 | 8 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $819.58 | $1,024.48 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $819.58 | $1,024.48 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $4,908.52 | $6,135.65 | not published | 0 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $819.58 | $1,024.48 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $4,908.52 | $6,135.65 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,847.22 | $3,559.02 | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $819.58 | $1,024.48 | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $4,908.52 | $6,135.65 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $4,908.52 | $6,135.65 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $819.58 | $1,024.48 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $819.58 | $1,024.48 | not published | 0 |
| Ghs community re-entry 15 minutes CPT 97537 | $123.00 | $153.75 | $27.26 – $51.45 | 2 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $473.25 | $591.56 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $360.21 | $450.26 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $473.25 | $591.56 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $360.21 | $450.26 | not published | 0 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $67.72 | $84.65 | $13.23 – $19.62 | 8 |
| Ghs dislocation elbow closed treatment CPT 24600 | $819.58 | $1,024.48 | not published | 0 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $787.13 | $983.91 | not published | 0 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,515.42 | $1,894.28 | not published | 0 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $848.11 | $1,060.14 | not published | 0 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $1,188.79 | $1,485.99 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $1,188.79 | $1,485.99 | not published | 0 |
| Ghs fat & muscle CPT 89160 | $17.49 | $21.86 | $4.22 – $6.26 | 8 |
| Ghs fb removal foot - deep - left CPT 28192 | $3,968.22 | $4,960.27 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $4,919.31 | $6,149.14 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $4,919.31 | $6,149.14 | not published | 0 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $31.10 | $38.88 | $6.07 – $9.00 | 8 |
| Ghs fish cytogen CPT 88271 | $95.39 | $119.24 | $18.64 – $27.63 | 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.