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 |
|---|---|---|---|---|
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,188.79 | $1,485.99 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,188.79 | $1,485.99 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,188.79 | $1,485.99 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,188.79 | $1,485.99 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $627.20 | $784.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $627.20 | $784.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $627.20 | $784.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $627.20 | $784.00 | not published | 0 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $193.85 | $242.31 | $43.02 – $43.02 | 1 |
| Ghs sphenopalatine ganglion block CPT 64505 | $449.22 | $561.52 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $404.71 | $505.89 | $90.22 – $90.22 | 1 |
| Ghs st - eval for alt comm CPT 92567 | $122.45 | $153.06 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $360.21 | $450.26 | $15.92 – $15.92 | 1 |
| Ghs st - re-eval for alt comm CPT 92597 | $276.14 | $345.18 | $61.12 – $61.12 | 1 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $117.52 | $146.90 | not published | 0 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $61.54 | $76.92 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $2,032.28 | $2,540.35 | not published | 0 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,188.79 | $1,485.99 | not published | 0 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.35 – $9.42 | 8 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $819.58 | $1,024.48 | not published | 0 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $780.54 | $975.68 | not published | 0 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $21.14 – $31.35 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | $65.51 | $81.89 | $12.80 – $18.98 | 8 |
| Ghs vaginal delivery only CPT 59409 | $8,188.62 | $10,235.78 | not published | 0 |
| Giardia ag if CPT 87269 | $53.40 | $66.75 | $11.84 – $17.56 | 8 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $12.81 – $18.99 | 8 |
| Gi inhouse confirmation CPT 87045 | $42.08 | $52.60 | $8.21 – $12.18 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,824.00 | $2,280.00 | not published | 0 |
| Gjb2 gene full sequence CPT 81252 | $364.82 | $456.03 | $87.97 – $130.44 | 8 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $53.52 – $79.36 | 8 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $30.45 – $45.15 | 8 |
| Glassia injection HCPCS J0257 | not published | not published | $5.60 – $7.20 | 4 |
| Glove finger flexion right lg xl HCPCS L3912 | $204.91 | $256.14 | $137.57 – $137.57 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $162.22 – $204.60 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $140.96 – $199.50 | 4 |
| Glucagon plasma - sendout CPT 82943 | $63.66 | $79.57 | $12.43 – $18.43 | 8 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $40.08 – $59.43 | 8 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $43.94 – $65.14 | 8 |
| Glucagon tolerance test CPT 82946 | not published | not published | $15.46 – $22.92 | 8 |
| Glucose 1 hr post dose CPT 82950 | $21.14 | $26.43 | $4.13 – $6.13 | 8 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $24.25 | $30.31 | $3.03 – $7.80 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $11.84 | $14.80 | $2.85 – $4.23 | 8 |
| Glucose blood quantitative CPT 82947 | $17.49 | $21.86 | $3.42 – $5.07 | 8 |
| Glucose body fluid CPT 82945 | $17.49 | $21.86 | $3.42 – $5.07 | 8 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $172.25 | $215.31 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $57.33 | $71.66 | $6.91 – $16.60 | 8 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $17.46 | $21.83 | $1.41 – $5.06 | 8 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.37 – $0.38 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $100.69 | $125.86 | $11.44 – $47.98 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $82.74 | $103.43 | $16.16 – $23.97 | 8 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $129.12 – $191.45 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $82.46 | $103.08 | $16.11 – $23.89 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $2,460.74 | $3,075.93 | $765.03 – $940.33 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,082.97 | $3,853.71 | $30.23 – $54.41 | 3 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $426.60 – $1,237.28 | 3 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $67.27 – $100.00 | 3 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $702.24 | $877.80 | $762.88 – $935.00 | 4 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $128.15 | $160.19 | $65.41 – $75.36 | 3 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $567.00 | $708.75 | $101.03 – $206.25 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $739.20 | $924.00 | $138.74 – $266.88 | 3 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $52.75 – $52.75 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $739.20 | $924.00 | $106.70 – $352.00 | 3 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $274.78 | $343.47 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | $2.41 | $3.01 | $3.24 – $3.60 | 3 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.14 – $1.14 | 4 |
| Great toe with reduction 28495 CPT 28495 | $819.58 | $1,024.48 | not published | 0 |
| Growth hormone antibody CPT 86277 | not published | not published | $13.69 – $20.30 | 8 |
| Growth hormone panel CPT 80428 | not published | not published | $58.03 – $86.04 | 8 |
| Growth hormone panel CPT 80430 | not published | not published | $77.61 – $166.84 | 8 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $65.77 – $97.52 | 8 |
| G-tube reposition CPT 43761 | $399.13 | $498.91 | not published | 0 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,742.40 | $5,928.00 | $155.77 – $155.77 | 1 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,141.10 | $2,676.38 | not published | 0 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $1,309.38 | $1,636.73 | $879.12 – $879.12 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,302.01 | $2,877.51 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $767.04 | $958.80 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $232.11 | $290.14 | $69.17 – $69.17 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $6,000.00 | $7,500.00 | not published | 0 |
| Hair analysis HCPCS P2031 | not published | not published | $4.31 – $6.39 | 8 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $66.90 – $66.90 | 1 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $3,202.03 – $3,202.03 | 1 |
| Halo cervical into jckt vest HCPCS L0810 | $5,783.40 | $7,229.25 | $3,882.96 – $3,882.96 | 1 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $4,648.39 – $4,648.39 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $47.81 | $59.76 | $3.88 – $26.68 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.72 – $3.60 | 4 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $333.50 – $333.50 | 1 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $22.20 – $43.72 | 3 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $148.83 – $148.83 | 1 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,769.75 – $2,769.75 | 1 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $2,879.85 – $2,879.85 | 1 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $988.67 – $988.67 | 1 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,803.17 – $2,803.17 | 1 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $105.85 | $132.31 | $23.45 – $44.50 | 2 |
| Hand X-ray CPT 73130 | $248.30 | $310.38 | $54.29 – $54.29 | 1 |
| Hand X-ray (2 views, both hands) CPT 73120 | $338.66 | $423.33 | $43.15 – $43.15 | 1 |
| Haptoglobin quantitative CPT 83010 | $56.03 | $70.04 | $10.94 – $16.23 | 8 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $323.71 – $323.71 | 1 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $230.39 – $230.39 | 1 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $214.66 – $214.66 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | $360.21 | $450.26 | not published | 0 |
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.