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 |
|---|---|---|---|---|
| Lithium therapeutic drug level CPT 80178 | $29.44 | $36.80 | $5.75 – $8.53 | 8 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $10,231.38 | $12,789.23 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $750.86 | $938.58 | $105.72 – $227.29 | 8 |
| Liver elastography 91200 CPT 91200 | $469.26 | $586.57 | not published | 0 |
| Liver Function Test CPT 80076 | $36.40 | $45.50 | $7.11 – $10.54 | 8 |
| Liver imaging CPT 78201 | not published | not published | $280.90 – $280.90 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $312.45 – $312.45 | 1 |
| Liver/spleen imag static only CPT 78215 | $843.77 | $1,054.71 | $287.70 – $287.70 | 1 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $194.88 – $194.88 | 1 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $4,401.52 – $4,401.52 | 1 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $0.18 | $0.23 | $0.72 – $1.04 | 3 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $98.24 – $109.16 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $195.43 – $221.22 | 4 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $174.58 – $174.58 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1.34 | $1.67 | $1.27 – $1.41 | 4 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $68.54 – $68.54 | 1 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $179.62 | $224.53 | $120.59 – $120.59 | 1 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $264.73 | $330.91 | $160.56 – $160.56 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,666.04 | $2,082.55 | $255.84 – $255.84 | 1 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,666.04 | $2,082.55 | $208.20 – $208.20 | 1 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $489.02 | $611.28 | $154.52 – $154.52 | 1 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,652.32 | $2,065.40 | $393.67 – $393.67 | 1 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,652.32 | $2,065.40 | $346.63 – $346.63 | 1 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,307.22 | $1,634.02 | $227.99 – $227.99 | 1 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $338.66 | $423.33 | $54.91 – $54.91 | 1 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $338.66 | $423.33 | $75.33 – $75.33 | 1 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $338.66 | $423.33 | $87.71 – $87.71 | 1 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $248.30 | $310.38 | $43.78 – $43.78 | 1 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.90 – $18.00 | 3 |
| Lso corset front HCPCS L0972 | not published | not published | $169.03 – $169.03 | 1 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $73.76 – $73.76 | 1 |
| Lso full corset HCPCS L0976 | not published | not published | $237.04 – $237.04 | 1 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $250.60 – $250.60 | 1 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $2,040.81 – $2,040.81 | 1 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $1,044.40 – $1,044.40 | 1 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $142.39 – $142.39 | 1 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,508.42 – $1,508.42 | 1 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $2,237.09 – $2,237.09 | 1 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $660.90 | $826.12 | $443.72 – $443.72 | 1 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $252.14 – $252.14 | 1 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,411.66 | $3,014.58 | $1,619.20 – $1,619.20 | 1 |
| Lso s/c shell/panel prefab HCPCS L0639 | $2,475.86 | $3,094.83 | $1,662.29 – $1,662.29 | 1 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $19.13 – $28.37 | 8 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.86 – $2.93 | 3 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $94.30 – $94.30 | 1 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $116.16 – $116.16 | 1 |
| Lumbar diskogram s&i CPT 72295 | $5,194.72 | $6,493.40 | $151.44 – $151.44 | 1 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $115.65 – $115.65 | 1 |
| Lumbar sling HCPCS L1090 | not published | not published | $149.12 – $149.12 | 1 |
| Lumizyme injection HCPCS J0221 | not published | not published | $192.62 – $214.02 | 4 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $934.83 | $1,168.54 | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $360.21 | $450.26 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $517.84 | $647.30 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,072.46 | $1,340.58 | $324.81 – $324.81 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $194.67 – $216.30 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $39.45 – $43.83 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $287.60 – $323.33 | 3 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $444.88 | $556.10 | $229.50 – $263.29 | 3 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $791.74 – $791.74 | 1 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $446.56 – $446.56 | 1 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $17.44 – $25.86 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $1,212.86 | $1,516.07 | $477.50 – $477.50 | 1 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $31.81 – $47.16 | 8 |
| Lymphocyte transformation mitogen CPT 86353 | $218.38 | $272.97 | $42.66 – $63.25 | 8 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $164.87 – $244.47 | 8 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $41.40 – $61.39 | 8 |
| Lymph vessel x-ray trunk CPT 75805 | $6,643.85 | $8,304.81 | not published | 0 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.10 – $15.10 | 1 |
| Macro exam dissect molec study ea CPT 88387 | $123.74 | $154.67 | $39.33 – $39.33 | 1 |
| Macroscopic exam arthropod CPT 87168 | $19.01 | $23.76 | $3.71 – $5.51 | 8 |
| Macroscopic exam parasite CPT 87169 | $19.01 | $23.76 | $2.02 – $5.56 | 8 |
| Magnesium CPT 83735 | $29.83 | $37.29 | $5.08 – $8.64 | 8 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $4.21 | $5.26 | $0.40 – $0.57 | 4 |
| Magnetic image bone marrow CPT 77084 | $1,307.22 | $1,634.02 | $444.40 – $444.40 | 1 |
| Makena, 10 mg HCPCS J1726 | $27.02 | $33.77 | $20.83 – $32.76 | 3 |
| Malaria antibody CPT 86750 | $58.73 | $73.41 | $11.48 – $17.02 | 8 |
| Manipulate finger w/anesth CPT 26340 | $3,924.78 | $4,905.97 | not published | 0 |
| Manipulat palm cord post inj CPT 26341 | $609.78 | $762.22 | not published | 0 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.40 – $2.67 | 2 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.04 – $7.89 | 3 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $107.83 – $107.83 | 1 |
| Manual diff wbc count b-coat CPT 85009 | $18.30 | $22.87 | $4.41 – $6.54 | 8 |
| Map tachycard site(s) CPT 93609 | $4,600.64 | $5,750.80 | not published | 0 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $46.45 – $53.75 | 4 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $144.33 – $144.33 | 1 |
| Mastectomy form HCPCS L8020 | not published | not published | $378.74 – $378.74 | 1 |
| Mastoids complete CPT 70130 | not published | not published | $83.36 – $83.36 | 1 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $76.09 – $335.50 | 3 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1,980.00 – $2,332.00 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $17.73 – $19.97 | 3 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $30.53 – $45.27 | 8 |
| M.avium-intra dna dir prob CPT 87560 | $98.46 | $123.07 | $23.74 – $35.20 | 8 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $37.27 – $55.26 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $64.42 | $80.53 | $12.58 – $18.65 | 8 |
| Mayo aathr protein s free CPT 85306 | $68.27 | $85.34 | $13.33 – $19.76 | 8 |
| Mayo activated protein c resistance assay CPT 85307 | $68.27 | $85.34 | $13.33 – $19.76 | 8 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $53.01 | $66.26 | $10.61 – $49.76 | 8 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $116.51 | $145.64 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $171.65 | $214.56 | $5.05 – $5.05 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $65.84 | $82.30 | $10.01 – $19.07 | 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.