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 |
|---|---|---|---|---|
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $84.22 | $105.28 | not published | 0 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $84.22 | $105.28 | not published | 0 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $1.62 – $3.70 | 3 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $76.37 – $76.37 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.58 – $5.02 | 3 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.06 – $6.58 | 3 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $4.40 – $8.75 | 3 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.66 – $3.17 | 3 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $10.06 – $16.62 | 3 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $8.60 – $15.66 | 3 |
| Other immunoelectrophoresis CPT 86325 | $99.61 | $124.51 | $20.12 – $29.84 | 8 |
| Oth resp proc, group HCPCS G0239 | $122.45 | $153.06 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $122.45 | $153.06 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $207.32 | $259.15 | $43.65 – $79.73 | 2 |
| Ot re-evaluation patient/family CPT 97168 | $208.86 | $261.08 | $52.01 – $109.84 | 2 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $86.69 | $108.36 | $19.21 – $30.11 | 2 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $89.41 | $111.76 | $19.82 – $32.13 | 2 |
| Outrigger HCPCS L1080 | not published | not published | $82.03 – $82.03 | 1 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $228.18 – $228.18 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $11.05 – $16.38 | 8 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.56 – $3.50 | 4 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.05 – $0.60 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $0.87 – $1.43 | 4 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $329.26 – $365.85 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $83.83 – $176.73 | 8 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $3.43 – $3.43 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.10 – $0.40 | 4 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $20.49 | $25.61 | $8.05 – $17.54 | 4 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $588.55 – $872.68 | 8 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $94.17 – $388.74 | 8 |
| Palifermin injection HCPCS J2425 | not published | not published | $25.60 – $36.63 | 4 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $349.02 – $480.00 | 3 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $1,344.60 – $1,494.00 | 3 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $36.22 | $45.28 | $14.73 – $16.37 | 4 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $1,804.91 – $2,090.71 | 4 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.35 – $6.00 | 4 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $15.82 | $19.77 | $11.11 – $24.61 | 4 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $160.06 – $177.84 | 4 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | not published | not published | $1.93 – $2.00 | 2 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $38.25 – $45.00 | 4 |
| Parathormone (pth) intact CPT 83970 | $183.85 | $229.81 | $35.91 – $53.25 | 8 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,212.86 | $1,516.07 | $577.73 – $577.73 | 1 |
| Parathyroid planar imaging CPT 78070 | $843.77 | $1,054.71 | $415.16 – $415.16 | 1 |
| Parathyroid planar img w/tomo spect CPT 78071 | $843.77 | $1,054.71 | $472.54 – $472.54 | 1 |
| Paricalcitol HCPCS J2501 | $1.69 | $2.11 | $0.95 – $2.40 | 4 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $627.20 | $784.00 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $7,808.27 | $9,760.34 | not published | 0 |
| Partial removal foot fascia CPT 28060 | $6,997.54 | $8,746.92 | not published | 0 |
| Partial removal of lung 32480 CPT 32480 | $22,241.94 | $27,802.43 | not published | 0 |
| Partial thyroid excision CPT 60210 | $13,101.61 | $16,377.01 | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.54 – $3.84 | 3 |
| Passy muir valve metal trach HCPCS L8501 | $284.14 | $355.17 | $190.77 – $190.77 | 1 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $4.34 – $10.53 | 3 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $58.51 – $58.51 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $32.29 – $32.29 | 1 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $26.22 – $26.22 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $16.15 – $16.15 | 1 |
| Patten bottom HCPCS L2370 | not published | not published | $507.37 – $507.37 | 1 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $221.89 – $329.01 | 8 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $308.01 – $308.01 | 1 |
| Pdgfra gene CPT 81314 | $1,188.79 | $1,485.99 | $199.69 – $425.07 | 8 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $35.45 – $35.45 | 1 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $9,705.19 – $9,705.19 | 1 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $2,552.64 – $2,552.64 | 1 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $2,051.55 – $2,051.55 | 1 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $2,422.21 – $2,422.21 | 1 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,919.12 – $1,919.12 | 1 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $1,042.32 – $1,042.32 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $800.32 – $889.25 | 2 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $24,021.86 – $28,424.06 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $120.87 – $641.80 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $130.92 – $392.50 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $159.39 – $417.50 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $144.87 – $147.24 | 2 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $97.29 – $417.50 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $125.19 – $127.23 | 2 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,103.21 – $1,225.79 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $9,991.47 | $12,489.34 | $3,599.80 – $3,999.78 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $222.32 – $225.95 | 2 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $799.21 – $799.21 | 1 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $674.52 – $674.52 | 1 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $664.21 – $664.21 | 1 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $447.02 – $447.02 | 1 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $528.47 – $528.47 | 1 |
| Pelvic control pelvic sling HCPCS L2580 | $1,175.69 | $1,469.61 | $789.36 – $789.36 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $795.04 | $993.80 | $359.79 – $359.79 | 1 |
| Pelvic CT scan (with contrast) CPT 72193 | $795.04 | $993.80 | $318.96 – $318.96 | 1 |
| Pelvic CT scan (without contrast) CPT 72192 | $489.02 | $611.28 | $153.29 – $153.29 | 1 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,806.14 – $1,806.14 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,652.32 | $2,065.40 | $430.79 – $430.79 | 1 |
| Pelvic MRI (with contrast) CPT 72196 | $1,652.32 | $2,065.40 | $349.11 – $349.11 | 1 |
| Pelvic MRI (without contrast) CPT 72195 | $1,307.22 | $1,634.02 | $297.30 – $297.30 | 1 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $12,765.81 | $15,957.26 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $456.76 | $570.95 | $134.73 – $134.73 | 1 |
| Pelvic Ultrasound (limited) CPT 76857 | $456.76 | $570.95 | $50.58 – $50.58 | 1 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $338.66 | $423.33 | $36.35 – $36.35 | 1 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $338.66 | $423.33 | $57.39 – $57.39 | 1 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $182.68 – $182.68 | 1 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $57.69 – $64.10 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.54 – $19.08 | 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.