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 |
|---|---|---|---|---|
| Rmvl fb upr arm/elbow deep CPT 24201 | $7,581.66 | $9,477.08 | not published | 0 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $3,421.48 | $4,276.85 | not published | 0 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $4,469.02 | $5,586.28 | not published | 0 |
| Rmvl icd by tv extr CPT 33244 | $7,945.12 | $9,931.40 | not published | 0 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $20,833.14 | $26,041.42 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $27,261.14 | $34,076.43 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $20,833.14 | $26,041.42 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $7,945.12 | $9,931.40 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,204.22 | $2,755.28 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $7,542.63 | $9,428.29 | not published | 0 |
| Rmvl perq right heart vad CPT 33997 | $583.14 | $728.92 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $21,884.58 | $27,355.73 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $7,542.63 | $9,428.29 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $1,960.10 | $2,450.12 | not published | 0 |
| Rmvl sq defib electrode CPT 33272 | $9,108.42 | $11,385.53 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,007.97 | $2,509.96 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $7,945.12 | $9,931.40 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $7,945.12 | $9,931.40 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $154.00 – $154.00 | 1 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $2.00 – $4.42 | 3 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.41 – $38.02 | 4 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $10.87 – $11.05 | 2 |
| Romiplostim injection HCPCS J2796 | not published | not published | $97.29 – $108.10 | 2 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $32.54 | $40.68 | $10.84 – $12.11 | 4 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.08 | $0.10 | $0.05 – $0.22 | 4 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $839.93 – $839.93 | 1 |
| Rotavirus antibody CPT 86759 | not published | not published | $14.73 – $23.52 | 8 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $123.98 – $123.98 | 1 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.00 – $23.38 | 2 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,722.00 | $3,402.50 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $382.98 – $382.98 | 1 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,641.72 | $3,302.15 | $658.01 – $658.01 | 1 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,962.57 | $4,953.21 | $1,289.89 – $1,289.89 | 1 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,722.00 | $3,402.50 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $6,901.04 | $8,626.30 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $6,988.46 | $8,735.57 | not published | 0 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $11,980.07 | $14,975.09 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $37.98 | $47.47 | $11.40 – $16.90 | 8 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $295.80 – $295.80 | 1 |
| Rubella antibody igg CPT 86762 | $64.12 | $80.15 | $12.52 – $18.56 | 8 |
| Rubeola ag if CPT 87283 | not published | not published | $52.90 – $78.43 | 8 |
| Rubeola antibody igg CPT 86765 | $57.36 | $71.70 | $11.21 – $16.62 | 8 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $286.67 – $425.07 | 8 |
| Russell viper venom diluted CPT 85613 | $42.67 | $53.34 | $7.90 – $12.36 | 8 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $8,747.92 | $10,934.90 | $797.86 – $1,183.03 | 8 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $320.73 – $320.73 | 1 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $33.48 – $37.20 | 4 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $338.66 | $423.33 | $52.44 – $52.44 | 1 |
| Salivary gland function exam CPT 78232 | $1,146.14 | $1,432.67 | $156.53 – $156.53 | 1 |
| Salivary gland imaging CPT 78230 | not published | not published | $253.05 – $253.05 | 1 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $155.90 – $155.90 | 1 |
| Salmonella antibody CPT 86768 | $58.73 | $73.41 | $9.14 – $17.02 | 8 |
| Sargramostim injection HCPCS J2820 | not published | not published | $60.75 – $72.58 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $44.74 – $66.34 | 8 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $136.50 – $136.50 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $148.01 | $185.01 | $27.14 – $45.58 | 8 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $18.56 – $90.67 | 8 |
| Sbrt management CPT 77435 | not published | not published | $1,210.87 – $1,210.87 | 1 |
| Sbsq psyc collab care mgmt CPT 99493 | $250.99 | $313.74 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $940.07 | $1,175.09 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $456.76 | $570.95 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $456.76 | $570.95 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $456.76 | $570.95 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $456.76 | $570.95 | not published | 0 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $7,360.82 – $7,360.82 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,141.10 | $2,676.38 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $16.13 – $23.92 | 8 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $27.79 – $41.20 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $38.25 – $56.72 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $23.05 – $34.17 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $23.53 – $34.89 | 8 |
| Screen cerv/vag thin layer HCPCS G0123 | $90.23 | $112.79 | $17.63 – $26.14 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $70.86 | $88.57 | $15.70 – $23.28 | 8 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $125.91 | $157.39 | $24.59 – $36.47 | 8 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $167.22 | $209.03 | $40.32 – $59.79 | 8 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $20.95 – $31.06 | 8 |
| Screening Mammogram CPT 77067 | $350.01 | $437.51 | $168.75 – $168.75 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | $81.95 | $102.44 | $16.80 – $24.91 | 8 |
| Screen pap by tech w md supv HCPCS P3000 | $52.86 | $66.08 | $14.84 – $23.92 | 8 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $48.12 | $60.15 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $9,348.00 | $11,685.00 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $456.76 | $570.95 | $127.30 – $127.30 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $5,936.98 | $7,421.22 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $12.02 | $15.02 | $2.02 – $3.48 | 8 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,370.06 – $2,633.40 | 3 |
| Segmentectomy 32484 CPT 32484 | $19,179.96 | $23,974.95 | not published | 0 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.44 – $1.44 | 1 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $128.03 | $160.04 | $28.37 – $51.89 | 2 |
| Semen analysis HCPCS G0027 | not published | not published | $5.66 – $8.38 | 8 |
| Semen analysis presence/motility CPT 89321 | $53.68 | $67.10 | $6.87 – $15.54 | 8 |
| Semen analysis w/count CPT 89310 | not published | not published | $7.49 – $11.11 | 8 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $167.04 – $247.68 | 8 |
| Serpina1 gene CPT 81332 | $194.42 | $243.02 | $37.98 – $56.31 | 8 |
| Sertraline (zoloft) - sendout CPT 80332 | $450.97 | $563.71 | not published | 0 |
| Set radiation therapy field CPT 77280 | $434.81 | $543.51 | $430.48 – $430.48 | 1 |
| Set radiation therapy field CPT 77285 | not published | not published | $735.36 – $735.36 | 1 |
| Set radiation therapy field CPT 77290 | $1,145.92 | $1,432.40 | $665.91 – $665.91 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $0.02 | $0.02 | $0.36 – $0.36 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $0.49 | $0.61 | $0.05 – $0.05 | 1 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $2,365.98 – $2,365.98 | 1 |
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.