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 |
|---|---|---|---|---|
| Small animal inoculation CPT 87003 | not published | not published | $14.65 – $21.72 | 8 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $414.21 | $517.76 | $149.58 – $149.58 | 1 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $275.40 – $275.40 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $23.99 | $29.99 | $4.69 – $6.95 | 8 |
| Smear gram stain CPT 87205 | $19.01 | $23.76 | $3.43 – $5.51 | 8 |
| Smear nasal eosinophil CPT 89190 | $21.14 | $26.43 | $4.75 – $7.47 | 8 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $26.70 | $33.38 | $5.21 – $7.73 | 8 |
| Smear wet mount CPT 87210 | $21.00 | $26.25 | $3.43 – $7.51 | 8 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $262.17 – $388.74 | 8 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $94.17 – $238.91 | 8 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $40.89 – $60.63 | 8 |
| Snrpn/ube3a gene CPT 81331 | $175.47 | $219.34 | $44.43 – $65.88 | 8 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,664.58 – $1,664.58 | 1 |
| So cap design without jnts cf HCPCS L3671 | $2,148.72 | $2,685.90 | $1,268.95 – $1,268.95 | 1 |
| Socket insert above knee HCPCS L5658 | not published | not published | $618.19 – $618.19 | 1 |
| Socket insert below knee HCPCS L5655 | $802.68 | $1,003.35 | $538.92 – $538.92 | 1 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $765.64 – $765.64 | 1 |
| Socket insert symes HCPCS L5654 | not published | not published | $554.66 – $554.66 | 1 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $879.39 – $879.39 | 1 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $1,055.30 – $1,055.30 | 1 |
| Sock fracture or equal each HCPCS L3995 | $94.21 | $117.76 | $63.24 – $63.24 | 1 |
| Sock wool above knee HCPCS L8430 | not published | not published | $41.13 – $41.13 | 1 |
| Sodium 24 hour urine CPT 84300 | $21.65 | $27.06 | $4.40 – $6.53 | 8 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $5.62 | $7.03 | $1.99 – $6.30 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.29 – $5.32 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $4.02 | $5.03 | $0.66 – $4.80 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.08 – $0.16 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $4.38 | $5.47 | $2.18 – $7.63 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $478.69 | $598.36 | $71.79 – $114.00 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $21.43 | $26.79 | $4.18 – $6.20 | 8 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.79 – $0.82 | 2 |
| Soft interface below knee se HCPCS L2820 | $220.20 | $275.25 | $147.83 – $147.83 | 1 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,170.42 – $1,735.45 | 8 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,040.37 – $1,542.62 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,861.00 – $4,242.18 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $910.32 – $1,349.79 | 8 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.85 – $6.39 | 3 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $11.65 – $11.65 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $155.10 – $182.17 | 4 |
| So neo gsap dna/dna&rna CPT 81459 | $12,005.54 | $15,006.92 | $2,600.91 – $3,856.52 | 8 |
| So neo gsap dna mcrstl ins CPT 81457 | $2,297.78 | $2,872.23 | $780.28 – $1,156.96 | 8 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $19.68 – $24.63 | 3 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $247.14 – $247.14 | 1 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $19.84 – $22.05 | 2 |
| Special physics consult CPT 77370 | $352.99 | $441.24 | $277.27 – $277.27 | 1 |
| Special radiation dosimetry CPT 77331 | $340.10 | $425.13 | $35.72 – $35.72 | 1 |
| Special radiation treatment CPT 77470 | $1,839.70 | $2,299.62 | $71.45 – $71.45 | 1 |
| Special supplies phys/qhp CPT 99070 | $286.80 | $358.50 | not published | 0 |
| Special teletx port plan CPT 77321 | $1,145.92 | $1,432.40 | $82.76 – $82.76 | 1 |
| Specific gravity body fluid CPT 84315 | $11.84 | $14.80 | $2.85 – $4.23 | 8 |
| Specimen fat stain CPT 89125 | $21.22 | $26.52 | $5.12 – $7.59 | 8 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $893.58 | $1,116.97 | $161.55 – $365.43 | 2 |
| Speech evaluation complex CPT 70371 | not published | not published | $129.77 – $129.77 | 1 |
| Speech Therapy Session (one-on-one) CPT 92507 | $297.12 | $371.40 | $66.15 – $122.81 | 2 |
| Sperm antibody test CPT 89325 | not published | not published | $9.28 – $13.76 | 8 |
| Sperm evaluation test CPT 89329 | not published | not published | $17.04 – $25.27 | 8 |
| Sperm isolation complex CPT 89261 | $168.85 | $211.06 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,515.42 | $1,894.28 | not published | 0 |
| Spine X-ray (single view, one level) CPT 72020 | $248.30 | $310.38 | $29.54 – $29.54 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $256.13 – $256.13 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,002.93 | $1,253.66 | $592.29 – $592.29 | 1 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $106.65 | $133.31 | $71.60 – $71.60 | 1 |
| Splint finger 4 prong foam sm HCPCS A4570 | $112.50 | $140.63 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $187.94 | $234.93 | $126.17 – $126.17 | 1 |
| Splint finger frog med HCPCS L3927 | $73.29 | $91.61 | $49.21 – $49.21 | 1 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $3.56 | $4.45 | $3.46 – $3.46 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $187.94 | $234.93 | $126.17 – $126.17 | 1 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $8,183.90 | $10,229.87 | not published | 0 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $113.74 – $113.74 | 1 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $1,013.05 – $1,013.05 | 1 |
| Sputum specimen collection CPT 89220 | $391.78 | $489.72 | not published | 0 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,975.00 – $4,500.00 | 3 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $106.29 – $226.27 | 8 |
| Srs linear based CPT 77372 | $19,217.00 | $24,021.25 | $1,726.65 – $1,726.65 | 1 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $340.37 – $340.37 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $425.62 | $532.02 | $75.10 – $176.62 | 2 |
| Stance phase only HCPCS L5858 | not published | not published | $28,814.05 – $28,814.05 | 1 |
| Standard control cable extra HCPCS L6655 | not published | not published | $126.25 – $126.25 | 1 |
| Staph a dna amp probe CPT 87640 | $95.74 | $119.68 | $21.64 – $45.27 | 8 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $259.63 – $259.63 | 1 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $79.88 – $79.88 | 1 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $79.88 – $79.88 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $406.11 | $507.64 | $90.91 – $90.91 | 1 |
| Stem cells total count CPT 86367 | $242.40 | $303.00 | $23.40 – $100.34 | 8 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $27,734.70 | $34,668.38 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $16,528.80 | $20,661.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $189.67 | $237.09 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $7,820.21 | $9,775.26 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $21,741.66 | $27,177.08 | not published | 0 |
| Stent placemt retro carotid CPT 37217 | $8,680.49 | $10,850.61 | not published | 0 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $27,734.70 | $34,668.38 | not published | 0 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $801.14 – $801.14 | 1 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.19 – $0.19 | 1 |
| Sterile needle HCPCS A4215 | $13.23 | $16.54 | $0.28 – $0.31 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | $0.02 | $0.02 | $0.71 – $1.11 | 3 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $4.23 – $4.90 | 3 |
| Sternal debridement CPT 21627 | $13,045.57 | $16,306.96 | not published | 0 |
| Sternal pad HCPCS L1050 | not published | not published | $123.43 – $123.43 | 1 |
| St evaluate speech sound production CPT 92522 | $434.45 | $543.06 | $76.82 – $180.13 | 2 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $354.66 | $443.32 | $76.51 – $76.51 | 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.