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 |
|---|---|---|---|---|
| Unlisted resp px dx nuc med CPT 78599 | $1,146.14 | $1,432.67 | not published | 0 |
| Unlisted spec derm svc/px CPT 96999 | $627.20 | $784.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $238.91 | $298.64 | not published | 0 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,939.30 | $2,424.12 | not published | 0 |
| Upgrade pm system CPT 33214 | $11,938.26 | $14,922.83 | not published | 0 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $248.30 | $310.38 | $44.38 – $44.38 | 1 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $795.04 | $993.80 | $209.43 – $209.43 | 1 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $489.02 | $611.28 | $155.14 – $155.14 | 1 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,652.32 | $2,065.40 | $394.29 – $394.29 | 1 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,652.32 | $2,065.40 | $349.73 – $349.73 | 1 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,307.22 | $1,634.02 | $226.14 – $226.14 | 1 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $338.66 | $423.33 | $43.15 – $43.15 | 1 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $338.66 | $423.33 | $52.44 – $52.44 | 1 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,100.91 | $2,626.14 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,357.31 | $2,946.64 | not published | 0 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $722.03 – $722.03 | 1 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $414.21 | $517.76 | $171.85 – $171.85 | 1 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $414.21 | $517.76 | $155.77 – $155.77 | 1 |
| Urea nitrogen CPT 84520 | $17.61 | $22.01 | $3.44 – $5.10 | 8 |
| Urea nitrogen 24 hour urine CPT 84540 | $21.14 | $26.43 | $4.84 – $7.17 | 8 |
| Urea nitrogen clearance CPT 84545 | $29.44 | $36.80 | $6.26 – $9.29 | 8 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.46 – $6.62 | 8 |
| Ureteral reflux study CPT 78740 | not published | not published | $358.23 – $358.23 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $713.03 | $891.29 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $713.03 | $891.29 | $166.28 – $166.28 | 1 |
| Uric acid blood CPT 84550 | $20.13 | $25.16 | $3.93 – $5.83 | 8 |
| Uric acid urine CPT 84560 | $21.14 | $26.43 | $4.42 – $6.55 | 8 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.09 – $6.06 | 8 |
| Urinalysis microscopic only CPT 81015 | $13.56 | $16.95 | $2.02 – $3.93 | 8 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $9.63 | $12.04 | $1.89 – $2.80 | 8 |
| Urinalysis (with microscopy) CPT 81001 | $14.15 | $17.69 | $2.76 – $4.09 | 8 |
| Urinalysis (without microscopy) CPT 81003 | $10.01 | $12.51 | $1.96 – $2.90 | 8 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $121.11 – $121.11 | 1 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.08 – $5.64 | 3 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $4.18 – $11.06 | 3 |
| Urinary suspensory HCPCS A5105 | not published | not published | $74.96 – $74.96 | 1 |
| Urine Culture Test CPT 87086 | $35.93 | $44.91 | $7.02 – $10.41 | 8 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $6.62 – $11.98 | 3 |
| Urine pregnancy test CPT 81025 | $31.06 | $38.82 | $2.02 – $11.11 | 8 |
| Urine screen for bacteria CPT 81007 | not published | not published | $2.02 – $38.67 | 8 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $8.13 – $12.05 | 8 |
| Urography, antegrade CPT 74425 | $901.26 | $1,126.58 | $204.03 – $204.03 | 1 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $224.91 – $224.91 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $119.26 – $119.26 | 1 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,812.73 – $2,812.73 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $42.38 | $52.97 | $12.29 – $17.11 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $816.05 | $1,020.06 | $85.84 – $339.96 | 4 |
| Vaccine Administration (one shot) CPT 90471 | $83.37 | $104.21 | not published | 0 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $294.66 | $368.32 | $134.40 – $134.40 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $291.25 | $364.06 | $134.40 – $134.40 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $241.57 | $301.96 | $120.75 – $120.75 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $299.73 | $374.66 | $80.85 – $80.85 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $270.22 | $337.77 | $60.38 – $60.38 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | $71.27 | $89.09 | $28.79 – $31.99 | 4 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $166.86 | $208.58 | $96.57 – $107.30 | 4 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $150.90 | $188.62 | $61.25 – $68.06 | 4 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $259.71 | $324.64 | $150.19 – $169.94 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | $278.81 | $348.51 | $113.99 – $132.51 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $72.67 | $90.84 | $31.04 – $34.49 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $32.03 | $40.04 | $12.82 – $14.25 | 4 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $174.89 | $218.61 | $51.38 – $91.86 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $256.45 | $320.56 | $125.86 – $139.85 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $73.78 | $92.22 | $37.50 – $41.67 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $43.78 | $54.73 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $53.42 | $66.78 | $26.14 – $75.49 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $97.19 | $121.49 | $63.30 – $74.08 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $334.07 | $417.59 | $144.07 – $160.08 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $55.85 | $69.81 | $26.14 – $31.45 | 5 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $789.62 | $987.03 | $290.14 – $335.55 | 4 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $460.38 | $575.48 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $209.09 | $261.36 | $49.03 – $87.83 | 5 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $50.22 – $87.83 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $47.34 | $59.18 | $19.75 – $19.75 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $50.38 | $62.98 | $19.03 – $20.77 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $44.94 | $56.17 | $17.84 – $21.56 | 5 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $67.91 – $75.46 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $46.75 | $58.44 | $20.06 – $22.78 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $48.14 | $60.17 | $19.03 – $22.65 | 5 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.34 – $10.78 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $55.80 | $69.75 | $24.79 – $27.54 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $156.90 | $196.13 | $46.31 – $73.62 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $84.90 | $106.13 | $44.29 – $44.29 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $9.88 – $9.88 | 1 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $406.24 | $507.80 | $217.26 – $241.74 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $422.42 | $528.03 | $181.47 – $230.30 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $387.88 | $484.85 | $160.47 – $180.52 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $406.24 | $507.80 | $152.90 – $169.96 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | $226.25 | $282.81 | $93.90 – $104.33 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | $699.75 | $874.69 | $282.82 – $314.24 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $257.16 | $321.45 | $107.75 – $140.50 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $569.32 | $711.65 | $192.64 – $271.57 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $540.95 | $676.19 | $233.24 – $259.15 | 4 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $569.32 | $711.65 | $268.79 – $305.11 | 4 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $108.11 | $135.14 | $41.71 – $48.64 | 4 |
| Vaccine rabies im CPT 90675 | $974.14 | $1,217.68 | $284.98 – $454.85 | 5 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $654.22 | $817.77 | $309.75 – $325.45 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,269.98 | $1,587.47 | $519.75 – $606.96 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,269.98 | $1,587.47 | $519.75 – $606.96 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $626.02 | $782.53 | $294.00 – $312.48 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $214.50 | $268.12 | $141.15 – $156.83 | 3 |
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.