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 |
|---|---|---|---|---|
| X-ray bone survey infant CPT 77076 | $271.78 | $339.72 | $133.95 – $133.95 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $116.16 – $116.16 | 1 |
| X-ray exam entire spi 6/> vw CPT 72084 | $338.66 | $423.33 | $145.70 – $145.70 | 1 |
| X-ray exam of arm infant CPT 73092 | $338.66 | $423.33 | $42.53 – $42.53 | 1 |
| X-ray exam of femur 1 CPT 73551 | $248.30 | $310.38 | $39.45 – $39.45 | 1 |
| X-ray exam of jaw joint CPT 70328 | $238.91 | $298.64 | $46.86 – $46.86 | 1 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $101.32 – $101.32 | 1 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $55.54 – $55.54 | 1 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $82.13 – $82.13 | 1 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $53.06 – $53.06 | 1 |
| X-ray exam of teeth CPT 70300 | not published | not published | $16.54 – $16.54 | 1 |
| X-ray exam of teeth CPT 70310 | not published | not published | $64.19 – $64.19 | 1 |
| X-ray exam si joints CPT 72200 | $338.66 | $423.33 | $46.86 – $46.86 | 1 |
| X-ray exam thorac spine4/>vw CPT 72074 | $338.66 | $423.33 | $60.47 – $60.47 | 1 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $248.30 | $310.38 | $44.38 – $44.38 | 1 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $17.78 – $17.78 | 1 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $338.66 | $423.33 | $91.42 – $91.42 | 1 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $338.66 | $423.33 | $86.46 – $86.46 | 1 |
| X-ray joint survey 1 view CPT 77077 | $338.66 | $423.33 | $57.39 – $57.39 | 1 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $248.30 | $310.38 | $42.53 – $42.53 | 1 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $338.66 | $423.33 | $57.99 – $57.99 | 1 |
| X-ray male genital tract CPT 74440 | not published | not published | $153.29 – $153.29 | 1 |
| X-ray mandible ltd <4 views CPT 70100 | $248.30 | $310.38 | $57.99 – $57.99 | 1 |
| X-ray nose to rectum for foreign body child CPT 76010 | $248.30 | $310.38 | $37.58 – $37.58 | 1 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $87.71 – $87.71 | 1 |
| X-ray optic foramina CPT 70190 | not published | not published | $48.71 – $48.71 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $901.26 | $1,126.58 | $104.40 – $104.40 | 1 |
| X-ray ribs 2 views left CPT 71100 | $248.30 | $310.38 | $47.48 – $47.48 | 1 |
| X-ray sella turcica CPT 70240 | not published | not published | $42.53 – $42.53 | 1 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,490.95 | $1,863.69 | $64.19 – $64.19 | 1 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $109.36 – $109.36 | 1 |
| X-ray small intestine follow-through study CPT 74248 | $798.28 | $997.85 | $87.71 – $87.71 | 1 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $248.30 | $310.38 | $57.39 – $57.39 | 1 |
| X-ray surgical specimen CPT 76098 | $1,392.39 | $1,740.49 | $52.44 – $52.44 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $248.30 | $310.38 | $57.99 – $57.99 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $387.34 | $484.18 | $118.64 – $118.64 | 1 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $486.00 – $3,692.14 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $11.23 – $16.65 | 8 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.54 – $1.91 | 8 |
| Yersinia antibody CPT 86793 | $58.73 | $73.41 | $8.11 – $17.02 | 8 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $66,711.99 – $74,124.43 | 3 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $75.79 – $1,140.00 | 3 |
| Ziconotide injection HCPCS J2278 | $31.86 | $39.82 | $10.18 – $11.31 | 4 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.49 – $1.75 | 4 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.18 – $1.51 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | $159.90 | $199.88 | $44.64 – $66.19 | 8 |
| Zika virus igm antibody CPT 86794 | $52.51 | $65.64 | $14.66 – $21.74 | 8 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $2.31 – $2.31 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $9.00 – $19.67 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.11 – $19.20 | 4 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.13 – $33.67 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $14.98 | $18.72 | $5.00 – $24.30 | 4 |
| Zoster vaccine-live inj CPT 90736 | $552.93 | $691.16 | $229.68 – $255.20 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $117.11 – $249.29 | 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.