SelfPayRates
Hospital Rochester, NY

The Unity Hospital of Rochester

The Unity Hospital of Rochester in Rochester, NY publishes cash prices for 55 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.

1555 Long Pond Road, Rochester, NY 14626 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC COMPUTED TOMOGRAPHY_ ABD _ PELVIS_ W CONTRAST $960.11 $1,200.14 20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC COMPUTED TOMOGRAPHY_ ABD _ PELVIS_ W CONTRAST $960.11 $1,200.14 20%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD_BRAIN WO CONTRAST $489.02 $611.28 20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD_BRAIN WO CONTRAST $489.02 $611.28 20%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST $795.04 $993.80 20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST $795.04 $993.80 20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY ANY JOINT WO CONTRAST $1,307.22 $1,634.02 20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY ANY JOINT WO CONTRAST $1,307.22 $1,634.02 20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY ANY JOINT WO _ W CONTRAST $1,652.32 $2,065.40 20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY ANY JOINT WO _ W CONTRAST $1,652.32 $2,065.40 20%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN INCLUDING BRAIN STEM WO CONTRAST $1,307.22 $1,634.02 20%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN INCLUDING BRAIN STEM WO CONTRAST $1,307.22 $1,634.02 20%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO _ W CONTRAST $1,652.32 $2,065.40 20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WO _ W CONTRAST $1,652.32 $2,065.40 20%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WO CONTRAST $1,307.22 $1,634.02 20%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WO CONTRAST $1,307.22 $1,634.02 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANT UTERUS_ AFTER 1ST TRIMESTER_ SINGLE OR 1ST GESTATION $456.76 $570.95 20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANT UTERUS_ AFTER 1ST TRIMESTER_ SINGLE OR 1ST GESTATION $456.76 $570.95 20%
Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD $350.01 $437.51 20%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD $350.01 $437.51 20%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY_ AGE 6 OR OLDER_ SLEEP STAGING W 4_MORE PARAMETERS_ TECH ATTENDED $3,481.65 $4,352.06 20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY_ AGE 6 OR OLDER_ SLEEP STAGING W 4_MORE PARAMETERS_ TECH ATTENDED $3,481.65 $4,352.06 20%
Transvaginal pelvic ultrasound CPT 76830 HC US ECHOGRAPHY_TRANSVAGINAL $456.76 $570.95 20%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US ECHOGRAPHY_TRANSVAGINAL $456.76 $570.95 20%
Ultrasound of the abdomen, complete CPT 76700 HC US ECHOGRAPHY_ ABDOMINAL_ COMPLETE $456.76 $570.95 20%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ECHOGRAPHY_ ABDOMINAL_ COMPLETE $456.76 $570.95 20%
X-ray of the lower back, 4 or more views CPT 72110 HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $338.66 $423.33 20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $338.66 $423.33 20%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL _8_ $37.67 $47.09 20%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL _8_ $37.67 $47.09 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE $59.63 $74.54 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE $59.63 $74.54 20%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH AUTO DIFFERENTIAL $34.61 $43.26 20%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH AUTO DIFFERENTIAL $34.61 $43.26 20%
Complete blood count (CBC), no differential CPT 85027 HC CBC _HEMOGRAM _ PLT_ $28.80 $36.00 20%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC _HEMOGRAM _ PLT_ $28.80 $36.00 20%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL _14_ $47.05 $58.81 20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL _14_ $47.05 $58.81 20%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL $38.67 $48.34 20%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL $38.67 $48.34 20%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL _7_ $36.40 $45.50 20%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL _7_ $36.40 $45.50 20%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL $130.45 $163.06 20%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL $130.45 $163.06 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA_ FREE $81.95 $102.44 20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA_ FREE $81.95 $102.44 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA_ TOTAL $81.95 $102.44 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA_ TOTAL $81.95 $102.44 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT $26.77 $33.46 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT $26.77 $33.46 20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $17.49 $21.86 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME $17.49 $21.86 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE _TSH_ $74.86 $93.57 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE _TSH_ $74.86 $93.57 20%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS _ ROUTINE $14.15 $17.69 20%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS _ ROUTINE $14.15 $17.69 20%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS_ NON_AUTOMATED $14.50 $18.13 20%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS_ NON_AUTOMATED $14.50 $18.13 20%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS WO MICROSCOPY $10.01 $12.51 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS WO MICROSCOPY $10.01 $12.51 20%
Urinalysis without microscope exam, manual CPT 81002 HC URINE DIPSTICK_ NON_AUTOMATED $12.56 $15.70 20%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINE DIPSTICK_ NON_AUTOMATED $12.56 $15.70 20%

Surgery and procedures

ProcedureCash price List priceOff list
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W_VENTRCLGRPHY $7,632.41 $9,540.51 20%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W_VENTRCLGRPHY $7,632.41 $9,540.51 20%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJECTION EPIDURAL_SUBARACHNOID LUMBAR_SACRAL WITH IMAGING $914.90 $1,143.63 20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJECTION EPIDURAL_SUBARACHNOID LUMBAR_SACRAL WITH IMAGING $914.90 $1,143.63 20%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX_THER SBST INTRLMNR LMBR_SAC W_O IMG GDN $914.90 $1,143.63 20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX_THER SBST INTRLMNR LMBR_SAC W_O IMG GDN $914.90 $1,143.63 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX AA__STRD TFRML EPI LUMBAR_SACRAL 1 LEVEL $2,349.42 $2,936.78 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ ANESTH__STEROID_TRANSFORAMINAL EPIDURAL_IMAGE GUIDE_FLUOR_CT__LUMBAR_SACARAL_SINGLE LVL $2,349.42 $2,936.78 20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC NJX AA__STRD TFRML EPI LUMBAR_SACRAL 1 LEVEL $2,349.42 $2,936.78 20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ ANESTH__STEROID_TRANSFORAMINAL EPIDURAL_IMAGE GUIDE_FLUOR_CT__LUMBAR_SACARAL_SINGLE LVL $2,349.42 $2,936.78 20%
Removal of a breast lump, open surgery CPT 19120 HC EXC CYST_ABERRANT BREAST TISSUE OPEN 1__ LESION $9,098.35 $11,372.94 20%
Removal of a breast lump, open surgery inpatient CPT 19120 HC EXC CYST_ABERRANT BREAST TISSUE OPEN 1__ LESION $9,098.35 $11,372.94 20%
Total knee replacement CPT 27447 HC ARTHRP KHC NE CONDYLE_PLATU MEDIAL_LAT COMPARTMENTS $17,146.00 $21,432.50 20%
Total knee replacement inpatient CPT 27447 HC ARTHRP KHC NE CONDYLE_PLATU MEDIAL_LAT COMPARTMENTS $17,146.00 $21,432.50 20%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE_MULTIPLE $1,937.99 $2,422.49 20%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE_MULTIPLE $1,937.99 $2,422.49 20%
Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $2,100.91 $2,626.14 20%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $2,100.91 $2,626.14 20%

Doctor visits and therapy

ProcedureCash price List priceOff list
Family therapy with the patient, 50 minutes CPT 90847 HC OASAS FAMILY PSYCHOTHERAPY W_PATIENT PRESENT 50 MINS $395.64 $494.55 20%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY _CONJOINT PSYCHOTHERAPY_ W PATIENT PRESENT $415.42 $519.27 20%
Family therapy with the patient, 50 minutes CPT 90847 HC OMH FAMILY PSYCHOTHERAPY _CONJOINT PSYCHOTHERAPY_ W PATIENT PRESENT $415.42 $519.27 20%
Family therapy with the patient, 50 minutes CPT 90847 HC BHN FAMILY PSYCHOTHERAPY W PATIENT PRESENT $415.42 $519.27 20%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC OASAS FAMILY PSYCHOTHERAPY W_PATIENT PRESENT 50 MINS $395.64 $494.55 20%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC BHN FAMILY PSYCHOTHERAPY W PATIENT PRESENT $415.42 $519.27 20%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY _CONJOINT PSYCHOTHERAPY_ W PATIENT PRESENT $415.42 $519.27 20%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC OMH FAMILY PSYCHOTHERAPY _CONJOINT PSYCHOTHERAPY_ W PATIENT PRESENT $415.42 $519.27 20%
Family therapy without the patient, 50 minutes CPT 90846 HC OMH FAMILY PSYCHOTHERAPY WO PATIENT PRESENT $415.42 $519.27 20%
Family therapy without the patient, 50 minutes CPT 90846 HC OASAS_ FAMILY PSYCHOTHERAPY WO PATIENT PRESENT $415.42 $519.27 20%
Family therapy without the patient, 50 minutes CPT 90846 HC BHN FAMILY PSYCHOTHERAPY WO PATIENT PRESENT $415.42 $519.27 20%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC BHN FAMILY PSYCHOTHERAPY WO PATIENT PRESENT $415.42 $519.27 20%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC OASAS_ FAMILY PSYCHOTHERAPY WO PATIENT PRESENT $415.42 $519.27 20%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC OMH FAMILY PSYCHOTHERAPY WO PATIENT PRESENT $415.42 $519.27 20%
Group psychotherapy session CPT 90853 HC OMH GROUP PSYCHOTHERAPY_ OTHER THAN OF A MULTI_FAMILY GROUP $241.98 $302.47 20%
Group psychotherapy session CPT 90853 HC BHN GROUP PSYCHOTHERAPY $241.98 $302.47 20%
Group psychotherapy session CPT 90853 HC OASAS DRUG ORIENTATION_ GROUP PSYCHOTHERAPY _OTHER THAN MULTI_FAMILY GROUP_ $260.13 $325.16 20%
Group psychotherapy session CPT 90853 HC OASAS DRUG ADULTS IN RECOVERY_ GROUP PSYCHOTHERAPY _OTHER THAN MULTI_FAMILY GROUP_ $260.13 $325.16 20%
Group psychotherapy session CPT 90853 HC OASAS DRUG AOP STABILIZATION $260.13 $325.16 20%
Group psychotherapy session CPT 90853 HC OASAS ALCOHOL ADULTS IN RECOVERY_ GROUP PSYCHOTHERAPY _OTHER THAN MULTI_FAMILY GROUP_ $260.13 $325.16 20%
Group psychotherapy session CPT 90853 HC OASAS ALCOHOL AOP STABILIZATION $260.13 $325.16 20%
Group psychotherapy session CPT 90853 HC OASAS ALCOHOL ORIENTATION_ GROUP PSYCHOTHERAPY _OTHER THAN MULTI_FAMILY GROUP_ $260.13 $325.16 20%
Group psychotherapy session CPT 90853 HC OASAS GROUP PSYCHOTHERAPY $277.40 $346.75 20%
Group psychotherapy session inpatient CPT 90853 HC BHN GROUP PSYCHOTHERAPY $241.98 $302.47 20%
Group psychotherapy session inpatient CPT 90853 HC OMH GROUP PSYCHOTHERAPY_ OTHER THAN OF A MULTI_FAMILY GROUP $241.98 $302.47 20%
Group psychotherapy session inpatient CPT 90853 HC OASAS ALCOHOL AOP STABILIZATION $260.13 $325.16 20%
Group psychotherapy session inpatient CPT 90853 HC OASAS DRUG ADULTS IN RECOVERY_ GROUP PSYCHOTHERAPY _OTHER THAN MULTI_FAMILY GROUP_ $260.13 $325.16 20%
Group psychotherapy session inpatient CPT 90853 HC OASAS DRUG AOP STABILIZATION $260.13 $325.16 20%
Group psychotherapy session inpatient CPT 90853 HC OASAS DRUG ORIENTATION_ GROUP PSYCHOTHERAPY _OTHER THAN MULTI_FAMILY GROUP_ $260.13 $325.16 20%
Group psychotherapy session inpatient CPT 90853 HC OASAS ALCOHOL ADULTS IN RECOVERY_ GROUP PSYCHOTHERAPY _OTHER THAN MULTI_FAMILY GROUP_ $260.13 $325.16 20%
Group psychotherapy session inpatient CPT 90853 HC OASAS ALCOHOL ORIENTATION_ GROUP PSYCHOTHERAPY _OTHER THAN MULTI_FAMILY GROUP_ $260.13 $325.16 20%
Group psychotherapy session inpatient CPT 90853 HC OASAS GROUP PSYCHOTHERAPY $277.40 $346.75 20%
New patient office visit, about 30 minutes CPT 99203 HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 3 $342.11 $427.64 20%
New patient office visit, about 30 minutes CPT 99203 HC BHN E_M NEW PATIENT LEVEL 3 $342.11 $427.64 20%
New patient office visit, about 30 minutes CPT 99203 HC OMH E_M NEW PATIENT LEVEL 3 $342.11 $427.64 20%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE_OUTPATIENT NEW LOW MDM 30 MINUTES $438.92 $548.65 20%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 3 $342.11 $427.64 20%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OMH E_M NEW PATIENT LEVEL 3 $342.11 $427.64 20%
New patient office visit, about 30 minutes inpatient CPT 99203 HC BHN E_M NEW PATIENT LEVEL 3 $342.11 $427.64 20%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE_OUTPATIENT NEW LOW MDM 30 MINUTES $438.92 $548.65 20%
New patient office visit, about 45 minutes CPT 99204 HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 4 $359.22 $449.03 20%
New patient office visit, about 45 minutes CPT 99204 HC BHN E_M NEW PATIENT LEVEL 4 $359.22 $449.03 20%
New patient office visit, about 45 minutes CPT 99204 HC OMH E_M NEW PATIENT LEVEL 4 $359.22 $449.03 20%
New patient office visit, about 45 minutes CPT 99204 HC OASAS ALCOHOL_ MED MANAGEMENT NEW PATIENT LEVEL 4 $386.16 $482.70 20%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE_OUTPATIENT NEW MODERATE MDM 45 MINUTES $545.47 $681.84 20%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OMH E_M NEW PATIENT LEVEL 4 $359.22 $449.03 20%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 4 $359.22 $449.03 20%
New patient office visit, about 45 minutes inpatient CPT 99204 HC BHN E_M NEW PATIENT LEVEL 4 $359.22 $449.03 20%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OASAS ALCOHOL_ MED MANAGEMENT NEW PATIENT LEVEL 4 $386.16 $482.70 20%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE_OUTPATIENT NEW MODERATE MDM 45 MINUTES $545.47 $681.84 20%
New patient office visit, about 60 minutes CPT 99205 HC OMH E_M NEW PATIENT LEVEL 5 $377.18 $471.48 20%
New patient office visit, about 60 minutes CPT 99205 HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 5 $377.18 $471.48 20%
New patient office visit, about 60 minutes CPT 99205 HC BHN E_M NEW PATIENT LEVEL 5 $377.18 $471.48 20%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE_OUTPATIENT NEW HIGH MDM 60 MINUTES $719.74 $899.68 20%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OMH E_M NEW PATIENT LEVEL 5 $377.18 $471.48 20%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OMH E_M MED MANAGEMENT NEW PATIENT LEVEL 5 $377.18 $471.48 20%
New patient office visit, about 60 minutes inpatient CPT 99205 HC BHN E_M NEW PATIENT LEVEL 5 $377.18 $471.48 20%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE_OUTPATIENT NEW HIGH MDM 60 MINUTES $719.74 $899.68 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PULMONARY REHABILITATION THERAPEUTIC EXCERCISES EA 15 MINUTES $89.50 $111.87 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE_ EA 15MIN_ 1 OR MORE AREAS $115.06 $143.83 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE_ EA 15MIN_ 1 OR MORE AREAS $115.06 $143.83 20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PULMONARY REHABILITATION THERAPEUTIC EXCERCISES EA 15 MINUTES $89.50 $111.87 20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE_ EA 15MIN_ 1 OR MORE AREAS $115.06 $143.83 20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE_ EA 15MIN_ 1 OR MORE AREAS $115.06 $143.83 20%
Preventive checkup, new patient aged 18–39 CPT 99385 HC INITIAL PREVENTIVE E_M_ NEW PATIENT_ AGE 18 THROUGH 39 YEARS $397.74 $497.18 20%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INITIAL PREVENTIVE E_M_ NEW PATIENT_ AGE 18 THROUGH 39 YEARS $397.74 $497.18 20%
Preventive checkup, new patient aged 40–64 CPT 99386 HC INITIAL PREVENTIVE E_M_ NEW PATIENT_ AGE 40 THROUGH 64 YEARS $460.58 $575.73 20%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC INITIAL PREVENTIVE E_M_ NEW PATIENT_ AGE 40 THROUGH 64 YEARS $460.58 $575.73 20%
Psychotherapy session, 30 minutes CPT 90832 HC BHN PSYCHOTHERAPY 30 MINS $301.50 $376.87 20%
Psychotherapy session, 30 minutes CPT 90832 HC OMH PSYCHOTHERAPY_ 30 MINS_ W PATIENT AND_OR FAMILY MEMBER $301.50 $376.87 20%
Psychotherapy session, 30 minutes CPT 90832 HC OASAS INDIVIDUAL COUNSELING _ PSYCHOTHERAPY_ UP TO 44 MINS $323.24 $404.05 20%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30 MINUTES WITH PATIENT AND_OR FAMILY MEMBER $415.42 $519.27 20%
Psychotherapy session, 30 minutes CPT 90832 HC INSOMNIA 20 TO 30 MINUTES $415.42 $519.27 20%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC BHN PSYCHOTHERAPY 30 MINS $301.50 $376.87 20%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC OMH PSYCHOTHERAPY_ 30 MINS_ W PATIENT AND_OR FAMILY MEMBER $301.50 $376.87 20%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC OASAS INDIVIDUAL COUNSELING _ PSYCHOTHERAPY_ UP TO 44 MINS $323.24 $404.05 20%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 30 MINUTES WITH PATIENT AND_OR FAMILY MEMBER $415.42 $519.27 20%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC INSOMNIA 20 TO 30 MINUTES $415.42 $519.27 20%
Psychotherapy session, 45 minutes CPT 90834 HC OMH PSYCHOTHERAPY_ 45 MINS_ W PATIENT AND_OR FAMILY MEMBER $375.30 $469.13 20%
Psychotherapy session, 45 minutes CPT 90834 HC BHN PSYCHOTHERAPY 45MINS $375.30 $469.13 20%
Psychotherapy session, 45 minutes CPT 90834 HC INSOMNIA 45 TO 50 MINUTES $415.42 $519.27 20%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY 45 MINUTES W PATIENT AND_OR FAMILY MEMBER $415.42 $519.27 20%
Psychotherapy session, 45 minutes CPT 90834 HC OASAS INDIVIDUAL COUNSELING _ PSYCHOTHERAPY_ 45_ MINS $415.61 $519.51 20%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC BHN PSYCHOTHERAPY 45MINS $375.30 $469.13 20%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC OMH PSYCHOTHERAPY_ 45 MINS_ W PATIENT AND_OR FAMILY MEMBER $375.30 $469.13 20%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY 45 MINUTES W PATIENT AND_OR FAMILY MEMBER $415.42 $519.27 20%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC INSOMNIA 45 TO 50 MINUTES $415.42 $519.27 20%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC OASAS INDIVIDUAL COUNSELING _ PSYCHOTHERAPY_ 45_ MINS $415.61 $519.51 20%
Psychotherapy session, 60 minutes CPT 90837 HC OASAS PSYCHOTHERAPY 60 MINS W PATIENT AND_OR FAMILY MEMBER $369.48 $461.85 20%
Psychotherapy session, 60 minutes CPT 90837 HC BHN PSYCHOTHERAPY 60 MINS $415.42 $519.27 20%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 60 MINUTES W PATIENT $415.42 $519.27 20%
Psychotherapy session, 60 minutes CPT 90837 HC OMH PSYCHOTHERAPY_ 60 MINS_ W PATIENT AND_OR FAMILY MEMBER $415.42 $519.27 20%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC OASAS PSYCHOTHERAPY 60 MINS W PATIENT AND_OR FAMILY MEMBER $369.48 $461.85 20%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 60 MINUTES W PATIENT $415.42 $519.27 20%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC OMH PSYCHOTHERAPY_ 60 MINS_ W PATIENT AND_OR FAMILY MEMBER $415.42 $519.27 20%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC BHN PSYCHOTHERAPY 60 MINS $415.42 $519.27 20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE_ 40 MIN FACE_TO_FACE $201.53 $251.91 20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE_ 40 MIN FACE_TO_FACE $201.53 $251.91 20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE TO HIGH_ 60 MIN FACE_TO_FACE $320.86 $401.08 20%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE TO HIGH_ 60 MIN FACE_TO_FACE $320.86 $401.08 20%

Dental

ProcedureCash price List priceOff list
Dental implant, surgical placement CDT D6010 HC SURGICAL PLACEMENT OF IMPLANT BODY_ ENDOSTEAL IMPLANT $640.00 $800.00 20%
Dental implant, surgical placement inpatient CDT D6010 HC SURGICAL PLACEMENT OF IMPLANT BODY_ ENDOSTEAL IMPLANT $640.00 $800.00 20%
Porcelain crown CDT D2740 HC CROWN_PORCELAIN_CERAMIC SUBSTRATE $961.60 $1,202.00 20%
Porcelain crown inpatient CDT D2740 HC CROWN_PORCELAIN_CERAMIC SUBSTRATE $961.60 $1,202.00 20%

Source file: https://msc.rochesterregional.org/practitionerPortal/docs/MRF2026/237221763_the-unity-hospital-of-rochester_standardcharges.csv