SelfPayRates — hospital cash prices, from the source
Cash prices at 4 facilities across 3 cities for code 80055, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Newark-Wayne Community Hospital
NEWARK, NY HC OBSTETRIC PANEL |
$105.99 | $163.06 | 35% | Apr 1, 2026 file |
|
| Rochester General Hospital
ROCHESTER, NY HC OBSTETRIC PANEL |
$105.99 | $163.06 | 35% | Apr 1, 2026 file |
|
| Clifton Springs Hospital And Clinic
CLIFTON SPRINGS, NY HC OBSTETRIC PANEL |
$105.99 | $163.06 | 35% | Apr 1, 2026 file |
|
| The Unity Hospital of Rochester
ROCHESTER, NY HC OBSTETRIC PANEL |
$130.45 | $163.06 | 20% | Apr 1, 2026 file |
Outpatient: lowest $105.99, median $105.99, highest $130.45 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $105.99. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.