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Patient Pricing Information

The following represents hospital charges for uninsured patients, effective March 2013, and may be further discounted based upon income and family size. For information on Financial Assistance, click here. Patient pricing information is for both Rochester General Hospital and Newark-Wayne Community Hospital.

For pricing information and questions, please contact our Patient Pricing Coordinator at (585) 922-5789. If you are insured, you will benefit from the discounts that have been negotiated with your insurance company.

*** IMPORTANT: The charges below represent hospital charges only. Physician and Anesthesiologist fees will be billed separately. ***

Find a list of charges for Rochester General Hospital & Newark-Wayne Community Hospital:

Room and Board - Per Day Charges

The following represents the hospital charges for room and care services only. The charges below do not include the fees for drugs, non-routine supplies and procedures that may be rendered during an inpatient visit.

Medical/Surgical - Semi Private  $ 747.36
Medical/Surgical - Private  $ 786.36
Progressive Pulmonary Care  $ 880.25
Intensive Care  $ 2,018.21
Pyschiatry  $ 786.36
Nursery  $ 379.32
Special Care Nursery  $ 687.96
Premie Baby Nursery  $ 926.15
Nursery Intensive Care  $ 1,655.80
Labor and Delivery  $ 711.40
   

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Labor, Delivery and Newborn Charges

The following list does not include anesthesia, drugs, or supplies for services rendered.

CPT Code
Normal Delivery 59409 $ 2,254.21
Labor and Delivery Triage Fee (Outpatient Only 59899 $ 139.54
Hearing Screening Newborn, 1st Intial 92587 $ 135.08
Circumcision 54150 $ 2,588.12
Fetal Non-Stress Test 59025 $ 187.04
     

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The following represents the average hospital charges per case. Note: This represents average charges per case based upon actual cases reviewed. Final charges will vary based upon total operating time, drugs, supplies and services utilized.
C-Section Delivery For CASE $ 7,164.66
     

Emergency Department Charges

The following represents the hospital charges for each level of emergency care provided to patients. A Level 1 represents a basic emergency visit. A Level 5 represents a more comprehensive emergency visit. The charges below do not include the fees for drugs, supplies or additional procedures that may be rendered during the emergency department visit.
  CPT Code  
Triage - Level 1 99281 $ 85.68
Level 1 99281 $ 313.22
Level 2 99282 $ 482.94
Level 3 99283 $ 774.39
Level 4 99284 $ 1,193.61
Level 5 99285 $ 1,668.48
Critical Care 99291 $ 2,337.56
Critical Care Additional 99292 $ 449.09
     

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Operating Room Charges
The following represents the hospital charges for each level of surgery that is provided at our hospital. A Level One represents a basic operating room procedure. A Level Three is a more comprehensive procedure, which utilizes more services. In addition, there are separate levels for Robotic Surgery or Laser Surgery Cases, which includes the use of special equipment. The following list does not include charges for anesthesia, drugs, supplies or implants/devices for services rendered.
Level One 0-30 Minutes   $ 1,371.03.92
Level One Each Add'l 15 Minutes   $ 40.70
Level Two 0-30 Minutes   $ 1,426.94
Level Two Each Add'l 15 Minutes   $ 68.17
Level Three 0-30 Minutes   $ 1,530.39
Level Three Each Add'l 15 Minutes
  $ 120.48
Laser 0-30 Minutes   $ 1,472.47
Laser Each Add'l 15 Minutes
  $ 68.20
DaVinci Robotic 0-30 Minutes   $ 3,333.67
DaVinci Robotic Each Add'l 15 Minutes   $ 68.20
     

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NonInvasive Cardiology Charges
The following represents the hospital charges for the most common procedures for the Noninvasive Cardiology Department.
  CPT Code  
Electrocardiogram, Tracing Only, WO Inter/Report 93005 $ 59.15
Echo Trasth Complete W/2D, M-Mode, Spect Dop Color Flow Cop 93306 $ 763.16
Doppler Echocardiography Color Flow Velocity Mapping 93325 $ 131.04
Stress Echocardiography 93350 $ 763.16
Tee W Image Doc; W Probe Interpretation & Report 93312 $ 1,086.70
Echo Transthoracic W/Image Doc 2D Limited Study or F/U
93308
$ 419.34
Doppler Echo Pulsed Wave W Spectral Display; Complete 93320 $ 217.72
     

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Physical Therapy Charges
The following represents the hospital charges for the most common procedures for the Physical Therapy Department.
  CPT Code  
Therapeutic Exercise, EA 15 Min 97110 $ 45.95
Manual Therapy Techniques, EA 15 Min 97140 $ 45.95
Gait Training, EA 15 Min 97116 $ 43.20
Physical Therapy Evaluation 97001 $ 130.29
Therapeutic Activities, Direct, EA 15 Min 97530 $ 52.12
Application of Modality, Hot or Cold 97010 $ 32.92
Apply Ultrasound, EA 15 Min 97035 $ 43.20
Therapeutic Group, EA 15 Min 97150 $ 34.56
     

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Occupational Therapy Charges
The following represents the hospital charges for the most common procedures for the Occupational Therapy Department.
CPT Code
Therapeautic Exercise, EA 15 Min 97110 $ 45.95
Occupation Therapy Evaluation 97003 $ 130.29
Self Care/Home Management Train, EA 15 Min 97535 $ 58.97
Therapeutic Activities, Direct, EA 15 Min 97530 $ 52.12
Manual Therapy Techniques, EA 15 Min 97140 $ 45.95
Hot / Cold Pack Application
97010
$ 32.92
Ultrasound, EA 15 Min
97035
$ 43.20
Neuromuscular Re-education, EA 15 Min 97112 $ 39.77
     

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Neurology Charges
The following represents the hospital charges for the most common procedures for the Neurology Department.
  CPT Code  
EEG Awake and Drowsy 20-40 Min 95816 $ 331.76
EEG Extended Monitoring, Greater than 1 Hour 95813 $ 331.76
     

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Cardiac and Pulmonary Rehab Charges
 The following represents the hospital charges for the most common procedures for Cardiac Rehab Program.
  CPT Code  
Cardiac Rehab W/ECG Monit 93798 $ 120.90
Cardiac Rehab Phase III Visit   $ 6.50
Cardiac Rehab Phase IV Visit   $ 5.01
Pulm Rehab W/ Exercise & Monitoring, Per Hour, Per Session G0424 $ 76.42
     

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Radiology Charges
The following charges represent the hospital's top 30 most common radiology procedures.
  CPT Code  
XRAY Chest, 2 Views 71020 $ 148.29
XRAY Chest, Frontal View, Portable 71010 $ 148.29
CT Head/Brain WO Contrast 70450 $ 634.23
Computed Tomography, ABD & Pelvis; W Contrast 74177 $ 989.94
CT Thorax W Contrast 71260 $ 660.61
US Echography, Abdominal, Complete 76700 $ 275.05
Computed Tomography, ABD & Pelvis; WO Contrast 74176 $ 782.85
XR Chest, Frontal View 71010 $ 148.29
XR Abdomen/KUB, Limited, 1 View 74000 $ 129.44
Ultrasound, Pelvic (Nonobstetric), Complete 76856 $ 224.65
US Duplex, Extremity Veins, Unilateral 93971 $ 246.97
US Echography, Transvaginal 76830 $ 275.05
XR Hand, Min 3 Views 73130 $ 108.73
XR Hip, Complete, Min 2 Views 73510 $ 148.33
Computer-Aided Detection: Screening Mammography 77052 $ 12.42
Mammography Producing Digital Imaging Screening Exam G0202 $ 109.72
XR Ankle, Complete, Min 3 Views 73610 $ 108.73
XR Shoulder, Complete 73030 $ 124.57
XR ABD, Complete Acute Series, Single View Chest 74022 $ 216.87
XR Knee, Complete, 4 or More Views 73564 $ 151.93
CT Cervical Spine WO Contrast 72125 $ 622.74
XR Foot, Complete, Min 3 Views 73630 $ 108.73
XR Wrist, Complete, Min 3 Views
73110 $ 108.73
US Echography, Retroperitoneal (Renal), Complete 76770 $ 225.37
XR Spine, Lumbarsacral, AP & Bilateral 72100 $ 100.81
US Duplex, Extermity Veins, Bilateral 93970 $ 388.10
XR Fluroroscopy, Abdomen, Up to 1 Hr
76000 $ 174.72
XR Spine Cervical, Min 4 Views
72050 $ 126.73
XR Spine, Lumbosacral, Complete, W Oblique Views 72110 $ 168.49
CT Thorax W/O Contrast
71250
$ 547.18
     

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Lab Charges
The following charges represent the hospital's top 30 most common lab procedures.
  CPT Code  
Collection of Venous Blood By Venipuncture 36415 $ 13.72
Glucose; Quanitative, Point of Care 82947 $ 14.40
Basic Metabolic Panel (8) 80048 $ 13.72
CBC With Auto Differential 85025 $ 12.86
Prothrombin Time 85610 $ 6.86
CBC (Hemogram & PLT) 85027 $ 8.64
Comprehensive Metabolic Panel (14) 80053 $ 61.20
Troponin I, Quantitative 84484 $ 12.96
Tissue Level IV, Gross & Microscopic Examination 88305

$ 108.73

Magnesium 83735 $ 9.36
Transferase; Alanine Amino (ALT) (SGPT) 84460 $ 6.48
APTT 85730 $ 7.92
Hepatic Function Panel (7) 80076 $ 10.80
Transferase; Aspartate Amino (AST) (SGOT) 84450 $ 6.48
Lipid Profile 80061 $ 18.00
Thyroid Stimulation Hormone (TSH) 84443 $ 50.40
Glcosolated HGB 83036 $ 12.96
Vitamin D 25-OH 82306 $ 41.04
Gyn Cytopath/Thin Layer - Routine Screening G0123 $ 57.60
Urine Culture With Colony Count 87086 $ 36.00
Urinalysis - Routine 81001 $ 4.17
Culture, Presumptive, Screening Only 87081 $ 80.64
Hematocrit (HCT); Automated 85014 $ 3.60
Chlamydia Trachomatis DNA By PCR 87491 $ 92.88
N. Gonorroheae RNA 87591 $ 92.88
Free Thyroxine 84439 $ 36.72
Blood Culture 87040 $ 13.68
SED Rate 85652 $ 18.72
Urinalysis W/O Microscopy
81003 $ 12.96
Antibiotic Sensitivity
87186 $ 36.72
     

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Procedural Based Charges
The following represent the average hospital charges per case for specific OUTPATIENT procedures. Note: This represents average charges per case based upon actual cases reviewed. Final charges will vary based upon services rendered.
  CPT Code  
Upper GI Endoscopy, Biopsy
43239 $ 2,483.32
Diagnostic Colonoscopy
45378
$ 2,011.21
Colonoscopy and Biopsy
45380
$ 2,411.27
Colonoscopy, Lesion Removal
45385
$ 2,584.21
Laparoscopic Cholecystectomy
47562
$ 6,260.91
Hysteroscopy, Biopsy
58558
$ 2,826.98
PRP I/Hern Init Reduc More Than 5 Yr
49505
$ 3,769.00
Upper GI Endoscopy, Diagnosis
43235 $ 2,434.93
Knee Arthroscopy / Surgery
29881
$ 3,375.26
Mastectomy Partial
19301
$ 6,331.65
Hysteroscopy, Ablation
58563
$ 6,120.05
Cataract Surg W/IOL, 1 Stage
66984
$ 3,970.20
Cystouretero W/Lithotripsy
52353
$ 5,565.50
Carpal Tunnel Surgery
64721
$ 2,340.68
Remove Tonsils and Adenoids 42820 $ 3,318.15
Laparoscopy, Appendectomy 44970 $ 10,511.79
Dental Surgery Procedure 41899 $ 3,123.68
Low Back Disc Surgery 63030 $ 4,533.94
Cystoscopy, W/ Insertion of Stent 52332 $ 4,206.16
Laser Vaporization of Prostate 52648 $ 7,075.33
Create Eardrum Opening 69436 $ 3,091.31
Insert Tunnel Centrally Insert CVC W/ Port Over 5 Yr 36561 $ 4,458.12
Repair of Nasal Septum 30520 $ 4,457.69
Esophagus Endoscopy, Dilation 43249 $ 2,994.76
Cystoscopy (Separate Procedure) 52000 $ 2,883.24
Correction of Bunion 28296 $ 3,760.31
Care of Miscarriage 59820 $ 3,003.21
Removal of Tonsils 42826 $ 3,374.88
Insert Intracoronary Stent 92980
$ 23,724.22
Electrocardiogram, Tracing
93005
$ 5,360.15
Excision Open One / More Lesions
19120
$ 3,470.74
Repair Bladder Defect
57288
$ 6,700.97
Chorionic Gonadotropin Test
84702
$ 2,539.18
Repair Umbilical Hernia
49585
$ 3,910.33
Cystouretro W/ Stone Remove
52352
$ 5,044.64
Laparoscopy, Remove Adnexa
58661
$ 8,368.64
X-Ray Exam of Ankle
73610
$ 1,247.88
Knee Arthroscopy / Surgery
29880
$ 3,295.27
Laparoscopy, Tubal Block
58671
$ 4,406.63
Circumcision Older Than 28 Days
54161
$ 3,045.58
Removal of Ethmoid Sinus
31255
$ 8,122.99
Conization of Cervix
57522
$ 3,119.96
Removal Perm Pacemaker Pulse Gen W/ Replacement
33228
$ 12,899.22
Endovenous Ablation Therapy
36475
$ 6,295.12
Incise Finger Tendon Sheath
26055
$ 2,425.61
Cystoscopy, W/ Dilation of Bladder
52260
$ 2,494.22
Cystoscopy, W/ Fulguration; Large Bladder Tumor
52240
$ 4,721.48
Cystoscopy, W/Fulguration; Small Bladder Tumor
52234
$ 4,054.75
X-Ray Exam of Hand
73130
$ 1,241.65
Place Catheter in Aorta
36200
$ 5,327.23
     
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