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Acute Care Hospital

Unity Specialty Hospital

Rochester, New York · Monroe County

  • 89 Genesee Street, Rochester, NY 14611 · Directions
  • (585) 723‑7000
  • Emergency room: not listed
  • Medicare overall rating: not rated
  • Medicare payment reduction for hospital-acquired conditions (fiscal year 2026): yes · Medicare payment programs
  • Hospital type: Acute Care Hospital · Ownership: Voluntary non-profit - Private

Unity Specialty Hospital is an acute care hospital at 89 Genesee Street, Rochester, NY 14611. Phone: (585) 723-7000. Medicare data does not list an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Unity Specialty Hospital is an acute care hospital in Rochester, New York. Medicare data does not list emergency services. Its official website lists 11 services, specialties and programs. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

Not listedEmergency services
Not ratedNot rated by CMSMedicare rating
11Services listed

Quick answers

Does Unity Specialty Hospital have an emergency room?
Medicare (CMS) data does not list emergency services at Unity Specialty Hospital. The closest hospitals that do: Highland Hospital (1.7 mi), Strong Memorial Hospital (1.8 mi) and Rochester Psychiatric Center (2.0 mi). In a medical emergency, call 911.
Where is Unity Specialty Hospital?
89 Genesee Street, Rochester, NY 14611, in Monroe County, New York.
What is the phone number of Unity Specialty Hospital?
(585) 723-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Unity Specialty Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
Does Medicare reduce its payments to Unity Specialty Hospital for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Unity Specialty Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 2.1717; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][5]

Treatments[4][5]

Visiting and practical information

ParkingFree on-street parking and a ramp parking garage[4]
Interpreters and languagesFree interpreters at all Rochester Regional hospitals: phone (200+ languages, 24/7), video, ASL; call (585) 922-4000[6]
Patient portalMyCare

Nearest emergency rooms

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are →

Other hospitals near Rochester

All hospitals in Rochester · Hospitals in Monroe County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

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Hospice providers

All hospice providers in the state →

Home health agencies

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Dialysis facilities

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Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Unity Specialty Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths, readmissions, emergency room times and sepsis care. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Unity Specialty Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score2.1717Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

No result for this hospital: Hospital Readmissions Reduction Program; Hospital Value-Based Purchasing Program; Medicare spending per patient. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as Unity Specialty Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 65 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $109.59
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $109.59
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $109.59
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $109.59
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OFFICE_OUTPATIENT NEW LOW MDM 30 MINUTES $548.65 $438.92 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BHN E_M NEW PATIENT LEVEL 3 $427.64 $342.11 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $109.59
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $109.59
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $109.59
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $109.59
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OFFICE_OUTPATIENT NEW MODERATE MDM 45 MINUTES $681.84 $545.47 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BHN E_M NEW PATIENT LEVEL 4 $449.03 $359.22 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $109.59
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $109.59
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $109.59
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $109.59
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OFFICE_OUTPATIENT NEW HIGH MDM 60 MINUTES $899.68 $719.74 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BHN E_M NEW PATIENT LEVEL 5 $471.48 $377.18 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $102.42
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $102.42
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $102.42
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $102.42
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BILIARY TUBE REMOVAL $258.54 $206.83 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OFFICE_OUTPATIENT ESTABLISHED LOW MDM 20 MIN $457.22 $365.78 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $115.93
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $115.93
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $115.93
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $115.93
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OFFICE_OUTPATIENT ESTABLISHED MOD MDM 30 MIN $568.23 $454.58 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BHN E_M EST PATIENT LEVEL 4 $374.19 $299.35 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE_ 40 MIN FACE_TO_FACE $251.91 $201.53 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OFFICE CONSULT_ NEW_ESTABLISHED PATIENT_ MODERATE TO HIGH_ 60 MIN FACE_TO_FACE $401.08 $320.86 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INITIAL PREVENTIVE E_M_ NEW PATIENT_ AGE 18 THROUGH 39 YEARS $497.18 $397.74 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INITIAL PREVENTIVE E_M_ NEW PATIENT_ AGE 40 THROUGH 64 YEARS $575.73 $460.58 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EMERGENCY DEPT E_M VISIT_LEVEL III $1,052.27 $841.82 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EMERGENCY DEPT E_M VISIT_LEVEL IV $1,420.53 $1,136.42 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EMERGENCY DEPT E_M VISIT_LEVEL V $2,047.25 $1,637.80 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $7.32 – $10.91
Basic metabolic panel (blood test): 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $10.91
  • CDPHP — MEDICAID: $7.32
  • CDPHP — MEDICARE ADVANTAGE: $8.46
  • EXCELLUS — COMMERCIAL: $9.14
  • EXCELLUS — MEDICARE ADVANTAGE: $7.36
  • HUMANA — MEDICARE ADVANTAGE: $8.46
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $8.46
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $8.46
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $8.46
  • MVP - CIGNA — COMMERCIAL: $7.95
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL _8_ $47.09 $37.67 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $9.19 – $13.62
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $13.62
  • CDPHP — MEDICAID: $10.10
  • CDPHP — MEDICARE ADVANTAGE: $10.56
  • EXCELLUS — COMMERCIAL: $11.40
  • EXCELLUS — MEDICARE ADVANTAGE: $9.19
  • HUMANA — MEDICARE ADVANTAGE: $10.56
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $10.56
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $10.56
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $10.56
  • MVP - CIGNA — COMMERCIAL: $9.93
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL _14_ $58.81 $47.05 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $41.59 – $61.67
Obstetric blood test panel: 10 of 13 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $61.67
  • CDPHP — MEDICARE ADVANTAGE: $47.81
  • EXCELLUS — COMMERCIAL: $51.63
  • EXCELLUS — MEDICARE ADVANTAGE: $41.59
  • HUMANA — MEDICARE ADVANTAGE: $47.81
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $47.81
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $47.81
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $47.81
  • MVP - CIGNA — COMMERCIAL: $44.94
  • UNITED HEALTHCARE — COMMERCIAL: $43.03
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $163.06 $130.45 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $6.10 – $17.27
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $17.27
  • CDPHP — MEDICAID: $6.10
  • CDPHP — MEDICARE ADVANTAGE: $13.39
  • EXCELLUS — COMMERCIAL: $14.46
  • EXCELLUS — MEDICARE ADVANTAGE: $11.65
  • HUMANA — MEDICARE ADVANTAGE: $13.39
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $13.39
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $13.39
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $13.39
  • MVP - CIGNA — COMMERCIAL: $12.59
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PROFILE $74.54 $59.63 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $7.55 – $11.20
Kidney function panel: 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $11.20
  • CDPHP — MEDICAID: $8.68
  • CDPHP — MEDICARE ADVANTAGE: $8.68
  • EXCELLUS — COMMERCIAL: $9.37
  • EXCELLUS — MEDICARE ADVANTAGE: $7.55
  • HUMANA — MEDICARE ADVANTAGE: $8.68
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $8.68
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $8.68
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $8.68
  • MVP - CIGNA — COMMERCIAL: $8.16
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $48.34 $38.67 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $7.11 – $10.54
Liver function panel: 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $10.54
  • CDPHP — MEDICAID: $7.32
  • CDPHP — MEDICARE ADVANTAGE: $8.17
  • EXCELLUS — COMMERCIAL: $8.82
  • EXCELLUS — MEDICARE ADVANTAGE: $7.11
  • HUMANA — MEDICARE ADVANTAGE: $8.17
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $8.17
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $8.17
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $8.17
  • MVP - CIGNA — COMMERCIAL: $7.68
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL _7_ $45.50 $36.40 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $2.76 – $4.09
Urine test (automated, with microscope): 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $4.09
  • CDPHP — MEDICAID: $3.17
  • CDPHP — MEDICARE ADVANTAGE: $3.17
  • EXCELLUS — COMMERCIAL: $3.42
  • EXCELLUS — MEDICARE ADVANTAGE: $2.76
  • HUMANA — MEDICARE ADVANTAGE: $3.17
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $3.17
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $3.17
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $3.17
  • MVP - CIGNA — COMMERCIAL: $2.98
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS _ ROUTINE $17.69 $14.15 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $2.02 – $4.49
Urine test (manual, without microscope): 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $4.49
  • CDPHP — MEDICAID: $2.02
  • CDPHP — MEDICARE ADVANTAGE: $3.48
  • EXCELLUS — COMMERCIAL: $3.76
  • EXCELLUS — MEDICARE ADVANTAGE: $3.03
  • HUMANA — MEDICARE ADVANTAGE: $3.48
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $3.48
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $3.48
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $3.48
  • MVP - CIGNA — COMMERCIAL: $3.27
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINE DIPSTICK_ NON_AUTOMATED $15.70 $12.56 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $1.96 – $2.90
Urine test (automated, without microscope): 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $2.90
  • CDPHP — MEDICAID: $2.02
  • CDPHP — MEDICARE ADVANTAGE: $2.25
  • EXCELLUS — COMMERCIAL: $2.43
  • EXCELLUS — MEDICARE ADVANTAGE: $1.96
  • HUMANA — MEDICARE ADVANTAGE: $2.25
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $2.25
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $2.25
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $2.25
  • MVP - CIGNA — COMMERCIAL: $2.12
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS WO MICROSCOPY $12.51 $10.01 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $16 – $23.72
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $23.72
  • CDPHP — MEDICAID: $18.39
  • CDPHP — MEDICARE ADVANTAGE: $18.39
  • EXCELLUS — COMMERCIAL: $19.86
  • EXCELLUS — MEDICARE ADVANTAGE: $16
  • HUMANA — MEDICARE ADVANTAGE: $18.39
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $18.39
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $18.39
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $18.39
  • MVP - CIGNA — COMMERCIAL: $17.29
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSA_ TOTAL $102.44 $81.95 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $9.09 – $21.67
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $21.67
  • CDPHP — MEDICAID: $9.09
  • CDPHP — MEDICARE ADVANTAGE: $16.80
  • EXCELLUS — COMMERCIAL: $18.14
  • EXCELLUS — MEDICARE ADVANTAGE: $14.62
  • HUMANA — MEDICARE ADVANTAGE: $16.80
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $16.80
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $16.80
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $16.80
  • MVP - CIGNA — COMMERCIAL: $15.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE _TSH_ $93.57 $74.86 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $3.20 – $10.02
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $10.02
  • CDPHP — MEDICAID: $3.20
  • CDPHP — MEDICARE ADVANTAGE: $7.77
  • EXCELLUS — COMMERCIAL: $8.39
  • EXCELLUS — MEDICARE ADVANTAGE: $6.76
  • HUMANA — MEDICARE ADVANTAGE: $7.77
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $7.77
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $7.77
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $7.77
  • MVP - CIGNA — COMMERCIAL: $7.30
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH AUTO DIFFERENTIAL $43.26 $34.61 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $3.20 – $8.35
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $8.35
  • CDPHP — MEDICAID: $3.20
  • CDPHP — MEDICARE ADVANTAGE: $6.47
  • EXCELLUS — COMMERCIAL: $6.99
  • EXCELLUS — MEDICARE ADVANTAGE: $5.63
  • HUMANA — MEDICARE ADVANTAGE: $6.47
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $6.47
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $6.47
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $6.47
  • MVP - CIGNA — COMMERCIAL: $6.08
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC _HEMOGRAM _ PLT_ $36 $28.80 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $3.73 – $5.53
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $5.53
  • CDPHP — MEDICAID: $3.95
  • CDPHP — MEDICARE ADVANTAGE: $4.29
  • EXCELLUS — COMMERCIAL: $4.63
  • EXCELLUS — MEDICARE ADVANTAGE: $3.73
  • HUMANA — MEDICARE ADVANTAGE: $4.29
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $4.29
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $4.29
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $4.29
  • MVP - CIGNA — COMMERCIAL: $4.03
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $21.86 $17.49 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $5.23 – $7.75
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • AETNA — MEDICARE ADVANTAGE: $7.75
  • CDPHP — MEDICAID: $6.01
  • CDPHP — MEDICARE ADVANTAGE: $6.01
  • EXCELLUS — COMMERCIAL: $6.49
  • EXCELLUS — MEDICARE ADVANTAGE: $5.23
  • HUMANA — MEDICARE ADVANTAGE: $6.01
  • INDEPENDENT HEALTH ASSOCIATION — COMMERCIAL: $6.01
  • INDEPENDENT HEALTH ASSOCIATION — MEDICAID: $6.01
  • INDEPENDENT HEALTH ASSOCIATION — MEDICARE ADVANTAGE: $6.01
  • MVP - CIGNA — COMMERCIAL: $5.65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC APTT $33.46 $26.77 Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $124.22
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $124.22
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT HEAD_BRAIN WO CONTRAST $611.28 $489.02 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $391.81
MRI of the brain, before and after contrast: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $391.81
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI BRAIN WO _ W CONTRAST $2,065.40 $1,652.32 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $42.53
Chest X-ray, 2 views: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $42.53
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $310.38 $248.30 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $75.33
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $75.33
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $423.33 $338.66 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $227.99
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $227.99
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI SPINE LUMBAR WO CONTRAST $1,634.02 $1,307.22 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $318.96
CT scan of the pelvis, with contrast: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $318.96
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $993.80 $795.04 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $262.02
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $262.02
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY ANY JOINT WO CONTRAST $1,634.02 $1,307.22 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $400.63
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $400.63
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPUTED TOMOGRAPHY_ ABD _ PELVIS_ W CONTRAST $1,200.14 $960.11 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $142
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $142
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US ECHOGRAPHY_ ABDOMINAL_ COMPLETE $570.95 $456.76 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $164.27
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • AETNA — COMMERCIAL: $164.27
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US PREGNANT UTERUS_ AFTER 1ST TRIMESTER_ SINGLE OR 1ST GESTATION $570.95 $456.76 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $157.46
Transvaginal ultrasound: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $157.46
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US ECHOGRAPHY_TRANSVAGINAL $570.95 $456.76 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $159.47
Diagnostic mammogram, one breast: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $159.47
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $204.48
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $204.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $168.75
Screening mammogram, both breasts: rates for 1 insurance plan
  • AETNA — COMMERCIAL: $168.75
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD $437.51 $350.01 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LEFT HRT CATH W_VENTRCLGRPHY $9,540.51 $7,632.41 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EP EVAL R ATRIAL_VENTRIC PACING_RECORD HIS BUNDLE_INSERT MULTI ELECTRODE CATHS WO INDUCT ARRHY $15,520.85 $12,416.68 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY_ AGE 6 OR OLDER_ SLEEP STAGING W 4_MORE PARAMETERS_ TECH ATTENDED $4,352.06 $3,481.65 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $25.49 – $46.65
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • AETNA — COMMERCIAL: $46.65
  • MVP - CIGNA — ESSENTIAL: $25.49
  • MVP - CIGNA — MEDICAID OPTION: $25.49
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PULMONARY REHABILITATION THERAPEUTIC EXCERCISES EA 15 MINUTES $111.87 $89.50 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISE_ EA 15MIN_ 1 OR MORE AREAS $143.83 $115.06 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $71.18 – $157.51
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • AETNA — COMMERCIAL: $157.51
  • MVP - CIGNA — ESSENTIAL: $71.18
  • MVP - CIGNA — MEDICAID OPTION: $71.18
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX $278.70 $222.96 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $71.18 – $157.51
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • AETNA — COMMERCIAL: $157.51
  • MVP - CIGNA — ESSENTIAL: $71.18
  • MVP - CIGNA — MEDICAID OPTION: $71.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX $418.85 $335.08 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $71.18 – $157.51
Physical therapy evaluation (high complexity): rates for 3 insurance plans
  • AETNA — COMMERCIAL: $157.51
  • MVP - CIGNA — ESSENTIAL: $71.18
  • MVP - CIGNA — MEDICAID OPTION: $71.18
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX $555.84 $444.67 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $120.33
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $120.33
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $120.33
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $120.33
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY 30 MINUTES WITH PATIENT AND_OR FAMILY MEMBER $519.27 $415.42 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BHN PSYCHOTHERAPY 30 MINS $376.87 $301.50 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $175.04
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $175.04
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $175.04
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $175.04
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY 45 MINUTES W PATIENT AND_OR FAMILY MEMBER $519.27 $415.42 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BHN PSYCHOTHERAPY 45MINS $469.13 $375.30 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $180.24
Psychotherapy, 60 minutes: rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $180.24
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $180.24
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $180.24
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY 60 MINUTES W PATIENT $519.27 $415.42 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BHN PSYCHOTHERAPY 60 MINS $519.27 $415.42 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $265.52
Family psychotherapy, without the patient: rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $265.52
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $265.52
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $265.52
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BHN FAMILY PSYCHOTHERAPY WO PATIENT PRESENT $519.27 $415.42 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OMH FAMILY PSYCHOTHERAPY WO PATIENT PRESENT $519.27 $415.42 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $265.52
Family psychotherapy, with the patient: rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $265.52
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $265.52
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $265.52
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY _CONJOINT PSYCHOTHERAPY_ W PATIENT PRESENT $519.27 $415.42 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BHN FAMILY PSYCHOTHERAPY W PATIENT PRESENT $519.27 $415.42 Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $138.39
Group psychotherapy: rates for 3 insurance plans
  • MVP - CIGNA — MEDICARE ADVANTAGE DUAL DSNP: $138.39
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD HMO: $138.39
  • MVP - CIGNA — MEDICARE ADVANTAGE GOLD PPO: $138.39
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BHN GROUP PSYCHOTHERAPY $302.47 $241.98 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OMH GROUP PSYCHOTHERAPY_ OTHER THAN OF A MULTI_FAMILY GROUP $302.47 $241.98 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EXC CYST_ABERRANT BREAST TISSUE OPEN 1__ LESION $11,372.94 $9,098.35 Not listed in the file
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ARTHRP KHC NE CONDYLE_PLATU MEDIAL_LAT COMPARTMENTS $21,432.50 $17,146 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $2,626.14 $2,100.91 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE_MULTIPLE $2,422.49 $1,937.99 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HYSTEROSCOPY_ SURGICAL_ W BIOPSY ENDOMETRIUM __OR POLYPECTOMY $10,235.78 $8,188.62 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJECTION EPIDURAL_SUBARACHNOID LUMBAR_SACRAL WITH IMAGING $1,143.63 $914.90 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC NJX AA__STRD TFRML EPI LUMBAR_SACRAL 1 LEVEL $2,936.78 $2,349.42 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ ANESTH__STEROID_TRANSFORAMINAL EPIDURAL_IMAGE GUIDE_FLUOR_CT__LUMBAR_SACARAL_SINGLE LVL $2,936.78 $2,349.42 Not listed in the file

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $92,819.21 – $138,152.70
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans
  • AETNA — COMMERCIAL: $138,152.70
  • EMBLEM GHI — COMMERCIAL: $92,819.21
  • UNITED HEALTHCARE — COMMERCIAL: $122,285
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $18,301.40 – $27,239.93
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans
  • AETNA — COMMERCIAL: $27,239.93
  • EMBLEM GHI — COMMERCIAL: $18,301.40
  • UNITED HEALTHCARE — COMMERCIAL: $24,111.25
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $23,163.05 – $34,476.04
Neck (cervical) spinal fusion, without complications: rates for 3 insurance plans
  • AETNA — COMMERCIAL: $34,476.04
  • EMBLEM GHI — COMMERCIAL: $23,163.05
  • UNITED HEALTHCARE — COMMERCIAL: $30,516.25
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $11,771.76 – $17,521.17
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans
  • AETNA — COMMERCIAL: $17,521.17
  • EMBLEM GHI — COMMERCIAL: $11,771.76
  • UNITED HEALTHCARE — COMMERCIAL: $15,508.75

Source: Unity Specialty Hospital’s standard charges file (msc.rochesterregional.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address89 Genesee Street, Rochester, NY 14611
CountyMonroe County
StateNew York
Phone(585) 723‑7000
Emergency servicesNot listed
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number330411
Name in Medicare recordsUNITY SPECIALTY HOSPITAL
Profile levelMedicare data + hospital website
Official websiterochesterregional.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Unity Specialty Hospital — rochesterregional.org
  2. Unity Specialty Hospital | Rochester Regional Health — rochesterregional.org
  3. Language Assistance & Interpretation | Rochester Regional Health — rochesterregional.org