Office visit, new patient (level 5) cost in Rochester, NY

Prices at 5 hospitals in Rochester, NY, from their machine-readable files. Here the median cash price is $317 — about the US median ($318), roughly 1.3× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Rochester General Hospital Rochester, NY $288 $193 ★ 2/5 233 min —
Unity Hospital Rochester, NY $317 $177 ★ 2/5 299 min —
Unity Specialty Hospital Rochester, NY $317 $177 — — —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$418
Cash / self-pay
$317
Insurer-negotiated
$193
Medicare pays
$237
$294$317
Median cash $317  ·  Medicare $237  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $317 — about 1.3× the Medicare rate ($237). Reasonable. A fair cash price is usually within ~2× Medicare ($474).

💡 Asking for the cash price instead of the $418 list price could save about $102 (24%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Doctors who perform this in Rochester

Clinicians who reported the most Medicare volume for this service locally. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Maria Dizhgalvis, NPNurse PractitionerRochester, NY172
Aitezaz Ahmed, M.D.RheumatologyRochester, NY90
Benjamin Foster, M.D.Radiation OncologyRochester, NY82
Rajeev Ramchandran, M.DOphthalmologyRochester, NY67
Refat Assad, DONeurologyRochester, NY60
Christopher DoucetteRadiation OncologyRochester, NY56
Ronald Chong-Yik, MBBSClinical Cardiac ElectrophysiologyRochester, NY54
Marla Bruns, MD PHDNeurologyRochester, NY51
Cici Liu, M.D.Gynecological OncologyRochester, NY49
Shiara Ortiz-Pujols, MDPreventive MedicineRochester, NY49
Naghmeh Pooya, MDGeriatric MedicineRochester, NY44
Diego Hernandez-Aranda, M.D.Obstetrics & GynecologyRochester, NY43

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