Rome Memorial Hospital, Inc

1500 North James Street, Rome, NY 13440 · Acute care hospital · Emergency room

These are Rome Memorial Hospital, Inc's own posted figures from its standard-charges file dated August 11, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

200 of the services we track have a posted price here. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge	Insurer rates (min – max)
Critical care, first 30 to 74 minutes CPT 99291	$903.48	$2,238.00	$182.00 – $1,017.45
Emergency room visit, level 1 (minor) CPT 99281	$191.35	$474.00	$22.00 – $103.86
Emergency room visit, level 2 CPT 99282	$235.36	$583.00	$34.00 – $189.13
Emergency room visit, level 3 (moderate) CPT 99283	$299.55	$742.00	$62.00 – $336.24
Emergency room visit, level 4 CPT 99284	$449.32	$1,113.00	$94.00 – $513.96
Emergency room visit, level 5 (most severe) CPT 99285	$564.37	$1,398.00	$149.00 – $733.53
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$238.59	$591.00	$100.00 – $247.13

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$165.92	$411.00	$59.00 – $59.00
New patient office visit, about 30 minutes CPT 99203	$217.19	$538.00	$82.00 – $82.00
New patient office visit, about 45 minutes CPT 99204	$287.43	$712.00	$120.00 – $120.00
New patient office visit, about 60 minutes CPT 99205	$394.41	$977.00	$151.00 – $151.00
Office consultation, about 40 minutes CPT 99243	$188.93	$468.00	$111.00 – $111.00
Office consultation, about 60 minutes CPT 99244	$270.88	$671.00	$156.00 – $156.00
Office visit, established patient, about 10 to 19 minutes CPT 99212	$167.54	$415.00	$33.00 – $33.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	$207.91	$515.00	$45.00 – $45.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	$248.28	$615.00	$69.00 – $69.00
Office visit, established patient, about 40 to 54 minutes CPT 99215	$288.65	$715.00	$106.00 – $106.00
Office visit, established patient, brief (often a nurse) CPT 99211	$127.17	$315.00	$18.00 – $18.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	$198.22	$491.00	$76.00 – $76.00
Preventive checkup, new patient, age 40 to 64 CPT 99386	$198.22	$491.00	$102.00 – $102.00

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$37.95	$94.00	$49.29 – $94.00
Abdominal X-ray, 1 view CPT 74018	$147.35	$365.00	$102.09 – $365.00
Ankle X-ray, 3 or more views CPT 73610	$180.45	$447.00	$36.00 – $107.19
Bone density scan (DEXA), hips and spine CPT 77080	$284.61	$705.00	$122.64 – $134.00
Breast ultrasound, one breast, complete CPT 76641	$432.77	$1,072.00	$122.64 – $1,072.00
Breast ultrasound, one breast, limited CPT 76642	$218.00	$540.00	$102.09 – $540.00
Chest X-ray, 1 view CPT 71045	$125.15	$310.00	$310.00 – $1,017.45
Chest X-ray, 2 views CPT 71046	$159.06	$394.00	$394.00 – $1,017.45
CT angiogram of the chest (checks for lung clots) CPT 71275	$1,136.01	$2,814.00	$488.00 – $529.15
CT angiogram of the head CPT 70496	$1,136.01	$2,814.00	$451.00 – $529.15
CT scan of the abdomen and pelvis, with contrast CPT 74177	$2,596.19	$6,431.00	$393.99 – $529.15
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$2,915.12	$7,221.00	$498.43 – $529.15
CT scan of the abdomen and pelvis, without contrast CPT 74176	$2,273.23	$5,631.00	$250.80 – $272.55
CT scan of the abdomen, without contrast CPT 74150	$1,136.01	$2,814.00	$259.58 – $336.00
CT scan of the chest, with contrast CPT 71260	$1,336.65	$3,311.00	$404.00 – $529.15
CT scan of the chest, without contrast CPT 71250	$1,336.65	$3,311.00	$259.58 – $345.00
CT scan of the head, without contrast CPT 70450	$1,136.01	$2,814.00	$259.58 – $272.55
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,136.01	$2,814.00	$259.58 – $345.00
CT scan of the pelvis, with contrast CPT 72193	$1,257.93	$3,116.00	$388.00 – $529.15
CT scan of the sinuses or face, without contrast CPT 70486	$1,260.35	$3,122.00	$259.58 – $290.00
Diagnostic mammogram, both breasts CPT 77066	$432.36	$1,071.00	$150.11 – $1,071.00
Diagnostic mammogram, one breast CPT 77065	$347.18	$860.00	$118.55 – $860.00
Foot X-ray, 3 or more views CPT 73630	$180.45	$447.00	$36.00 – $107.19
Hand X-ray, 3 or more views CPT 73130	$180.45	$447.00	$36.00 – $107.19
Knee X-ray, 3 views CPT 73562	$489.69	$1,213.00	$38.00 – $107.19
Leg or arm vein ultrasound, both sides CPT 93970	$722.22	$1,789.00	$184.00 – $293.89
Leg or arm vein ultrasound, one side CPT 93971	$570.83	$1,414.00	$122.64 – $128.77
Lower back X-ray, 2 or 3 views CPT 72100	$255.54	$633.00	$45.00 – $128.77
MRI of the abdomen, without and with contrast CPT 74183	$2,583.68	$6,400.00	$995.59 – $1,254.00
MRI of the brain, without and with contrast CPT 70553	$2,583.68	$6,400.00	$995.59 – $1,289.00
MRI of the brain, without contrast CPT 70551	$2,091.57	$5,181.00	$608.00 – $648.44
MRI of the knee or other leg joint, without contrast CPT 73721	$2,091.57	$5,181.00	$596.00 – $648.44
MRI of the lower back (lumbar spine), without contrast CPT 72148	$2,091.57	$5,181.00	$617.56 – $664.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$2,091.57	$5,181.00	$617.56 – $672.00
MRI of the neck (cervical spine), without contrast CPT 72141	$2,091.57	$5,181.00	$616.00 – $648.44
MRI of the pelvis, without and with contrast CPT 72197	$2,583.68	$6,400.00	$995.59 – $1,254.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$2,091.57	$5,181.00	$596.00 – $648.44
Neck X-ray, 2 or 3 views CPT 72040	$384.73	$953.00	$42.00 – $107.19
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$379.48	$940.00	$116.00 – $362.37
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$496.15	$1,229.00	$122.64 – $162.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$496.15	$1,229.00	$115.00 – $128.77
Screening mammogram, both breasts CPT 77067	$325.38	$806.00	$120.77 – $806.00
Shoulder X-ray, 2 or more views CPT 73030	$212.35	$526.00	$38.00 – $107.19
Transvaginal pregnancy ultrasound CPT 76817	$496.15	$1,229.00	$119.00 – $128.77
Transvaginal ultrasound CPT 76830	$496.15	$1,229.00	$116.00 – $128.77
Ultrasound of the abdomen, complete CPT 76700	$463.45	$1,148.00	$144.00 – $362.37
Ultrasound of the neck or thyroid CPT 76536	$463.45	$1,148.00	$102.00 – $128.77
Wrist X-ray, 3 or more views CPT 73110	$191.35	$474.00	$36.00 – $107.19
X-ray of the lower back, 4 or more views CPT 72110	$444.88	$1,102.00	$62.00 – $128.77

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$60.56	$150.00	$11.08 – $11.08
Blood culture CPT 87040	$98.91	$245.00	$10.50 – $10.50
Blood draw (venipuncture) CPT 36415	$61.36	$152.00	$5.00 – $5.00
BNP test (heart failure) CPT 83880	$180.45	$447.00	$43.81 – $43.81
C-reactive protein (CRP) test CPT 86140	$104.96	$260.00	$4.95 – $4.95
Chlamydia test (DNA/NAAT) CPT 87491	$151.39	$375.00	$49.00 – $49.00
Complete blood count (CBC) with differential CPT 85025	$63.38	$157.00	$5.50 – $5.50
Complete blood count (CBC), automated CPT 85027	$85.99	$213.00	$3.09 – $3.09
Comprehensive metabolic panel (blood test) CPT 80053	$77.91	$193.00	$9.55 – $9.55
COVID-19 PCR test CPT 87635	$146.14	$362.00	$51.31 – $362.00
D-dimer test (blood clots) CPT 85379	$58.13	$144.00	$9.59 – $9.59
Drug screen, instrument chemistry CPT 80307	$483.63	$1,198.00	$1,198.00 – $1,198.00
Ferritin (iron stores) test CPT 82728	$95.68	$237.00	$9.47 – $9.47
Free T4 (thyroid) test CPT 84439	$90.43	$224.00	$7.67 – $7.67
Glucose (blood sugar) test CPT 82947	$46.83	$116.00	$3.25 – $4.13
Gonorrhea test (DNA/NAAT) CPT 87591	$310.04	$768.00	$49.00 – $49.00
Hemoglobin A1c test CPT 83036	$60.96	$151.00	$7.75 – $7.75
Hepatitis C antibody test CPT 86803	$46.43	$115.00	$19.89 – $19.89
HIV-1/HIV-2 antigen and antibody test CPT 87389	$203.06	$503.00	$18.04 – $18.04
Iron test CPT 83540	$90.83	$225.00	$4.38 – $4.38
Kidney function panel CPT 80069	$60.56	$150.00	$9.10 – $9.10
Lipase test (pancreas) CPT 83690	$37.14	$92.00	$4.20 – $4.20
Lipid panel, cholesterol and triglycerides CPT 80061	$159.06	$394.00	$11.75 – $14.06
Liver function panel CPT 80076	$60.56	$150.00	$11.08 – $11.08
Magnesium test CPT 83735	$133.62	$331.00	$6.30 – $6.30
Partial thromboplastin time (PTT), clotting test CPT 85730	$211.54	$524.00	$7.64 – $7.64
Pregnancy blood test (hCG), quantitative CPT 84702	$174.40	$432.00	$16.31 – $16.31
Prothrombin time (PT/INR), clotting test CPT 85610	$88.41	$219.00	$2.44 – $2.44
PSA (prostate specific antigen), free CPT 84154	$115.86	$287.00	$18.35 – $18.35
PSA (prostate specific antigen), total CPT 84153	$133.62	$331.00	$27.18 – $27.18
Rapid strep test CPT 87880	$37.95	$94.00	$16.80 – $16.80
Sed rate (ESR) test CPT 85652	$89.22	$221.00	$2.10 – $2.10
TB skin test CPT 86580	$61.12	$151.39	$10.33 – $35.63
Thyroid stimulating hormone (TSH) CPT 84443	$130.80	$324.00	$12.00 – $12.00
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$609.18	$1,509.00	$61.13 – $95.00
Troponin test (heart damage) CPT 84484	$139.68	$346.00	$44.10 – $44.10
Urinalysis, automated, with microscope CPT 81001	$43.60	$108.00	$3.15 – $3.15
Urinalysis, automated, without microscope CPT 81003	$37.14	$92.00	$1.88 – $1.88
Urinalysis, manual, without microscope CPT 81002	$37.14	$92.00	$2.10 – $2.10
Urine culture, colony count CPT 87086	$127.17	$315.00	$6.30 – $6.30
Urine pregnancy test CPT 81025	$68.23	$169.00	$9.75 – $9.75
Vitamin B12 test CPT 82607	$109.81	$272.00	$7.51 – $7.51
Vitamin D test CPT 82306	$268.46	$665.00	$30.45 – $30.45

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$722.22	$1,789.00	$166.00 – $293.89
ECG tracing only (no interpretation) CPT 93005	$144.12	$357.00	$15.00 – $72.66
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$3,735.53	$9,253.23	$365.00 – $673.04
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	$105.77	$262.00	$27.00 – $27.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$3,430.24	$8,497.00	$353.14 – $1,594.66

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$23,214.16	$57,503.50	$1,780.00 – $8,937.71
Appendix removal, laparoscopic CPT 44970	$11,162.65	$27,650.85	$767.00 – $7,446.47
Breast biopsy with ultrasound guidance CPT 19083	$2,582.57	$6,397.25	$165.15 – $2,034.33
Carpal tunnel release CPT 64721	$5,786.59	$14,333.88	$518.00 – $2,405.23
Colonoscopy with biopsy CPT 45380	$2,666.43	$6,604.99	$407.00 – $1,473.94
Colonoscopy with polyp removal (snare) CPT 45385	$2,884.32	$7,144.70	$555.00 – $1,473.94
Colonoscopy, diagnostic CPT 45378	$1,950.52	$4,831.60	$363.00 – $1,145.46
Cystoscopy (bladder scope) CPT 52000	$4,348.45	$10,771.48	$185.00 – $858.88
Ear tubes, under general anesthesia CPT 69436	$6,785.29	$16,807.75	$228.00 – $1,911.13
Flexible sigmoidoscopy, diagnostic CPT 45330	$1,269.11	$3,143.69	$102.00 – $1,145.46
Gallbladder removal, laparoscopic CPT 47562	$7,137.56	$17,680.35	$1,016.00 – $7,446.47
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$15,767.88	$39,058.40	$1,757.00 – $1,757.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$9,458.80	$23,430.27	$973.84 – $13,093.10
Hysteroscopy with biopsy or polyp removal CPT 58558	$5,442.83	$13,482.36	$303.00 – $3,987.27
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$10,010.55	$24,797.01	$556.00 – $7,446.47
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$9,385.47	$23,248.63	$616.00 – $4,410.09
Kidney stone shock-wave lithotripsy CPT 50590	$4,593.70	$11,379.00	$1,062.00 – $4,341.83
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$5,622.24	$13,926.78	$1,001.00 – $4,030.23
Lower colon endoscopy with ultrasound CPT 45391	$1,419.41	$3,516.00	$314.00 – $1,473.94
Nasal endoscopy, diagnostic CPT 31231	$3,545.90	$8,783.50	$140.00 – $245.86
Prostate removal, laparoscopic or robotic CPT 55866	$9,619.34	$23,827.94	$1,759.00 – $13,093.10
Removal of a breast lump, open surgery CPT 19120	$11,455.39	$28,376.00	$469.00 – $4,822.76
Rotator cuff repair, arthroscopic CPT 29827	$10,270.77	$25,441.60	$1,526.00 – $8,937.71
Screening colonoscopy, average risk HCPCS G0121	$1,880.06	$4,657.06	$363.00 – $1,145.46
Screening colonoscopy, high risk HCPCS G0105	$1,879.56	$4,655.83	$363.00 – $1,145.46
Septoplasty (nasal septum repair) CPT 30520	$6,074.47	$15,047.00	$726.00 – $4,083.76
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$10,135.22	$25,105.83	$1,177.00 – $1,177.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$14,041.53	$34,782.10	$1,250.59 – $1,250.59
Tonsil and adenoid removal, under age 12 CPT 42820	$5,388.52	$13,347.83	$377.00 – $7,291.64
Total hip replacement CPT 27130	$15,548.00	$38,513.74	$2,509.00 – $15,813.81
Total knee replacement CPT 27447	$15,432.93	$38,228.71	$2,651.00 – $15,813.81
Upper endoscopy (EGD) with biopsy CPT 43239	$2,580.07	$6,391.06	$286.00 – $1,117.16
Upper endoscopy (EGD), diagnostic CPT 43235	$2,251.24	$5,576.52	$254.00 – $1,117.16
Vasectomy CPT 55250	$5,010.52	$12,411.50	$326.00 – $2,574.79

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$9,287.63	$23,006.26	$2,249.00 – $2,249.00
Fetal non-stress test CPT 59025	$209.12	$518.00	$97.00 – $249.02
IUD insertion CPT 58300	$5,417.40	$13,419.38	$84.00 – $84.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$4,747.60	$11,760.21	$2,282.00 – $2,282.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$4,749.99	$11,766.13	$2,249.00 – $2,249.00

Hospital stays

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section, without complications MS-DRG 788	$11,083.59	$27,455.01	$8,954.01 – $9,401.71
Chest pain MS-DRG 313	$16,620.23	$41,169.75	$6,849.67 – $7,192.16
COPD flare-up, with major complications MS-DRG 190	$21,986.48	$54,462.43	$10,266.14 – $10,779.45
Gastrointestinal bleeding, with complications MS-DRG 378	$11,689.96	$28,957.05	$9,147.00 – $9,604.35
Heart failure, with major complications MS-DRG 291	$14,582.63	$36,122.44	$11,817.96 – $12,408.86
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$22,212.57	$55,022.46	$17,502.67 – $18,377.81
Irregular heartbeat, without complications MS-DRG 310	$12,506.14	$30,978.80	$5,493.49 – $5,768.16
Kidney failure, with complications MS-DRG 683	$12,267.04	$30,386.53	$8,222.61 – $8,633.74
Kidney or urinary tract infection, without major complications MS-DRG 690	$21,745.68	$53,865.93	$7,638.36 – $8,020.28
Neck (cervical) spinal fusion, without complications MS-DRG 473	$12,143.28	$30,079.96	$22,018.01 – $23,118.92
Normal newborn care MS-DRG 795	$1,158.10	$2,868.71	$2,265.60 – $2,378.88
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$14,280.48	$35,374.00	$7,362.54 – $7,730.67
Pneumonia, with complications MS-DRG 194	$16,617.29	$41,162.48	$7,606.64 – $7,986.97
Pneumonia, with major complications MS-DRG 193	$29,663.38	$73,478.76	$12,087.61 – $12,691.99
Sepsis, with major complications MS-DRG 871	$25,954.84	$64,292.40	$17,622.52 – $18,503.64
Sepsis, without major complications MS-DRG 872	$19,954.76	$49,429.68	$9,522.40 – $9,998.52
Skin infection (cellulitis), without major complications MS-DRG 603	$7,266.50	$17,999.76	$8,179.43 – $8,588.40
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$16,852.67	$41,745.54	$7,374.88 – $7,743.62
Stroke, with complications or clot-busting drug MS-DRG 65	$28,744.85	$71,203.50	$9,407.84 – $9,878.23
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$9,672.66	$23,960.02	$11,438.16 – $12,010.06
Vaginal delivery, without complications MS-DRG 807	$5,437.34	$13,468.76	$6,446.08 – $6,768.38
Weight loss surgery, without complications MS-DRG 621	$15,621.72	$38,696.37	$13,797.17 – $14,487.03

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$709.70	$1,758.00	$69.00 – $378.08
Lower back nerve root injection with imaging guidance CPT 64483	$4,452.21	$11,028.50	$193.00 – $1,089.43
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$813.86	$2,016.00	$828.05 – $2,016.00

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$838.08	$2,076.00	$339.00 – $677.45

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Sleep study with CPAP titration CPT 95811	$2,853.76	$7,069.00	$711.00 – $1,057.74
Sleep study, overnight in a sleep lab CPT 95810	$2,691.06	$6,666.00	$651.00 – $1,057.74

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$183.28	$454.00	$30.00 – $265.96

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$56.92	$141.00	$16.00 – $28.32
Physical therapy evaluation, low complexity CPT 97161	$106.98	$265.00	$95.46 – $265.00
Physical therapy evaluation, moderate complexity CPT 97162	$122.32	$303.00	$95.46 – $303.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$58.13	$144.00	$16.00 – $29.68
Therapeutic activities, 15 minutes CPT 97530	$58.13	$144.00	$16.00 – $35.67

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Psychotherapy, 30 minutes CPT 90832	$109.40	$271.00	$60.74 – $504.49
Psychotherapy, 45 minutes CPT 90834	$196.60	$487.00	$78.74 – $504.49

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$2,459.25	$6,091.78	$21.00 – $88.69
IV hydration, each additional hour CPT 96361	$46.43	$115.00	$23.00 – $57.68
IV hydration, first hour CPT 96360	$125.15	$310.00	$72.00 – $261.99
IV push injection of a drug, first CPT 96374	$8,148.09	$20,183.53	$66.00 – $261.99
IV push injection, each additional drug CPT 96375	$7,923.07	$19,626.14	$29.00 – $57.68

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$59.88	$148.32	$11.46 – $11.46
Dexamethasone injection, per 1 mg HCPCS J1100	$52.46	$129.96
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$87.08	$215.70	? – $1.52

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

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