#flow interp 9 - 15 markers at Clifton Springs Hospital and Clinic
2 Coulter Road, Clifton Springs, NY · Rochesterregional · · NPI 1366505463
$187.91
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$289.09
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$25.25 with FIDELIS CARE NEW YORK vs $78.48 with EXCELLUS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| FIDELIS CARE NEW YORK | MEDICAID | $25.25 | ↓ -87% |
| FIDELIS CARE NEW YORK | COMMERCIAL | $25.25 | ↓ -87% |
| HIGHMARK | COMMERCIAL | $41.44 | ↓ -78% |
| EXCELLUS | MEDICARE ADVANTAGE | $49.01 | ↓ -74% |
| FIDELIS CARE NEW YORK | ESSENTIAL | $53.02 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $56.60 | ↓ -70% |
| MOLINA HEALTHCARE OF NY | ESSENTIALS 1&2 | $56.81 | ↓ -70% |
| EXCELLUS | MEDICAID SPECIAL PROGRAMS | $78.48 | ↓ -58% |
| EXCELLUS | MEDICAID GOVERNMENT PROGRAMS | $78.48 | ↓ -58% |
Visitor-reported prices
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#flow interp 9 - 15 markers at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $961.20 | $51.83 – $1,441.80 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $878.00 | $32.38 – $306.45 |
| NewYork-Presbyterian Queens | Flushing | $878.00 | $32.38 – $137.44 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $878.00 | $32.38 – $191.61 |
| Rochester General Hospital | Rochester | $187.91 | $25.25 – $49.67 |
| Gouverneur Hospital | Gouverneur | $150.78 | $25.25 – $25.25 |
| Massena Hospital | Massena | $151.57 | $37.88 – $37.88 |
| Canton-Potsdam Hospital | Potsdam | $178.78 | $25.25 – $59.84 |