Occupational Therapy Evaluation (high complexity) at Clifton Springs Hospital and Clinic
2 Coulter Road, Clifton Springs, NY · Rochesterregional · · NPI 1366505463
$338.45
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.
$520.69
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.
$75.20 with MVP - CIGNA vs $227.02 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 |
|---|---|---|---|
| MVP - CIGNA | ESSENTIAL | $75.20 | ↓ -78% |
| MVP - CIGNA | MEDICAID OPTION | $75.20 | ↓ -78% |
| EXCELLUS | MEDICARE ADVANTAGE | $84.28 | ↓ -75% |
| HIGHMARK | COMMERCIAL | $87.17 | ↓ -74% |
| MVP - CIGNA | COMMERCIAL INDIVIDUAL EXCHANGE | $92.01 | ↓ -73% |
| MVP - CIGNA | MEDICARE ADVANTAGE GOLD PPO | $92.14 | ↓ -73% |
| MVP - CIGNA | MEDICARE ADVANTAGE DUAL DSNP | $92.14 | ↓ -73% |
| MVP - CIGNA | MEDICARE ADVANTAGE GOLD HMO | $92.14 | ↓ -73% |
| MVP - CIGNA | COMMERCIAL | $127.00 | ↓ -62% |
| EXCELLUS | COMMERCIAL | $227.02 | ↓ -33% |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (high complexity) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $112.90 | $47.55 – $242.25 |
| Harlem Hospital Center | New York | $114.91 | $94.06 – $242.25 |
| Kings County Hospital Center | Brooklyn | $114.91 | $47.55 – $242.25 |
| Lincoln Medical Center | Bronx | $114.91 | $94.06 – $242.25 |
| Metropolitan Hospital Center | New York | $112.90 | $92.89 – $242.25 |
| UPMC Chautauqua | Jamestown | $108.60 | $47.06 – $181.29 |
| Queens Hospital Center | Jamaica | $114.08 | $47.55 – $242.25 |
| Woodhull Medical Center | Brooklyn | $114.91 | $47.55 – $242.25 |