Rx metab gen seq alys pnl 6 at Clifton Springs Hospital and Clinic
2 Coulter Road, Clifton Springs, NY · Rochesterregional · · NPI 1366505463
$7,107.68
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.
$10,934.90
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.
$555.75 with EXCELLUS vs $1,604.89 with AETNA — 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 |
|---|---|---|---|
| EXCELLUS | MEDICAID GOVERNMENT PROGRAMS | $555.75 | ↓ -92% |
| EXCELLUS | MEDICAID SPECIAL PROGRAMS | $555.75 | ↓ -92% |
| HIGHMARK | COMMERCIAL | $596.10 | ↓ -92% |
| EXCELLUS | MEDICARE ADVANTAGE | $788.69 | ↓ -89% |
| MVP - CIGNA | COMMERCIAL INDIVIDUAL EXCHANGE | $807.03 | ↓ -89% |
| MVP - CIGNA | ESSENTIAL | $807.03 | ↓ -89% |
| MVP - CIGNA | COMMERCIAL | $862.06 | ↓ -88% |
| CHAMPUS-TRICARE | COMMERCIAL | $917.08 | ↓ -87% |
| CDPHP | MEDICARE ADVANTAGE | $917.08 | ↓ -87% |
| AETNA | MEDICARE ADVANTAGE | $917.08 | ↓ -87% |
| HUMANA | MEDICARE ADVANTAGE | $917.08 | ↓ -87% |
| EXCELLUS | COMMERCIAL | $981.28 | ↓ -86% |
| UNITED HEALTHCARE | COMMERCIAL | $1,100.50 | ↓ -85% |
| AETNA | COMMERCIAL | $1,604.89 | ↓ -77% |
Visitor-reported prices
Comments
Rx metab gen seq alys pnl 6 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $917.08 | $1.00 – $1,375.62 |
| Harlem Hospital Center | New York | $917.08 | $1.00 – $1,375.62 |
| Kings County Hospital Center | Brooklyn | $917.08 | $1.00 – $1,375.62 |
| Lincoln Medical Center | Bronx | $917.08 | $1.00 – $1,375.62 |
| Metropolitan Hospital Center | New York | $917.08 | $1.00 – $1,375.62 |
| UPMC Chautauqua | Jamestown | $2,427.00 | $917.08 – $3,640.50 |
| Queens Hospital Center | Jamaica | $917.08 | $1.00 – $1,375.62 |
| Woodhull Medical Center | Brooklyn | $917.08 | $1.00 – $1,375.62 |