Diphtheria-tetanus toxoids 0.5 ml (peds) at Newark Wayne Community Hospital
1200 Driving Park Avenue, Newark, NY · Rochesterregional · · NPI 1770671182
$98.56
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.
$151.63
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.
$67.79 with HIGHMARK vs $86.62 with FIDELIS CARE NEW YORK — 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 |
|---|---|---|---|
| HIGHMARK | COMMERCIAL | $67.79 | ↓ -31% |
| HIGHMARK | MEDICARE ADVANTAGE | $67.79 | ↓ -31% |
| FIDELIS CARE NEW YORK | MEDICAID | $86.62 | ↓ -12% |
Visitor-reported prices
Comments
Diphtheria-tetanus toxoids 0.5 ml (peds) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $372.88 | $27.80 – $66.09 |
| NewYork-Presbyterian Queens | Flushing | $372.88 | $27.80 – $70.75 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $372.88 | $20.85 – $70.75 |
| Rochester General Hospital | Rochester | $98.56 | $66.16 – $86.62 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $98.56 | $66.16 – $75.32 |
| The Unity Hospital of Rochester | Rochester | $91.44 | $66.16 – $75.32 |
| Bellevue Hospital Center | NY 10016 | not published | $20.29 – $20.29 |
| Harlem Hospital Center | New York | not published | $20.29 – $20.29 |