Evaluation of speech fluency 92521 at Canton-Potsdam Hospital
50 Leroy Street, Potsdam, NY · Rochesterregional · · NPI 156854878|
$179.64
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.
$276.37
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.
$34.63 with FIDELIS CARE NEW YORK vs $286.72 with MVP - CIGNA — 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 | $34.63 | ↓ -81% |
| CDPHP | MEDICAID | $34.63 | ↓ -81% |
| CHAMPUS-TRICARE | COMMERCIAL | $117.23 | ↓ -35% |
| AETNA | MEDICARE ADVANTAGE | $130.26 | ↓ -27% |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE DUAL | $130.26 | ↓ -27% |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE | $130.26 | ↓ -27% |
| CDPHP | MEDICARE ADVANTAGE | $130.26 | ↓ -27% |
| HUMANA | MEDICARE ADVANTAGE | $130.91 | ↓ -27% |
| WELLCARE | MEDICARE ADVANTAGE DUAL | $132.87 | ↓ -26% |
| FIDELIS CARE NEW YORK | MEDICARE ADVANTAGE | $132.87 | ↓ -26% |
| WELLCARE | MEDICARE ADVANTAGE | $132.87 | ↓ -26% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $286.72 | ↑ +60% |
| MVP - CIGNA | COMMERCIAL | $286.72 | ↑ +60% |
Visitor-reported prices
Comments
Evaluation of speech fluency 92521 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $147.67 | $72.04 – $295.34 |
| Harlem Hospital Center | New York | $148.18 | $123.94 – $298.66 |
| Kings County Hospital Center | Brooklyn | $149.33 | $72.04 – $298.66 |
| Lincoln Medical Center | Bronx | $148.18 | $123.94 – $298.66 |
| Metropolitan Hospital Center | New York | $145.85 | $122.57 – $295.34 |
| Queens Hospital Center | Jamaica | $148.78 | $72.04 – $297.56 |
| Woodhull Medical Center | Brooklyn | $149.33 | $72.04 – $298.66 |
| South Brooklyn Health | Brooklyn | $148.18 | $123.94 – $298.66 |