Pr moderate sedation same physician >= 5 years initial 15 minutes at Canton-Potsdam Hospital
50 Leroy Street, Potsdam, NY · Rochesterregional · · NPI 156854878|
$366.66
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.
$564.09
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.
$9.58 with CHAMPUS-TRICARE vs $11.17 with HUMANA — 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 |
|---|---|---|---|
| CHAMPUS-TRICARE | COMMERCIAL | $9.58 | ↓ -97% |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE | $10.64 | ↓ -97% |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE DUAL | $10.64 | ↓ -97% |
| CDPHP | MEDICARE ADVANTAGE | $10.64 | ↓ -97% |
| AETNA | MEDICARE ADVANTAGE | $10.64 | ↓ -97% |
| WELLCARE | MEDICARE ADVANTAGE DUAL | $10.85 | ↓ -97% |
| FIDELIS CARE NEW YORK | MEDICARE ADVANTAGE | $10.85 | ↓ -97% |
| WELLCARE | MEDICARE ADVANTAGE | $10.85 | ↓ -97% |
| HUMANA | MEDICARE ADVANTAGE | $11.17 | ↓ -97% |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $249.60 | $12.34 – $374.40 |
| Rochester General Hospital | Rochester | $202.10 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $36.41 | $9.15 – $14.99 |
| Gouverneur Hospital | Gouverneur | $361.49 | not published |
| Massena Hospital | Massena | $361.49 | not published |
| The Unity Hospital of Rochester | Rochester | $173.84 | not published |
| Newark Wayne Community Hospital | Newark | $202.10 | $10.64 – $22.17 |
| Bellevue Hospital Center | NY 10016 | not published | $7.99 – $150.00 |