Psy/npsy phys/qhp 2> tst ea l 30 min at Canton-Potsdam Hospital
50 Leroy Street, Potsdam, NY · Rochesterregional · · NPI 156854878|
$116.79
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.
$179.67
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.
$13.35 with FIDELIS CARE NEW YORK vs $42.00 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 | $13.35 | ↓ -89% |
| CDPHP | MEDICAID | $13.35 | ↓ -89% |
| CHAMPUS-TRICARE | COMMERCIAL | $14.69 | ↓ -87% |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE DUAL | $16.32 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $16.32 | ↓ -86% |
| CDPHP | MEDICARE ADVANTAGE | $16.32 | ↓ -86% |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE | $16.32 | ↓ -86% |
| WELLCARE | MEDICARE ADVANTAGE DUAL | $16.65 | ↓ -86% |
| FIDELIS CARE NEW YORK | MEDICARE ADVANTAGE | $16.65 | ↓ -86% |
| WELLCARE | MEDICARE ADVANTAGE | $16.65 | ↓ -86% |
| HUMANA | MEDICARE ADVANTAGE | $17.14 | ↓ -85% |
| MVP - CIGNA | ESSENTIAL 1&2 | $42.00 | ↓ -64% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $42.00 | ↓ -64% |
| MVP - CIGNA | INDIVIDUAL EXCHANGE | $42.00 | ↓ -64% |
Visitor-reported prices
Comments
Psy/npsy phys/qhp 2> tst ea l 30 min at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $203.00 | $43.05 – $445.58 |
| Rochester General Hospital | Rochester | $59.20 | $43.26 – $43.48 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $57.55 | $14.04 – $54.00 |
| Gouverneur Hospital | Gouverneur | $114.53 | $33.52 – $42.00 |
| Massena Hospital | Massena | $115.14 | $33.52 – $42.00 |
| The Unity Hospital of Rochester | Rochester | $74.00 | $43.26 – $43.26 |
| Newark Wayne Community Hospital | Newark | $59.20 | $16.32 – $34.01 |
| Bellevue Hospital Center | NY 10016 | not published | $12.42 – $51.31 |