Repair of eye wound at Canton-Potsdam Hospital
50 Leroy Street, Potsdam, NY · Rochesterregional · · NPI 156854878|
not published by hospital
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.
not published by hospital
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.
$491.90 with CHAMPUS-TRICARE vs $573.89 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 | $491.90 | — |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE | $546.56 | — |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE DUAL | $546.56 | — |
| CDPHP | MEDICARE ADVANTAGE | $546.56 | — |
| AETNA | MEDICARE ADVANTAGE | $546.56 | — |
| WELLCARE | MEDICARE ADVANTAGE DUAL | $557.49 | — |
| FIDELIS CARE NEW YORK | MEDICARE ADVANTAGE | $557.49 | — |
| WELLCARE | MEDICARE ADVANTAGE | $557.49 | — |
| HUMANA | MEDICARE ADVANTAGE | $573.89 | — |
Visitor-reported prices
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Repair of eye wound at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $6,105.79 | $341.30 – $9,963.75 |
| Harlem Hospital Center | New York | $6,105.79 | $728.68 – $7,632.24 |
| Kings County Hospital Center | Brooklyn | $6,105.79 | $341.30 – $9,963.75 |
| Lincoln Medical Center | Bronx | $6,105.79 | $745.53 – $7,632.24 |
| Metropolitan Hospital Center | New York | $6,105.79 | $745.53 – $7,632.24 |
| Queens Hospital Center | Jamaica | $6,105.79 | $341.30 – $9,963.75 |
| Woodhull Medical Center | Brooklyn | $6,105.79 | $341.30 – $9,963.75 |
| South Brooklyn Health | Brooklyn | $6,105.79 | $745.53 – $7,632.24 |