Tlso 2 shl symphys-stern cst 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,083.67 with CHAMPUS-TRICARE vs $4,866.53 with EXCELLUS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,083.67 | — |
| AETNA | MEDICARE ADVANTAGE | $1,204.08 | — |
| HUMANA | MEDICARE ADVANTAGE | $1,204.08 | — |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE | $1,204.08 | — |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE DUAL | $1,204.08 | — |
| FIDELIS CARE NEW YORK | MEDICARE ADVANTAGE | $1,204.08 | — |
| WELLCARE | MEDICARE ADVANTAGE | $1,228.16 | — |
| WELLCARE | MEDICARE ADVANTAGE DUAL | $1,228.16 | — |
| EXCELLUS | COMMERCIAL | $4,866.53 | — |
Visitor-reported prices
Comments
Tlso 2 shl symphys-stern cst at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $2,136.99 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $2,136.99 | $1,204.08 – $1,204.08 |
| The Unity Hospital of Rochester | Rochester | $2,630.14 | $1,553.26 – $1,553.26 |
| Newark Wayne Community Hospital | Newark | $2,136.99 | $2,508.94 – $2,508.94 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $608.55 – $1,286.71 |
| Bellevue Hospital Center | NY 10016 | not published | $667.82 – $1,359.55 |
| Kings County Hospital Center | Brooklyn | not published | $667.82 – $1,359.55 |
| Lincoln Medical Center | Bronx | not published | $667.82 – $1,359.55 |