Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at Rochester General Hospital
1425 Portland Avenue, Rochester, NY · Rochesterregional · · NPI 1255360517
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.
$3.80 with INDEPENDENT HEALTH ASSOCIATION vs $32.13 with FIDELIS CARE NEW YORK — 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 |
|---|---|---|---|
| INDEPENDENT HEALTH ASSOCIATION | COMMERCIAL | $3.80 | — |
| INDEPENDENT HEALTH ASSOCIATION | MEDICARE ADVANTAGE | $3.80 | — |
| EXCELLUS | MEDICAID | $3.87 | — |
| AETNA | COMMERCIAL | $8.93 | — |
| EXCELLUS | COMMERCIAL | $10.99 | — |
| HIGHMARK | COMMERCIAL | $13.77 | — |
| HIGHMARK | MEDICARE ADVANTAGE | $13.77 | — |
| FIDELIS CARE NEW YORK | MEDICAID | $17.60 | — |
| FIDELIS CARE NEW YORK | EXCHANGE | $22.95 | — |
| FIDELIS CARE NEW YORK | ESSENTIAL | $32.13 | — |
Visitor-reported prices
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Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| The Unity Hospital of Rochester | Rochester | not published | $3.80 – $15.30 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $19,716.90 | $4.26 – $1,522.90 |
| NewYork-Presbyterian Queens | Flushing | $19,716.90 | $4.27 – $1,523.20 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $19,716.90 | $4.27 – $1,168.90 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $3.44 – $15.30 |
| Gouverneur Hospital | Gouverneur | not published | $3.98 – $15.30 |
| Canton-Potsdam Hospital | Potsdam | not published | $15.30 – $15.30 |
| Newark Wayne Community Hospital | Newark | not published | $3.80 – $17.60 |