Copper intrauterine device at Rochester General Hospital
1425 Portland Avenue, Rochester, NY · Rochesterregional · · NPI 1255360517
$2,406.14
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.
$3,701.75
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.
$1,011.96 with HIGHMARK vs $3,276.31 with EXCELLUS — 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 |
|---|---|---|---|
| HIGHMARK | MEDICARE ADVANTAGE | $1,011.96 | ↓ -58% |
| HIGHMARK | COMMERCIAL | $1,011.96 | ↓ -58% |
| EXCELLUS | MEDICAID | $1,195.95 | ↓ -50% |
| FIDELIS CARE NEW YORK | MEDICAID | $1,293.06 | ↓ -46% |
| FIDELIS CARE NEW YORK | EXCHANGE | $1,686.60 | ↓ -30% |
| FIDELIS CARE NEW YORK | ESSENTIAL | $2,361.24 | ↓ -2% |
| EXCELLUS | COMMERCIAL | $3,276.31 | ↑ +36% |
Visitor-reported prices
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Copper intrauterine device at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| The Unity Hospital of Rochester | Rochester | $2,961.40 | $1,011.96 – $1,195.95 |
| UPMC Chautauqua | Jamestown | $2,529.60 | $790.50 – $2,845.80 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $2,829.75 | $105.20 – $3,314.49 |
| NewYork-Presbyterian Queens | Flushing | $2,829.75 | $105.48 – $3,291.71 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $2,829.75 | $104.29 – $3,314.49 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $2,406.14 | $739.00 – $1,195.95 |
| Gouverneur Hospital | Gouverneur | $430.07 | $1,124.40 – $1,195.95 |
| Massena Hospital | Massena | $425.34 | $1,195.95 – $1,195.95 |