Inj heparin, pfizer, 1000u 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.
$0.36 with HIGHMARK vs $7.16 with AETNA — 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 | $0.36 | — |
| HIGHMARK | COMMERCIAL | $0.36 | — |
| FIDELIS CARE NEW YORK | MEDICAID | $0.46 | — |
| FIDELIS CARE NEW YORK | EXCHANGE | $0.60 | — |
| FIDELIS CARE NEW YORK | ESSENTIAL | $0.84 | — |
| INDEPENDENT HEALTH ASSOCIATION | MEDICARE ADVANTAGE | $2.07 | — |
| INDEPENDENT HEALTH ASSOCIATION | COMMERCIAL | $2.07 | — |
| EXCELLUS | MEDICAID | $2.10 | — |
| EXCELLUS | COMMERCIAL | $5.97 | — |
| AETNA | COMMERCIAL | $7.16 | — |
Visitor-reported prices
Comments
Inj heparin, pfizer, 1000u at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| The Unity Hospital of Rochester | Rochester | not published | $0.36 – $2.10 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $7.91 | $3.01 – $8.56 |
| NewYork-Presbyterian Queens | Flushing | $7.91 | $1.55 – $8.50 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $7.91 | $1.55 – $8.56 |
| Bellevue Hospital Center | NY 10016 | not published | $0.41 – $3.82 |
| Harlem Hospital Center | New York | not published | $0.41 – $5.12 |
| Kings County Hospital Center | Brooklyn | not published | $0.41 – $5.12 |
| Lincoln Medical Center | Bronx | not published | $0.41 – $5.12 |