John cunningham antibody at Rochester General Hospital
1425 Portland Avenue, Rochester, NY · Rochesterregional · · NPI 1255360517
$52.10
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.
$80.15
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.
$12.39 with EXCELLUS vs $26.35 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 |
|---|---|---|---|
| EXCELLUS | COMMERCIAL | $12.39 | ↓ -76% |
| UNITED HEALTHCARE | COMMERCIAL | $15.20 | ↓ -71% |
| EXCELLUS | MEDICARE ADVANTAGE | $15.20 | ↓ -71% |
| MVP - CIGNA | COMMERCIAL | $15.88 | ↓ -70% |
| CDPHP | MEDICARE ADVANTAGE | $16.89 | ↓ -68% |
| HUMANA | MEDICARE ADVANTAGE | $16.89 | ↓ -68% |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE Dual | $17.40 | ↓ -67% |
| FIDELIS CARE NEW YORK | MEDICARE ADVANTAGE | $17.73 | ↓ -66% |
| WELLCARE | MEDICARE ADVANTAGE | $17.73 | ↓ -66% |
| UNITED HEALTHCARE | MEDICARE ADVANTAGE | $18.41 | ↓ -65% |
| WELLCARE | MEDICARE ADVANTAGE DUAL | $21.11 | ↓ -59% |
| AETNA | MEDICARE ADVANTAGE | $21.79 | ↓ -58% |
| AETNA | COMMERCIAL | $26.35 | ↓ -49% |
Visitor-reported prices
Comments
John cunningham antibody at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| The Unity Hospital of Rochester | Rochester | $64.12 | $14.69 – $21.79 |
| Bellevue Hospital Center | NY 10016 | $16.89 | $1.00 – $41.97 |
| Harlem Hospital Center | New York | $16.89 | $1.00 – $41.97 |
| Kings County Hospital Center | Brooklyn | $16.89 | $1.00 – $41.97 |
| Lincoln Medical Center | Bronx | $16.89 | $1.00 – $41.97 |
| Metropolitan Hospital Center | New York | $16.89 | $1.00 – $41.97 |
| UPMC Chautauqua | Jamestown | $53.40 | $15.45 – $80.10 |
| Queens Hospital Center | Jamaica | $16.89 | $1.00 – $41.97 |