Regadenoson 0.4 mg/5 ml intravenous syringe at Rochester General Hospital
1425 Portland Avenue, Rochester, NY · Rochesterregional · · NPI 1255360517
$71.05
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.
$109.31
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.
$2.64 with INDEPENDENT HEALTH ASSOCIATION vs $162.39 with FIDELIS CARE NEW YORK — 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 |
|---|---|---|---|
| INDEPENDENT HEALTH ASSOCIATION | COMMERCIAL | $2.64 | ↓ -96% |
| INDEPENDENT HEALTH ASSOCIATION | MEDICARE ADVANTAGE | $2.64 | ↓ -96% |
| EXCELLUS | MEDICAID | $2.68 | ↓ -96% |
| AETNA | COMMERCIAL | $5.53 | ↓ -92% |
| EXCELLUS | COMMERCIAL | $7.34 | ↓ -90% |
| HIGHMARK | COMMERCIAL | $69.60 | ↓ -2% |
| HIGHMARK | MEDICARE ADVANTAGE | $69.60 | ↓ -2% |
| FIDELIS CARE NEW YORK | MEDICAID | $88.93 | ↑ +25% |
| FIDELIS CARE NEW YORK | EXCHANGE | $116.00 | ↑ +63% |
| FIDELIS CARE NEW YORK | ESSENTIAL | $162.39 | ↑ +129% |
Visitor-reported prices
Comments
Regadenoson 0.4 mg/5 ml intravenous syringe at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| The Unity Hospital of Rochester | Rochester | $87.45 | $2.64 – $77.33 |
| UPMC Chautauqua | Jamestown | $889.20 | $3.02 – $334.80 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $20.69 | $2.89 – $12.83 |
| NewYork-Presbyterian Queens | Flushing | $20.69 | $2.89 – $35.22 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $20.69 | $2.89 – $35.22 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $71.05 | $2.68 – $77.33 |
| Gouverneur Hospital | Gouverneur | $91.95 | $4.41 – $77.33 |
| Massena Hospital | Massena | $91.46 | not published |