Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im at Rochester General Hospital
1425 Portland Avenue, Rochester, NY · Rochesterregional · · NPI 1255360517
$45.38
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.
$69.81
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.
$28.30 with HIGHMARK vs $66.04 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 |
|---|---|---|---|
| HIGHMARK | COMMERCIAL | $28.30 | ↓ -38% |
| HIGHMARK | MEDICARE ADVANTAGE | $28.30 | ↓ -38% |
| EXCELLUS | MEDICAID | $28.47 | ↓ -37% |
| INDEPENDENT HEALTH ASSOCIATION | MEDICARE ADVANTAGE | $29.71 | ↓ -35% |
| INDEPENDENT HEALTH ASSOCIATION | COMMERCIAL | $29.71 | ↓ -35% |
| FIDELIS CARE NEW YORK | MEDICAID | $36.17 | ↓ -20% |
| FIDELIS CARE NEW YORK | EXCHANGE | $47.18 | ↑ +4% |
| AETNA | COMMERCIAL | $59.08 | ↑ +30% |
| FIDELIS CARE NEW YORK | ESSENTIAL | $66.04 | ↑ +46% |
Visitor-reported prices
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Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| The Unity Hospital of Rochester | Rochester | $55.85 | $26.14 – $31.45 |
| UPMC Chautauqua | Jamestown | $63.20 | $12.50 – $71.10 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $198.76 | $27.80 – $56.79 |
| NewYork-Presbyterian Queens | Flushing | $198.76 | $27.80 – $56.79 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $198.76 | $20.85 – $56.79 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $45.38 | $28.47 – $33.22 |
| Gouverneur Hospital | Gouverneur | $51.88 | $31.45 – $33.20 |
| Massena Hospital | Massena | $51.88 | $33.20 – $33.20 |