Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at Rochester General Hospital
1425 Portland Avenue, Rochester, NY · Rochesterregional · · NPI 1255360517
$208.94
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.
$321.45
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.
$72.35 with MVP - CIGNA vs $295.05 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 |
|---|---|---|---|
| MVP - CIGNA | INDIVIDUAL EXCHANGE | $72.35 | ↓ -65% |
| INDEPENDENT HEALTH ASSOCIATION | COMMERCIAL | $119.43 | ↓ -43% |
| INDEPENDENT HEALTH ASSOCIATION | MEDICARE ADVANTAGE | $119.43 | ↓ -43% |
| EXCELLUS | MEDICAID | $122.94 | ↓ -41% |
| HIGHMARK | COMMERCIAL | $126.45 | ↓ -39% |
| HIGHMARK | MEDICARE ADVANTAGE | $126.45 | ↓ -39% |
| FIDELIS CARE NEW YORK | MEDICAID | $161.57 | ↓ -23% |
| FIDELIS CARE NEW YORK | EXCHANGE | $210.75 | ↑ +1% |
| AETNA | COMMERCIAL | $256.26 | ↑ +23% |
| FIDELIS CARE NEW YORK | ESSENTIAL | $295.05 | ↑ +41% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| The Unity Hospital of Rochester | Rochester | $257.16 | $107.75 – $140.50 |
| UPMC Chautauqua | Jamestown | $75.00 | $12.50 – $119.43 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $740.85 | $27.80 – $211.67 |
| NewYork-Presbyterian Queens | Flushing | $740.85 | $27.80 – $211.67 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $740.85 | $20.85 – $211.67 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $208.94 | $122.94 – $140.50 |
| Gouverneur Hospital | Gouverneur | $184.29 | $133.47 – $133.47 |
| Massena Hospital | Massena | $183.01 | $133.47 – $133.47 |