Analysis gene f2 20210g>a variant at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$65.69
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.
$197.08
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.
$1.00 with UNITED vs $204.95 with ANTHEM — 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 |
|---|---|---|---|
| UNITED | EXCHANGE | $1.00 | ↓ -98% |
| Healthfirst | Small Group | $39.42 | ↓ -40% |
| Healthfirst | EXCHANGE | $49.27 | ↓ -25% |
| Aetna | ALL PRODUCTS | $63.56 | ↓ -3% |
| Healthfirst | Medicare Advantage PPO | $64.38 | ↓ -2% |
| Healthfirst | MAP | $64.38 | ↓ -2% |
| Healthfirst | MEDICARE ADVANTAGE | $64.38 | ↓ -2% |
| Senior Whole Health | MLTC | $65.69 | ↑ +0% |
| VillageCare Max | MEDICARE ADVANTAGE | $65.69 | ↑ +0% |
| Amidacare | Managed Medicaid | $65.69 | ↑ +0% |
| VNSNY | Medicare SNP | $65.69 | ↑ +0% |
| VNSNY | Medicare Advantage | $65.69 | ↑ +0% |
| Elderplan | MAP_Medicare Advantage_MLTC | $65.69 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $65.69 | ↑ +0% |
| Centerlight | PACE | $65.69 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $65.69 | ↑ +0% |
| Senior Whole Health | MAP | $65.69 | ↑ +0% |
| VillageCare Max | MAP | $65.69 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $65.69 | ↑ +0% |
| VACCN | All Products | $65.69 | ↑ +0% |
| Fidelis | MAP | $65.69 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $65.69 | ↑ +0% |
| OXFORD | Freedom | $67.13 | ↑ +2% |
| UNITED | ALL PRODUCTS | $67.13 | ↑ +2% |
| OXFORD | Liberty | $67.13 | ↑ +2% |
| OXFORD | MEDICARE ADVANTAGE | $68.97 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $68.97 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $70.95 | ↑ +8% |
| MetroPlus | MAP | $74.23 | ↑ +13% |
| MetroPlus | EXCHANGE | $74.23 | ↑ +13% |
| MetroPlus | MEDICARE ADVANTAGE | $74.23 | ↑ +13% |
| MAGNACARE | PPO FPP | $78.83 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $78.83 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $78.83 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $78.83 | ↑ +20% |
| MetroPlus | Essential Plan 200-250 | $79.49 | ↑ +21% |
| MetroPlus | Essential Plan 3-4 | $79.49 | ↑ +21% |
| MetroPlus | Essential Plan 1-2 | $79.49 | ↑ +21% |
| EMBLEM | Essential Plan 3-4 | $82.11 | ↑ +25% |
| EMBLEM | Essential Plan 1-2 | $88.68 | ↑ +35% |
| Emblem | Essential Plan 200-250 | $88.68 | ↑ +35% |
| OSCAR | ALL PRODUCTS | $98.54 | ↑ +50% |
| Carelon | Managed Medicaid_HARP_CHP | $128.10 | ↑ +95% |
| Carelon | Commercial_Essential Plans | $128.10 | ↑ +95% |
| Carelon | MAP_Medicare Advantage | $128.10 | ↑ +95% |
| Carelon | GHI BMP | $128.10 | ↑ +95% |
| Carelon (Amida Care) | Managed Medicaid | $157.66 | ↑ +140% |
| EMBLEM | HIP_GHI_CHP | $157.66 | ↑ +140% |
| MULTIPLAN | ALL PRODUCTS | $157.66 | ↑ +140% |
| EMBLEM | PPO_Commercial | $157.66 | ↑ +140% |
| CIGNA | ALL PRODUCTS | $163.85 | ↑ +149% |
| VNSNY | MAP | $167.52 | ↑ +155% |
| Local 1199 | ALL PRODUCTS | $167.52 | ↑ +155% |
| VNSNY | Medicaid SNP | $167.52 | ↑ +155% |
| ANTHEM | Small Group EPO_PPO | $183.93 | ↑ +180% |
| ANTHEM | Blue Access Small Group | $183.93 | ↑ +180% |
| ANTHEM | Blue Access Large Group | $189.84 | ↑ +189% |
| ANTHEM | HMO | $204.95 | ↑ +212% |
| ANTHEM | INDEMNITY | $204.95 | ↑ +212% |
| ANTHEM | PPO | $204.95 | ↑ +212% |
| ANTHEM | EPO | $204.95 | ↑ +212% |
| Healthfirst | Essential Plan 3-4 | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | HARP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | CHP | not published by hospital | — |
| MetroPlus | SNP | not published by hospital | — |
| MetroPlus | Gold | not published by hospital | — |
| MetroPlus | Goldcare 1 & 2 | not published by hospital | — |
| MetroPlus | Managed Medicaid | not published by hospital | — |
| MetroPlus | HARP | not published by hospital | — |
| MetroPlus | CHP | not published by hospital | — |
| UNITED | Essential Plan 1-4_200-250 | not published by hospital | — |
| UNITED | Managed Medicaid | not published by hospital | — |
| UNITED | HARP | not published by hospital | — |
| UNITED | CHP | not published by hospital | — |
| Affinity | Essential Plan 1-2 | not published by hospital | — |
| Affinity | Essential Plan 200-250 | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Affinity | Essential Plan 3-4 | not published by hospital | — |
| Healthfirst | Essential Plan 1-2 | not published by hospital | — |
| Healthfirst | Managed Medicaid | not published by hospital | — |
| Healthfirst | Essential Plan 200-250 | not published by hospital | — |
| Healthfirst | HARP | not published by hospital | — |
| Healthfirst | CHP | not published by hospital | — |
| Fidelis | Essential Plan 1-4_200-250 | not published by hospital | — |
| Fidelis | CHP | not published by hospital | — |
| Fidelis | HARP_Managed Medicaid | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 1-2 | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 200-250 | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Anthem HealthPlus | EXCHANGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 3-4 | not published by hospital | — |
Visitor-reported prices
Comments
Analysis gene f2 20210g>a variant at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $65.69 | $1.00 – $163.85 |
| Jacobi Medical Center | Bronx | $65.69 | $1.00 – $163.85 |
| NewYork-Presbyterian Queens | Flushing | $61.00 | $45.98 – $68.97 |
| Bellevue Hospital Center | NY 10016 | $65.69 | $1.00 – $163.85 |
| Harlem Hospital Center | New York | $65.69 | $1.00 – $163.85 |
| Kings County Hospital Center | Brooklyn | $65.69 | $1.00 – $163.85 |
| Metropolitan Hospital Center | New York | $65.69 | $1.00 – $163.85 |
| Queens Hospital Center | Jamaica | $65.69 | $1.00 – $163.85 |