Analysis nerve at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$63.23
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.
not published by hospital
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.
$32.03 with EMBLEM vs $504.18 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 |
|---|---|---|---|
| EMBLEM | Essential Plan 3-4 | $32.03 | ↓ -49% |
| EMBLEM | Essential Plan 1-2 | $34.59 | ↓ -45% |
| Emblem | Essential Plan 200-250 | $34.59 | ↓ -45% |
| Hamaspik | MEDICARE ADVANTAGE | $50.58 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $53.99 | ↓ -15% |
| OXFORD | Liberty | $54.32 | ↓ -14% |
| OXFORD | Freedom | $54.32 | ↓ -14% |
| UNITED | ALL PRODUCTS | $54.32 | ↓ -14% |
| ANTHEM | MEDICARE ADVANTAGE | $63.23 | ↑ +0% |
| Senior Whole Health | MLTC | $63.23 | ↑ +0% |
| Senior Whole Health | MAP | $63.23 | ↑ +0% |
| VNSNY | Medicare Advantage | $63.23 | ↑ +0% |
| VNSNY | Medicare SNP | $63.23 | ↑ +0% |
| Fidelis | MAP | $63.23 | ↑ +0% |
| VACCN | All Products | $63.23 | ↑ +0% |
| Healthfirst | MEDICARE ADVANTAGE | $63.75 | ↑ +1% |
| Healthfirst | MAP | $63.75 | ↑ +1% |
| VillageCare Max | MAP | $65.05 | ↑ +3% |
| Amidacare | Managed Medicaid | $65.05 | ↑ +3% |
| Centerlight | PACE | $65.05 | ↑ +3% |
| VillageCare Max | MEDICARE ADVANTAGE | $65.05 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $66.39 | ↑ +5% |
| Local 1199 | ALL PRODUCTS | $68.00 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $68.30 | ↑ +8% |
| Healthfirst | CHP | $70.49 | ↑ +11% |
| Healthfirst | HARP | $70.49 | ↑ +11% |
| Healthfirst | Managed Medicaid | $70.49 | ↑ +11% |
| MetroPlus | EXCHANGE | $73.51 | ↑ +16% |
| MetroPlus | MAP | $73.51 | ↑ +16% |
| MetroPlus | MEDICARE ADVANTAGE | $73.51 | ↑ +16% |
| MAGNACARE | PPO FPP | $75.87 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $75.87 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $75.87 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $75.87 | ↑ +20% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $84.92 | ↑ +34% |
| UNITED | Managed Medicaid | $84.92 | ↑ +34% |
| Anthem HealthPlus | EXCHANGE | $84.92 | ↑ +34% |
| UNITED | HARP | $84.92 | ↑ +34% |
| Carelon | Managed Medicaid_HARP_CHP | $84.92 | ↑ +34% |
| Fidelis | HARP_Managed Medicaid | $84.92 | ↑ +34% |
| Fidelis | CHP | $84.92 | ↑ +34% |
| Carelon | Commercial_Essential Plans | $84.93 | ↑ +34% |
| Carelon | GHI BMP | $84.93 | ↑ +34% |
| MetroPlus | CHP | $84.93 | ↑ +34% |
| MetroPlus | HARP | $84.93 | ↑ +34% |
| MetroPlus | Managed Medicaid | $84.93 | ↑ +34% |
| MetroPlus | Goldcare 1 & 2 | $84.93 | ↑ +34% |
| MetroPlus | SNP | $84.93 | ↑ +34% |
| MetroPlus | Gold | $84.93 | ↑ +34% |
| UNITED BEHAVIORAL HEALTH | CHP | $86.62 | ↑ +37% |
| UNITED BEHAVIORAL HEALTH | HARP | $86.62 | ↑ +37% |
| Carelon (Amida Care) | Managed Medicaid | $86.62 | ↑ +37% |
| VNSNY | Medicaid SNP | $86.62 | ↑ +37% |
| VNSNY | MAP | $86.62 | ↑ +37% |
| Fidelis | EXCHANGE | $89.79 | ↑ +42% |
| UNITED | Essential Plan 1-4_200-250 | $90.86 | ↑ +44% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $93.41 | ↑ +48% |
| Wellcare | MEDICARE ADVANTAGE | $93.58 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $94.84 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $97.57 | ↑ +54% |
| UNITED | CHP | $106.16 | ↑ +68% |
| Elderplan | MAP_Medicare Advantage_MLTC | $130.10 | ↑ +106% |
| Healthfirst | EXCHANGE | $135.89 | ↑ +115% |
| Healthfirst | Small Group | $138.44 | ↑ +119% |
| Affinity | Essential Plan 200-250 | $191.07 | ↑ +202% |
| Healthfirst | Essential Plan 3-4 | $191.07 | ↑ +202% |
| Fidelis | Essential Plan 1-4_200-250 | $191.07 | ↑ +202% |
| Affinity | Essential Plan 3-4 | $191.07 | ↑ +202% |
| Healthfirst | Essential Plan 1-2 | $191.07 | ↑ +202% |
| Affinity | Essential Plan 1-2 | $191.07 | ↑ +202% |
| Anthem HealthPlus | Essential Plan 3-4 | $191.07 | ↑ +202% |
| Anthem HealthPlus | Essential Plan 1-2 | $191.07 | ↑ +202% |
| Anthem HealthPlus | Essential Plan 200-250 | $191.07 | ↑ +202% |
| Healthfirst | Essential Plan 200-250 | $191.07 | ↑ +202% |
| Aetna | MEDICARE ADVANTAGE | $263.97 | ↑ +317% |
| CIGNA | ALL PRODUCTS | $288.22 | ↑ +356% |
| ANTHEM | Small Group EPO_PPO | $317.72 | ↑ +402% |
| ANTHEM | Blue Access Small Group | $317.72 | ↑ +402% |
| MetroPlus | Essential Plan 200-250 | $324.42 | ↑ +413% |
| MetroPlus | Essential Plan 1-2 | $324.42 | ↑ +413% |
| MetroPlus | Essential Plan 3-4 | $324.42 | ↑ +413% |
| ANTHEM | Blue Access Large Group | $327.93 | ↑ +419% |
| ANTHEM | EPO | $354.03 | ↑ +460% |
| ANTHEM | INDEMNITY | $354.03 | ↑ +460% |
| ANTHEM | PPO | $354.03 | ↑ +460% |
| ANTHEM | HMO | $354.03 | ↑ +460% |
| Aetna | ALL PRODUCTS | $504.18 | ↑ +697% |
Visitor-reported prices
Comments
Analysis nerve at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $63.23 | $32.03 – $288.22 |
| Jacobi Medical Center | Bronx | $63.23 | $32.03 – $288.22 |
| Bellevue Hospital Center | NY 10016 | $63.23 | $32.03 – $288.22 |
| Harlem Hospital Center | New York | $63.23 | $32.03 – $288.22 |
| Kings County Hospital Center | Brooklyn | $63.23 | $32.03 – $288.22 |
| Metropolitan Hospital Center | New York | $63.23 | $32.03 – $288.22 |
| Queens Hospital Center | Jamaica | $63.23 | $32.03 – $288.22 |
| Woodhull Medical Center | Brooklyn | $63.23 | $32.03 – $288.22 |