Assay of galactose at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$11.20
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.
$8.96 with Hamaspik vs $72.72 with Anthem HealthPlus — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $8.96 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $9.30 | ↓ -17% |
| Healthfirst | MAP | $10.98 | ↓ -2% |
| Healthfirst | MEDICARE ADVANTAGE | $10.98 | ↓ -2% |
| VNSNY | Medicare Advantage | $11.20 | ↑ +0% |
| Amidacare | Managed Medicaid | $11.20 | ↑ +0% |
| VillageCare Max | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| VillageCare Max | MAP | $11.20 | ↑ +0% |
| VACCN | All Products | $11.20 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| Senior Whole Health | MLTC | $11.20 | ↑ +0% |
| Senior Whole Health | MAP | $11.20 | ↑ +0% |
| Centerlight | PACE | $11.20 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| Fidelis | MAP | $11.20 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $11.20 | ↑ +0% |
| VNSNY | Medicare SNP | $11.20 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $11.76 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $11.76 | ↑ +5% |
| MetroPlus | MAP | $12.66 | ↑ +13% |
| MetroPlus | EXCHANGE | $12.66 | ↑ +13% |
| MetroPlus | MEDICARE ADVANTAGE | $12.66 | ↑ +13% |
| MAGNACARE | PPO FPP | $13.44 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $13.44 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $13.44 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $13.44 | ↑ +20% |
| MetroPlus | Essential Plan 1-2 | $13.55 | ↑ +21% |
| MetroPlus | Essential Plan 3-4 | $13.55 | ↑ +21% |
| MetroPlus | Essential Plan 200-250 | $13.55 | ↑ +21% |
| EMBLEM | Essential Plan 3-4 | $14.00 | ↑ +25% |
| Aetna | ALL PRODUCTS | $14.46 | ↑ +29% |
| EMBLEM | Essential Plan 1-2 | $15.12 | ↑ +35% |
| Emblem | Essential Plan 200-250 | $15.12 | ↑ +35% |
| Local 1199 | ALL PRODUCTS | $16.00 | ↑ +43% |
| UNITED | ALL PRODUCTS | $16.35 | ↑ +46% |
| OXFORD | Liberty | $16.35 | ↑ +46% |
| OXFORD | Freedom | $16.35 | ↑ +46% |
| Wellcare | MEDICARE ADVANTAGE | $16.58 | ↑ +48% |
| OSCAR | ALL PRODUCTS | $16.80 | ↑ +50% |
| Elderplan | MAP_Medicare Advantage_MLTC | $22.40 | ↑ +100% |
| Healthfirst | Managed Medicaid | $26.83 | ↑ +140% |
| Healthfirst | CHP | $26.83 | ↑ +140% |
| Healthfirst | HARP | $26.83 | ↑ +140% |
| CIGNA | ALL PRODUCTS | $28.25 | ↑ +152% |
| UNITED | Managed Medicaid | $32.32 | ↑ +189% |
| Carelon | Managed Medicaid_HARP_CHP | $32.32 | ↑ +189% |
| Fidelis | HARP_Managed Medicaid | $32.32 | ↑ +189% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $32.32 | ↑ +189% |
| Fidelis | CHP | $32.32 | ↑ +189% |
| UNITED | HARP | $32.32 | ↑ +189% |
| Anthem HealthPlus | EXCHANGE | $32.32 | ↑ +189% |
| MetroPlus | Managed Medicaid | $32.33 | ↑ +189% |
| MetroPlus | SNP | $32.33 | ↑ +189% |
| MetroPlus | CHP | $32.33 | ↑ +189% |
| Carelon | GHI BMP | $32.33 | ↑ +189% |
| MetroPlus | Gold | $32.33 | ↑ +189% |
| MetroPlus | Goldcare 1 & 2 | $32.33 | ↑ +189% |
| MetroPlus | HARP | $32.33 | ↑ +189% |
| Carelon | Commercial_Essential Plans | $32.33 | ↑ +189% |
| UNITED BEHAVIORAL HEALTH | HARP | $32.97 | ↑ +194% |
| VNSNY | Medicaid SNP | $32.97 | ↑ +194% |
| VNSNY | MAP | $32.97 | ↑ +194% |
| Carelon (Amida Care) | Managed Medicaid | $32.97 | ↑ +194% |
| UNITED BEHAVIORAL HEALTH | CHP | $32.97 | ↑ +194% |
| UNITED | Essential Plan 1-4_200-250 | $34.58 | ↑ +209% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $35.55 | ↑ +217% |
| ANTHEM | Small Group EPO_PPO | $38.70 | ↑ +246% |
| ANTHEM | Blue Access Small Group | $38.70 | ↑ +246% |
| ANTHEM | Blue Access Large Group | $39.94 | ↑ +257% |
| UNITED | CHP | $40.41 | ↑ +261% |
| ANTHEM | HMO | $43.12 | ↑ +285% |
| ANTHEM | PPO | $43.12 | ↑ +285% |
| ANTHEM | INDEMNITY | $43.12 | ↑ +285% |
| ANTHEM | EPO | $43.12 | ↑ +285% |
| Healthfirst | EXCHANGE | $51.73 | ↑ +362% |
| Healthfirst | Small Group | $52.70 | ↑ +371% |
| Anthem HealthPlus | Essential Plan 3-4 | $72.72 | ↑ +549% |
| Fidelis | Essential Plan 1-4_200-250 | $72.72 | ↑ +549% |
| Affinity | Essential Plan 1-2 | $72.72 | ↑ +549% |
| Anthem HealthPlus | Essential Plan 1-2 | $72.72 | ↑ +549% |
| Healthfirst | Essential Plan 200-250 | $72.72 | ↑ +549% |
| Healthfirst | Essential Plan 3-4 | $72.72 | ↑ +549% |
| Affinity | Essential Plan 3-4 | $72.72 | ↑ +549% |
| Affinity | Essential Plan 200-250 | $72.72 | ↑ +549% |
| Healthfirst | Essential Plan 1-2 | $72.72 | ↑ +549% |
| Anthem HealthPlus | Essential Plan 200-250 | $72.72 | ↑ +549% |
Visitor-reported prices
Comments
Assay of galactose at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $11.20 | $8.96 – $28.25 |
| Jacobi Medical Center | Bronx | $11.20 | $8.96 – $28.25 |
| Bellevue Hospital Center | NY 10016 | $11.20 | $8.31 – $28.25 |
| Harlem Hospital Center | New York | $11.20 | $8.96 – $28.25 |
| Kings County Hospital Center | Brooklyn | $11.20 | $8.31 – $28.25 |
| Metropolitan Hospital Center | New York | $11.20 | $8.96 – $28.25 |
| Queens Hospital Center | Jamaica | $11.20 | $8.31 – $28.25 |
| Woodhull Medical Center | Brooklyn | $11.20 | $8.31 – $28.25 |