Calculus analysis qual at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$11.58
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.
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.
?
The hospital's undiscounted list price — almost no one pays this.
$9.26 with Hamaspik vs $72.72 with Affinity — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $9.26 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $9.61 | ↓ -17% |
| Healthfirst | MEDICARE ADVANTAGE | $11.35 | ↓ -2% |
| Healthfirst | MAP | $11.35 | ↓ -2% |
| Senior Whole Health | MLTC | $11.58 | ↑ +0% |
| Senior Whole Health | MAP | $11.58 | ↑ +0% |
| Centerlight | PACE | $11.58 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $11.58 | ↑ +0% |
| VillageCare Max | MEDICARE ADVANTAGE | $11.58 | ↑ +0% |
| VillageCare Max | MAP | $11.58 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $11.58 | ↑ +0% |
| Fidelis | MAP | $11.58 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $11.58 | ↑ +0% |
| Amidacare | Managed Medicaid | $11.58 | ↑ +0% |
| VNSNY | Medicare Advantage | $11.58 | ↑ +0% |
| VNSNY | Medicare SNP | $11.58 | ↑ +0% |
| VACCN | All Products | $11.58 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $12.16 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $12.16 | ↑ +5% |
| MetroPlus | EXCHANGE | $13.09 | ↑ +13% |
| MetroPlus | MEDICARE ADVANTAGE | $13.09 | ↑ +13% |
| MetroPlus | MAP | $13.09 | ↑ +13% |
| MAGNACARE | Direct Plus Non-FPP | $13.90 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $13.90 | ↑ +20% |
| MAGNACARE | PPO FPP | $13.90 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $13.90 | ↑ +20% |
| MetroPlus | Essential Plan 1-2 | $14.01 | ↑ +21% |
| MetroPlus | Essential Plan 200-250 | $14.01 | ↑ +21% |
| MetroPlus | Essential Plan 3-4 | $14.01 | ↑ +21% |
| EMBLEM | Essential Plan 3-4 | $14.48 | ↑ +25% |
| Aetna | ALL PRODUCTS | $14.95 | ↑ +29% |
| Emblem | Essential Plan 200-250 | $15.63 | ↑ +35% |
| EMBLEM | Essential Plan 1-2 | $15.63 | ↑ +35% |
| Local 1199 | ALL PRODUCTS | $16.00 | ↑ +38% |
| OXFORD | Freedom | $16.89 | ↑ +46% |
| UNITED | ALL PRODUCTS | $16.89 | ↑ +46% |
| OXFORD | Liberty | $16.89 | ↑ +46% |
| Wellcare | MEDICARE ADVANTAGE | $17.14 | ↑ +48% |
| OSCAR | ALL PRODUCTS | $17.37 | ↑ +50% |
| Elderplan | MAP_Medicare Advantage_MLTC | $23.16 | ↑ +100% |
| Healthfirst | HARP | $26.83 | ↑ +132% |
| Healthfirst | CHP | $26.83 | ↑ +132% |
| Healthfirst | Managed Medicaid | $26.83 | ↑ +132% |
| CIGNA | ALL PRODUCTS | $29.06 | ↑ +151% |
| UNITED | HARP | $32.32 | ↑ +179% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $32.32 | ↑ +179% |
| UNITED | Managed Medicaid | $32.32 | ↑ +179% |
| Fidelis | CHP | $32.32 | ↑ +179% |
| Fidelis | HARP_Managed Medicaid | $32.32 | ↑ +179% |
| Carelon | Managed Medicaid_HARP_CHP | $32.32 | ↑ +179% |
| Anthem HealthPlus | EXCHANGE | $32.32 | ↑ +179% |
| Carelon | Commercial_Essential Plans | $32.33 | ↑ +179% |
| MetroPlus | HARP | $32.33 | ↑ +179% |
| MetroPlus | CHP | $32.33 | ↑ +179% |
| MetroPlus | Gold | $32.33 | ↑ +179% |
| MetroPlus | SNP | $32.33 | ↑ +179% |
| MetroPlus | Goldcare 1 & 2 | $32.33 | ↑ +179% |
| MetroPlus | Managed Medicaid | $32.33 | ↑ +179% |
| Carelon | GHI BMP | $32.33 | ↑ +179% |
| VNSNY | MAP | $32.97 | ↑ +185% |
| UNITED BEHAVIORAL HEALTH | CHP | $32.97 | ↑ +185% |
| UNITED BEHAVIORAL HEALTH | HARP | $32.97 | ↑ +185% |
| Carelon (Amida Care) | Managed Medicaid | $32.97 | ↑ +185% |
| VNSNY | Medicaid SNP | $32.97 | ↑ +185% |
| UNITED | Essential Plan 1-4_200-250 | $34.58 | ↑ +199% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $35.55 | ↑ +207% |
| ANTHEM | Blue Access Small Group | $40.01 | ↑ +246% |
| ANTHEM | Small Group EPO_PPO | $40.01 | ↑ +246% |
| UNITED | CHP | $40.41 | ↑ +249% |
| ANTHEM | Blue Access Large Group | $41.30 | ↑ +257% |
| ANTHEM | HMO | $44.58 | ↑ +285% |
| ANTHEM | PPO | $44.58 | ↑ +285% |
| ANTHEM | EPO | $44.58 | ↑ +285% |
| ANTHEM | INDEMNITY | $44.58 | ↑ +285% |
| Healthfirst | EXCHANGE | $51.73 | ↑ +347% |
| Healthfirst | Small Group | $52.70 | ↑ +355% |
| Affinity | Essential Plan 3-4 | $72.72 | ↑ +528% |
| Affinity | Essential Plan 1-2 | $72.72 | ↑ +528% |
| Healthfirst | Essential Plan 3-4 | $72.72 | ↑ +528% |
| Fidelis | Essential Plan 1-4_200-250 | $72.72 | ↑ +528% |
| Anthem HealthPlus | Essential Plan 200-250 | $72.72 | ↑ +528% |
| Anthem HealthPlus | Essential Plan 3-4 | $72.72 | ↑ +528% |
| Anthem HealthPlus | Essential Plan 1-2 | $72.72 | ↑ +528% |
| Healthfirst | Essential Plan 1-2 | $72.72 | ↑ +528% |
| Healthfirst | Essential Plan 200-250 | $72.72 | ↑ +528% |
| Affinity | Essential Plan 200-250 | $72.72 | ↑ +528% |
Visitor-reported prices
Comments
Calculus analysis qual at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $11.58 | $9.26 – $29.06 |
| Jacobi Medical Center | Bronx | $11.58 | $9.26 – $29.06 |
| Bellevue Hospital Center | NY 10016 | $11.58 | $8.59 – $29.06 |
| Harlem Hospital Center | New York | $11.58 | $9.26 – $29.06 |
| Kings County Hospital Center | Brooklyn | $11.58 | $8.59 – $29.06 |
| Metropolitan Hospital Center | New York | $11.58 | $9.26 – $29.06 |
| Queens Hospital Center | Jamaica | $11.58 | $8.59 – $29.06 |
| Woodhull Medical Center | Brooklyn | $11.58 | $8.59 – $29.06 |