Close tear duct opening at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$353.74
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.
$912.89
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.
$0.01 with CIGNA vs $730.31 with MULTIPLAN — 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| Local 1199 | ALL PRODUCTS | $99.00 | ↓ -72% |
| Aetna | MEDICARE ADVANTAGE | $130.92 | ↓ -63% |
| EMBLEM | HIP_GHI_CHP | $130.92 | ↓ -63% |
| EMBLEM | PPO_Commercial | $130.92 | ↓ -63% |
| Fidelis | MAP | $188.52 | ↓ -47% |
| Healthfirst | HARP | $207.68 | ↓ -41% |
| Healthfirst | CHP | $207.68 | ↓ -41% |
| Healthfirst | Managed Medicaid | $207.68 | ↓ -41% |
| Healthfirst | Medicare Advantage PPO | $225.00 | ↓ -36% |
| MetroPlus | Gold | $250.22 | ↓ -29% |
| MetroPlus | Goldcare 1 & 2 | $250.22 | ↓ -29% |
| MetroPlus | Managed Medicaid | $250.22 | ↓ -29% |
| MetroPlus | HARP | $250.22 | ↓ -29% |
| UNITED | HARP | $250.22 | ↓ -29% |
| MetroPlus | CHP | $250.22 | ↓ -29% |
| UNITED | Managed Medicaid | $250.22 | ↓ -29% |
| Carelon | GHI BMP | $250.22 | ↓ -29% |
| Carelon | Managed Medicaid_HARP_CHP | $250.22 | ↓ -29% |
| Carelon | Commercial_Essential Plans | $250.22 | ↓ -29% |
| Fidelis | HARP_Managed Medicaid | $250.22 | ↓ -29% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $250.22 | ↓ -29% |
| Fidelis | CHP | $250.22 | ↓ -29% |
| Anthem HealthPlus | EXCHANGE | $250.22 | ↓ -29% |
| MetroPlus | SNP | $250.22 | ↓ -29% |
| UNITED BEHAVIORAL HEALTH | HARP | $255.22 | ↓ -28% |
| UNITED BEHAVIORAL HEALTH | CHP | $255.22 | ↓ -28% |
| Carelon (Amida Care) | Managed Medicaid | $255.22 | ↓ -28% |
| VNSNY | Medicaid SNP | $255.22 | ↓ -28% |
| VNSNY | MAP | $255.22 | ↓ -28% |
| Aetna | ALL PRODUCTS | $257.00 | ↓ -27% |
| UNITED | Essential Plan 1-4_200-250 | $267.74 | ↓ -24% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $275.24 | ↓ -22% |
| UNITED | CHP | $312.78 | ↓ -12% |
| Healthfirst | MAP | $328.86 | ↓ -7% |
| Healthfirst | MEDICARE ADVANTAGE | $328.86 | ↓ -7% |
| MAGNACARE | PPO FPP | $330.00 | ↓ -7% |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | ↓ -7% |
| MAGNACARE | Direct Plus FPP | $330.00 | ↓ -7% |
| MAGNACARE | PPO Non-FPP | $330.00 | ↓ -7% |
| VACCN | All Products | $353.74 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $353.74 | ↑ +0% |
| VNSNY | Medicare Advantage | $353.74 | ↑ +0% |
| VNSNY | Medicare SNP | $353.74 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $353.74 | ↑ +0% |
| Senior Whole Health | MLTC | $353.74 | ↑ +0% |
| Senior Whole Health | MAP | $353.74 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $371.43 | ↑ +5% |
| EMBLEM | Essential Plan 3-4 | $375.33 | ↑ +6% |
| OXFORD | Liberty | $380.00 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $382.04 | ↑ +8% |
| ANTHEM | Small Group EPO_PPO | $390.15 | ↑ +10% |
| ANTHEM | Blue Access Small Group | $390.15 | ↑ +10% |
| Centerlight | PACE | $396.21 | ↑ +12% |
| Amidacare | Managed Medicaid | $396.21 | ↑ +12% |
| Elderplan | MAP_Medicare Advantage_MLTC | $396.21 | ↑ +12% |
| VillageCare Max | MAP | $396.21 | ↑ +12% |
| VillageCare Max | MEDICARE ADVANTAGE | $396.21 | ↑ +12% |
| Emblem | Essential Plan 200-250 | $400.35 | ↑ +13% |
| Healthfirst | EXCHANGE | $400.35 | ↑ +13% |
| EMBLEM | Essential Plan 1-2 | $400.35 | ↑ +13% |
| ANTHEM | Blue Access Large Group | $402.69 | ↑ +14% |
| Healthfirst | Small Group | $407.86 | ↑ +15% |
| UNITED | MEDICARE ADVANTAGE | $416.02 | ↑ +18% |
| OXFORD | Freedom | $431.00 | ↑ +22% |
| ANTHEM | PPO | $434.74 | ↑ +23% |
| ANTHEM | INDEMNITY | $434.74 | ↑ +23% |
| ANTHEM | EPO | $434.74 | ↑ +23% |
| ANTHEM | HMO | $434.74 | ↑ +23% |
| EMBLEM | MEDICARE ADVANTAGE | $442.18 | ↑ +25% |
| MetroPlus | MAP | $447.72 | ↑ +27% |
| MetroPlus | EXCHANGE | $447.72 | ↑ +27% |
| MetroPlus | MEDICARE ADVANTAGE | $447.72 | ↑ +27% |
| UNITED | EXCHANGE | $480.00 | ↑ +36% |
| Fidelis | EXCHANGE | $502.31 | ↑ +42% |
| UNITED | ALL PRODUCTS | $529.00 | ↑ +50% |
| Healthfirst | Essential Plan 3-4 | $563.00 | ↑ +59% |
| Anthem HealthPlus | Essential Plan 3-4 | $563.00 | ↑ +59% |
| Affinity | Essential Plan 3-4 | $563.00 | ↑ +59% |
| Affinity | Essential Plan 200-250 | $563.00 | ↑ +59% |
| Affinity | Essential Plan 1-2 | $563.00 | ↑ +59% |
| Fidelis | Essential Plan 1-4_200-250 | $563.00 | ↑ +59% |
| Anthem HealthPlus | Essential Plan 1-2 | $563.00 | ↑ +59% |
| Anthem HealthPlus | Essential Plan 200-250 | $563.00 | ↑ +59% |
| Healthfirst | Essential Plan 200-250 | $563.00 | ↑ +59% |
| MetroPlus | Essential Plan 3-4 | $563.00 | ↑ +59% |
| MetroPlus | Essential Plan 1-2 | $563.00 | ↑ +59% |
| MetroPlus | Essential Plan 200-250 | $563.00 | ↑ +59% |
| Healthfirst | Essential Plan 1-2 | $563.00 | ↑ +59% |
| Carelon | MAP_Medicare Advantage | $593.38 | ↑ +68% |
| OSCAR | ALL PRODUCTS | $645.00 | ↑ +82% |
| MULTIPLAN | ALL PRODUCTS | $730.31 | ↑ +106% |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Close tear duct opening at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $353.74 | $0.01 – $645.00 |
| Jacobi Medical Center | Bronx | $353.74 | $0.01 – $645.00 |
| Bellevue Hospital Center | NY 10016 | $353.74 | $0.01 – $645.00 |
| Harlem Hospital Center | New York | $353.74 | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn | $353.74 | $0.01 – $645.00 |
| Metropolitan Hospital Center | New York | $353.74 | $0.01 – $645.00 |
| Queens Hospital Center | Jamaica | $353.74 | $0.01 – $645.00 |
| Woodhull Medical Center | Brooklyn | $353.74 | $0.01 – $645.00 |