Contrast x-ray of brain at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$422.61
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.
$65.49 with Aetna vs $1,629.11 with Fidelis — 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 |
|---|---|---|---|
| Aetna | MEDICARE ADVANTAGE | $65.49 | ↓ -85% |
| EMBLEM | Essential Plan 3-4 | $78.91 | ↓ -81% |
| MetroPlus | Essential Plan 1-2 | $81.44 | ↓ -81% |
| MetroPlus | Essential Plan 3-4 | $81.44 | ↓ -81% |
| MetroPlus | Essential Plan 200-250 | $81.44 | ↓ -81% |
| Emblem | Essential Plan 200-250 | $85.22 | ↓ -80% |
| EMBLEM | Essential Plan 1-2 | $85.22 | ↓ -80% |
| CIGNA | ALL PRODUCTS | $101.02 | ↓ -76% |
| Aetna | ALL PRODUCTS | $125.09 | ↓ -70% |
| ANTHEM | Small Group EPO_PPO | $194.80 | ↓ -54% |
| ANTHEM | Blue Access Small Group | $194.80 | ↓ -54% |
| ANTHEM | Blue Access Large Group | $201.06 | ↓ -52% |
| ANTHEM | HMO | $217.06 | ↓ -49% |
| ANTHEM | PPO | $217.06 | ↓ -49% |
| ANTHEM | EPO | $217.06 | ↓ -49% |
| ANTHEM | INDEMNITY | $217.06 | ↓ -49% |
| Local 1199 | ALL PRODUCTS | $221.00 | ↓ -48% |
| Hamaspik | MEDICARE ADVANTAGE | $338.09 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $361.46 | ↓ -14% |
| VACCN | All Products | $422.61 | ↑ +0% |
| VNSNY | Medicare Advantage | $422.61 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $422.61 | ↑ +0% |
| Senior Whole Health | MLTC | $422.61 | ↑ +0% |
| Senior Whole Health | MAP | $422.61 | ↑ +0% |
| Fidelis | MAP | $422.61 | ↑ +0% |
| VNSNY | Medicare SNP | $422.61 | ↑ +0% |
| Healthfirst | MAP | $426.78 | ↑ +1% |
| Healthfirst | MEDICARE ADVANTAGE | $426.78 | ↑ +1% |
| VillageCare Max | MAP | $435.49 | ↑ +3% |
| VillageCare Max | MEDICARE ADVANTAGE | $435.49 | ↑ +3% |
| Centerlight | PACE | $435.49 | ↑ +3% |
| Amidacare | Managed Medicaid | $435.49 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $443.74 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $457.27 | ↑ +8% |
| MetroPlus | EXCHANGE | $492.11 | ↑ +16% |
| MetroPlus | MAP | $492.11 | ↑ +16% |
| MetroPlus | MEDICARE ADVANTAGE | $492.11 | ↑ +16% |
| MAGNACARE | Direct Plus FPP | $507.14 | ↑ +20% |
| MAGNACARE | PPO FPP | $507.14 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $507.14 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $507.14 | ↑ +20% |
| Fidelis | EXCHANGE | $600.11 | ↑ +42% |
| Healthfirst | CHP | $600.96 | ↑ +42% |
| Healthfirst | Managed Medicaid | $600.96 | ↑ +42% |
| Healthfirst | HARP | $600.96 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $625.47 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $633.92 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $653.24 | ↑ +55% |
| OXFORD | Liberty | $712.89 | ↑ +69% |
| OXFORD | Freedom | $712.89 | ↑ +69% |
| UNITED | ALL PRODUCTS | $712.89 | ↑ +69% |
| UNITED | HARP | $724.05 | ↑ +71% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $724.05 | ↑ +71% |
| MetroPlus | SNP | $724.05 | ↑ +71% |
| MetroPlus | Gold | $724.05 | ↑ +71% |
| MetroPlus | Goldcare 1 & 2 | $724.05 | ↑ +71% |
| MetroPlus | Managed Medicaid | $724.05 | ↑ +71% |
| MetroPlus | HARP | $724.05 | ↑ +71% |
| MetroPlus | CHP | $724.05 | ↑ +71% |
| UNITED | Managed Medicaid | $724.05 | ↑ +71% |
| Fidelis | CHP | $724.05 | ↑ +71% |
| Fidelis | HARP_Managed Medicaid | $724.05 | ↑ +71% |
| Carelon | Commercial_Essential Plans | $724.05 | ↑ +71% |
| Carelon | Managed Medicaid_HARP_CHP | $724.05 | ↑ +71% |
| Carelon | GHI BMP | $724.05 | ↑ +71% |
| Anthem HealthPlus | EXCHANGE | $724.05 | ↑ +71% |
| VNSNY | Medicaid SNP | $738.53 | ↑ +75% |
| UNITED BEHAVIORAL HEALTH | CHP | $738.53 | ↑ +75% |
| UNITED BEHAVIORAL HEALTH | HARP | $738.53 | ↑ +75% |
| Carelon (Amida Care) | Managed Medicaid | $738.53 | ↑ +75% |
| VNSNY | MAP | $738.53 | ↑ +75% |
| UNITED | Essential Plan 1-4_200-250 | $774.73 | ↑ +83% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $796.46 | ↑ +88% |
| Elderplan | MAP_Medicare Advantage_MLTC | $870.99 | ↑ +106% |
| UNITED | CHP | $905.06 | ↑ +114% |
| Healthfirst | EXCHANGE | $1,158.48 | ↑ +174% |
| Healthfirst | Small Group | $1,180.20 | ↑ +179% |
| Healthfirst | Essential Plan 1-2 | $1,629.11 | ↑ +285% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,629.11 | ↑ +285% |
| Affinity | Essential Plan 3-4 | $1,629.11 | ↑ +285% |
| Affinity | Essential Plan 200-250 | $1,629.11 | ↑ +285% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,629.11 | ↑ +285% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,629.11 | ↑ +285% |
| Affinity | Essential Plan 1-2 | $1,629.11 | ↑ +285% |
| Healthfirst | Essential Plan 3-4 | $1,629.11 | ↑ +285% |
| Healthfirst | Essential Plan 200-250 | $1,629.11 | ↑ +285% |
| Fidelis | Essential Plan 1-4_200-250 | $1,629.11 | ↑ +285% |
Visitor-reported prices
Comments
Contrast x-ray of brain at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $422.61 | $65.49 – $870.99 |
| Jacobi Medical Center | Bronx | $422.61 | $65.49 – $870.99 |
| NewYork-Presbyterian Queens | Flushing | $1,634.00 | $115.69 – $842.99 |
| Bellevue Hospital Center | NY 10016 | $422.61 | $46.94 – $870.99 |
| Harlem Hospital Center | New York | $422.61 | $64.02 – $870.99 |
| Kings County Hospital Center | Brooklyn | $422.61 | $46.94 – $870.99 |
| Metropolitan Hospital Center | New York | $422.61 | $65.49 – $870.99 |
| Queens Hospital Center | Jamaica | $422.61 | $46.94 – $870.99 |