Electric stim/w chemodenervation 95873 at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
not published by hospital
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.
$1,170.03
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.
$77.80 with EMBLEM vs $1,274.76 with Healthfirst — 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 |
|---|---|---|---|
| EMBLEM | HIP_GHI_CHP | $77.80 | — |
| Aetna | MEDICARE ADVANTAGE | $77.80 | — |
| EMBLEM | PPO_Commercial | $77.80 | — |
| Fidelis | MAP | $112.03 | — |
| Aetna | ALL PRODUCTS | $113.27 | — |
| ANTHEM | Small Group EPO_PPO | $180.80 | — |
| ANTHEM | Blue Access Small Group | $180.80 | — |
| ANTHEM | Blue Access Large Group | $186.61 | — |
| ANTHEM | HMO | $201.46 | — |
| ANTHEM | PPO | $201.46 | — |
| ANTHEM | EPO | $201.46 | — |
| ANTHEM | INDEMNITY | $201.46 | — |
| Healthfirst | MAP | $234.01 | — |
| Healthfirst | Medicare Advantage PPO | $234.01 | — |
| Healthfirst | MEDICARE ADVANTAGE | $234.01 | — |
| OXFORD | Liberty | $314.00 | — |
| Healthfirst | CHP | $470.25 | — |
| Healthfirst | HARP | $470.25 | — |
| Healthfirst | Managed Medicaid | $470.25 | — |
| Fidelis | CHP | $566.56 | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $566.56 | — |
| UNITED | Managed Medicaid | $566.56 | — |
| UNITED | HARP | $566.56 | — |
| Anthem HealthPlus | EXCHANGE | $566.56 | — |
| Carelon | Managed Medicaid_HARP_CHP | $566.56 | — |
| Fidelis | HARP_Managed Medicaid | $566.56 | — |
| Carelon | Commercial_Essential Plans | $566.57 | — |
| MetroPlus | CHP | $566.57 | — |
| MetroPlus | Gold | $566.57 | — |
| MetroPlus | Goldcare 1 & 2 | $566.57 | — |
| MetroPlus | HARP | $566.57 | — |
| MetroPlus | Managed Medicaid | $566.57 | — |
| MetroPlus | SNP | $566.57 | — |
| Carelon | GHI BMP | $566.57 | — |
| UNITED BEHAVIORAL HEALTH | CHP | $577.89 | — |
| Carelon (Amida Care) | Managed Medicaid | $577.89 | — |
| UNITED BEHAVIORAL HEALTH | HARP | $577.89 | — |
| VNSNY | MAP | $577.89 | — |
| VNSNY | Medicaid SNP | $577.89 | — |
| Centerlight | PACE | $585.02 | — |
| UNITED | Essential Plan 1-4_200-250 | $606.22 | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $623.22 | — |
| OSCAR | ALL PRODUCTS | $643.52 | — |
| Wellcare | MEDICARE ADVANTAGE | $702.02 | — |
| OXFORD | Freedom | $702.02 | — |
| UNITED | CHP | $708.21 | — |
| EMBLEM | Essential Plan 3-4 | $708.21 | — |
| Carelon | MAP_Medicare Advantage | $760.52 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $760.52 | — |
| Emblem | Essential Plan 200-250 | $764.87 | — |
| EMBLEM | Essential Plan 1-2 | $764.87 | — |
| EMBLEM | MEDICARE ADVANTAGE | $819.02 | — |
| MAGNACARE | Direct Plus Non-FPP | $877.52 | — |
| CIGNA | ALL PRODUCTS | $877.52 | — |
| MAGNACARE | PPO Non-FPP | $877.52 | — |
| MAGNACARE | Direct Plus FPP | $877.52 | — |
| MAGNACARE | PPO FPP | $877.52 | — |
| Healthfirst | EXCHANGE | $906.51 | — |
| Healthfirst | Small Group | $923.51 | — |
| UNITED | EXCHANGE | $936.02 | — |
| UNITED | ALL PRODUCTS | $936.02 | — |
| MULTIPLAN | ALL PRODUCTS | $936.02 | — |
| VillageCare Max | MAP | $994.53 | — |
| VNSNY | Medicare Advantage | $994.53 | — |
| Local 1199 | ALL PRODUCTS | $994.53 | — |
| VillageCare Max | MEDICARE ADVANTAGE | $994.53 | — |
| VNSNY | Medicare SNP | $994.53 | — |
| Amidacare | Managed Medicaid | $994.53 | — |
| Healthfirst | Essential Plan 200-250 | $1,274.76 | — |
| Affinity | Essential Plan 200-250 | $1,274.76 | — |
| Healthfirst | Essential Plan 1-2 | $1,274.76 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $1,274.76 | — |
| Anthem HealthPlus | Essential Plan 200-250 | $1,274.76 | — |
| MetroPlus | Essential Plan 3-4 | $1,274.76 | — |
| MetroPlus | Essential Plan 200-250 | $1,274.76 | — |
| MetroPlus | Essential Plan 1-2 | $1,274.76 | — |
| Anthem HealthPlus | Essential Plan 3-4 | $1,274.76 | — |
| Fidelis | Essential Plan 1-4_200-250 | $1,274.76 | — |
| Affinity | Essential Plan 3-4 | $1,274.76 | — |
| Affinity | Essential Plan 1-2 | $1,274.76 | — |
| Healthfirst | Essential Plan 3-4 | $1,274.76 | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| Senior Whole Health | MAP | not published by hospital | — |
| Senior Whole Health | MLTC | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Electric stim/w chemodenervation 95873 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | not published | $77.80 – $178.86 |
| Jacobi Medical Center | Bronx | not published | $77.80 – $178.86 |
| The Unity Hospital of Rochester | Rochester | $171.02 | not published |
| Bellevue Hospital Center | NY 10016 | not published | $33.34 – $180.80 |
| Harlem Hospital Center | New York | not published | $75.89 – $180.15 |
| Kings County Hospital Center | Brooklyn | not published | $33.34 – $180.15 |
| Metropolitan Hospital Center | New York | not published | $77.80 – $180.15 |
| Queens Hospital Center | Jamaica | not published | $33.34 – $181.44 |