Excise intrspinl lesion lmbr at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$8,453.60
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.
$1,420.00 with Local 1199 vs $18,115.63 with Elderplan — 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 |
|---|---|---|---|
| Local 1199 | ALL PRODUCTS | $1,420.00 | ↓ -83% |
| Aetna | MEDICARE ADVANTAGE | $1,698.41 | ↓ -80% |
| MetroPlus | Essential Plan 1-2 | $2,088.36 | ↓ -75% |
| MetroPlus | Essential Plan 200-250 | $2,088.36 | ↓ -75% |
| MetroPlus | Essential Plan 3-4 | $2,088.36 | ↓ -75% |
| Healthfirst | CHP | $3,188.84 | ↓ -62% |
| Healthfirst | HARP | $3,188.84 | ↓ -62% |
| Healthfirst | Managed Medicaid | $3,188.84 | ↓ -62% |
| Carelon | GHI BMP | $3,841.97 | ↓ -55% |
| Fidelis | HARP_Managed Medicaid | $3,841.97 | ↓ -55% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $3,841.97 | ↓ -55% |
| Anthem HealthPlus | EXCHANGE | $3,841.97 | ↓ -55% |
| MetroPlus | SNP | $3,841.97 | ↓ -55% |
| MetroPlus | Gold | $3,841.97 | ↓ -55% |
| MetroPlus | Goldcare 1 & 2 | $3,841.97 | ↓ -55% |
| MetroPlus | Managed Medicaid | $3,841.97 | ↓ -55% |
| MetroPlus | HARP | $3,841.97 | ↓ -55% |
| MetroPlus | CHP | $3,841.97 | ↓ -55% |
| Fidelis | CHP | $3,841.97 | ↓ -55% |
| Carelon | Commercial_Essential Plans | $3,841.97 | ↓ -55% |
| Carelon | Managed Medicaid_HARP_CHP | $3,841.97 | ↓ -55% |
| UNITED | Managed Medicaid | $3,841.97 | ↓ -55% |
| UNITED | HARP | $3,841.97 | ↓ -55% |
| VNSNY | MAP | $3,918.81 | ↓ -54% |
| UNITED BEHAVIORAL HEALTH | HARP | $3,918.81 | ↓ -54% |
| VNSNY | Medicaid SNP | $3,918.81 | ↓ -54% |
| UNITED BEHAVIORAL HEALTH | CHP | $3,918.81 | ↓ -54% |
| Carelon (Amida Care) | Managed Medicaid | $3,918.81 | ↓ -54% |
| UNITED | Essential Plan 1-4_200-250 | $4,110.91 | ↓ -51% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $4,226.17 | ↓ -50% |
| EMBLEM | Essential Plan 3-4 | $4,802.46 | ↓ -43% |
| UNITED | CHP | $4,802.46 | ↓ -43% |
| Emblem | Essential Plan 200-250 | $5,186.66 | ↓ -39% |
| EMBLEM | Essential Plan 1-2 | $5,186.66 | ↓ -39% |
| Healthfirst | EXCHANGE | $6,147.15 | ↓ -27% |
| Healthfirst | Small Group | $6,262.41 | ↓ -26% |
| Hamaspik | MEDICARE ADVANTAGE | $6,762.88 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $7,517.99 | ↓ -11% |
| Senior Whole Health | MLTC | $8,453.60 | ↑ +0% |
| VNSNY | Medicare SNP | $8,453.60 | ↑ +0% |
| VACCN | All Products | $8,453.60 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $8,453.60 | ↑ +0% |
| Senior Whole Health | MAP | $8,453.60 | ↑ +0% |
| Fidelis | MAP | $8,453.60 | ↑ +0% |
| VNSNY | Medicare Advantage | $8,453.60 | ↑ +0% |
| Fidelis | Essential Plan 1-4_200-250 | $8,644.43 | ↑ +2% |
| Affinity | Essential Plan 1-2 | $8,644.43 | ↑ +2% |
| Affinity | Essential Plan 200-250 | $8,644.43 | ↑ +2% |
| Affinity | Essential Plan 3-4 | $8,644.43 | ↑ +2% |
| Anthem HealthPlus | Essential Plan 1-2 | $8,644.43 | ↑ +2% |
| Anthem HealthPlus | Essential Plan 200-250 | $8,644.43 | ↑ +2% |
| Healthfirst | Essential Plan 1-2 | $8,644.43 | ↑ +2% |
| Anthem HealthPlus | Essential Plan 3-4 | $8,644.43 | ↑ +2% |
| Healthfirst | Essential Plan 200-250 | $8,644.43 | ↑ +2% |
| Healthfirst | Essential Plan 3-4 | $8,644.43 | ↑ +2% |
| OXFORD | MEDICARE ADVANTAGE | $8,876.28 | ↑ +5% |
| Healthfirst | MEDICARE ADVANTAGE | $8,876.66 | ↑ +5% |
| Healthfirst | MAP | $8,876.66 | ↑ +5% |
| VillageCare Max | MEDICARE ADVANTAGE | $9,057.82 | ↑ +7% |
| Amidacare | Managed Medicaid | $9,057.82 | ↑ +7% |
| VillageCare Max | MAP | $9,057.82 | ↑ +7% |
| Centerlight | PACE | $9,057.82 | ↑ +7% |
| UNITED | MEDICARE ADVANTAGE | $9,510.71 | ↑ +13% |
| MAGNACARE | Direct Plus Non-FPP | $10,144.33 | ↑ +20% |
| MAGNACARE | PPO FPP | $10,144.33 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $10,144.33 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $10,144.33 | ↑ +20% |
| MetroPlus | MAP | $10,235.33 | ↑ +21% |
| MetroPlus | MEDICARE ADVANTAGE | $10,235.33 | ↑ +21% |
| MetroPlus | EXCHANGE | $10,235.33 | ↑ +21% |
| Fidelis | EXCHANGE | $12,004.11 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $12,511.33 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $12,680.41 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $13,586.72 | ↑ +61% |
| Elderplan | MAP_Medicare Advantage_MLTC | $18,115.63 | ↑ +114% |
Visitor-reported prices
Comments
Excise intrspinl lesion lmbr at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $8,453.60 | $1,420.00 – $18,115.63 |
| Jacobi Medical Center | Bronx | $8,453.60 | $1,420.00 – $18,115.63 |
| Bellevue Hospital Center | NY 10016 | $8,453.60 | $773.40 – $18,115.63 |
| Harlem Hospital Center | New York | $8,453.60 | $1,420.00 – $18,115.63 |
| Kings County Hospital Center | Brooklyn | $8,453.60 | $773.40 – $18,115.63 |
| Metropolitan Hospital Center | New York | $8,453.60 | $1,420.00 – $18,115.63 |
| Queens Hospital Center | Jamaica | $8,453.60 | $773.40 – $18,115.63 |
| Woodhull Medical Center | Brooklyn | $8,453.60 | $773.40 – $18,115.63 |