Explr/decompress eye socket at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$4,462.45
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.
$1,214.00 with Local 1199 vs $9,815.00 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 | $1,214.00 | ↓ -73% |
| Aetna | MEDICARE ADVANTAGE | $1,619.37 | ↓ -64% |
| Healthfirst | CHP | $1,891.23 | ↓ -58% |
| Healthfirst | Managed Medicaid | $1,891.23 | ↓ -58% |
| Healthfirst | HARP | $1,891.23 | ↓ -58% |
| MetroPlus | Essential Plan 200-250 | $2,053.34 | ↓ -54% |
| MetroPlus | Essential Plan 1-2 | $2,053.34 | ↓ -54% |
| MetroPlus | Essential Plan 3-4 | $2,053.34 | ↓ -54% |
| UNITED | Managed Medicaid | $2,278.59 | ↓ -49% |
| Anthem HealthPlus | EXCHANGE | $2,278.59 | ↓ -49% |
| Carelon | Commercial_Essential Plans | $2,278.59 | ↓ -49% |
| Carelon | GHI BMP | $2,278.59 | ↓ -49% |
| Carelon | Managed Medicaid_HARP_CHP | $2,278.59 | ↓ -49% |
| UNITED | HARP | $2,278.59 | ↓ -49% |
| Fidelis | CHP | $2,278.59 | ↓ -49% |
| MetroPlus | SNP | $2,278.59 | ↓ -49% |
| Fidelis | HARP_Managed Medicaid | $2,278.59 | ↓ -49% |
| MetroPlus | Managed Medicaid | $2,278.59 | ↓ -49% |
| MetroPlus | HARP | $2,278.59 | ↓ -49% |
| MetroPlus | Goldcare 1 & 2 | $2,278.59 | ↓ -49% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $2,278.59 | ↓ -49% |
| MetroPlus | Gold | $2,278.59 | ↓ -49% |
| MetroPlus | CHP | $2,278.59 | ↓ -49% |
| Carelon (Amida Care) | Managed Medicaid | $2,324.16 | ↓ -48% |
| VNSNY | MAP | $2,324.16 | ↓ -48% |
| UNITED BEHAVIORAL HEALTH | CHP | $2,324.16 | ↓ -48% |
| VNSNY | Medicaid SNP | $2,324.16 | ↓ -48% |
| UNITED BEHAVIORAL HEALTH | HARP | $2,324.16 | ↓ -48% |
| UNITED | Essential Plan 1-4_200-250 | $2,438.09 | ↓ -45% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $2,506.45 | ↓ -44% |
| EMBLEM | Essential Plan 3-4 | $2,848.24 | ↓ -36% |
| UNITED | CHP | $2,848.24 | ↓ -36% |
| Emblem | Essential Plan 200-250 | $3,076.10 | ↓ -31% |
| EMBLEM | Essential Plan 1-2 | $3,076.10 | ↓ -31% |
| Hamaspik | MEDICARE ADVANTAGE | $3,569.96 | ↓ -20% |
| Healthfirst | EXCHANGE | $3,645.74 | ↓ -18% |
| Healthfirst | Small Group | $3,714.10 | ↓ -17% |
| Healthfirst | Medicare Advantage PPO | $4,073.23 | ↓ -9% |
| Senior Whole Health | MAP | $4,462.45 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $4,462.45 | ↑ +0% |
| Fidelis | MAP | $4,462.45 | ↑ +0% |
| Senior Whole Health | MLTC | $4,462.45 | ↑ +0% |
| VACCN | All Products | $4,462.45 | ↑ +0% |
| VNSNY | Medicare Advantage | $4,462.45 | ↑ +0% |
| VNSNY | Medicare SNP | $4,462.45 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $4,685.57 | ↑ +5% |
| Healthfirst | MEDICARE ADVANTAGE | $4,809.35 | ↑ +8% |
| Healthfirst | MAP | $4,809.35 | ↑ +8% |
| Centerlight | PACE | $4,907.50 | ↑ +10% |
| Amidacare | Managed Medicaid | $4,907.50 | ↑ +10% |
| VillageCare Max | MAP | $4,907.50 | ↑ +10% |
| VillageCare Max | MEDICARE ADVANTAGE | $4,907.50 | ↑ +10% |
| Affinity | Essential Plan 3-4 | $5,126.83 | ↑ +15% |
| Affinity | Essential Plan 200-250 | $5,126.83 | ↑ +15% |
| Healthfirst | Essential Plan 1-2 | $5,126.83 | ↑ +15% |
| Anthem HealthPlus | Essential Plan 3-4 | $5,126.83 | ↑ +15% |
| Anthem HealthPlus | Essential Plan 200-250 | $5,126.83 | ↑ +15% |
| Anthem HealthPlus | Essential Plan 1-2 | $5,126.83 | ↑ +15% |
| Healthfirst | Essential Plan 200-250 | $5,126.83 | ↑ +15% |
| Healthfirst | Essential Plan 3-4 | $5,126.83 | ↑ +15% |
| Fidelis | Essential Plan 1-4_200-250 | $5,126.83 | ↑ +15% |
| Affinity | Essential Plan 1-2 | $5,126.83 | ↑ +15% |
| UNITED | MEDICARE ADVANTAGE | $5,152.88 | ↑ +15% |
| MAGNACARE | Direct Plus Non-FPP | $5,354.94 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $5,354.94 | ↑ +20% |
| MAGNACARE | PPO FPP | $5,354.94 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $5,354.94 | ↑ +20% |
| MetroPlus | MAP | $5,545.48 | ↑ +24% |
| MetroPlus | EXCHANGE | $5,545.48 | ↑ +24% |
| MetroPlus | MEDICARE ADVANTAGE | $5,545.48 | ↑ +24% |
| Fidelis | EXCHANGE | $6,336.68 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $6,604.43 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $6,693.68 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $7,361.25 | ↑ +65% |
| Elderplan | MAP_Medicare Advantage_MLTC | $9,815.00 | ↑ +120% |
Visitor-reported prices
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Explr/decompress eye socket at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $4,462.45 | $1,214.00 – $9,815.00 |
| Jacobi Medical Center | Bronx | $4,462.45 | $1,214.00 – $9,815.00 |
| Bellevue Hospital Center | NY 10016 | $4,462.45 | $675.56 – $9,815.00 |
| Harlem Hospital Center | New York | $4,462.45 | $1,214.00 – $9,815.00 |
| Kings County Hospital Center | Brooklyn | $4,462.45 | $675.56 – $9,815.00 |
| Metropolitan Hospital Center | New York | $4,462.45 | $1,214.00 – $9,815.00 |
| Queens Hospital Center | Jamaica | $4,462.45 | $675.56 – $9,815.00 |
| Woodhull Medical Center | Brooklyn | $4,462.45 | $675.56 – $9,815.00 |