Ghs simple repair 12.6 - 20.0 cm - 12016 at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$472.79
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.
$951.68
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.
$148.83 with Aetna vs $1,707.00 with ANTHEM — 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 | $148.83 | ↓ -69% |
| EMBLEM | HIP_GHI_CHP | $148.83 | ↓ -69% |
| EMBLEM | PPO_Commercial | $148.83 | ↓ -69% |
| Fidelis | MAP | $214.32 | ↓ -55% |
| Healthfirst | MAP | $220.50 | ↓ -53% |
| Healthfirst | MEDICARE ADVANTAGE | $220.50 | ↓ -53% |
| Healthfirst | Medicare Advantage PPO | $421.18 | ↓ -11% |
| Healthfirst | Managed Medicaid | $465.24 | ↓ -2% |
| Healthfirst | CHP | $465.24 | ↓ -2% |
| Healthfirst | HARP | $465.24 | ↓ -2% |
| Senior Whole Health | MLTC | $472.79 | ↑ +0% |
| Senior Whole Health | MAP | $472.79 | ↑ +0% |
| VNSNY | Medicare Advantage | $472.79 | ↑ +0% |
| VNSNY | Medicare SNP | $472.79 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $472.79 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $472.79 | ↑ +0% |
| VACCN | All Products | $472.79 | ↑ +0% |
| Amidacare | Managed Medicaid | $493.00 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $496.43 | ↑ +5% |
| VillageCare Max | MEDICARE ADVANTAGE | $507.45 | ↑ +7% |
| Centerlight | PACE | $507.45 | ↑ +7% |
| VillageCare Max | MAP | $507.45 | ↑ +7% |
| Elderplan | MAP_Medicare Advantage_MLTC | $507.45 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $510.61 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $532.82 | ↑ +13% |
| Carelon | Commercial_Essential Plans | $560.53 | ↑ +19% |
| UNITED | Managed Medicaid | $560.53 | ↑ +19% |
| MetroPlus | SNP | $560.53 | ↑ +19% |
| MetroPlus | Gold | $560.53 | ↑ +19% |
| MetroPlus | Goldcare 1 & 2 | $560.53 | ↑ +19% |
| MetroPlus | Managed Medicaid | $560.53 | ↑ +19% |
| MetroPlus | HARP | $560.53 | ↑ +19% |
| MetroPlus | CHP | $560.53 | ↑ +19% |
| Carelon | GHI BMP | $560.53 | ↑ +19% |
| Carelon | Managed Medicaid_HARP_CHP | $560.53 | ↑ +19% |
| UNITED | HARP | $560.53 | ↑ +19% |
| Fidelis | HARP_Managed Medicaid | $560.53 | ↑ +19% |
| Fidelis | CHP | $560.53 | ↑ +19% |
| Anthem HealthPlus | EXCHANGE | $560.53 | ↑ +19% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $560.53 | ↑ +19% |
| UNITED BEHAVIORAL HEALTH | HARP | $571.74 | ↑ +21% |
| UNITED BEHAVIORAL HEALTH | CHP | $571.74 | ↑ +21% |
| VNSNY | Medicaid SNP | $571.74 | ↑ +21% |
| Carelon (Amida Care) | Managed Medicaid | $571.74 | ↑ +21% |
| VNSNY | MAP | $571.74 | ↑ +21% |
| MetroPlus | MEDICARE ADVANTAGE | $573.41 | ↑ +21% |
| MetroPlus | EXCHANGE | $573.41 | ↑ +21% |
| MetroPlus | MAP | $573.41 | ↑ +21% |
| EMBLEM | MEDICARE ADVANTAGE | $590.98 | ↑ +25% |
| UNITED | Essential Plan 1-4_200-250 | $599.77 | ↑ +27% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $616.58 | ↑ +30% |
| Carelon | MAP_Medicare Advantage | $618.59 | ↑ +31% |
| Fidelis | EXCHANGE | $671.36 | ↑ +42% |
| UNITED | CHP | $700.66 | ↑ +48% |
| EMBLEM | Essential Plan 3-4 | $700.66 | ↑ +48% |
| MAGNACARE | PPO Non-FPP | $713.76 | ↑ +51% |
| MAGNACARE | PPO FPP | $713.76 | ↑ +51% |
| MAGNACARE | Direct Plus FPP | $713.76 | ↑ +51% |
| MAGNACARE | Direct Plus Non-FPP | $713.76 | ↑ +51% |
| Emblem | Essential Plan 200-250 | $756.72 | ↑ +60% |
| EMBLEM | Essential Plan 1-2 | $756.72 | ↑ +60% |
| MULTIPLAN | ALL PRODUCTS | $761.34 | ↑ +61% |
| Local 1199 | ALL PRODUCTS | $808.93 | ↑ +71% |
| OXFORD | Liberty | $820.00 | ↑ +73% |
| Healthfirst | EXCHANGE | $896.85 | ↑ +90% |
| Healthfirst | Small Group | $913.66 | ↑ +93% |
| OXFORD | Freedom | $926.00 | ↑ +96% |
| UNITED | EXCHANGE | $1,040.00 | ↑ +120% |
| UNITED | ALL PRODUCTS | $1,147.00 | ↑ +143% |
| Aetna | ALL PRODUCTS | $1,235.00 | ↑ +161% |
| Healthfirst | Essential Plan 200-250 | $1,261.19 | ↑ +167% |
| Healthfirst | Essential Plan 1-2 | $1,261.19 | ↑ +167% |
| Healthfirst | Essential Plan 3-4 | $1,261.19 | ↑ +167% |
| Affinity | Essential Plan 3-4 | $1,261.19 | ↑ +167% |
| Fidelis | Essential Plan 1-4_200-250 | $1,261.19 | ↑ +167% |
| Affinity | Essential Plan 200-250 | $1,261.19 | ↑ +167% |
| Affinity | Essential Plan 1-2 | $1,261.19 | ↑ +167% |
| MetroPlus | Essential Plan 3-4 | $1,261.19 | ↑ +167% |
| MetroPlus | Essential Plan 200-250 | $1,261.19 | ↑ +167% |
| MetroPlus | Essential Plan 1-2 | $1,261.19 | ↑ +167% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,261.19 | ↑ +167% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,261.19 | ↑ +167% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,261.19 | ↑ +167% |
| OSCAR | ALL PRODUCTS | $1,466.00 | ↑ +210% |
| CIGNA | ALL PRODUCTS | $1,500.00 | ↑ +217% |
| ANTHEM | Small Group EPO_PPO | $1,536.00 | ↑ +225% |
| ANTHEM | Blue Access Small Group | $1,536.00 | ↑ +225% |
| ANTHEM | Blue Access Large Group | $1,579.00 | ↑ +234% |
| ANTHEM | HMO | $1,707.00 | ↑ +261% |
| ANTHEM | INDEMNITY | $1,707.00 | ↑ +261% |
| ANTHEM | PPO | $1,707.00 | ↑ +261% |
| ANTHEM | EPO | $1,707.00 | ↑ +261% |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12016 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $472.79 | $148.83 – $781.00 |
| Jacobi Medical Center | Bronx | $472.79 | $148.83 – $781.00 |
| NewYork-Presbyterian Queens | Flushing | $1,368.00 | $240.00 – $654.59 |
| Bellevue Hospital Center | NY 10016 | $472.79 | $110.29 – $781.00 |
| Harlem Hospital Center | New York | $472.79 | $143.66 – $781.00 |
| Kings County Hospital Center | Brooklyn | $472.79 | $110.29 – $781.00 |
| Metropolitan Hospital Center | New York | $472.79 | $148.83 – $781.00 |
| UPMC Chautauqua | Jamestown | $83.40 | $83.40 – $1,033.67 |