Ghs speech-gen aug dev eval iii, st at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$54.46
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.
$444.86
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.
$28.00 with Local 1199 vs $363.38 with Affinity — 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 | $28.00 | ↓ -49% |
| Hamaspik | MEDICARE ADVANTAGE | $43.57 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $44.71 | ↓ -18% |
| Healthfirst | MAP | $52.79 | ↓ -3% |
| Healthfirst | MEDICARE ADVANTAGE | $52.79 | ↓ -3% |
| VillageCare Max | MEDICARE ADVANTAGE | $53.87 | ↓ -1% |
| VillageCare Max | MAP | $53.87 | ↓ -1% |
| Amidacare | Managed Medicaid | $53.87 | ↓ -1% |
| Senior Whole Health | MLTC | $53.87 | ↓ -1% |
| Centerlight | PACE | $53.87 | ↓ -1% |
| EMBLEM | MEDICARE ADVANTAGE | $54.46 | ↑ +0% |
| Senior Whole Health | MAP | $54.46 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $54.46 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $54.46 | ↑ +0% |
| VNSNY | Medicare SNP | $54.46 | ↑ +0% |
| Fidelis | MAP | $54.46 | ↑ +0% |
| VACCN | All Products | $54.46 | ↑ +0% |
| VNSNY | Medicare Advantage | $54.46 | ↑ +0% |
| EMBLEM | PPO_Commercial | $54.46 | ↑ +0% |
| EMBLEM | HIP_GHI_CHP | $54.46 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $56.56 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $57.18 | ↑ +5% |
| MetroPlus | MAP | $60.87 | ↑ +12% |
| MetroPlus | EXCHANGE | $60.87 | ↑ +12% |
| MetroPlus | MEDICARE ADVANTAGE | $60.87 | ↑ +12% |
| MAGNACARE | Direct Plus FPP | $65.35 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $65.35 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $65.35 | ↑ +20% |
| MAGNACARE | PPO FPP | $65.35 | ↑ +20% |
| MetroPlus | Essential Plan 1-2 | $67.41 | ↑ +24% |
| MetroPlus | Essential Plan 3-4 | $67.41 | ↑ +24% |
| MetroPlus | Essential Plan 200-250 | $67.41 | ↑ +24% |
| Wellcare | MEDICARE ADVANTAGE | $80.60 | ↑ +48% |
| OSCAR | ALL PRODUCTS | $80.81 | ↑ +48% |
| Aetna | ALL PRODUCTS | $104.02 | ↑ +91% |
| Elderplan | MAP_Medicare Advantage_MLTC | $107.74 | ↑ +98% |
| Healthfirst | Managed Medicaid | $134.05 | ↑ +146% |
| Healthfirst | HARP | $134.05 | ↑ +146% |
| Healthfirst | CHP | $134.05 | ↑ +146% |
| Carelon | Managed Medicaid_HARP_CHP | $161.50 | ↑ +197% |
| Anthem HealthPlus | EXCHANGE | $161.50 | ↑ +197% |
| Carelon | Commercial_Essential Plans | $161.50 | ↑ +197% |
| Carelon | GHI BMP | $161.50 | ↑ +197% |
| Fidelis | CHP | $161.50 | ↑ +197% |
| Fidelis | HARP_Managed Medicaid | $161.50 | ↑ +197% |
| MetroPlus | CHP | $161.50 | ↑ +197% |
| MetroPlus | Gold | $161.50 | ↑ +197% |
| MetroPlus | Goldcare 1 & 2 | $161.50 | ↑ +197% |
| MetroPlus | HARP | $161.50 | ↑ +197% |
| MetroPlus | Managed Medicaid | $161.50 | ↑ +197% |
| MetroPlus | SNP | $161.50 | ↑ +197% |
| UNITED | HARP | $161.50 | ↑ +197% |
| UNITED | Managed Medicaid | $161.50 | ↑ +197% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $161.50 | ↑ +197% |
| VNSNY | Medicaid SNP | $164.73 | ↑ +202% |
| Carelon (Amida Care) | Managed Medicaid | $164.73 | ↑ +202% |
| VNSNY | MAP | $164.73 | ↑ +202% |
| UNITED BEHAVIORAL HEALTH | HARP | $164.73 | ↑ +202% |
| UNITED BEHAVIORAL HEALTH | CHP | $164.73 | ↑ +202% |
| ANTHEM | Blue Access Small Group | $169.06 | ↑ +210% |
| ANTHEM | Small Group EPO_PPO | $169.06 | ↑ +210% |
| UNITED | Essential Plan 1-4_200-250 | $172.81 | ↑ +217% |
| ANTHEM | Blue Access Large Group | $174.50 | ↑ +220% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $177.65 | ↑ +226% |
| ANTHEM | PPO | $188.39 | ↑ +246% |
| ANTHEM | EPO | $188.39 | ↑ +246% |
| ANTHEM | HMO | $188.39 | ↑ +246% |
| ANTHEM | INDEMNITY | $188.39 | ↑ +246% |
| UNITED | CHP | $201.88 | ↑ +271% |
| EMBLEM | Essential Plan 3-4 | $201.88 | ↑ +271% |
| EMBLEM | Essential Plan 1-2 | $218.03 | ↑ +300% |
| Emblem | Essential Plan 200-250 | $218.03 | ↑ +300% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +343% |
| OXFORD | Liberty | $248.00 | ↑ +355% |
| Healthfirst | EXCHANGE | $258.40 | ↑ +374% |
| Healthfirst | Small Group | $263.25 | ↑ +383% |
| OXFORD | Freedom | $278.00 | ↑ +410% |
| Carelon | MAP_Medicare Advantage | $289.16 | ↑ +431% |
| UNITED | EXCHANGE | $314.00 | ↑ +477% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +535% |
| MULTIPLAN | ALL PRODUCTS | $355.89 | ↑ +553% |
| Affinity | Essential Plan 200-250 | $363.38 | ↑ +567% |
| Affinity | Essential Plan 1-2 | $363.38 | ↑ +567% |
| Anthem HealthPlus | Essential Plan 3-4 | $363.38 | ↑ +567% |
| Anthem HealthPlus | Essential Plan 200-250 | $363.38 | ↑ +567% |
| Healthfirst | Essential Plan 3-4 | $363.38 | ↑ +567% |
| Anthem HealthPlus | Essential Plan 1-2 | $363.38 | ↑ +567% |
| Healthfirst | Essential Plan 200-250 | $363.38 | ↑ +567% |
| Healthfirst | Essential Plan 1-2 | $363.38 | ↑ +567% |
| Fidelis | Essential Plan 1-4_200-250 | $363.38 | ↑ +567% |
| Affinity | Essential Plan 3-4 | $363.38 | ↑ +567% |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
Visitor-reported prices
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Ghs speech-gen aug dev eval iii, st at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $54.46 | $28.00 – $107.74 |
| Jacobi Medical Center | Bronx | $54.46 | $28.00 – $107.74 |
| Bellevue Hospital Center | NY 10016 | $53.47 | $19.04 – $106.42 |
| Harlem Hospital Center | New York | $54.46 | $28.00 – $107.74 |
| Kings County Hospital Center | Brooklyn | $54.46 | $19.04 – $107.74 |
| Metropolitan Hospital Center | New York | $53.47 | $28.00 – $106.42 |
| Queens Hospital Center | Jamaica | $54.05 | $19.04 – $107.40 |
| Woodhull Medical Center | Brooklyn | $54.46 | $19.04 – $107.74 |