Inj, sezaby, 1 mg at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$1.41
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.
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.92 with Healthfirst vs $131.69 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 |
|---|---|---|---|
| Healthfirst | Medicare Advantage PPO | $0.92 | ↓ -35% |
| Healthfirst | MAP | $1.09 | ↓ -23% |
| Healthfirst | MEDICARE ADVANTAGE | $1.09 | ↓ -23% |
| Centerlight | PACE | $1.11 | ↓ -21% |
| VillageCare Max | MEDICARE ADVANTAGE | $1.11 | ↓ -21% |
| VillageCare Max | MAP | $1.11 | ↓ -21% |
| Amidacare | Managed Medicaid | $1.11 | ↓ -21% |
| Senior Whole Health | MLTC | $1.11 | ↓ -21% |
| Hamaspik | MEDICARE ADVANTAGE | $1.13 | ↓ -20% |
| ANTHEM | MEDICARE ADVANTAGE | $1.15 | ↓ -18% |
| VNSNY | Medicare SNP | $1.15 | ↓ -18% |
| VNSNY | Medicare Advantage | $1.15 | ↓ -18% |
| VACCN | All Products | $1.15 | ↓ -18% |
| Senior Whole Health | MAP | $1.15 | ↓ -18% |
| UNITED | MEDICARE ADVANTAGE | $1.17 | ↓ -17% |
| Local 1199 | ALL PRODUCTS | $1.19 | ↓ -16% |
| MetroPlus | MEDICARE ADVANTAGE | $1.25 | ↓ -11% |
| MetroPlus | MAP | $1.25 | ↓ -11% |
| MetroPlus | EXCHANGE | $1.25 | ↓ -11% |
| MAGNACARE | PPO FPP | $1.38 | ↓ -2% |
| MAGNACARE | PPO Non-FPP | $1.38 | ↓ -2% |
| MAGNACARE | Direct Plus Non-FPP | $1.38 | ↓ -2% |
| MAGNACARE | Direct Plus FPP | $1.38 | ↓ -2% |
| Aetna | MEDICARE ADVANTAGE | $1.41 | ↑ +0% |
| Fidelis | MAP | $1.41 | ↑ +0% |
| Aetna | ALL PRODUCTS | $1.43 | ↑ +1% |
| OXFORD | MEDICARE ADVANTAGE | $1.48 | ↑ +5% |
| OSCAR | ALL PRODUCTS | $1.67 | ↑ +18% |
| EMBLEM | MEDICARE ADVANTAGE | $1.73 | ↑ +23% |
| Fidelis | EXCHANGE | $2.00 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $2.09 | ↑ +48% |
| Elderplan | MAP_Medicare Advantage_MLTC | $2.22 | ↑ +57% |
| Healthfirst | Managed Medicaid | $48.59 | ↑ +3346% |
| Healthfirst | CHP | $48.59 | ↑ +3346% |
| Healthfirst | HARP | $48.59 | ↑ +3346% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $58.53 | ↑ +4051% |
| Anthem HealthPlus | EXCHANGE | $58.53 | ↑ +4051% |
| UNITED | Managed Medicaid | $58.53 | ↑ +4051% |
| UNITED | HARP | $58.53 | ↑ +4051% |
| Fidelis | HARP_Managed Medicaid | $58.53 | ↑ +4051% |
| Carelon | Managed Medicaid_HARP_CHP | $58.53 | ↑ +4051% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $58.53 | ↑ +4051% |
| MetroPlus | HARP | $58.54 | ↑ +4052% |
| MetroPlus | SNP | $58.54 | ↑ +4052% |
| Carelon | Commercial_Essential Plans | $58.54 | ↑ +4052% |
| Carelon | GHI BMP | $58.54 | ↑ +4052% |
| MetroPlus | Gold | $58.54 | ↑ +4052% |
| MetroPlus | Goldcare 1 & 2 | $58.54 | ↑ +4052% |
| MetroPlus | Managed Medicaid | $58.54 | ↑ +4052% |
| MetroPlus | CHP | $58.54 | ↑ +4052% |
| UNITED BEHAVIORAL HEALTH | CHP | $59.70 | ↑ +4134% |
| UNITED BEHAVIORAL HEALTH | HARP | $59.70 | ↑ +4134% |
| Affinity | HARP_Managed Medicaid | $59.70 | ↑ +4134% |
| VNSNY | MAP | $59.70 | ↑ +4134% |
| Carelon (Amida Care) | Managed Medicaid | $59.70 | ↑ +4134% |
| VNSNY | Medicaid SNP | $59.70 | ↑ +4134% |
| Affinity | CHP | $61.46 | ↑ +4259% |
| Anthem HealthPlus | CHP | $64.38 | ↑ +4466% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $64.38 | ↑ +4466% |
| Fidelis | CHP | $69.07 | ↑ +4799% |
| UNITED | CHP | $73.18 | ↑ +5090% |
| EMBLEM | Essential Plan 3-4 | $73.18 | ↑ +5090% |
| EMBLEM | HARP_Managed Medicaid | $73.18 | ↑ +5090% |
| Emblem | Essential Plan 200-250 | $79.03 | ↑ +5505% |
| EMBLEM | Essential Plan 1-2 | $79.03 | ↑ +5505% |
| Healthfirst | EXCHANGE | $93.66 | ↑ +6543% |
| Healthfirst | Small Group | $95.42 | ↑ +6667% |
| Healthfirst | Essential Plan 200-250 | $131.69 | ↑ +9240% |
| Affinity | Essential Plan 200-250 | $131.69 | ↑ +9240% |
| Affinity | Essential Plan 1-2 | $131.69 | ↑ +9240% |
| MetroPlus | Essential Plan 3-4 | $131.69 | ↑ +9240% |
| Healthfirst | Essential Plan 1-2 | $131.69 | ↑ +9240% |
| MetroPlus | Essential Plan 200-250 | $131.69 | ↑ +9240% |
| MetroPlus | Essential Plan 1-2 | $131.69 | ↑ +9240% |
| Anthem HealthPlus | Essential Plan 3-4 | $131.69 | ↑ +9240% |
| Anthem HealthPlus | Essential Plan 200-250 | $131.69 | ↑ +9240% |
| UNITED | Essential Plan 1-4_200-250 | $131.69 | ↑ +9240% |
| Anthem HealthPlus | Essential Plan 1-2 | $131.69 | ↑ +9240% |
| Fidelis | Essential Plan 1-4_200-250 | $131.69 | ↑ +9240% |
| Affinity | Essential Plan 3-4 | $131.69 | ↑ +9240% |
| Healthfirst | Essential Plan 3-4 | $131.69 | ↑ +9240% |
Visitor-reported prices
Comments
Inj, sezaby, 1 mg at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $402.22 | $1.09 – $49.43 |
| NewYork-Presbyterian Queens | Flushing | $402.22 | $1.09 – $49.72 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $402.22 | $1.09 – $63.79 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $0.83 – $1.36 |
| Rochester General Hospital | Rochester | not published | $1.36 – $1.41 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $1.28 – $1.41 |
| Gouverneur Hospital | Gouverneur | not published | $1.28 – $1.28 |
| The Unity Hospital of Rochester | Rochester | not published | $1.36 – $1.41 |