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Lower Back (Lumbar Spine) CT scan (with and without contrast) at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
not published by hospital
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.
$183.04 with Healthfirst vs $990.20 with Anthem HealthPlus — 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 |
|---|---|---|---|
| Healthfirst | HARP | $183.04 | — |
| Healthfirst | Managed Medicaid | $183.04 | — |
| Healthfirst | MEDICARE ADVANTAGE | $189.90 | — |
| Healthfirst | MAP | $189.90 | — |
| Healthfirst | Medicare Advantage PPO | $189.90 | — |
| Healthfirst | CHP | $205.92 | — |
| VNSNY | Medicare Advantage | $210.66 | — |
| ANTHEM | MEDICARE ADVANTAGE | $210.66 | — |
| Aetna | MEDICARE ADVANTAGE | $210.66 | — |
| VACCN | All Products | $210.66 | — |
| VNSNY | Medicare SNP | $210.66 | — |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $219.09 | — |
| EMBLEM | HIP_GHI_CHP | $228.80 | — |
| Amidacare | Managed Medicaid | $228.80 | — |
| Wellcare | MEDICARE ADVANTAGE | $247.10 | — |
| UNITED | HARP | $254.00 | — |
| UNITED | Managed Medicaid | $254.00 | — |
| UNITED | Essential Plan 1-4_200-250 | $271.78 | — |
| MetroPlus | Essential Plan 200-250 | $295.09 | — |
| MetroPlus | Essential Plan 1-2 | $295.09 | — |
| MetroPlus | Essential Plan 3-4 | $295.09 | — |
| Fidelis | EXCHANGE | $299.14 | — |
| OSCAR | ALL PRODUCTS | $315.99 | — |
| EMBLEM | MEDICARE ADVANTAGE | $315.99 | — |
| Fidelis | MAP | $329.47 | — |
| EMBLEM | Essential Plan 1-2 | $346.33 | — |
| MetroPlus | HARP | $401.70 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $421.32 | — |
| MetroPlus | Managed Medicaid | $440.09 | — |
| MetroPlus | CHP | $440.09 | — |
| Senior Whole Health | MLTC | $440.09 | — |
| MetroPlus | Goldcare 1 & 2 | $440.09 | — |
| UNITED | CHP | $440.09 | — |
| MetroPlus | Gold | $440.09 | — |
| MetroPlus | SNP | $440.09 | — |
| Carelon | Managed Medicaid_HARP_CHP | $440.09 | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $440.09 | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $440.09 | — |
| Fidelis | CHP | $440.09 | — |
| Anthem HealthPlus | EXCHANGE | $440.09 | — |
| Senior Whole Health | MAP | $440.09 | — |
| Fidelis | HARP_Managed Medicaid | $440.09 | — |
| VNSNY | Medicaid SNP | $448.89 | — |
| UNITED BEHAVIORAL HEALTH | HARP | $448.89 | — |
| VNSNY | MAP | $448.89 | — |
| Affinity | HARP_Managed Medicaid | $448.89 | — |
| Carelon (Amida Care) | Managed Medicaid | $448.89 | — |
| UNITED BEHAVIORAL HEALTH | CHP | $448.89 | — |
| Affinity | CHP | $462.09 | — |
| Aetna | ALL PRODUCTS | $462.41 | — |
| Anthem HealthPlus | CHP | $484.10 | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $484.10 | — |
| OXFORD | Freedom | $511.44 | — |
| UNITED | ALL PRODUCTS | $511.44 | — |
| OXFORD | Liberty | $511.44 | — |
| UNITED | EXCHANGE | $511.44 | — |
| Healthfirst | EXCHANGE | $550.11 | — |
| EMBLEM | Essential Plan 3-4 | $550.11 | — |
| Healthfirst | Small Group | $599.57 | — |
| ANTHEM | Small Group EPO_PPO | $659.38 | — |
| ANTHEM | Blue Access Small Group | $659.38 | — |
| ANTHEM | Blue Access Large Group | $679.14 | — |
| ANTHEM | EPO | $836.68 | — |
| ANTHEM | INDEMNITY | $836.68 | — |
| ANTHEM | PPO | $836.68 | — |
| ANTHEM | HMO | $836.68 | — |
| Affinity | Essential Plan 1-2 | $903.83 | — |
| Affinity | Essential Plan 200-250 | $903.83 | — |
| Affinity | Essential Plan 3-4 | $903.83 | — |
| Healthfirst | Essential Plan 1-2 | $990.20 | — |
| Healthfirst | Essential Plan 3-4 | $990.20 | — |
| Fidelis | Essential Plan 1-4_200-250 | $990.20 | — |
| Anthem HealthPlus | Essential Plan 3-4 | $990.20 | — |
| Healthfirst | Essential Plan 200-250 | $990.20 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $990.20 | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with and without contrast) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jacobi Medical Center | Bronx | not published | $131.10 – $1,783.55 |
| North Central Bronx | Bronx | not published | $183.04 – $511.44 |
| Bellevue Hospital Center | NY 10016 | $212.47 | $111.52 – $1,678.63 |
| Kings County Hospital Center | Brooklyn | $210.32 | $114.40 – $1,783.55 |
| UPMC Chautauqua | Jamestown | $794.40 | $215.45 – $1,191.60 |
| Queens Hospital Center | Jamaica | $212.47 | $113.45 – $1,783.55 |
| Woodhull Medical Center | Brooklyn | $212.47 | $114.40 – $530.00 |
| Elmhurst Hospital Center | NY 11373 | not published | $130.33 – $1,056.00 |