M.pneumon dna quant at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$302.62
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.
$53.94 with Aetna vs $944.17 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 | ALL PRODUCTS | $53.94 | ↓ -82% |
| OXFORD | Liberty | $60.95 | ↓ -80% |
| UNITED | ALL PRODUCTS | $60.95 | ↓ -80% |
| OXFORD | Freedom | $60.95 | ↓ -80% |
| Local 1199 | ALL PRODUCTS | $69.00 | ↓ -77% |
| Healthfirst | HARP | $74.78 | ↓ -75% |
| Healthfirst | CHP | $74.78 | ↓ -75% |
| Healthfirst | Managed Medicaid | $74.78 | ↓ -75% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $90.09 | ↓ -70% |
| Fidelis | CHP | $90.09 | ↓ -70% |
| Anthem HealthPlus | EXCHANGE | $90.09 | ↓ -70% |
| Carelon | Managed Medicaid_HARP_CHP | $90.09 | ↓ -70% |
| UNITED | HARP | $90.09 | ↓ -70% |
| UNITED | Managed Medicaid | $90.09 | ↓ -70% |
| Fidelis | HARP_Managed Medicaid | $90.09 | ↓ -70% |
| MetroPlus | Managed Medicaid | $90.10 | ↓ -70% |
| MetroPlus | SNP | $90.10 | ↓ -70% |
| Carelon | GHI BMP | $90.10 | ↓ -70% |
| MetroPlus | Gold | $90.10 | ↓ -70% |
| MetroPlus | Goldcare 1 & 2 | $90.10 | ↓ -70% |
| Carelon | Commercial_Essential Plans | $90.10 | ↓ -70% |
| MetroPlus | HARP | $90.10 | ↓ -70% |
| MetroPlus | CHP | $90.10 | ↓ -70% |
| VNSNY | MAP | $91.89 | ↓ -70% |
| Carelon (Amida Care) | Managed Medicaid | $91.89 | ↓ -70% |
| VNSNY | Medicaid SNP | $91.89 | ↓ -70% |
| UNITED BEHAVIORAL HEALTH | CHP | $91.89 | ↓ -70% |
| UNITED BEHAVIORAL HEALTH | HARP | $91.89 | ↓ -70% |
| UNITED | Essential Plan 1-4_200-250 | $96.40 | ↓ -68% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $99.10 | ↓ -67% |
| UNITED | CHP | $112.63 | ↓ -63% |
| EMBLEM | Essential Plan 3-4 | $112.63 | ↓ -63% |
| Emblem | Essential Plan 200-250 | $121.64 | ↓ -60% |
| EMBLEM | Essential Plan 1-2 | $121.64 | ↓ -60% |
| Healthfirst | EXCHANGE | $144.16 | ↓ -52% |
| Healthfirst | Small Group | $146.86 | ↓ -51% |
| Healthfirst | Essential Plan 3-4 | $202.70 | ↓ -33% |
| Affinity | Essential Plan 200-250 | $202.70 | ↓ -33% |
| Affinity | Essential Plan 3-4 | $202.70 | ↓ -33% |
| Anthem HealthPlus | Essential Plan 3-4 | $202.70 | ↓ -33% |
| Anthem HealthPlus | Essential Plan 200-250 | $202.70 | ↓ -33% |
| Anthem HealthPlus | Essential Plan 1-2 | $202.70 | ↓ -33% |
| Healthfirst | Essential Plan 1-2 | $202.70 | ↓ -33% |
| Fidelis | Essential Plan 1-4_200-250 | $202.70 | ↓ -33% |
| Healthfirst | Essential Plan 200-250 | $202.70 | ↓ -33% |
| Affinity | Essential Plan 1-2 | $202.70 | ↓ -33% |
| Hamaspik | MEDICARE ADVANTAGE | $242.10 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $251.17 | ↓ -17% |
| Healthfirst | MEDICARE ADVANTAGE | $296.57 | ↓ -2% |
| Healthfirst | MAP | $296.57 | ↓ -2% |
| VNSNY | Medicare SNP | $302.62 | ↑ +0% |
| Amidacare | Managed Medicaid | $302.62 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $302.62 | ↑ +0% |
| VACCN | All Products | $302.62 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $302.62 | ↑ +0% |
| Fidelis | MAP | $302.62 | ↑ +0% |
| Centerlight | PACE | $302.62 | ↑ +0% |
| VillageCare Max | MAP | $302.62 | ↑ +0% |
| VNSNY | Medicare Advantage | $302.62 | ↑ +0% |
| VillageCare Max | MEDICARE ADVANTAGE | $302.62 | ↑ +0% |
| Senior Whole Health | MAP | $302.62 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $302.62 | ↑ +0% |
| Senior Whole Health | MLTC | $302.62 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $317.75 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $317.75 | ↑ +5% |
| MetroPlus | EXCHANGE | $341.96 | ↑ +13% |
| MetroPlus | MEDICARE ADVANTAGE | $341.96 | ↑ +13% |
| MetroPlus | MAP | $341.96 | ↑ +13% |
| MAGNACARE | Direct Plus FPP | $363.14 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $363.14 | ↑ +20% |
| MAGNACARE | PPO FPP | $363.14 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $363.14 | ↑ +20% |
| MetroPlus | Essential Plan 1-2 | $366.17 | ↑ +21% |
| MetroPlus | Essential Plan 3-4 | $366.17 | ↑ +21% |
| MetroPlus | Essential Plan 200-250 | $366.17 | ↑ +21% |
| Wellcare | MEDICARE ADVANTAGE | $447.88 | ↑ +48% |
| OSCAR | ALL PRODUCTS | $453.93 | ↑ +50% |
| Elderplan | MAP_Medicare Advantage_MLTC | $605.24 | ↑ +100% |
| CIGNA | ALL PRODUCTS | $755.47 | ↑ +150% |
| ANTHEM | Small Group EPO_PPO | $847.34 | ↑ +180% |
| ANTHEM | Blue Access Small Group | $847.34 | ↑ +180% |
| ANTHEM | Blue Access Large Group | $874.57 | ↑ +189% |
| ANTHEM | EPO | $944.17 | ↑ +212% |
| ANTHEM | PPO | $944.17 | ↑ +212% |
| ANTHEM | INDEMNITY | $944.17 | ↑ +212% |
| ANTHEM | HMO | $944.17 | ↑ +212% |
Visitor-reported prices
Comments
M.pneumon dna quant at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $302.62 | $40.30 – $755.47 |
| Jacobi Medical Center | Bronx | $302.62 | $40.30 – $755.47 |
| Bellevue Hospital Center | NY 10016 | $302.62 | $31.00 – $755.47 |
| Harlem Hospital Center | New York | $302.62 | $53.94 – $755.47 |
| Kings County Hospital Center | Brooklyn | $302.62 | $31.00 – $755.47 |
| Metropolitan Hospital Center | New York | $302.62 | $53.94 – $755.47 |
| Queens Hospital Center | Jamaica | $302.62 | $31.00 – $755.47 |
| Woodhull Medical Center | Brooklyn | $302.62 | $31.00 – $755.47 |