Mitomycin 40 mg intravenous solution at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$42.51
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.
$27.89 with Healthfirst vs $68.20 with Elderplan — 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 | MAP | $27.89 | ↓ -34% |
| Healthfirst | MEDICARE ADVANTAGE | $27.89 | ↓ -34% |
| Healthfirst | Medicare Advantage PPO | $27.89 | ↓ -34% |
| ANTHEM | MEDICARE ADVANTAGE | $28.27 | ↓ -33% |
| VACCN | All Products | $28.27 | ↓ -33% |
| Fidelis | EXCHANGE | $28.46 | ↓ -33% |
| ANTHEM | EPO | $30.17 | ↓ -29% |
| ANTHEM | Blue Access Small Group | $30.17 | ↓ -29% |
| ANTHEM | HMO | $30.17 | ↓ -29% |
| ANTHEM | INDEMNITY | $30.17 | ↓ -29% |
| ANTHEM | PPO | $30.17 | ↓ -29% |
| ANTHEM | Small Group EPO_PPO | $30.17 | ↓ -29% |
| ANTHEM | Blue Access Large Group | $30.17 | ↓ -29% |
| Senior Whole Health | MAP | $30.74 | ↓ -28% |
| VNSNY | Medicare SNP | $30.74 | ↓ -28% |
| Amidacare | Managed Medicaid | $30.74 | ↓ -28% |
| Centerlight | PACE | $30.74 | ↓ -28% |
| VNSNY | Medicare Advantage | $30.74 | ↓ -28% |
| VNSNY | Medicaid SNP | $30.74 | ↓ -28% |
| EMBLEM | HIP_GHI_CHP | $30.74 | ↓ -28% |
| VNSNY | MAP | $30.74 | ↓ -28% |
| EMBLEM | PPO_Commercial | $30.74 | ↓ -28% |
| Senior Whole Health | MLTC | $30.74 | ↓ -28% |
| MAGNACARE | PPO Non-FPP | $33.92 | ↓ -20% |
| MAGNACARE | Direct Plus FPP | $33.92 | ↓ -20% |
| MAGNACARE | Direct Plus Non-FPP | $33.92 | ↓ -20% |
| MAGNACARE | PPO FPP | $33.92 | ↓ -20% |
| Hamaspik | MEDICARE ADVANTAGE | $34.01 | ↓ -20% |
| VillageCare Max | MEDICARE ADVANTAGE | $34.10 | ↓ -20% |
| VillageCare Max | MAP | $34.10 | ↓ -20% |
| Local 1199 | ALL PRODUCTS | $34.11 | ↓ -20% |
| OSCAR | ALL PRODUCTS | $34.15 | ↓ -20% |
| UNITED | MEDICARE ADVANTAGE | $35.81 | ↓ -16% |
| MetroPlus | MEDICARE ADVANTAGE | $38.53 | ↓ -9% |
| MetroPlus | MAP | $38.53 | ↓ -9% |
| MetroPlus | EXCHANGE | $38.53 | ↓ -9% |
| EMBLEM | MEDICARE ADVANTAGE | $42.41 | ↓ -0% |
| Aetna | MEDICARE ADVANTAGE | $42.51 | ↑ +0% |
| Fidelis | MAP | $42.51 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $44.64 | ↑ +5% |
| Aetna | ALL PRODUCTS | $49.80 | ↑ +17% |
| MetroPlus | Essential Plan 200-250 | $53.81 | ↑ +27% |
| MetroPlus | Essential Plan 1-2 | $53.81 | ↑ +27% |
| MetroPlus | Essential Plan 3-4 | $53.81 | ↑ +27% |
| CIGNA | ALL PRODUCTS | $54.93 | ↑ +29% |
| Wellcare | MEDICARE ADVANTAGE | $62.91 | ↑ +48% |
| Elderplan | MAP_Medicare Advantage_MLTC | $68.20 | ↑ +60% |
Visitor-reported prices
Comments
Mitomycin 40 mg intravenous solution at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $464.80 | $20.35 – $83.70 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $1,015.63 | $26.86 – $290.18 |
| NewYork-Presbyterian Queens | Flushing | $1,015.63 | $26.86 – $290.18 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $1,015.63 | $26.86 – $290.18 |
| Gouverneur Hospital | Gouverneur | $251.28 | $25.60 – $272.46 |
| Massena Hospital | Massena | $251.28 | not published |
| Canton-Potsdam Hospital | Potsdam | $251.28 | $272.46 – $272.46 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $20.54 – $46.35 |