Pt re-evaluation patient/family at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$77.39
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.
$418.69
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.
$63.45 with Healthfirst vs $373.48 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 | MEDICARE ADVANTAGE | $63.45 | ↓ -18% |
| Healthfirst | MAP | $63.45 | ↓ -18% |
| Healthfirst | Medicare Advantage PPO | $74.91 | ↓ -3% |
| Amidacare | Managed Medicaid | $76.44 | ↓ -1% |
| Centerlight | PACE | $76.44 | ↓ -1% |
| Senior Whole Health | MLTC | $76.44 | ↓ -1% |
| Hamaspik | MEDICARE ADVANTAGE | $77.39 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $77.39 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $77.39 | ↑ +0% |
| VNSNY | Medicare Advantage | $77.39 | ↑ +0% |
| Senior Whole Health | MAP | $77.39 | ↑ +0% |
| VACCN | All Products | $77.39 | ↑ +0% |
| VNSNY | Medicare SNP | $77.39 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $80.26 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $81.26 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $83.58 | ↑ +8% |
| MetroPlus | MEDICARE ADVANTAGE | $86.38 | ↑ +12% |
| MetroPlus | MAP | $86.38 | ↑ +12% |
| MetroPlus | EXCHANGE | $86.38 | ↑ +12% |
| Fidelis | MAP | $111.44 | ↑ +44% |
| Healthfirst | Managed Medicaid | $137.78 | ↑ +78% |
| Healthfirst | CHP | $137.78 | ↑ +78% |
| Healthfirst | HARP | $137.78 | ↑ +78% |
| Elderplan | MAP_Medicare Advantage_MLTC | $152.88 | ↑ +98% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $165.99 | ↑ +114% |
| UNITED | Managed Medicaid | $165.99 | ↑ +114% |
| UNITED | HARP | $165.99 | ↑ +114% |
| Carelon | Managed Medicaid_HARP_CHP | $165.99 | ↑ +114% |
| Fidelis | CHP | $165.99 | ↑ +114% |
| Fidelis | HARP_Managed Medicaid | $165.99 | ↑ +114% |
| Anthem HealthPlus | EXCHANGE | $165.99 | ↑ +114% |
| MetroPlus | HARP | $166.00 | ↑ +114% |
| MetroPlus | CHP | $166.00 | ↑ +114% |
| MetroPlus | Gold | $166.00 | ↑ +114% |
| Carelon | Commercial_Essential Plans | $166.00 | ↑ +114% |
| MetroPlus | SNP | $166.00 | ↑ +114% |
| Carelon | GHI BMP | $166.00 | ↑ +114% |
| MetroPlus | Managed Medicaid | $166.00 | ↑ +114% |
| MetroPlus | Goldcare 1 & 2 | $166.00 | ↑ +114% |
| Carelon (Amida Care) | Managed Medicaid | $169.31 | ↑ +119% |
| UNITED BEHAVIORAL HEALTH | HARP | $169.31 | ↑ +119% |
| VNSNY | MAP | $169.31 | ↑ +119% |
| VNSNY | Medicaid SNP | $169.31 | ↑ +119% |
| UNITED BEHAVIORAL HEALTH | CHP | $169.31 | ↑ +119% |
| UNITED | Essential Plan 1-4_200-250 | $177.61 | ↑ +129% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $182.59 | ↑ +136% |
| ANTHEM | Small Group EPO_PPO | $183.15 | ↑ +137% |
| ANTHEM | Blue Access Small Group | $183.15 | ↑ +137% |
| ANTHEM | Blue Access Large Group | $189.03 | ↑ +144% |
| Aetna | ALL PRODUCTS | $203.00 | ↑ +162% |
| ANTHEM | HMO | $204.08 | ↑ +164% |
| ANTHEM | INDEMNITY | $204.08 | ↑ +164% |
| ANTHEM | PPO | $204.08 | ↑ +164% |
| ANTHEM | EPO | $204.08 | ↑ +164% |
| UNITED | CHP | $207.50 | ↑ +168% |
| EMBLEM | Essential Plan 3-4 | $207.50 | ↑ +168% |
| EMBLEM | PPO_Commercial | $222.00 | ↑ +187% |
| EMBLEM | HIP_GHI_CHP | $222.00 | ↑ +187% |
| Emblem | Essential Plan 200-250 | $224.10 | ↑ +190% |
| EMBLEM | Essential Plan 1-2 | $224.10 | ↑ +190% |
| EMBLEM | MEDICARE ADVANTAGE | $237.00 | ↑ +206% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +211% |
| VillageCare Max | MEDICARE ADVANTAGE | $242.25 | ↑ +213% |
| VillageCare Max | MAP | $242.25 | ↑ +213% |
| OXFORD | Liberty | $248.00 | ↑ +220% |
| OSCAR | ALL PRODUCTS | $264.00 | ↑ +241% |
| Healthfirst | EXCHANGE | $265.60 | ↑ +243% |
| Healthfirst | Small Group | $270.58 | ↑ +250% |
| Carelon | MAP_Medicare Advantage | $272.15 | ↑ +252% |
| OXFORD | Freedom | $278.00 | ↑ +259% |
| UNITED | EXCHANGE | $314.00 | ↑ +306% |
| MAGNACARE | Direct Plus Non-FPP | $314.02 | ↑ +306% |
| MAGNACARE | PPO FPP | $314.02 | ↑ +306% |
| MAGNACARE | Direct Plus FPP | $314.02 | ↑ +306% |
| MAGNACARE | PPO Non-FPP | $314.02 | ↑ +306% |
| MULTIPLAN | ALL PRODUCTS | $334.95 | ↑ +333% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +347% |
| Local 1199 | ALL PRODUCTS | $355.89 | ↑ +360% |
| Fidelis | Essential Plan 1-4_200-250 | $373.48 | ↑ +383% |
| Healthfirst | Essential Plan 1-2 | $373.48 | ↑ +383% |
| Healthfirst | Essential Plan 3-4 | $373.48 | ↑ +383% |
| Affinity | Essential Plan 3-4 | $373.48 | ↑ +383% |
| Affinity | Essential Plan 200-250 | $373.48 | ↑ +383% |
| Affinity | Essential Plan 1-2 | $373.48 | ↑ +383% |
| Healthfirst | Essential Plan 200-250 | $373.48 | ↑ +383% |
| MetroPlus | Essential Plan 3-4 | $373.48 | ↑ +383% |
| MetroPlus | Essential Plan 200-250 | $373.48 | ↑ +383% |
| MetroPlus | Essential Plan 1-2 | $373.48 | ↑ +383% |
| Anthem HealthPlus | Essential Plan 1-2 | $373.48 | ↑ +383% |
| Anthem HealthPlus | Essential Plan 200-250 | $373.48 | ↑ +383% |
| Anthem HealthPlus | Essential Plan 3-4 | $373.48 | ↑ +383% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $77.39 | $63.45 – $242.25 |
| Jacobi Medical Center | Bronx | $77.39 | $63.45 – $242.25 |
| NewYork-Presbyterian Queens | Flushing | $587.00 | $63.00 – $200.04 |
| Bellevue Hospital Center | NY 10016 | $76.01 | $33.56 – $242.25 |
| Harlem Hospital Center | New York | $77.39 | $63.45 – $242.25 |
| Kings County Hospital Center | Brooklyn | $77.39 | $33.56 – $242.25 |
| Metropolitan Hospital Center | New York | $76.01 | $62.58 – $242.25 |
| UPMC Chautauqua | Jamestown | $66.00 | $28.30 – $120.85 |