Radiation physics consult at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$157.11
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.
$1,457.58
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.
$107.97 with Aetna vs $3,749.00 with CIGNA — 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 | MEDICARE ADVANTAGE | $107.97 | ↓ -31% |
| EMBLEM | HIP_GHI_CHP | $107.97 | ↓ -31% |
| EMBLEM | PPO_Commercial | $107.97 | ↓ -31% |
| Fidelis | MAP | $155.48 | ↓ -1% |
| Senior Whole Health | MAP | $157.11 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $157.11 | ↑ +0% |
| VACCN | All Products | $157.11 | ↑ +0% |
| VNSNY | Medicare SNP | $157.11 | ↑ +0% |
| Senior Whole Health | MLTC | $157.11 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $157.11 | ↑ +0% |
| VNSNY | Medicare Advantage | $157.11 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $157.11 | ↑ +0% |
| Healthfirst | Medicare Advantage PPO | $164.42 | ↑ +5% |
| Healthfirst | MEDICARE ADVANTAGE | $164.42 | ↑ +5% |
| Healthfirst | MAP | $164.42 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $164.97 | ↑ +5% |
| VillageCare Max | MAP | $167.78 | ↑ +7% |
| VillageCare Max | MEDICARE ADVANTAGE | $167.78 | ↑ +7% |
| Amidacare | Managed Medicaid | $167.78 | ↑ +7% |
| Centerlight | PACE | $167.78 | ↑ +7% |
| Elderplan | MAP_Medicare Advantage_MLTC | $167.78 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $169.68 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $176.17 | ↑ +12% |
| MetroPlus | MAP | $189.59 | ↑ +21% |
| MetroPlus | EXCHANGE | $189.59 | ↑ +21% |
| MetroPlus | MEDICARE ADVANTAGE | $189.59 | ↑ +21% |
| Fidelis | EXCHANGE | $223.10 | ↑ +42% |
| OSCAR | ALL PRODUCTS | $251.67 | ↑ +60% |
| ANTHEM | Blue Access Small Group | $276.64 | ↑ +76% |
| ANTHEM | Small Group EPO_PPO | $276.64 | ↑ +76% |
| ANTHEM | Blue Access Large Group | $285.53 | ↑ +82% |
| ANTHEM | PPO | $308.26 | ↑ +96% |
| ANTHEM | HMO | $308.26 | ↑ +96% |
| ANTHEM | EPO | $308.26 | ↑ +96% |
| ANTHEM | INDEMNITY | $308.26 | ↑ +96% |
| OXFORD | Liberty | $362.00 | ↑ +130% |
| OXFORD | Freedom | $410.00 | ↑ +161% |
| UNITED | EXCHANGE | $459.00 | ↑ +192% |
| Healthfirst | CHP | $474.36 | ↑ +202% |
| Healthfirst | Managed Medicaid | $474.36 | ↑ +202% |
| Healthfirst | HARP | $474.36 | ↑ +202% |
| UNITED | ALL PRODUCTS | $506.00 | ↑ +222% |
| Fidelis | CHP | $571.52 | ↑ +264% |
| MetroPlus | Managed Medicaid | $571.52 | ↑ +264% |
| MetroPlus | Goldcare 1 & 2 | $571.52 | ↑ +264% |
| MetroPlus | Gold | $571.52 | ↑ +264% |
| Carelon | Managed Medicaid_HARP_CHP | $571.52 | ↑ +264% |
| Anthem HealthPlus | EXCHANGE | $571.52 | ↑ +264% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $571.52 | ↑ +264% |
| MetroPlus | SNP | $571.52 | ↑ +264% |
| UNITED | HARP | $571.52 | ↑ +264% |
| Carelon | GHI BMP | $571.52 | ↑ +264% |
| MetroPlus | CHP | $571.52 | ↑ +264% |
| Carelon | Commercial_Essential Plans | $571.52 | ↑ +264% |
| MetroPlus | HARP | $571.52 | ↑ +264% |
| Fidelis | HARP_Managed Medicaid | $571.52 | ↑ +264% |
| UNITED | Managed Medicaid | $571.52 | ↑ +264% |
| VNSNY | MAP | $582.95 | ↑ +271% |
| UNITED BEHAVIORAL HEALTH | HARP | $582.95 | ↑ +271% |
| UNITED BEHAVIORAL HEALTH | CHP | $582.95 | ↑ +271% |
| Carelon (Amida Care) | Managed Medicaid | $582.95 | ↑ +271% |
| VNSNY | Medicaid SNP | $582.95 | ↑ +271% |
| UNITED | Essential Plan 1-4_200-250 | $611.53 | ↑ +289% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $628.67 | ↑ +300% |
| UNITED | CHP | $714.40 | ↑ +355% |
| EMBLEM | Essential Plan 3-4 | $714.40 | ↑ +355% |
| Emblem | Essential Plan 200-250 | $771.55 | ↑ +391% |
| EMBLEM | Essential Plan 1-2 | $771.55 | ↑ +391% |
| Healthfirst | EXCHANGE | $914.43 | ↑ +482% |
| Healthfirst | Small Group | $931.58 | ↑ +493% |
| Carelon | MAP_Medicare Advantage | $947.43 | ↑ +503% |
| MAGNACARE | Direct Plus FPP | $1,093.19 | ↑ +596% |
| MAGNACARE | PPO FPP | $1,093.19 | ↑ +596% |
| MAGNACARE | PPO Non-FPP | $1,093.19 | ↑ +596% |
| MAGNACARE | Direct Plus Non-FPP | $1,093.19 | ↑ +596% |
| MULTIPLAN | ALL PRODUCTS | $1,166.06 | ↑ +642% |
| Aetna | ALL PRODUCTS | $1,193.00 | ↑ +659% |
| Local 1199 | ALL PRODUCTS | $1,238.94 | ↑ +689% |
| Affinity | Essential Plan 3-4 | $1,285.92 | ↑ +718% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,285.92 | ↑ +718% |
| Healthfirst | Essential Plan 3-4 | $1,285.92 | ↑ +718% |
| MetroPlus | Essential Plan 3-4 | $1,285.92 | ↑ +718% |
| MetroPlus | Essential Plan 200-250 | $1,285.92 | ↑ +718% |
| Healthfirst | Essential Plan 1-2 | $1,285.92 | ↑ +718% |
| MetroPlus | Essential Plan 1-2 | $1,285.92 | ↑ +718% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,285.92 | ↑ +718% |
| Affinity | Essential Plan 200-250 | $1,285.92 | ↑ +718% |
| Fidelis | Essential Plan 1-4_200-250 | $1,285.92 | ↑ +718% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,285.92 | ↑ +718% |
| Healthfirst | Essential Plan 200-250 | $1,285.92 | ↑ +718% |
| Affinity | Essential Plan 1-2 | $1,285.92 | ↑ +718% |
| CIGNA | ALL PRODUCTS | $3,749.00 | ↑ +2286% |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Radiation physics consult at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $157.11 | $107.97 – $251.67 |
| Jacobi Medical Center | Bronx | $157.11 | $107.97 – $251.67 |
| NewYork-Presbyterian Queens | Flushing | $1,946.00 | $149.25 – $667.26 |
| Bellevue Hospital Center | NY 10016 | $157.11 | $40.84 – $251.67 |
| Harlem Hospital Center | New York | $157.11 | $104.45 – $251.67 |
| Kings County Hospital Center | Brooklyn | $157.11 | $40.84 – $251.67 |
| Metropolitan Hospital Center | New York | $157.11 | $107.97 – $251.67 |
| UPMC Chautauqua | Jamestown | $325.80 | $61.25 – $488.70 |