Repair stomach opening at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$4,502.13
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.
$9,477.72
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.
$0.01 with CIGNA vs $7,582.18 with MULTIPLAN — 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| Healthfirst | Medicare Advantage PPO | $225.00 | ↓ -95% |
| Aetna | ALL PRODUCTS | $257.00 | ↓ -94% |
| MAGNACARE | PPO Non-FPP | $330.00 | ↓ -93% |
| MAGNACARE | Direct Plus FPP | $330.00 | ↓ -93% |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | ↓ -93% |
| MAGNACARE | PPO FPP | $330.00 | ↓ -93% |
| EMBLEM | PPO_Commercial | $332.00 | ↓ -93% |
| EMBLEM | HIP_GHI_CHP | $332.00 | ↓ -93% |
| OXFORD | Liberty | $380.00 | ↓ -92% |
| OXFORD | Freedom | $431.00 | ↓ -90% |
| UNITED | EXCHANGE | $480.00 | ↓ -89% |
| UNITED | ALL PRODUCTS | $529.00 | ↓ -88% |
| Local 1199 | ALL PRODUCTS | $644.00 | ↓ -86% |
| OSCAR | ALL PRODUCTS | $645.00 | ↓ -86% |
| Aetna | MEDICARE ADVANTAGE | $843.89 | ↓ -81% |
| Fidelis | MAP | $1,215.20 | ↓ -73% |
| Healthfirst | HARP | $1,776.80 | ↓ -61% |
| Healthfirst | Managed Medicaid | $1,776.80 | ↓ -61% |
| Healthfirst | CHP | $1,776.80 | ↓ -61% |
| UNITED | HARP | $2,140.71 | ↓ -52% |
| Fidelis | CHP | $2,140.71 | ↓ -52% |
| Fidelis | HARP_Managed Medicaid | $2,140.71 | ↓ -52% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $2,140.71 | ↓ -52% |
| Anthem HealthPlus | EXCHANGE | $2,140.71 | ↓ -52% |
| UNITED | Managed Medicaid | $2,140.71 | ↓ -52% |
| Carelon | Managed Medicaid_HARP_CHP | $2,140.71 | ↓ -52% |
| Carelon | GHI BMP | $2,140.72 | ↓ -52% |
| MetroPlus | Managed Medicaid | $2,140.72 | ↓ -52% |
| MetroPlus | HARP | $2,140.72 | ↓ -52% |
| MetroPlus | Goldcare 1 & 2 | $2,140.72 | ↓ -52% |
| MetroPlus | Gold | $2,140.72 | ↓ -52% |
| MetroPlus | CHP | $2,140.72 | ↓ -52% |
| Carelon | Commercial_Essential Plans | $2,140.72 | ↓ -52% |
| MetroPlus | SNP | $2,140.72 | ↓ -52% |
| UNITED BEHAVIORAL HEALTH | CHP | $2,183.52 | ↓ -52% |
| Carelon (Amida Care) | Managed Medicaid | $2,183.52 | ↓ -52% |
| UNITED BEHAVIORAL HEALTH | HARP | $2,183.52 | ↓ -52% |
| VNSNY | MAP | $2,183.52 | ↓ -52% |
| VNSNY | Medicaid SNP | $2,183.52 | ↓ -52% |
| UNITED | Essential Plan 1-4_200-250 | $2,290.56 | ↓ -49% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $2,354.78 | ↓ -48% |
| ANTHEM | Small Group EPO_PPO | $2,408.92 | ↓ -46% |
| ANTHEM | Blue Access Small Group | $2,408.92 | ↓ -46% |
| ANTHEM | Blue Access Large Group | $2,486.35 | ↓ -45% |
| UNITED | CHP | $2,675.90 | ↓ -41% |
| ANTHEM | PPO | $2,684.23 | ↓ -40% |
| ANTHEM | EPO | $2,684.23 | ↓ -40% |
| ANTHEM | HMO | $2,684.23 | ↓ -40% |
| ANTHEM | INDEMNITY | $2,684.23 | ↓ -40% |
| EMBLEM | Essential Plan 3-4 | $3,211.08 | ↓ -29% |
| Healthfirst | EXCHANGE | $3,425.15 | ↓ -24% |
| EMBLEM | Essential Plan 1-2 | $3,425.15 | ↓ -24% |
| Emblem | Essential Plan 200-250 | $3,425.15 | ↓ -24% |
| Healthfirst | Small Group | $3,489.37 | ↓ -22% |
| Healthfirst | MAP | $3,994.56 | ↓ -11% |
| Healthfirst | MEDICARE ADVANTAGE | $3,994.56 | ↓ -11% |
| Senior Whole Health | MLTC | $4,502.13 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $4,502.13 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $4,502.13 | ↑ +0% |
| Senior Whole Health | MAP | $4,502.13 | ↑ +0% |
| VNSNY | Medicare Advantage | $4,502.13 | ↑ +0% |
| VACCN | All Products | $4,502.13 | ↑ +0% |
| VNSNY | Medicare SNP | $4,502.13 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $4,727.24 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $4,812.72 | ↑ +7% |
| Centerlight | PACE | $4,812.72 | ↑ +7% |
| VillageCare Max | MAP | $4,812.72 | ↑ +7% |
| Amidacare | Managed Medicaid | $4,812.72 | ↑ +7% |
| VillageCare Max | MEDICARE ADVANTAGE | $4,812.72 | ↑ +7% |
| Anthem HealthPlus | Essential Plan 1-2 | $4,816.60 | ↑ +7% |
| Anthem HealthPlus | Essential Plan 200-250 | $4,816.60 | ↑ +7% |
| Anthem HealthPlus | Essential Plan 3-4 | $4,816.60 | ↑ +7% |
| Healthfirst | Essential Plan 3-4 | $4,816.60 | ↑ +7% |
| Healthfirst | Essential Plan 200-250 | $4,816.60 | ↑ +7% |
| Affinity | Essential Plan 3-4 | $4,816.60 | ↑ +7% |
| Affinity | Essential Plan 200-250 | $4,816.60 | ↑ +7% |
| Affinity | Essential Plan 1-2 | $4,816.60 | ↑ +7% |
| Healthfirst | Essential Plan 1-2 | $4,816.60 | ↑ +7% |
| Fidelis | Essential Plan 1-4_200-250 | $4,816.60 | ↑ +7% |
| MetroPlus | Essential Plan 1-2 | $4,816.60 | ↑ +7% |
| MetroPlus | Essential Plan 200-250 | $4,816.60 | ↑ +7% |
| MetroPlus | Essential Plan 3-4 | $4,816.60 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $4,862.30 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $5,053.36 | ↑ +12% |
| MetroPlus | MEDICARE ADVANTAGE | $5,438.38 | ↑ +21% |
| MetroPlus | MAP | $5,438.38 | ↑ +21% |
| MetroPlus | EXCHANGE | $5,438.38 | ↑ +21% |
| EMBLEM | MEDICARE ADVANTAGE | $5,627.66 | ↑ +25% |
| Carelon | MAP_Medicare Advantage | $6,160.52 | ↑ +37% |
| Fidelis | EXCHANGE | $6,393.02 | ↑ +42% |
| MULTIPLAN | ALL PRODUCTS | $7,582.18 | ↑ +68% |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Repair stomach opening at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $4,502.13 | $0.01 – $7,219.09 |
| Jacobi Medical Center | Bronx | $4,502.13 | $0.01 – $7,219.09 |
| Bellevue Hospital Center | NY 10016 | $4,502.13 | $0.01 – $7,219.09 |
| Harlem Hospital Center | New York | $4,502.13 | $0.01 – $5,438.38 |
| Kings County Hospital Center | Brooklyn | $4,502.13 | $0.01 – $7,219.09 |
| Metropolitan Hospital Center | New York | $4,502.13 | $0.01 – $5,438.38 |
| Queens Hospital Center | Jamaica | $4,502.13 | $0.01 – $7,219.09 |
| Woodhull Medical Center | Brooklyn | $4,502.13 | $0.01 – $7,219.09 |