Revision of spinal shunt at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$7,578.32
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.
$654.00 with Local 1199 vs $11,367.48 with EMBLEM — 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 |
|---|---|---|---|
| Local 1199 | ALL PRODUCTS | $654.00 | ↓ -91% |
| Aetna | MEDICARE ADVANTAGE | $899.31 | ↓ -88% |
| MetroPlus | Essential Plan 1-2 | $1,046.39 | ↓ -86% |
| MetroPlus | Essential Plan 3-4 | $1,046.39 | ↓ -86% |
| MetroPlus | Essential Plan 200-250 | $1,046.39 | ↓ -86% |
| Healthfirst | CHP | $3,500.77 | ↓ -54% |
| Healthfirst | Managed Medicaid | $3,500.77 | ↓ -54% |
| Healthfirst | HARP | $3,500.77 | ↓ -54% |
| Healthfirst | Medicare Advantage PPO | $3,539.39 | ↓ -53% |
| Healthfirst | MEDICARE ADVANTAGE | $4,179.04 | ↓ -45% |
| Healthfirst | MAP | $4,179.04 | ↓ -45% |
| UNITED | Managed Medicaid | $4,217.78 | ↓ -44% |
| Fidelis | HARP_Managed Medicaid | $4,217.78 | ↓ -44% |
| Fidelis | CHP | $4,217.78 | ↓ -44% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $4,217.78 | ↓ -44% |
| Anthem HealthPlus | EXCHANGE | $4,217.78 | ↓ -44% |
| Carelon | Managed Medicaid_HARP_CHP | $4,217.78 | ↓ -44% |
| UNITED | HARP | $4,217.78 | ↓ -44% |
| MetroPlus | CHP | $4,217.79 | ↓ -44% |
| Carelon | Commercial_Essential Plans | $4,217.79 | ↓ -44% |
| Carelon | GHI BMP | $4,217.79 | ↓ -44% |
| MetroPlus | SNP | $4,217.79 | ↓ -44% |
| MetroPlus | Managed Medicaid | $4,217.79 | ↓ -44% |
| MetroPlus | HARP | $4,217.79 | ↓ -44% |
| MetroPlus | Goldcare 1 & 2 | $4,217.79 | ↓ -44% |
| MetroPlus | Gold | $4,217.79 | ↓ -44% |
| Amidacare | Managed Medicaid | $4,264.32 | ↓ -44% |
| Centerlight | PACE | $4,264.32 | ↓ -44% |
| VillageCare Max | MEDICARE ADVANTAGE | $4,264.32 | ↓ -44% |
| Senior Whole Health | MLTC | $4,264.32 | ↓ -44% |
| VillageCare Max | MAP | $4,264.32 | ↓ -44% |
| Carelon (Amida Care) | Managed Medicaid | $4,302.14 | ↓ -43% |
| VNSNY | MAP | $4,302.14 | ↓ -43% |
| VNSNY | Medicaid SNP | $4,302.14 | ↓ -43% |
| UNITED BEHAVIORAL HEALTH | CHP | $4,302.14 | ↓ -43% |
| UNITED BEHAVIORAL HEALTH | HARP | $4,302.14 | ↓ -43% |
| UNITED | MEDICARE ADVANTAGE | $4,477.54 | ↓ -41% |
| UNITED | Essential Plan 1-4_200-250 | $4,513.02 | ↓ -40% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $4,639.56 | ↓ -39% |
| MetroPlus | EXCHANGE | $4,818.68 | ↓ -36% |
| MetroPlus | MAP | $4,818.68 | ↓ -36% |
| MetroPlus | MEDICARE ADVANTAGE | $4,818.68 | ↓ -36% |
| UNITED | CHP | $5,272.24 | ↓ -30% |
| EMBLEM | Essential Plan 3-4 | $5,272.24 | ↓ -30% |
| EMBLEM | Essential Plan 1-2 | $5,694.02 | ↓ -25% |
| Emblem | Essential Plan 200-250 | $5,694.02 | ↓ -25% |
| Hamaspik | MEDICARE ADVANTAGE | $6,062.66 | ↓ -20% |
| OSCAR | ALL PRODUCTS | $6,396.48 | ↓ -16% |
| Healthfirst | EXCHANGE | $6,748.46 | ↓ -11% |
| Healthfirst | Small Group | $6,875.00 | ↓ -9% |
| VNSNY | Medicare SNP | $7,578.32 | ↑ +0% |
| VNSNY | Medicare Advantage | $7,578.32 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $7,578.32 | ↑ +0% |
| VACCN | All Products | $7,578.32 | ↑ +0% |
| Fidelis | MAP | $7,578.32 | ↑ +0% |
| Senior Whole Health | MAP | $7,578.32 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $7,957.24 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $8,528.65 | ↑ +13% |
| MAGNACARE | PPO Non-FPP | $9,093.98 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $9,093.98 | ↑ +20% |
| MAGNACARE | PPO FPP | $9,093.98 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $9,093.98 | ↑ +20% |
| Fidelis | Essential Plan 1-4_200-250 | $9,490.01 | ↑ +25% |
| Affinity | Essential Plan 200-250 | $9,490.01 | ↑ +25% |
| Affinity | Essential Plan 1-2 | $9,490.01 | ↑ +25% |
| Healthfirst | Essential Plan 3-4 | $9,490.01 | ↑ +25% |
| Anthem HealthPlus | Essential Plan 3-4 | $9,490.01 | ↑ +25% |
| Anthem HealthPlus | Essential Plan 200-250 | $9,490.01 | ↑ +25% |
| Anthem HealthPlus | Essential Plan 1-2 | $9,490.01 | ↑ +25% |
| Healthfirst | Essential Plan 1-2 | $9,490.01 | ↑ +25% |
| Healthfirst | Essential Plan 200-250 | $9,490.01 | ↑ +25% |
| Affinity | Essential Plan 3-4 | $9,490.01 | ↑ +25% |
| Fidelis | EXCHANGE | $10,761.21 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $11,215.91 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $11,367.48 | ↑ +50% |
Visitor-reported prices
Comments
Revision of spinal shunt at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $7,578.32 | $654.00 – $11,367.48 |
| Jacobi Medical Center | Bronx | $7,578.32 | $654.00 – $11,367.48 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | $446.82 | $61.04 – $8,260.37 |
| Bellevue Hospital Center | NY 10016 | $7,578.32 | $362.63 – $11,367.48 |
| Harlem Hospital Center | New York | $7,578.32 | $654.00 – $11,367.48 |
| Kings County Hospital Center | Brooklyn | $7,578.32 | $362.63 – $11,367.48 |
| Metropolitan Hospital Center | New York | $7,578.32 | $654.00 – $11,367.48 |
| Queens Hospital Center | Jamaica | $7,578.32 | $362.63 – $11,367.48 |