Rmvl pm gen w/rplc pm gen mlt lead sys at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$22,568.05
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.
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.
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The hospital's undiscounted list price — almost no one pays this.
$432.75 with Aetna vs $48,088.12 with Elderplan — 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 | $432.75 | ↓ -98% |
| MetroPlus | Essential Plan 200-250 | $543.30 | ↓ -98% |
| MetroPlus | Essential Plan 1-2 | $543.30 | ↓ -98% |
| MetroPlus | Essential Plan 3-4 | $543.30 | ↓ -98% |
| Healthfirst | CHP | $6,264.52 | ↓ -72% |
| UNITED | Managed Medicaid | $7,547.62 | ↓ -67% |
| Anthem HealthPlus | EXCHANGE | $7,547.62 | ↓ -67% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $7,547.62 | ↓ -67% |
| MetroPlus | Gold | $7,547.62 | ↓ -67% |
| MetroPlus | Goldcare 1 & 2 | $7,547.62 | ↓ -67% |
| MetroPlus | Managed Medicaid | $7,547.62 | ↓ -67% |
| Carelon | Commercial_Essential Plans | $7,547.62 | ↓ -67% |
| MetroPlus | HARP | $7,547.62 | ↓ -67% |
| MetroPlus | CHP | $7,547.62 | ↓ -67% |
| Fidelis | HARP_Managed Medicaid | $7,547.62 | ↓ -67% |
| Fidelis | CHP | $7,547.62 | ↓ -67% |
| UNITED | HARP | $7,547.62 | ↓ -67% |
| Carelon | GHI BMP | $7,547.62 | ↓ -67% |
| Carelon | Managed Medicaid_HARP_CHP | $7,547.62 | ↓ -67% |
| MetroPlus | SNP | $7,547.62 | ↓ -67% |
| UNITED BEHAVIORAL HEALTH | CHP | $7,698.57 | ↓ -66% |
| Carelon (Amida Care) | Managed Medicaid | $7,698.57 | ↓ -66% |
| VNSNY | MAP | $7,698.57 | ↓ -66% |
| UNITED BEHAVIORAL HEALTH | HARP | $7,698.57 | ↓ -66% |
| VNSNY | Medicaid SNP | $7,698.57 | ↓ -66% |
| UNITED | Essential Plan 1-4_200-250 | $8,075.95 | ↓ -64% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $8,302.38 | ↓ -63% |
| UNITED | CHP | $9,434.53 | ↓ -58% |
| EMBLEM | Essential Plan 3-4 | $9,434.53 | ↓ -58% |
| Emblem | Essential Plan 200-250 | $10,189.29 | ↓ -55% |
| EMBLEM | Essential Plan 1-2 | $10,189.29 | ↓ -55% |
| Healthfirst | EXCHANGE | $12,076.19 | ↓ -46% |
| Healthfirst | Small Group | $12,302.62 | ↓ -45% |
| Affinity | Essential Plan 1-2 | $16,982.15 | ↓ -25% |
| Affinity | Essential Plan 200-250 | $16,982.15 | ↓ -25% |
| Affinity | Essential Plan 3-4 | $16,982.15 | ↓ -25% |
| Anthem HealthPlus | Essential Plan 3-4 | $16,982.15 | ↓ -25% |
| Anthem HealthPlus | Essential Plan 200-250 | $16,982.15 | ↓ -25% |
| Healthfirst | Essential Plan 1-2 | $16,982.15 | ↓ -25% |
| Healthfirst | Essential Plan 200-250 | $16,982.15 | ↓ -25% |
| Anthem HealthPlus | Essential Plan 1-2 | $16,982.15 | ↓ -25% |
| Healthfirst | Essential Plan 3-4 | $16,982.15 | ↓ -25% |
| Fidelis | Essential Plan 1-4_200-250 | $16,982.15 | ↓ -25% |
| Hamaspik | MEDICARE ADVANTAGE | $18,054.44 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $19,956.57 | ↓ -12% |
| Fidelis | MAP | $22,568.05 | ↑ +0% |
| VNSNY | Medicare SNP | $22,568.05 | ↑ +0% |
| Senior Whole Health | MLTC | $22,568.05 | ↑ +0% |
| VNSNY | Medicare Advantage | $22,568.05 | ↑ +0% |
| Senior Whole Health | MAP | $22,568.05 | ↑ +0% |
| VACCN | All Products | $22,568.05 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $22,568.05 | ↑ +0% |
| Healthfirst | MAP | $23,563.18 | ↑ +4% |
| Healthfirst | MEDICARE ADVANTAGE | $23,563.18 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $23,696.45 | ↑ +5% |
| VillageCare Max | MAP | $24,044.06 | ↑ +7% |
| Centerlight | PACE | $24,044.06 | ↑ +7% |
| VillageCare Max | MEDICARE ADVANTAGE | $24,044.06 | ↑ +7% |
| UNITED | MEDICARE ADVANTAGE | $25,246.26 | ↑ +12% |
| MAGNACARE | PPO FPP | $27,081.66 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $27,081.66 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $27,081.66 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $27,081.66 | ↑ +20% |
| MetroPlus | MAP | $27,169.79 | ↑ +20% |
| MetroPlus | MEDICARE ADVANTAGE | $27,169.79 | ↑ +20% |
| MetroPlus | EXCHANGE | $27,169.79 | ↑ +20% |
| Fidelis | EXCHANGE | $32,046.63 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $33,400.71 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $33,852.07 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $36,066.09 | ↑ +60% |
| Elderplan | MAP_Medicare Advantage_MLTC | $48,088.12 | ↑ +113% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen mlt lead sys at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $22,568.05 | $432.75 – $48,088.12 |
| Jacobi Medical Center | Bronx | $22,568.05 | $432.75 – $48,088.12 |
| Bellevue Hospital Center | NY 10016 | $22,568.05 | $169.00 – $48,088.12 |
| Harlem Hospital Center | New York | $22,568.05 | $417.70 – $48,088.12 |
| Kings County Hospital Center | Brooklyn | $22,568.05 | $169.00 – $48,088.12 |
| Metropolitan Hospital Center | New York | $22,568.05 | $432.75 – $48,088.12 |
| UPMC Chautauqua | Jamestown | $9,066.60 | $312.10 – $24,543.02 |
| Queens Hospital Center | Jamaica | $22,568.05 | $169.00 – $48,088.12 |