Surgical pathology level 5 gross & microscopic examination at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$425.68
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.
$1,370.00
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.
$0.01 with CIGNA vs $671.61 with ANTHEM — 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | EXCHANGE | $1.00 | ↓ -100% |
| Local 1199 | ALL PRODUCTS | $41.00 | ↓ -90% |
| UNITED | ALL PRODUCTS | $54.32 | ↓ -87% |
| OXFORD | Liberty | $54.32 | ↓ -87% |
| OXFORD | Freedom | $54.32 | ↓ -87% |
| Healthfirst | Managed Medicaid | $93.31 | ↓ -78% |
| Healthfirst | CHP | $93.31 | ↓ -78% |
| Healthfirst | HARP | $93.31 | ↓ -78% |
| MetroPlus | SNP | $112.42 | ↓ -74% |
| MetroPlus | Gold | $112.42 | ↓ -74% |
| MetroPlus | Goldcare 1 & 2 | $112.42 | ↓ -74% |
| MetroPlus | Managed Medicaid | $112.42 | ↓ -74% |
| UNITED | HARP | $112.42 | ↓ -74% |
| MetroPlus | CHP | $112.42 | ↓ -74% |
| MetroPlus | HARP | $112.42 | ↓ -74% |
| UNITED | Managed Medicaid | $112.42 | ↓ -74% |
| Carelon | GHI BMP | $112.42 | ↓ -74% |
| Carelon | Managed Medicaid_HARP_CHP | $112.42 | ↓ -74% |
| Carelon | Commercial_Essential Plans | $112.42 | ↓ -74% |
| Fidelis | HARP_Managed Medicaid | $112.42 | ↓ -74% |
| Fidelis | CHP | $112.42 | ↓ -74% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $112.42 | ↓ -74% |
| Anthem HealthPlus | EXCHANGE | $112.42 | ↓ -74% |
| UNITED BEHAVIORAL HEALTH | HARP | $114.67 | ↓ -73% |
| UNITED BEHAVIORAL HEALTH | CHP | $114.67 | ↓ -73% |
| Carelon (Amida Care) | Managed Medicaid | $114.67 | ↓ -73% |
| VNSNY | Medicaid SNP | $114.67 | ↓ -73% |
| VNSNY | MAP | $114.67 | ↓ -73% |
| UNITED | Essential Plan 1-4_200-250 | $120.29 | ↓ -72% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $123.66 | ↓ -71% |
| UNITED | CHP | $140.53 | ↓ -67% |
| EMBLEM | Essential Plan 3-4 | $168.63 | ↓ -60% |
| EMBLEM | Essential Plan 1-2 | $179.87 | ↓ -58% |
| Healthfirst | EXCHANGE | $179.87 | ↓ -58% |
| Emblem | Essential Plan 200-250 | $179.87 | ↓ -58% |
| Healthfirst | Small Group | $183.24 | ↓ -57% |
| Healthfirst | Medicare Advantage PPO | $225.00 | ↓ -47% |
| Affinity | Essential Plan 3-4 | $252.95 | ↓ -41% |
| Anthem HealthPlus | Essential Plan 3-4 | $252.95 | ↓ -41% |
| Healthfirst | Essential Plan 200-250 | $252.95 | ↓ -41% |
| Healthfirst | Essential Plan 3-4 | $252.95 | ↓ -41% |
| MetroPlus | Essential Plan 3-4 | $252.95 | ↓ -41% |
| Anthem HealthPlus | Essential Plan 200-250 | $252.95 | ↓ -41% |
| Anthem HealthPlus | Essential Plan 1-2 | $252.95 | ↓ -41% |
| MetroPlus | Essential Plan 200-250 | $252.95 | ↓ -41% |
| MetroPlus | Essential Plan 1-2 | $252.95 | ↓ -41% |
| Affinity | Essential Plan 1-2 | $252.95 | ↓ -41% |
| Affinity | Essential Plan 200-250 | $252.95 | ↓ -41% |
| Healthfirst | Essential Plan 1-2 | $252.95 | ↓ -41% |
| Fidelis | Essential Plan 1-4_200-250 | $252.95 | ↓ -41% |
| Aetna | ALL PRODUCTS | $257.00 | ↓ -40% |
| EMBLEM | HIP_GHI_CHP | $328.48 | ↓ -23% |
| EMBLEM | PPO_Commercial | $328.48 | ↓ -23% |
| Aetna | MEDICARE ADVANTAGE | $328.48 | ↓ -23% |
| MAGNACARE | Direct Plus FPP | $330.00 | ↓ -22% |
| MAGNACARE | PPO Non-FPP | $330.00 | ↓ -22% |
| MAGNACARE | PPO FPP | $330.00 | ↓ -22% |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | ↓ -22% |
| Healthfirst | MEDICARE ADVANTAGE | $371.38 | ↓ -13% |
| Healthfirst | MAP | $371.38 | ↓ -13% |
| Senior Whole Health | MAP | $425.68 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $425.68 | ↑ +0% |
| VNSNY | Medicare Advantage | $425.68 | ↑ +0% |
| VNSNY | Medicare SNP | $425.68 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $425.68 | ↑ +0% |
| Senior Whole Health | MLTC | $425.68 | ↑ +0% |
| Fidelis | MAP | $425.68 | ↑ +0% |
| VACCN | All Products | $425.68 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $425.68 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $446.96 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $447.44 | ↑ +5% |
| Amidacare | Managed Medicaid | $447.44 | ↑ +5% |
| Centerlight | PACE | $447.44 | ↑ +5% |
| VillageCare Max | MEDICARE ADVANTAGE | $447.44 | ↑ +5% |
| VillageCare Max | MAP | $447.44 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $459.73 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $469.81 | ↑ +10% |
| Carelon | MAP_Medicare Advantage | $505.51 | ↑ +19% |
| MetroPlus | EXCHANGE | $505.61 | ↑ +19% |
| MetroPlus | MEDICARE ADVANTAGE | $505.61 | ↑ +19% |
| MetroPlus | MAP | $505.61 | ↑ +19% |
| ANTHEM | Small Group EPO_PPO | $602.73 | ↑ +42% |
| ANTHEM | Blue Access Small Group | $602.73 | ↑ +42% |
| Fidelis | EXCHANGE | $604.47 | ↑ +42% |
| ANTHEM | Blue Access Large Group | $622.10 | ↑ +46% |
| MULTIPLAN | ALL PRODUCTS | $622.16 | ↑ +46% |
| OSCAR | ALL PRODUCTS | $645.00 | ↑ +52% |
| ANTHEM | HMO | $671.61 | ↑ +58% |
| ANTHEM | INDEMNITY | $671.61 | ↑ +58% |
| ANTHEM | PPO | $671.61 | ↑ +58% |
| ANTHEM | EPO | $671.61 | ↑ +58% |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| North Central Bronx | Bronx | $425.68 | $0.01 – $671.16 |
| Jacobi Medical Center | Bronx | $425.68 | $0.01 – $671.16 |
| NewYork-Presbyterian Queens | Flushing | $996.00 | $41.00 – $446.94 |
| Bellevue Hospital Center | NY 10016 | $425.68 | $0.01 – $671.16 |
| Harlem Hospital Center | New York | $425.68 | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn | $425.68 | $0.01 – $671.16 |
| Metropolitan Hospital Center | New York | $425.68 | $0.01 – $645.00 |
| UPMC Chautauqua | Jamestown | $401.40 | $25.09 – $1,102.25 |