Ziconotide injection at Lincoln Medical Center
234 E 149th St, Bronx, NY · NYC Health + Hospitals · · NPI 1427063270
$9.65
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.
$7.72 with Hamaspik vs $4,544.01 with Fidelis — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $7.72 | ↓ -20% |
| Aetna | MEDICARE ADVANTAGE | $9.65 | ↑ +0% |
| Fidelis | MAP | $9.65 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $10.13 | ↑ +5% |
| VACCN | All Products | $10.13 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $10.13 | ↑ +5% |
| Healthfirst | MEDICARE ADVANTAGE | $10.25 | ↑ +6% |
| Healthfirst | Medicare Advantage PPO | $10.25 | ↑ +6% |
| Healthfirst | MAP | $10.25 | ↑ +6% |
| Fidelis | EXCHANGE | $10.46 | ↑ +8% |
| VillageCare Max | MEDICARE ADVANTAGE | $10.79 | ↑ +12% |
| Senior Whole Health | MLTC | $10.79 | ↑ +12% |
| Local 1199 | ALL PRODUCTS | $10.79 | ↑ +12% |
| VillageCare Max | MAP | $10.79 | ↑ +12% |
| MetroPlus | Essential Plan 200-250 | $11.02 | ↑ +14% |
| MetroPlus | Essential Plan 1-2 | $11.02 | ↑ +14% |
| MetroPlus | Essential Plan 3-4 | $11.02 | ↑ +14% |
| ANTHEM | EPO | $11.09 | ↑ +15% |
| ANTHEM | Blue Access Large Group | $11.09 | ↑ +15% |
| ANTHEM | Blue Access Small Group | $11.09 | ↑ +15% |
| ANTHEM | HMO | $11.09 | ↑ +15% |
| ANTHEM | INDEMNITY | $11.09 | ↑ +15% |
| ANTHEM | PPO | $11.09 | ↑ +15% |
| ANTHEM | Small Group EPO_PPO | $11.09 | ↑ +15% |
| VNSNY | MAP | $11.30 | ↑ +17% |
| VNSNY | Medicaid SNP | $11.30 | ↑ +17% |
| VNSNY | Medicare Advantage | $11.30 | ↑ +17% |
| Centerlight | PACE | $11.30 | ↑ +17% |
| VNSNY | Medicare SNP | $11.30 | ↑ +17% |
| Senior Whole Health | MAP | $11.30 | ↑ +17% |
| EMBLEM | HIP_GHI_CHP | $11.30 | ↑ +17% |
| EMBLEM | PPO_Commercial | $11.30 | ↑ +17% |
| Amidacare | Managed Medicaid | $11.30 | ↑ +17% |
| UNITED | MEDICARE ADVANTAGE | $11.33 | ↑ +17% |
| MAGNACARE | Direct Plus FPP | $12.16 | ↑ +26% |
| MAGNACARE | Direct Plus Non-FPP | $12.16 | ↑ +26% |
| MAGNACARE | PPO Non-FPP | $12.16 | ↑ +26% |
| MAGNACARE | PPO FPP | $12.16 | ↑ +26% |
| MetroPlus | MEDICARE ADVANTAGE | $12.19 | ↑ +26% |
| MetroPlus | MAP | $12.19 | ↑ +26% |
| MetroPlus | EXCHANGE | $12.19 | ↑ +26% |
| OSCAR | ALL PRODUCTS | $12.56 | ↑ +30% |
| Wellcare | MEDICARE ADVANTAGE | $14.28 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $15.20 | ↑ +58% |
| Aetna | ALL PRODUCTS | $18.31 | ↑ +90% |
| CIGNA | ALL PRODUCTS | $20.20 | ↑ +109% |
| Elderplan | MAP_Medicare Advantage_MLTC | $21.58 | ↑ +124% |
| Healthfirst | CHP | $1,676.23 | ↑ +17270% |
| Healthfirst | HARP | $1,676.23 | ↑ +17270% |
| Healthfirst | Managed Medicaid | $1,676.23 | ↑ +17270% |
| MetroPlus | SNP | $2,019.56 | ↑ +20828% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $2,019.56 | ↑ +20828% |
| Fidelis | HARP_Managed Medicaid | $2,019.56 | ↑ +20828% |
| MetroPlus | Goldcare 1 & 2 | $2,019.56 | ↑ +20828% |
| MetroPlus | HARP | $2,019.56 | ↑ +20828% |
| MetroPlus | Managed Medicaid | $2,019.56 | ↑ +20828% |
| Carelon | Managed Medicaid_HARP_CHP | $2,019.56 | ↑ +20828% |
| Carelon | GHI BMP | $2,019.56 | ↑ +20828% |
| UNITED | Managed Medicaid | $2,019.56 | ↑ +20828% |
| UNITED | HARP | $2,019.56 | ↑ +20828% |
| Anthem HealthPlus | EXCHANGE | $2,019.56 | ↑ +20828% |
| MetroPlus | CHP | $2,019.56 | ↑ +20828% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $2,019.56 | ↑ +20828% |
| Carelon | Commercial_Essential Plans | $2,019.56 | ↑ +20828% |
| MetroPlus | Gold | $2,019.56 | ↑ +20828% |
| UNITED BEHAVIORAL HEALTH | CHP | $2,059.95 | ↑ +21247% |
| Affinity | HARP_Managed Medicaid | $2,059.95 | ↑ +21247% |
| UNITED BEHAVIORAL HEALTH | HARP | $2,059.95 | ↑ +21247% |
| Carelon (Amida Care) | Managed Medicaid | $2,059.95 | ↑ +21247% |
| Affinity | CHP | $2,120.54 | ↑ +21875% |
| Anthem HealthPlus | CHP | $2,221.52 | ↑ +22921% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $2,221.52 | ↑ +22921% |
| Fidelis | CHP | $2,383.08 | ↑ +24595% |
| EMBLEM | HARP_Managed Medicaid | $2,524.45 | ↑ +26060% |
| EMBLEM | Essential Plan 3-4 | $2,524.45 | ↑ +26060% |
| UNITED | CHP | $2,524.45 | ↑ +26060% |
| EMBLEM | Essential Plan 1-2 | $2,726.41 | ↑ +28153% |
| Emblem | Essential Plan 200-250 | $2,726.41 | ↑ +28153% |
| Healthfirst | EXCHANGE | $3,231.30 | ↑ +33385% |
| Healthfirst | Small Group | $3,291.88 | ↑ +34013% |
| Healthfirst | Essential Plan 3-4 | $4,544.01 | ↑ +46988% |
| Healthfirst | Essential Plan 1-2 | $4,544.01 | ↑ +46988% |
| Anthem HealthPlus | Essential Plan 200-250 | $4,544.01 | ↑ +46988% |
| Anthem HealthPlus | Essential Plan 1-2 | $4,544.01 | ↑ +46988% |
| Healthfirst | Essential Plan 200-250 | $4,544.01 | ↑ +46988% |
| Affinity | Essential Plan 3-4 | $4,544.01 | ↑ +46988% |
| Affinity | Essential Plan 200-250 | $4,544.01 | ↑ +46988% |
| Affinity | Essential Plan 1-2 | $4,544.01 | ↑ +46988% |
| Anthem HealthPlus | Essential Plan 3-4 | $4,544.01 | ↑ +46988% |
| UNITED | Essential Plan 1-4_200-250 | $4,544.01 | ↑ +46988% |
| Fidelis | Essential Plan 1-4_200-250 | $4,544.01 | ↑ +46988% |
Visitor-reported prices
Comments
Ziconotide injection at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $924.57 | $9.62 – $1,522.90 |
| NewYork-Presbyterian Queens | Flushing | $924.57 | $9.62 – $1,523.20 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $924.57 | $9.62 – $1,168.90 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $7.36 – $14.33 |
| Gouverneur Hospital | Gouverneur | not published | $9.70 – $11.31 |
| Canton-Potsdam Hospital | Potsdam | not published | $11.31 – $11.31 |