Inj, cipaglucosidase, 5 mg at North Central Bronx
3424 Kossuth Ave, Bronx, NY · NYC Health + Hospitals · · NPI 1023024882
$88.06
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.
$70.45 with Hamaspik vs $192.60 with Elderplan — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $70.45 | ↓ -20% |
| Aetna | MEDICARE ADVANTAGE | $88.06 | ↑ +0% |
| Fidelis | MAP | $88.06 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $89.80 | ↑ +2% |
| VACCN | All Products | $89.80 | ↑ +2% |
| Healthfirst | MEDICARE ADVANTAGE | $90.55 | ↑ +3% |
| Healthfirst | Medicare Advantage PPO | $90.55 | ↑ +3% |
| Healthfirst | MAP | $90.55 | ↑ +3% |
| Fidelis | EXCHANGE | $92.40 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $92.46 | ↑ +5% |
| Senior Whole Health | MLTC | $96.30 | ↑ +9% |
| Local 1199 | ALL PRODUCTS | $96.30 | ↑ +9% |
| ANTHEM | Small Group EPO_PPO | $97.94 | ↑ +11% |
| ANTHEM | Blue Access Large Group | $97.94 | ↑ +11% |
| ANTHEM | Blue Access Small Group | $97.94 | ↑ +11% |
| ANTHEM | EPO | $97.94 | ↑ +11% |
| ANTHEM | HMO | $97.94 | ↑ +11% |
| ANTHEM | INDEMNITY | $97.94 | ↑ +11% |
| ANTHEM | PPO | $97.94 | ↑ +11% |
| EMBLEM | PPO_Commercial | $99.79 | ↑ +13% |
| VNSNY | Medicare SNP | $99.79 | ↑ +13% |
| EMBLEM | HIP_GHI_CHP | $99.79 | ↑ +13% |
| VNSNY | Medicare Advantage | $99.79 | ↑ +13% |
| VNSNY | Medicaid SNP | $99.79 | ↑ +13% |
| Amidacare | Managed Medicaid | $99.79 | ↑ +13% |
| VNSNY | MAP | $99.79 | ↑ +13% |
| Senior Whole Health | MAP | $99.79 | ↑ +13% |
| Centerlight | PACE | $99.79 | ↑ +13% |
| UNITED | MEDICARE ADVANTAGE | $101.12 | ↑ +15% |
| MAGNACARE | PPO Non-FPP | $107.76 | ↑ +22% |
| MAGNACARE | PPO FPP | $107.76 | ↑ +22% |
| MAGNACARE | Direct Plus Non-FPP | $107.76 | ↑ +22% |
| MAGNACARE | Direct Plus FPP | $107.76 | ↑ +22% |
| MetroPlus | MEDICARE ADVANTAGE | $108.82 | ↑ +24% |
| MetroPlus | EXCHANGE | $108.82 | ↑ +24% |
| MetroPlus | MAP | $108.82 | ↑ +24% |
| OSCAR | ALL PRODUCTS | $110.88 | ↑ +26% |
| VillageCare Max | MEDICARE ADVANTAGE | $110.88 | ↑ +26% |
| Aetna | ALL PRODUCTS | $116.81 | ↑ +33% |
| Wellcare | MEDICARE ADVANTAGE | $130.33 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $134.70 | ↑ +53% |
| VillageCare Max | MAP | $144.45 | ↑ +64% |
| CIGNA | ALL PRODUCTS | $178.33 | ↑ +103% |
| Elderplan | MAP_Medicare Advantage_MLTC | $192.60 | ↑ +119% |
Visitor-reported prices
Comments
Inj, cipaglucosidase, 5 mg at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $65.25 – $127.06 |
| Rochester General Hospital | Rochester | not published | $89.74 – $91.20 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $89.85 – $96.30 |
| Gouverneur Hospital | Gouverneur | not published | $89.85 – $89.85 |
| The Unity Hospital of Rochester | Rochester | not published | $89.74 – $91.20 |
| Newark Wayne Community Hospital | Newark | not published | $89.74 – $91.20 |