Inj, pegcetacoplan, 1mg at North Central Bronx
3424 Kossuth Ave, Bronx, NY · NYC Health + Hospitals · · NPI 1023024882
$147.36
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.
$117.89 with Hamaspik vs $4,532.67 with Affinity — 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 | $117.89 | ↓ -20% |
| ANTHEM | MEDICARE ADVANTAGE | $141.91 | ↓ -4% |
| VACCN | All Products | $141.91 | ↓ -4% |
| Healthfirst | MAP | $144.85 | ↓ -2% |
| Healthfirst | Medicare Advantage PPO | $144.85 | ↓ -2% |
| Healthfirst | MEDICARE ADVANTAGE | $144.85 | ↓ -2% |
| Fidelis | MAP | $147.36 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $147.36 | ↑ +0% |
| Fidelis | EXCHANGE | $147.81 | ↑ +0% |
| Senior Whole Health | MLTC | $148.94 | ↑ +1% |
| Local 1199 | ALL PRODUCTS | $148.94 | ↑ +1% |
| OXFORD | MEDICARE ADVANTAGE | $154.73 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $156.39 | ↑ +6% |
| ANTHEM | Small Group EPO_PPO | $156.68 | ↑ +6% |
| ANTHEM | Blue Access Small Group | $156.68 | ↑ +6% |
| ANTHEM | PPO | $156.68 | ↑ +6% |
| ANTHEM | INDEMNITY | $156.68 | ↑ +6% |
| ANTHEM | EPO | $156.68 | ↑ +6% |
| ANTHEM | HMO | $156.68 | ↑ +6% |
| ANTHEM | Blue Access Large Group | $156.68 | ↑ +6% |
| Amidacare | Managed Medicaid | $159.63 | ↑ +8% |
| VNSNY | Medicare SNP | $159.63 | ↑ +8% |
| VNSNY | Medicaid SNP | $159.63 | ↑ +8% |
| VNSNY | MAP | $159.63 | ↑ +8% |
| Senior Whole Health | MAP | $159.63 | ↑ +8% |
| Centerlight | PACE | $159.63 | ↑ +8% |
| EMBLEM | HIP_GHI_CHP | $159.63 | ↑ +8% |
| EMBLEM | PPO_Commercial | $159.63 | ↑ +8% |
| VNSNY | Medicare Advantage | $159.63 | ↑ +8% |
| MetroPlus | EXCHANGE | $168.30 | ↑ +14% |
| MetroPlus | MAP | $168.30 | ↑ +14% |
| MetroPlus | MEDICARE ADVANTAGE | $168.30 | ↑ +14% |
| MAGNACARE | Direct Plus Non-FPP | $170.29 | ↑ +16% |
| MAGNACARE | Direct Plus FPP | $170.29 | ↑ +16% |
| MAGNACARE | PPO Non-FPP | $170.29 | ↑ +16% |
| MAGNACARE | PPO FPP | $170.29 | ↑ +16% |
| OSCAR | ALL PRODUCTS | $177.37 | ↑ +20% |
| VillageCare Max | MEDICARE ADVANTAGE | $177.37 | ↑ +20% |
| Aetna | ALL PRODUCTS | $187.19 | ↑ +27% |
| EMBLEM | MEDICARE ADVANTAGE | $212.87 | ↑ +44% |
| Wellcare | MEDICARE ADVANTAGE | $218.09 | ↑ +48% |
| VillageCare Max | MAP | $223.41 | ↑ +52% |
| CIGNA | ALL PRODUCTS | $285.27 | ↑ +94% |
| Elderplan | MAP_Medicare Advantage_MLTC | $297.88 | ↑ +102% |
| Healthfirst | CHP | $1,672.05 | ↑ +1035% |
| Healthfirst | HARP | $1,672.05 | ↑ +1035% |
| Healthfirst | Managed Medicaid | $1,672.05 | ↑ +1035% |
| UNITED | HARP | $2,014.52 | ↑ +1267% |
| Anthem HealthPlus | EXCHANGE | $2,014.52 | ↑ +1267% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $2,014.52 | ↑ +1267% |
| Fidelis | HARP_Managed Medicaid | $2,014.52 | ↑ +1267% |
| Fidelis | CHP | $2,014.52 | ↑ +1267% |
| Carelon | Commercial_Essential Plans | $2,014.52 | ↑ +1267% |
| UNITED | Managed Medicaid | $2,014.52 | ↑ +1267% |
| MetroPlus | Gold | $2,014.52 | ↑ +1267% |
| MetroPlus | Goldcare 1 & 2 | $2,014.52 | ↑ +1267% |
| MetroPlus | HARP | $2,014.52 | ↑ +1267% |
| MetroPlus | Managed Medicaid | $2,014.52 | ↑ +1267% |
| MetroPlus | SNP | $2,014.52 | ↑ +1267% |
| Carelon | Managed Medicaid_HARP_CHP | $2,014.52 | ↑ +1267% |
| Carelon | GHI BMP | $2,014.52 | ↑ +1267% |
| MetroPlus | CHP | $2,014.52 | ↑ +1267% |
| Carelon (Amida Care) | Managed Medicaid | $2,054.81 | ↑ +1294% |
| UNITED BEHAVIORAL HEALTH | CHP | $2,054.81 | ↑ +1294% |
| UNITED BEHAVIORAL HEALTH | HARP | $2,054.81 | ↑ +1294% |
| UNITED | Essential Plan 1-4_200-250 | $2,155.54 | ↑ +1363% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $2,215.97 | ↑ +1404% |
| EMBLEM | Essential Plan 3-4 | $2,518.15 | ↑ +1609% |
| UNITED | CHP | $2,518.15 | ↑ +1609% |
| EMBLEM | Essential Plan 1-2 | $2,719.60 | ↑ +1746% |
| Emblem | Essential Plan 200-250 | $2,719.60 | ↑ +1746% |
| Healthfirst | EXCHANGE | $3,223.23 | ↑ +2087% |
| Healthfirst | Small Group | $3,283.67 | ↑ +2128% |
| MetroPlus | Essential Plan 200-250 | $4,532.67 | ↑ +2976% |
| MetroPlus | Essential Plan 1-2 | $4,532.67 | ↑ +2976% |
| Fidelis | Essential Plan 1-4_200-250 | $4,532.67 | ↑ +2976% |
| Healthfirst | Essential Plan 1-2 | $4,532.67 | ↑ +2976% |
| Healthfirst | Essential Plan 200-250 | $4,532.67 | ↑ +2976% |
| Healthfirst | Essential Plan 3-4 | $4,532.67 | ↑ +2976% |
| Anthem HealthPlus | Essential Plan 3-4 | $4,532.67 | ↑ +2976% |
| Anthem HealthPlus | Essential Plan 200-250 | $4,532.67 | ↑ +2976% |
| Anthem HealthPlus | Essential Plan 1-2 | $4,532.67 | ↑ +2976% |
| Affinity | Essential Plan 3-4 | $4,532.67 | ↑ +2976% |
| Affinity | Essential Plan 200-250 | $4,532.67 | ↑ +2976% |
| MetroPlus | Essential Plan 3-4 | $4,532.67 | ↑ +2976% |
| Affinity | Essential Plan 1-2 | $4,532.67 | ↑ +2976% |
Visitor-reported prices
Comments
Inj, pegcetacoplan, 1mg at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $317.74 | $135.84 – $282.93 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $317.74 | $138.05 – $148.94 |
| Canton-Potsdam Hospital | Potsdam | $237.25 | not published |
| The Unity Hospital of Rochester | Rochester | $391.06 | $135.84 – $138.05 |
| Newark Wayne Community Hospital | Newark | $317.74 | $135.84 – $138.05 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $103.11 – $200.80 |
| Gouverneur Hospital | Gouverneur | not published | $143.99 – $143.99 |