healthcosts.net
Lung Function Test (Spirometry) at North Central Bronx
3424 Kossuth Ave, Bronx, NY · NYC Health + Hospitals · · NPI 1023024882
not published by hospital
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.
$15.00 with UNITED vs $370.30 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 |
|---|---|---|---|
| UNITED | HARP | $15.00 | — |
| UNITED | Managed Medicaid | $15.00 | — |
| UNITED | Essential Plan 1-4_200-250 | $16.05 | — |
| EMBLEM | Essential Plan 1-2 | $20.45 | — |
| Healthfirst | HARP | $25.24 | — |
| Healthfirst | Managed Medicaid | $25.24 | — |
| Healthfirst | MEDICARE ADVANTAGE | $26.19 | — |
| Healthfirst | MAP | $26.19 | — |
| Healthfirst | Medicare Advantage PPO | $26.19 | — |
| Healthfirst | CHP | $28.40 | — |
| EMBLEM | HIP_GHI_CHP | $31.55 | — |
| Amidacare | Managed Medicaid | $31.55 | — |
| Wellcare | MEDICARE ADVANTAGE | $34.07 | — |
| MetroPlus | Essential Plan 200-250 | $38.52 | — |
| MetroPlus | Essential Plan 1-2 | $38.52 | — |
| MetroPlus | Essential Plan 3-4 | $38.52 | — |
| Fidelis | MAP | $45.43 | — |
| Aetna | ALL PRODUCTS | $53.15 | — |
| ANTHEM | Small Group EPO_PPO | $87.89 | — |
| ANTHEM | Blue Access Small Group | $87.89 | — |
| ANTHEM | Blue Access Large Group | $90.22 | — |
| MetroPlus | HARP | $92.36 | — |
| ANTHEM | EPO | $97.54 | — |
| ANTHEM | INDEMNITY | $97.54 | — |
| ANTHEM | PPO | $97.54 | — |
| ANTHEM | HMO | $97.54 | — |
| MetroPlus | Managed Medicaid | $100.32 | — |
| MetroPlus | CHP | $100.32 | — |
| Senior Whole Health | MLTC | $100.32 | — |
| MetroPlus | Goldcare 1 & 2 | $100.32 | — |
| UNITED | CHP | $100.32 | — |
| MetroPlus | Gold | $100.32 | — |
| MetroPlus | SNP | $100.32 | — |
| Carelon | Managed Medicaid_HARP_CHP | $100.32 | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $100.32 | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $100.32 | — |
| Fidelis | CHP | $100.32 | — |
| Anthem HealthPlus | EXCHANGE | $100.32 | — |
| Senior Whole Health | MAP | $100.32 | — |
| Fidelis | HARP_Managed Medicaid | $100.32 | — |
| VNSNY | Medicaid SNP | $102.33 | — |
| UNITED BEHAVIORAL HEALTH | HARP | $102.33 | — |
| VNSNY | MAP | $102.33 | — |
| Affinity | HARP_Managed Medicaid | $102.33 | — |
| Carelon (Amida Care) | Managed Medicaid | $102.33 | — |
| UNITED BEHAVIORAL HEALTH | CHP | $102.33 | — |
| Affinity | CHP | $105.34 | — |
| Anthem HealthPlus | CHP | $110.35 | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $110.35 | — |
| Healthfirst | EXCHANGE | $125.40 | — |
| EMBLEM | Essential Plan 3-4 | $125.40 | — |
| Healthfirst | Small Group | $133.41 | — |
| VNSNY | Medicare Advantage | $185.15 | — |
| ANTHEM | MEDICARE ADVANTAGE | $185.15 | — |
| Aetna | MEDICARE ADVANTAGE | $185.15 | — |
| VACCN | All Products | $185.15 | — |
| VNSNY | Medicare SNP | $185.15 | — |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $192.55 | — |
| Affinity | Essential Plan 1-2 | $207.81 | — |
| Affinity | Essential Plan 200-250 | $207.81 | — |
| Affinity | Essential Plan 3-4 | $207.81 | — |
| Healthfirst | Essential Plan 1-2 | $225.72 | — |
| Healthfirst | Essential Plan 3-4 | $225.72 | — |
| Fidelis | Essential Plan 1-4_200-250 | $225.72 | — |
| Anthem HealthPlus | Essential Plan 3-4 | $225.72 | — |
| Healthfirst | Essential Plan 200-250 | $225.72 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $225.72 | — |
| Fidelis | EXCHANGE | $262.91 | — |
| OSCAR | ALL PRODUCTS | $277.72 | — |
| EMBLEM | MEDICARE ADVANTAGE | $277.72 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $370.30 | — |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jacobi Medical Center | Bronx | not published | $18.19 – $521.22 |
| Lincoln Medical Center | Bronx | not published | $25.24 – $429.91 |
| Bellevue Hospital Center | NY 10016 | $180.64 | $0.01 – $490.56 |
| Kings County Hospital Center | Brooklyn | $178.81 | $15.00 – $521.22 |
| UPMC Chautauqua | Jamestown | $150.60 | $18.75 – $479.44 |
| Queens Hospital Center | Jamaica | $180.64 | $15.00 – $521.22 |
| Woodhull Medical Center | Brooklyn | $180.64 | $7.04 – $521.22 |
| Elmhurst Hospital Center | NY 11373 | not published | $15.00 – $429.91 |