healthcosts.net
New Patient Office Visit (level 5) 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.
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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.
$100.77 with UNITED BEHAVIORAL HEALTH vs $565.46 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 |
|---|---|---|---|
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | $100.77 | — |
| Aetna | MEDICARE ADVANTAGE | $113.40 | — |
| UNITED | Managed Medicaid | $116.55 | — |
| Carelon | Commercial_Essential Plans | $118.00 | — |
| Carelon | GHI BMP | $118.00 | — |
| Carelon | MAP_Medicare Advantage | $118.00 | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | $119.39 | — |
| UNITED | Essential Plan 1-4_200-250 | $124.71 | — |
| Healthfirst | HARP | $162.65 | — |
| Healthfirst | Managed Medicaid | $162.65 | — |
| Healthfirst | MAP | $168.75 | — |
| Healthfirst | MEDICARE ADVANTAGE | $168.75 | — |
| Healthfirst | Medicare Advantage PPO | $168.75 | — |
| UNITED | HARP | $171.40 | — |
| Healthfirst | CHP | $182.98 | — |
| Aetna | ALL PRODUCTS | $187.11 | — |
| Amidacare | Managed Medicaid | $203.31 | — |
| EMBLEM | HIP_GHI_CHP | $203.31 | — |
| EMBLEM | MEDICARE ADVANTAGE | $203.31 | — |
| Wellcare | MEDICARE ADVANTAGE | $219.57 | — |
| Fidelis | MAP | $292.77 | — |
| OSCAR | ALL PRODUCTS | $304.97 | — |
| MetroPlus | Essential Plan 1-2 | $307.25 | — |
| MetroPlus | Essential Plan 200-250 | $307.25 | — |
| MetroPlus | Essential Plan 3-4 | $307.25 | — |
| ANTHEM | Blue Access Small Group | $509.49 | — |
| ANTHEM | Small Group EPO_PPO | $509.49 | — |
| ANTHEM | Blue Access Large Group | $523.00 | — |
| ANTHEM | EPO | $565.46 | — |
| ANTHEM | HMO | $565.46 | — |
| ANTHEM | INDEMNITY | $565.46 | — |
| ANTHEM | PPO | $565.46 | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jacobi Medical Center | Bronx | not published | $0.01 – $1,035.30 |
| Lincoln Medical Center | Bronx | not published | $0.01 – $1,035.30 |
| UPMC Chautauqua | Jamestown | $217.80 | $61.00 – $321.30 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Bellevue Hospital Center | NY 10016 | not published | $0.01 – $1,035.30 |
| Elmhurst Hospital Center | NY 11373 | not published | $0.01 – $1,035.30 |
| Harlem Hospital Center | New York | not published | $0.01 – $1,035.30 |
| Kings County Hospital Center | Brooklyn | not published | $0.01 – $1,035.30 |