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Upper Endoscopy (EGD, with biopsy) 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.
$139.84 with Healthfirst vs $2,218.94 with Elderplan — 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 |
|---|---|---|---|
| Healthfirst | CHP | $139.84 | — |
| Wellcare | MEDICARE ADVANTAGE | $167.81 | — |
| Fidelis | MAP | $223.75 | — |
| Healthfirst | MEDICARE ADVANTAGE | $417.81 | — |
| Healthfirst | MAP | $417.81 | — |
| Healthfirst | Medicare Advantage PPO | $417.81 | — |
| UNITED | Managed Medicaid | $507.01 | — |
| UNITED | Essential Plan 1-4_200-250 | $542.50 | — |
| MetroPlus | Essential Plan 200-250 | $546.32 | — |
| MetroPlus | Essential Plan 1-2 | $546.32 | — |
| MetroPlus | Essential Plan 3-4 | $546.32 | — |
| Healthfirst | EXCHANGE | $635.54 | — |
| UNITED | HARP | $745.60 | — |
| MetroPlus | HARP | $880.46 | — |
| MetroPlus | Managed Medicaid | $967.23 | — |
| MetroPlus | CHP | $967.23 | — |
| Senior Whole Health | MLTC | $967.23 | — |
| MetroPlus | Goldcare 1 & 2 | $967.23 | — |
| UNITED | CHP | $967.23 | — |
| MetroPlus | Gold | $967.23 | — |
| MetroPlus | SNP | $967.23 | — |
| Carelon | Managed Medicaid_HARP_CHP | $967.23 | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $967.23 | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $967.23 | — |
| Fidelis | CHP | $967.23 | — |
| Anthem HealthPlus | EXCHANGE | $967.23 | — |
| Senior Whole Health | MAP | $967.23 | — |
| Fidelis | HARP_Managed Medicaid | $967.23 | — |
| VNSNY | Medicaid SNP | $986.57 | — |
| UNITED BEHAVIORAL HEALTH | HARP | $986.57 | — |
| VNSNY | MAP | $986.57 | — |
| Affinity | HARP_Managed Medicaid | $986.57 | — |
| Carelon (Amida Care) | Managed Medicaid | $986.57 | — |
| UNITED BEHAVIORAL HEALTH | CHP | $986.57 | — |
| Affinity | CHP | $1,015.59 | — |
| Anthem HealthPlus | CHP | $1,063.95 | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $1,063.95 | — |
| VNSNY | Medicare Advantage | $1,109.47 | — |
| ANTHEM | MEDICARE ADVANTAGE | $1,109.47 | — |
| Aetna | MEDICARE ADVANTAGE | $1,109.47 | — |
| VACCN | All Products | $1,109.47 | — |
| VNSNY | Medicare SNP | $1,109.47 | — |
| Healthfirst | Essential Plan 1-2 | $1,143.97 | — |
| Healthfirst | Essential Plan 3-4 | $1,143.97 | — |
| Healthfirst | Essential Plan 200-250 | $1,143.97 | — |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $1,153.85 | — |
| EMBLEM | Essential Plan 3-4 | $1,209.04 | — |
| EMBLEM | Essential Plan 1-2 | $1,305.76 | — |
| Healthfirst | Small Group | $1,327.64 | — |
| Fidelis | EXCHANGE | $1,575.45 | — |
| OSCAR | ALL PRODUCTS | $1,664.21 | — |
| EMBLEM | MEDICARE ADVANTAGE | $1,664.21 | — |
| Affinity | Essential Plan 1-2 | $1,981.04 | — |
| Affinity | Essential Plan 200-250 | $1,981.04 | — |
| Affinity | Essential Plan 3-4 | $1,981.04 | — |
| Fidelis | Essential Plan 1-4_200-250 | $2,176.27 | — |
| Anthem HealthPlus | Essential Plan 3-4 | $2,176.27 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $2,176.27 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $2,218.94 | — |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, with biopsy) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jacobi Medical Center | Bronx | not published | $124.30 – $2,656.83 |
| Lincoln Medical Center | Bronx | not published | $124.30 – $2,250.87 |
| Bellevue Hospital Center | NY 10016 | $1,048.28 | $0.01 – $2,500.54 |
| Kings County Hospital Center | Brooklyn | $1,037.65 | $77.69 – $2,656.83 |
| UPMC Chautauqua | Jamestown | $1,152.60 | $115.04 – $1,728.90 |
| Queens Hospital Center | Jamaica | $1,048.28 | $75.47 – $2,656.83 |
| Woodhull Medical Center | Brooklyn | $1,048.28 | $77.69 – $2,656.83 |
| South Brooklyn Health | Brooklyn | not published | $124.30 – $2,348.74 |