Apl(pml-rara) quant - sendout at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$1,362.00
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.
$145.12 with EmblemHealth vs $1,157.70 with First Health — 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 |
|---|---|---|---|
| EmblemHealth | nystateofhealth plans | $145.12 | ↓ -89% |
| EmblemHealth | All Commercial Plans | $145.12 | ↓ -89% |
| EmblemHealth | Medicare Advantage | $145.12 | ↓ -89% |
| Anthem BCBS Healthplus | Medicare Advantage | $196.94 | ↓ -86% |
| Anthem BCBS | Medicare Advantage | $196.94 | ↓ -86% |
| Cigna Healthcare | All Commercial Plans | $197.25 | ↓ -86% |
| United Healthcare | Medicare Advantage | $202.85 | ↓ -85% |
| Cigna Healthcare | Medicare Advantage | $207.31 | ↓ -85% |
| Fidelis Care | Medicare Advantage | $207.31 | ↓ -85% |
| Oxford Health Plans | Medicare Advantage | $213.53 | ↓ -84% |
| VNS Health | Medicare Advantage | $213.53 | ↓ -84% |
| Aetna | Medicare Advantage | $213.53 | ↓ -84% |
| WellCare | Medicare Advantage | $214.57 | ↓ -84% |
| Elderplan | Medicare Advantage | $217.68 | ↓ -84% |
| HealthFirst | Medicare Advantage | $217.68 | ↓ -84% |
| MVP Health | Medicare Advantage | $228.04 | ↓ -83% |
| Longevity | Medicare Advantage | $259.14 | ↓ -81% |
| Senior Whole Health | Medicare Advantage | $259.14 | ↓ -81% |
| MVP Health Plan | All Commercial Plans | $286.02 | ↓ -79% |
| Oxford Health Plans | All Commercial Plans | $306.45 | ↓ -78% |
| United Healthcare | All HMO Plans | $351.12 | ↓ -74% |
| Aetna | Commercial | $600.64 | ↓ -56% |
| Anthem BCBS | All Commercial Plans | $939.78 | ↓ -31% |
| Consumer Health Network | All Commercial Plans | $1,021.50 | ↓ -25% |
| MagnaCare | All Commercial Plans | $1,035.12 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $1,089.60 | ↓ -20% |
| First Health | All Commercial Plans | $1,157.70 | ↓ -15% |
Visitor-reported prices
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Apl(pml-rara) quant - sendout at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $1,362.00 | $145.12 – $217.68 |
| Bellevue Hospital Center | NY 10016 | $207.31 | $1.00 – $517.37 |
| Harlem Hospital Center | New York | $207.31 | $1.00 – $517.37 |
| Kings County Hospital Center | Brooklyn | $207.31 | $1.00 – $517.37 |
| Lincoln Medical Center | Bronx | $207.31 | $1.00 – $517.37 |
| Metropolitan Hospital Center | New York | $207.31 | $1.00 – $517.37 |
| Queens Hospital Center | Jamaica | $207.31 | $1.00 – $517.37 |
| Woodhull Medical Center | Brooklyn | $207.31 | $1.00 – $517.37 |