Biopsy abdominal mass at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$5,904.00
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.
?
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.
$877.08 with Affinity by Molina Healthcare vs $9,686.11 with United Healthcare — 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 |
|---|---|---|---|
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $877.08 | ↓ -85% |
| Fidelis Care | Medicaid/Child Health Plus | $877.08 | ↓ -85% |
| MVP Health | Medicaid/Child Health Plus | $877.08 | ↓ -85% |
| Anthem BCBS Healthplus | nystateofhealth plans | $877.08 | ↓ -85% |
| Anthem BCBS Healthplus | Medicaid | $877.08 | ↓ -85% |
| VNS Health | Medicaid | $877.08 | ↓ -85% |
| United Healthcare | Medicaid | $934.88 | ↓ -84% |
| HealthFirst | Medicaid/Child Health Plus | $938.48 | ↓ -84% |
| United Healthcare | Child Health Plus | $976.10 | ↓ -83% |
| Amida Care | Medicaid | $1,008.64 | ↓ -83% |
| EmblemHealth | Medicaid/Child Health Plus | $1,008.64 | ↓ -83% |
| Anthem BCBS Healthplus | Child Health Plus | $1,315.62 | ↓ -78% |
| MVP Health | nystateofhealth plans | $1,534.89 | ↓ -74% |
| Anthem BCBS | Medicare Advantage | $1,821.37 | ↓ -69% |
| Anthem BCBS Healthplus | Medicare Advantage | $1,821.37 | ↓ -69% |
| United Healthcare | Medicare Advantage | $1,876.01 | ↓ -68% |
| MVP Health | All NYS Essential Plans | $1,885.73 | ↓ -68% |
| Fidelis Care | Medicare Advantage | $1,917.23 | ↓ -68% |
| EmblemHealth | Medicare Advantage | $1,917.23 | ↓ -68% |
| Cigna Healthcare | Medicare Advantage | $1,917.23 | ↓ -68% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $1,973.43 | ↓ -67% |
| Oxford Health Plans | Medicare Advantage | $1,974.75 | ↓ -67% |
| VNS Health | Medicare Advantage | $1,974.75 | ↓ -67% |
| Aetna | Medicare Advantage | $1,974.75 | ↓ -67% |
| WellCare | Medicare Advantage | $1,984.33 | ↓ -66% |
| HealthFirst | Medicare Advantage | $2,013.09 | ↓ -66% |
| Elderplan | Medicare Advantage | $2,013.09 | ↓ -66% |
| MVP Health | Medicare Advantage | $2,108.95 | ↓ -64% |
| Fidelis Care | nystateofhealth plans | $2,192.70 | ↓ -63% |
| Fidelis Care | All NYS Essential Plans | $2,192.70 | ↓ -63% |
| Longevity | Medicare Advantage | $2,396.54 | ↓ -59% |
| Senior Whole Health | Medicare Advantage | $2,396.54 | ↓ -59% |
| MVP Health Plan | All Commercial Plans | $2,500.00 | ↓ -58% |
| Cigna Healthcare | All Commercial Plans | $2,828.73 | ↓ -52% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $2,911.91 | ↓ -51% |
| United Healthcare | All NYS Essential Plans | $3,207.93 | ↓ -46% |
| HealthFirst | All Essential Plans | $3,551.65 | ↓ -40% |
| HealthFirst | nystateofhealth plans | $3,613.25 | ↓ -39% |
| Aetna | Commercial | $4,033.60 | ↓ -32% |
| EmblemHealth | nystateofhealth plans | $4,102.35 | ↓ -31% |
| Consumer Health Network | All Commercial Plans | $4,428.00 | ↓ -25% |
| MagnaCare | All Commercial Plans | $4,487.04 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $4,723.20 | ↓ -20% |
| Oxford Health Plans | All Commercial Plans | $4,852.95 | ↓ -18% |
| First Health | All Commercial Plans | $5,018.40 | ↓ -15% |
| Anthem BCBS | All Commercial Plans | $6,258.25 | ↑ +6% |
| EmblemHealth | All Commercial Plans | $6,726.94 | ↑ +14% |
| United Healthcare | All HMO Plans | $9,686.11 | ↑ +64% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $1,917.33 | $0.01 – $3,092.49 |
| Harlem Hospital Center | New York | $1,917.33 | $0.01 – $2,329.68 |
| Kings County Hospital Center | Brooklyn | $1,917.33 | $0.01 – $3,092.49 |
| Lincoln Medical Center | Bronx | $1,917.33 | $0.01 – $2,329.68 |
| Metropolitan Hospital Center | New York | $1,917.33 | $0.01 – $2,329.68 |
| UPMC Chautauqua | Jamestown | $622.80 | $101.21 – $2,039.03 |
| Queens Hospital Center | Jamaica | $1,917.33 | $0.01 – $3,092.49 |
| Woodhull Medical Center | Brooklyn | $1,917.33 | $0.01 – $3,092.49 |