Drainage of mouth lesion at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$736.00
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.
$261.05 with Anthem BCBS vs $6,202.06 with EmblemHealth — 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 |
|---|---|---|---|
| Anthem BCBS | Medicare Advantage | $261.05 | ↓ -65% |
| Anthem BCBS Healthplus | Medicare Advantage | $261.05 | ↓ -65% |
| United Healthcare | Medicare Advantage | $268.88 | ↓ -63% |
| Cigna Healthcare | Medicare Advantage | $274.79 | ↓ -63% |
| EmblemHealth | Medicare Advantage | $274.79 | ↓ -63% |
| Fidelis Care | Medicare Advantage | $274.79 | ↓ -63% |
| Aetna | Medicare Advantage | $283.03 | ↓ -62% |
| VNS Health | Medicare Advantage | $283.03 | ↓ -62% |
| Oxford Health Plans | Medicare Advantage | $283.03 | ↓ -62% |
| WellCare | Medicare Advantage | $284.40 | ↓ -61% |
| Anthem BCBS Healthplus | Medicaid | $284.83 | ↓ -61% |
| Anthem BCBS Healthplus | nystateofhealth plans | $284.83 | ↓ -61% |
| VNS Health | Medicaid | $284.83 | ↓ -61% |
| MVP Health | Medicaid/Child Health Plus | $284.83 | ↓ -61% |
| Fidelis Care | Medicaid/Child Health Plus | $284.83 | ↓ -61% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $284.83 | ↓ -61% |
| HealthFirst | Medicare Advantage | $288.53 | ↓ -61% |
| Elderplan | Medicare Advantage | $288.53 | ↓ -61% |
| MVP Health | Medicare Advantage | $302.26 | ↓ -59% |
| United Healthcare | Medicaid | $303.60 | ↓ -59% |
| HealthFirst | Medicaid/Child Health Plus | $304.77 | ↓ -59% |
| United Healthcare | Child Health Plus | $316.99 | ↓ -57% |
| EmblemHealth | Medicaid/Child Health Plus | $327.55 | ↓ -55% |
| Amida Care | Medicaid | $327.55 | ↓ -55% |
| Longevity | Medicare Advantage | $343.48 | ↓ -53% |
| Senior Whole Health | Medicare Advantage | $343.48 | ↓ -53% |
| Cigna Healthcare | All Commercial Plans | $352.63 | ↓ -52% |
| Anthem BCBS Healthplus | Child Health Plus | $427.24 | ↓ -42% |
| HealthFirst | nystateofhealth plans | $450.43 | ↓ -39% |
| MVP Health | nystateofhealth plans | $498.45 | ↓ -32% |
| Consumer Health Network | All Commercial Plans | $552.00 | ↓ -25% |
| MagnaCare | All Commercial Plans | $559.36 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $588.80 | ↓ -20% |
| MVP Health | All NYS Essential Plans | $612.38 | ↓ -17% |
| First Health | All Commercial Plans | $625.60 | ↓ -15% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $640.87 | ↓ -13% |
| Fidelis Care | nystateofhealth plans | $712.07 | ↓ -3% |
| Fidelis Care | All NYS Essential Plans | $712.07 | ↓ -3% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $945.63 | ↑ +28% |
| United Healthcare | All NYS Essential Plans | $1,041.76 | ↑ +42% |
| HealthFirst | All Essential Plans | $1,153.39 | ↑ +57% |
| MVP Health Plan | All Commercial Plans | $2,500.00 | ↑ +240% |
| Aetna | Commercial | $4,033.60 | ↑ +448% |
| Oxford Health Plans | All Commercial Plans | $4,095.01 | ↑ +456% |
| EmblemHealth | nystateofhealth plans | $4,102.35 | ↑ +457% |
| Anthem BCBS | All Commercial Plans | $4,141.75 | ↑ +463% |
| United Healthcare | All HMO Plans | $4,939.72 | ↑ +571% |
| EmblemHealth | All Commercial Plans | $6,202.06 | ↑ +743% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $736.00 | $122.00 – $288.53 |
| Bellevue Hospital Center | NY 10016 | $274.80 | $72.67 – $443.48 |
| Harlem Hospital Center | New York | $274.80 | $133.12 – $343.50 |
| Kings County Hospital Center | Brooklyn | $274.80 | $72.67 – $443.48 |
| Lincoln Medical Center | Bronx | $274.80 | $136.69 – $343.50 |
| Metropolitan Hospital Center | New York | $274.80 | $136.69 – $343.50 |
| Queens Hospital Center | Jamaica | $274.80 | $72.67 – $443.48 |
| Woodhull Medical Center | Brooklyn | $274.80 | $72.67 – $443.48 |