Ercp remove duct calculi 43264 at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$4,607.08
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.
$1,759.47 with Anthem BCBS Healthplus vs $13,311.21 with United Healthcare — 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 Healthplus | Medicaid | $1,759.47 | ↓ -62% |
| Anthem BCBS Healthplus | nystateofhealth plans | $1,759.47 | ↓ -62% |
| MVP Health | Medicaid/Child Health Plus | $1,759.47 | ↓ -62% |
| Fidelis Care | Medicaid/Child Health Plus | $1,759.47 | ↓ -62% |
| VNS Health | Medicaid | $1,759.47 | ↓ -62% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $1,759.47 | ↓ -62% |
| United Healthcare | Medicaid | $1,875.41 | ↓ -59% |
| HealthFirst | Medicaid/Child Health Plus | $1,882.63 | ↓ -59% |
| United Healthcare | Child Health Plus | $1,958.11 | ↓ -57% |
| Amida Care | Medicaid | $2,023.39 | ↓ -56% |
| EmblemHealth | Medicaid/Child Health Plus | $2,023.39 | ↓ -56% |
| Cigna Healthcare | All Commercial Plans | $2,207.34 | ↓ -52% |
| Anthem BCBS Healthplus | Child Health Plus | $2,639.20 | ↓ -43% |
| MVP Health Plan | All Commercial Plans | $2,772.00 | ↓ -40% |
| HealthFirst | nystateofhealth plans | $2,819.54 | ↓ -39% |
| MVP Health | nystateofhealth plans | $3,079.07 | ↓ -33% |
| Consumer Health Network | All Commercial Plans | $3,455.31 | ↓ -25% |
| MagnaCare | All Commercial Plans | $3,501.38 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $3,685.66 | ↓ -20% |
| MVP Health | All NYS Essential Plans | $3,782.85 | ↓ -18% |
| First Health | All Commercial Plans | $3,916.02 | ↓ -15% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $3,958.80 | ↓ -14% |
| Aetna | Commercial | $4,033.60 | ↓ -12% |
| EmblemHealth | nystateofhealth plans | $4,102.35 | ↓ -11% |
| Anthem BCBS Healthplus | Medicare Advantage | $4,276.81 | ↓ -7% |
| Anthem BCBS | Medicare Advantage | $4,276.81 | ↓ -7% |
| Fidelis Care | nystateofhealth plans | $4,398.67 | ↓ -5% |
| Fidelis Care | All NYS Essential Plans | $4,398.67 | ↓ -5% |
| United Healthcare | Medicare Advantage | $4,405.11 | ↓ -4% |
| EmblemHealth | Medicare Advantage | $4,501.90 | ↓ -2% |
| Fidelis Care | Medicare Advantage | $4,501.90 | ↓ -2% |
| Cigna Healthcare | Medicare Advantage | $4,501.90 | ↓ -2% |
| Aetna | Medicare Advantage | $4,636.96 | ↑ +1% |
| VNS Health | Medicare Advantage | $4,636.96 | ↑ +1% |
| Oxford Health Plans | Medicare Advantage | $4,636.96 | ↑ +1% |
| WellCare | Medicare Advantage | $4,659.47 | ↑ +1% |
| HealthFirst | Medicare Advantage | $4,727.00 | ↑ +3% |
| Elderplan | Medicare Advantage | $4,727.00 | ↑ +3% |
| MVP Health | Medicare Advantage | $4,952.09 | ↑ +7% |
| Longevity | Medicare Advantage | $5,627.38 | ↑ +22% |
| Senior Whole Health | Medicare Advantage | $5,627.38 | ↑ +22% |
| Oxford Health Plans | All Commercial Plans | $5,672.89 | ↑ +23% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $5,841.43 | ↑ +27% |
| United Healthcare | All NYS Essential Plans | $6,435.25 | ↑ +40% |
| EmblemHealth | All Commercial Plans | $6,595.22 | ↑ +43% |
| HealthFirst | All Essential Plans | $7,124.78 | ↑ +55% |
| Anthem BCBS | All Commercial Plans | $10,867.86 | ↑ +136% |
| United Healthcare | All HMO Plans | $13,311.21 | ↑ +189% |
Visitor-reported prices
Comments
Ercp remove duct calculi 43264 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $4,502.13 | $0.01 – $7,219.09 |
| Harlem Hospital Center | New York | $4,502.13 | $0.01 – $5,438.38 |
| Kings County Hospital Center | Brooklyn | $4,502.13 | $0.01 – $7,219.09 |
| Lincoln Medical Center | Bronx | $4,502.13 | $0.01 – $5,438.38 |
| Metropolitan Hospital Center | New York | $4,502.13 | $0.01 – $5,438.38 |
| UPMC Chautauqua | Jamestown | $1,827.60 | $303.31 – $4,787.90 |
| Queens Hospital Center | Jamaica | $4,502.13 | $0.01 – $7,219.09 |
| Woodhull Medical Center | Brooklyn | $4,502.13 | $0.01 – $7,219.09 |