Ghs simple repair 12.6 - 20.0 cm - 12005 at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$1,225.00
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.
$449.13 with Anthem BCBS Healthplus vs $6,251.72 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 Healthplus | Medicare Advantage | $449.13 | ↓ -63% |
| Anthem BCBS | Medicare Advantage | $449.13 | ↓ -63% |
| United Healthcare | Medicare Advantage | $462.60 | ↓ -62% |
| Fidelis Care | Medicare Advantage | $472.76 | ↓ -61% |
| EmblemHealth | Medicare Advantage | $472.76 | ↓ -61% |
| Cigna Healthcare | Medicare Advantage | $472.76 | ↓ -61% |
| Oxford Health Plans | Medicare Advantage | $486.95 | ↓ -60% |
| Aetna | Medicare Advantage | $486.95 | ↓ -60% |
| VNS Health | Medicare Advantage | $486.95 | ↓ -60% |
| WellCare | Medicare Advantage | $489.31 | ↓ -60% |
| Elderplan | Medicare Advantage | $496.40 | ↓ -59% |
| HealthFirst | Medicare Advantage | $496.40 | ↓ -59% |
| MVP Health | Medicare Advantage | $520.04 | ↓ -58% |
| Cigna Healthcare | All Commercial Plans | $586.92 | ↓ -52% |
| Longevity | Medicare Advantage | $590.95 | ↓ -52% |
| Senior Whole Health | Medicare Advantage | $590.95 | ↓ -52% |
| MVP Health | Medicaid/Child Health Plus | $694.16 | ↓ -43% |
| Fidelis Care | Medicaid/Child Health Plus | $694.16 | ↓ -43% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $694.16 | ↓ -43% |
| Anthem BCBS Healthplus | Medicaid | $694.16 | ↓ -43% |
| Anthem BCBS Healthplus | nystateofhealth plans | $694.16 | ↓ -43% |
| VNS Health | Medicaid | $694.16 | ↓ -43% |
| United Healthcare | Medicaid | $739.90 | ↓ -40% |
| HealthFirst | Medicaid/Child Health Plus | $742.75 | ↓ -39% |
| HealthFirst | nystateofhealth plans | $749.70 | ↓ -39% |
| United Healthcare | Child Health Plus | $772.53 | ↓ -37% |
| Amida Care | Medicaid | $798.28 | ↓ -35% |
| EmblemHealth | Medicaid/Child Health Plus | $798.28 | ↓ -35% |
| Consumer Health Network | All Commercial Plans | $918.75 | ↓ -25% |
| MagnaCare | All Commercial Plans | $931.00 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $980.00 | ↓ -20% |
| Anthem BCBS Healthplus | Child Health Plus | $1,041.24 | ↓ -15% |
| First Health | All Commercial Plans | $1,041.25 | ↓ -15% |
| MVP Health | nystateofhealth plans | $1,214.78 | ↓ -1% |
| MVP Health | All NYS Essential Plans | $1,492.44 | ↑ +22% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $1,561.86 | ↑ +27% |
| Fidelis Care | nystateofhealth plans | $1,735.40 | ↑ +42% |
| Fidelis Care | All NYS Essential Plans | $1,735.40 | ↑ +42% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $2,304.61 | ↑ +88% |
| United Healthcare | All NYS Essential Plans | $2,538.89 | ↑ +107% |
| MVP Health Plan | All Commercial Plans | $2,772.00 | ↑ +126% |
| HealthFirst | All Essential Plans | $2,810.93 | ↑ +129% |
| Aetna | Commercial | $4,033.60 | ↑ +229% |
| Oxford Health Plans | All Commercial Plans | $4,095.01 | ↑ +234% |
| EmblemHealth | nystateofhealth plans | $4,102.35 | ↑ +235% |
| Anthem BCBS | All Commercial Plans | $4,141.75 | ↑ +238% |
| United Healthcare | All HMO Plans | $4,939.72 | ↑ +303% |
| EmblemHealth | All Commercial Plans | $6,251.72 | ↑ +410% |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12005 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $941.00 | $179.00 – $654.59 |
| Bellevue Hospital Center | NY 10016 | $472.79 | $0.01 – $781.00 |
| Harlem Hospital Center | New York | $472.79 | $0.01 – $781.00 |
| Kings County Hospital Center | Brooklyn | $472.79 | $0.01 – $781.00 |
| Lincoln Medical Center | Bronx | $472.79 | $0.01 – $781.00 |
| Metropolitan Hospital Center | New York | $472.79 | $0.01 – $781.00 |
| UPMC Chautauqua | Jamestown | $83.40 | $83.40 – $1,033.67 |
| Queens Hospital Center | Jamaica | $472.79 | $0.01 – $781.00 |