Ghs simple repair 7.6 - 12.5 cm - 12004 at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$879.00
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.
$184.59 with MVP Health Plan vs $6,216.58 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 |
|---|---|---|---|
| MVP Health Plan | All Commercial Plans | $184.59 | ↓ -79% |
| Anthem BCBS | Medicare Advantage | $223.37 | ↓ -75% |
| Anthem BCBS Healthplus | Medicare Advantage | $223.37 | ↓ -75% |
| United Healthcare | Medicare Advantage | $230.07 | ↓ -74% |
| Cigna Healthcare | Medicare Advantage | $235.12 | ↓ -73% |
| EmblemHealth | Medicare Advantage | $235.12 | ↓ -73% |
| Fidelis Care | Medicare Advantage | $235.12 | ↓ -73% |
| VNS Health | Medicare Advantage | $242.18 | ↓ -72% |
| Oxford Health Plans | Medicare Advantage | $242.18 | ↓ -72% |
| Aetna | Medicare Advantage | $242.18 | ↓ -72% |
| WellCare | Medicare Advantage | $243.35 | ↓ -72% |
| Elderplan | Medicare Advantage | $246.88 | ↓ -72% |
| HealthFirst | Medicare Advantage | $246.88 | ↓ -72% |
| MVP Health | Medicare Advantage | $258.63 | ↓ -71% |
| Longevity | Medicare Advantage | $293.90 | ↓ -67% |
| Senior Whole Health | Medicare Advantage | $293.90 | ↓ -67% |
| Cigna Healthcare | All Commercial Plans | $421.15 | ↓ -52% |
| HealthFirst | nystateofhealth plans | $537.95 | ↓ -39% |
| Consumer Health Network | All Commercial Plans | $659.25 | ↓ -25% |
| MagnaCare | All Commercial Plans | $668.04 | ↓ -24% |
| Anthem BCBS Healthplus | Medicaid | $694.16 | ↓ -21% |
| VNS Health | Medicaid | $694.16 | ↓ -21% |
| Fidelis Care | Medicaid/Child Health Plus | $694.16 | ↓ -21% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $694.16 | ↓ -21% |
| MVP Health | Medicaid/Child Health Plus | $694.16 | ↓ -21% |
| Anthem BCBS Healthplus | nystateofhealth plans | $694.16 | ↓ -21% |
| Claritev dba MultiPlan | All Commercial Plans | $703.20 | ↓ -20% |
| United Healthcare | Medicaid | $739.90 | ↓ -16% |
| HealthFirst | Medicaid/Child Health Plus | $742.75 | ↓ -16% |
| First Health | All Commercial Plans | $747.15 | ↓ -15% |
| United Healthcare | Child Health Plus | $772.53 | ↓ -12% |
| EmblemHealth | Medicaid/Child Health Plus | $798.28 | ↓ -9% |
| Amida Care | Medicaid | $798.28 | ↓ -9% |
| Anthem BCBS Healthplus | Child Health Plus | $1,041.24 | ↑ +18% |
| MVP Health | nystateofhealth plans | $1,214.78 | ↑ +38% |
| MVP Health | All NYS Essential Plans | $1,492.44 | ↑ +70% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $1,561.86 | ↑ +78% |
| Fidelis Care | All NYS Essential Plans | $1,735.40 | ↑ +97% |
| Fidelis Care | nystateofhealth plans | $1,735.40 | ↑ +97% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $2,304.61 | ↑ +162% |
| United Healthcare | All NYS Essential Plans | $2,538.89 | ↑ +189% |
| HealthFirst | All Essential Plans | $2,810.93 | ↑ +220% |
| Aetna | Commercial | $4,033.60 | ↑ +359% |
| Oxford Health Plans | All Commercial Plans | $4,095.01 | ↑ +366% |
| EmblemHealth | nystateofhealth plans | $4,102.35 | ↑ +367% |
| Anthem BCBS | All Commercial Plans | $4,141.75 | ↑ +371% |
| United Healthcare | All HMO Plans | $4,939.72 | ↑ +462% |
| EmblemHealth | All Commercial Plans | $6,216.58 | ↑ +607% |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $1,000.00 | $143.00 – $654.59 |
| Bellevue Hospital Center | NY 10016 | $235.13 | $62.55 – $781.00 |
| Harlem Hospital Center | New York | $235.13 | $82.33 – $781.00 |
| Kings County Hospital Center | Brooklyn | $235.13 | $62.55 – $781.00 |
| Lincoln Medical Center | Bronx | $235.13 | $85.16 – $781.00 |
| Metropolitan Hospital Center | New York | $235.13 | $85.16 – $781.00 |
| UPMC Chautauqua | Jamestown | $100.20 | $60.62 – $2,904.64 |
| Queens Hospital Center | Jamaica | $235.13 | $75.46 – $781.00 |