Incision of thigh tendon at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$6,492.00
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.
$2,883.86 with Affinity by Molina Healthcare 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 |
|---|---|---|---|
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $2,883.86 | ↓ -56% |
| MVP Health | Medicaid/Child Health Plus | $2,883.86 | ↓ -56% |
| VNS Health | Medicaid | $2,883.86 | ↓ -56% |
| Fidelis Care | Medicaid/Child Health Plus | $2,883.86 | ↓ -56% |
| Anthem BCBS Healthplus | Medicaid | $2,883.86 | ↓ -56% |
| Anthem BCBS Healthplus | nystateofhealth plans | $2,883.86 | ↓ -56% |
| United Healthcare | Medicaid | $3,073.90 | ↓ -53% |
| HealthFirst | Medicaid/Child Health Plus | $3,085.73 | ↓ -52% |
| Cigna Healthcare | All Commercial Plans | $3,110.45 | ↓ -52% |
| United Healthcare | Child Health Plus | $3,209.44 | ↓ -51% |
| Amida Care | Medicaid | $3,316.44 | ↓ -49% |
| EmblemHealth | Medicaid/Child Health Plus | $3,316.44 | ↓ -49% |
| Anthem BCBS | Medicare Advantage | $3,647.38 | ↓ -44% |
| Anthem BCBS Healthplus | Medicare Advantage | $3,647.38 | ↓ -44% |
| United Healthcare | Medicare Advantage | $3,756.80 | ↓ -42% |
| Fidelis Care | Medicare Advantage | $3,839.35 | ↓ -41% |
| EmblemHealth | Medicare Advantage | $3,839.35 | ↓ -41% |
| Cigna Healthcare | Medicare Advantage | $3,839.35 | ↓ -41% |
| VNS Health | Medicare Advantage | $3,954.53 | ↓ -39% |
| Oxford Health Plans | Medicare Advantage | $3,954.53 | ↓ -39% |
| Aetna | Medicare Advantage | $3,954.53 | ↓ -39% |
| HealthFirst | nystateofhealth plans | $3,973.10 | ↓ -39% |
| WellCare | Medicare Advantage | $3,973.72 | ↓ -39% |
| Elderplan | Medicare Advantage | $4,031.31 | ↓ -38% |
| HealthFirst | Medicare Advantage | $4,031.31 | ↓ -38% |
| Aetna | Commercial | $4,033.60 | ↓ -38% |
| EmblemHealth | nystateofhealth plans | $4,102.35 | ↓ -37% |
| MVP Health | Medicare Advantage | $4,223.28 | ↓ -35% |
| Anthem BCBS Healthplus | Child Health Plus | $4,325.79 | ↓ -33% |
| MVP Health Plan | All Commercial Plans | $4,696.00 | ↓ -28% |
| Longevity | Medicare Advantage | $4,799.18 | ↓ -26% |
| Senior Whole Health | Medicare Advantage | $4,799.18 | ↓ -26% |
| Consumer Health Network | All Commercial Plans | $4,869.00 | ↓ -25% |
| MagnaCare | All Commercial Plans | $4,933.92 | ↓ -24% |
| MVP Health | nystateofhealth plans | $5,046.75 | ↓ -22% |
| Claritev dba MultiPlan | All Commercial Plans | $5,193.60 | ↓ -20% |
| First Health | All Commercial Plans | $5,518.20 | ↓ -15% |
| Oxford Health Plans | All Commercial Plans | $5,672.89 | ↓ -13% |
| MVP Health | All NYS Essential Plans | $6,200.29 | ↓ -4% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $6,488.68 | ↓ -0% |
| EmblemHealth | All Commercial Plans | $6,786.66 | ↑ +5% |
| Fidelis Care | All NYS Essential Plans | $7,209.64 | ↑ +11% |
| Fidelis Care | nystateofhealth plans | $7,209.64 | ↑ +11% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $9,574.41 | ↑ +47% |
| United Healthcare | All NYS Essential Plans | $10,547.71 | ↑ +62% |
| Anthem BCBS | All Commercial Plans | $10,867.86 | ↑ +67% |
| HealthFirst | All Essential Plans | $11,677.89 | ↑ +80% |
| United Healthcare | All HMO Plans | $13,311.21 | ↑ +105% |
Visitor-reported prices
Comments
Incision of thigh tendon at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $7,212.00 | $871.50 – $4,031.32 |
| Bellevue Hospital Center | NY 10016 | $3,839.54 | $224.62 – $8,168.77 |
| Harlem Hospital Center | New York | $3,839.54 | $391.47 – $8,168.77 |
| Kings County Hospital Center | Brooklyn | $3,839.54 | $224.62 – $8,168.77 |
| Lincoln Medical Center | Bronx | $3,839.54 | $401.47 – $8,168.77 |
| Metropolitan Hospital Center | New York | $3,839.54 | $401.47 – $8,168.77 |
| Queens Hospital Center | Jamaica | $3,839.54 | $224.62 – $8,168.77 |
| Woodhull Medical Center | Brooklyn | $3,839.54 | $224.62 – $8,168.77 |