Lumizyme injection at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$3,375.51
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$196.28 with Anthem BCBS vs $3,905.37 with HealthFirst — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $196.28 | ↓ -94% |
| Anthem BCBS Healthplus | Medicare Advantage | $196.28 | ↓ -94% |
| United Healthcare | Medicare Advantage | $202.17 | ↓ -94% |
| Anthem BCBS | All Commercial Plans | $206.62 | ↓ -94% |
| Cigna Healthcare | Medicare Advantage | $206.62 | ↓ -94% |
| Fidelis Care | Medicare Advantage | $206.62 | ↓ -94% |
| EmblemHealth | Medicare Advantage | $206.62 | ↓ -94% |
| VNS Health | Medicare Advantage | $212.81 | ↓ -94% |
| Oxford Health Plans | Medicare Advantage | $212.81 | ↓ -94% |
| Aetna | Medicare Advantage | $212.81 | ↓ -94% |
| WellCare | Medicare Advantage | $213.85 | ↓ -94% |
| Elderplan | Medicare Advantage | $216.95 | ↓ -94% |
| HealthFirst | Medicare Advantage | $216.95 | ↓ -94% |
| MVP Health | Medicare Advantage | $227.28 | ↓ -93% |
| Longevity | Medicare Advantage | $258.27 | ↓ -92% |
| Senior Whole Health | Medicare Advantage | $258.27 | ↓ -92% |
| Aetna | Commercial | $586.57 | ↓ -83% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $916.21 | ↓ -73% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $916.21 | ↓ -73% |
| MVP Health | Medicaid/Child Health Plus | $964.43 | ↓ -71% |
| Fidelis Care | All NYS Essential Plans | $964.43 | ↓ -71% |
| Fidelis Care | Medicaid/Child Health Plus | $964.43 | ↓ -71% |
| Fidelis Care | nystateofhealth plans | $964.43 | ↓ -71% |
| Amida Care | Medicaid | $964.43 | ↓ -71% |
| Anthem BCBS Healthplus | Medicaid | $964.43 | ↓ -71% |
| Anthem BCBS Healthplus | nystateofhealth plans | $964.43 | ↓ -71% |
| VNS Health | Medicaid | $964.43 | ↓ -71% |
| EmblemHealth | nystateofhealth plans | $978.90 | ↓ -71% |
| MVP Health Plan | All Commercial Plans | $978.90 | ↓ -71% |
| United Healthcare | All HMO Plans | $978.90 | ↓ -71% |
| EmblemHealth | All Commercial Plans | $978.90 | ↓ -71% |
| United Healthcare | Medicaid | $1,027.99 | ↓ -70% |
| HealthFirst | Medicaid/Child Health Plus | $1,031.94 | ↓ -69% |
| United Healthcare | Child Health Plus | $1,073.31 | ↓ -68% |
| Oxford Health Plans | All Commercial Plans | $1,095.68 | ↓ -68% |
| Cigna Healthcare | All Commercial Plans | $1,106.16 | ↓ -67% |
| EmblemHealth | Medicaid/Child Health Plus | $1,446.65 | ↓ -57% |
| Anthem BCBS Healthplus | Child Health Plus | $1,446.65 | ↓ -57% |
| MVP Health | nystateofhealth plans | $1,687.75 | ↓ -50% |
| HealthFirst | nystateofhealth plans | $2,065.82 | ↓ -39% |
| MVP Health | All NYS Essential Plans | $2,073.52 | ↓ -39% |
| Consumer Health Network | All Commercial Plans | $2,531.63 | ↓ -25% |
| MagnaCare | All Commercial Plans | $2,565.39 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $2,700.41 | ↓ -20% |
| First Health | All Commercial Plans | $2,869.18 | ↓ -15% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $3,201.91 | ↓ -5% |
| United Healthcare | All NYS Essential Plans | $3,527.40 | ↑ +4% |
| HealthFirst | All Essential Plans | $3,905.37 | ↑ +16% |
Visitor-reported prices
Comments
Lumizyme injection at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $3,375.51 | $196.29 – $964.43 |
| Bellevue Hospital Center | NY 10016 | $201.97 | $161.58 – $422.24 |
| Harlem Hospital Center | New York | $201.97 | $161.58 – $422.24 |
| Kings County Hospital Center | Brooklyn | $201.97 | $161.58 – $422.24 |
| Lincoln Medical Center | Bronx | $201.97 | $161.58 – $422.24 |
| Metropolitan Hospital Center | New York | $201.97 | $161.58 – $422.24 |
| Queens Hospital Center | Jamaica | $201.97 | $161.58 – $422.24 |
| Woodhull Medical Center | Brooklyn | $201.97 | $161.58 – $422.24 |