Ot evaluation moderate complexity patient/family at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$359.00
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.
?
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.
$109.16 with Anthem BCBS Healthplus vs $739.27 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 Healthplus | Medicare Advantage | $109.16 | ↓ -70% |
| Anthem BCBS | Medicare Advantage | $109.16 | ↓ -70% |
| United Healthcare | Medicare Advantage | $112.44 | ↓ -69% |
| Fidelis Care | Medicare Advantage | $114.91 | ↓ -68% |
| EmblemHealth | Medicare Advantage | $114.91 | ↓ -68% |
| Cigna Healthcare | Medicare Advantage | $114.91 | ↓ -68% |
| VNS Health | Medicare Advantage | $118.36 | ↓ -67% |
| Aetna | Medicare Advantage | $118.36 | ↓ -67% |
| Oxford Health Plans | Medicare Advantage | $118.36 | ↓ -67% |
| WellCare | Medicare Advantage | $118.93 | ↓ -67% |
| HealthFirst | Medicare Advantage | $120.66 | ↓ -66% |
| Elderplan | Medicare Advantage | $120.66 | ↓ -66% |
| MVP Health | Medicare Advantage | $126.40 | ↓ -65% |
| Longevity | Medicare Advantage | $143.64 | ↓ -60% |
| Senior Whole Health | Medicare Advantage | $143.64 | ↓ -60% |
| Aetna | Commercial | $158.32 | ↓ -56% |
| MVP Health | Medicaid/Child Health Plus | $182.56 | ↓ -49% |
| Fidelis Care | Medicaid/Child Health Plus | $182.56 | ↓ -49% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $182.56 | ↓ -49% |
| Anthem BCBS Healthplus | Medicaid | $182.56 | ↓ -49% |
| Anthem BCBS Healthplus | nystateofhealth plans | $182.56 | ↓ -49% |
| VNS Health | Medicaid | $182.56 | ↓ -49% |
| United Healthcare | Medicaid | $194.59 | ↓ -46% |
| HealthFirst | Medicaid/Child Health Plus | $195.34 | ↓ -46% |
| United Healthcare | Child Health Plus | $203.17 | ↓ -43% |
| EmblemHealth | Medicaid/Child Health Plus | $209.95 | ↓ -42% |
| Amida Care | Medicaid | $209.95 | ↓ -42% |
| Cigna Healthcare | All Commercial Plans | $210.36 | ↓ -41% |
| HealthFirst | nystateofhealth plans | $219.71 | ↓ -39% |
| EmblemHealth | nystateofhealth plans | $220.50 | ↓ -39% |
| Anthem BCBS | All Commercial Plans | $247.71 | ↓ -31% |
| MVP Health Plan | All Commercial Plans | $250.00 | ↓ -30% |
| Consumer Health Network | All Commercial Plans | $269.25 | ↓ -25% |
| MagnaCare | All Commercial Plans | $272.84 | ↓ -24% |
| Anthem BCBS Healthplus | Child Health Plus | $273.84 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $287.20 | ↓ -20% |
| First Health | All Commercial Plans | $305.15 | ↓ -15% |
| MVP Health | nystateofhealth plans | $319.48 | ↓ -11% |
| EmblemHealth | All Commercial Plans | $356.11 | ↓ -1% |
| MVP Health | All NYS Essential Plans | $392.51 | ↑ +9% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $410.77 | ↑ +14% |
| Fidelis Care | All NYS Essential Plans | $456.41 | ↑ +27% |
| Fidelis Care | nystateofhealth plans | $456.41 | ↑ +27% |
| Oxford Health Plans | All Commercial Plans | $575.48 | ↑ +60% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $606.11 | ↑ +69% |
| United Healthcare | All HMO Plans | $631.18 | ↑ +76% |
| United Healthcare | All NYS Essential Plans | $667.72 | ↑ +86% |
| HealthFirst | All Essential Plans | $739.27 | ↑ +106% |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $680.00 | $90.00 – $210.40 |
| Bellevue Hospital Center | NY 10016 | $112.90 | $47.55 – $242.25 |
| Harlem Hospital Center | New York | $114.91 | $94.06 – $242.25 |
| Kings County Hospital Center | Brooklyn | $114.91 | $47.55 – $242.25 |
| Lincoln Medical Center | Bronx | $114.91 | $94.06 – $242.25 |
| Metropolitan Hospital Center | New York | $112.90 | $92.89 – $242.25 |
| UPMC Chautauqua | Jamestown | $99.00 | $47.06 – $148.50 |
| Queens Hospital Center | Jamaica | $114.08 | $47.55 – $242.25 |