Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$151.00
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.
$55.39 with Anthem BCBS vs $631.18 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 |
|---|---|---|---|
| Anthem BCBS | Medicare Advantage | $55.39 | ↓ -63% |
| Anthem BCBS Healthplus | Medicare Advantage | $55.39 | ↓ -63% |
| United Healthcare | Medicare Advantage | $57.05 | ↓ -62% |
| Fidelis Care | Medicare Advantage | $58.30 | ↓ -61% |
| Cigna Healthcare | Medicare Advantage | $58.30 | ↓ -61% |
| EmblemHealth | Medicare Advantage | $58.30 | ↓ -61% |
| VNS Health | Medicare Advantage | $60.05 | ↓ -60% |
| Oxford Health Plans | Medicare Advantage | $60.05 | ↓ -60% |
| Aetna | Medicare Advantage | $60.05 | ↓ -60% |
| WellCare | Medicare Advantage | $60.34 | ↓ -60% |
| Elderplan | Medicare Advantage | $61.22 | ↓ -59% |
| HealthFirst | Medicare Advantage | $61.22 | ↓ -59% |
| MVP Health | Medicare Advantage | $64.13 | ↓ -58% |
| Aetna | Commercial | $66.59 | ↓ -56% |
| Longevity | Medicare Advantage | $72.88 | ↓ -52% |
| Senior Whole Health | Medicare Advantage | $72.88 | ↓ -52% |
| HealthFirst | nystateofhealth plans | $92.41 | ↓ -39% |
| Anthem BCBS | All Commercial Plans | $104.19 | ↓ -31% |
| MVP Health | Medicaid/Child Health Plus | $109.62 | ↓ -27% |
| Fidelis Care | Medicaid/Child Health Plus | $109.62 | ↓ -27% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $109.62 | ↓ -27% |
| Anthem BCBS Healthplus | Medicaid | $109.62 | ↓ -27% |
| Anthem BCBS Healthplus | nystateofhealth plans | $109.62 | ↓ -27% |
| VNS Health | Medicaid | $109.62 | ↓ -27% |
| Consumer Health Network | All Commercial Plans | $113.25 | ↓ -25% |
| MagnaCare | All Commercial Plans | $114.76 | ↓ -24% |
| United Healthcare | Medicaid | $116.84 | ↓ -23% |
| HealthFirst | Medicaid/Child Health Plus | $117.29 | ↓ -22% |
| Claritev dba MultiPlan | All Commercial Plans | $120.80 | ↓ -20% |
| United Healthcare | Child Health Plus | $121.99 | ↓ -19% |
| Amida Care | Medicaid | $126.06 | ↓ -17% |
| EmblemHealth | Medicaid/Child Health Plus | $126.06 | ↓ -17% |
| First Health | All Commercial Plans | $128.35 | ↓ -15% |
| Anthem BCBS Healthplus | Child Health Plus | $164.43 | ↑ +9% |
| MVP Health | nystateofhealth plans | $191.83 | ↑ +27% |
| Cigna Healthcare | All Commercial Plans | $210.36 | ↑ +39% |
| EmblemHealth | nystateofhealth plans | $220.50 | ↑ +46% |
| MVP Health | All NYS Essential Plans | $235.68 | ↑ +56% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $246.64 | ↑ +63% |
| MVP Health Plan | All Commercial Plans | $250.00 | ↑ +66% |
| Fidelis Care | All NYS Essential Plans | $274.04 | ↑ +81% |
| Fidelis Care | nystateofhealth plans | $274.04 | ↑ +81% |
| EmblemHealth | All Commercial Plans | $356.11 | ↑ +136% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $363.93 | ↑ +141% |
| United Healthcare | All NYS Essential Plans | $400.93 | ↑ +166% |
| HealthFirst | All Essential Plans | $443.88 | ↑ +194% |
| Oxford Health Plans | All Commercial Plans | $575.48 | ↑ +281% |
| United Healthcare | All HMO Plans | $631.18 | ↑ +318% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $422.00 | $55.08 – $126.51 |
| Bellevue Hospital Center | NY 10016 | $57.05 | $42.79 – $242.25 |
| Harlem Hospital Center | New York | $58.30 | $47.97 – $242.25 |
| Kings County Hospital Center | Brooklyn | $58.30 | $42.79 – $242.25 |
| Lincoln Medical Center | Bronx | $58.30 | $47.97 – $242.25 |
| Metropolitan Hospital Center | New York | $57.05 | $47.14 – $242.25 |
| UPMC Chautauqua | Jamestown | $93.00 | $25.12 – $139.50 |
| Queens Hospital Center | Jamaica | $57.98 | $42.79 – $242.25 |