Repair biceps tendon at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$7,340.38
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.
$2,993.14 with Fidelis Care vs $16,313.50 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 |
|---|---|---|---|
| Fidelis Care | Medicaid/Child Health Plus | $2,993.14 | ↓ -59% |
| Anthem BCBS Healthplus | nystateofhealth plans | $2,993.14 | ↓ -59% |
| MVP Health | Medicaid/Child Health Plus | $2,993.14 | ↓ -59% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $2,993.14 | ↓ -59% |
| Anthem BCBS Healthplus | Medicaid | $2,993.14 | ↓ -59% |
| VNS Health | Medicaid | $2,993.14 | ↓ -59% |
| United Healthcare | Medicaid | $3,190.39 | ↓ -57% |
| HealthFirst | Medicaid/Child Health Plus | $3,202.66 | ↓ -56% |
| United Healthcare | Child Health Plus | $3,331.06 | ↓ -55% |
| EmblemHealth | Medicaid/Child Health Plus | $3,442.11 | ↓ -53% |
| Amida Care | Medicaid | $3,442.11 | ↓ -53% |
| Cigna Healthcare | All Commercial Plans | $3,516.92 | ↓ -52% |
| Aetna | Commercial | $4,033.60 | ↓ -45% |
| EmblemHealth | nystateofhealth plans | $4,102.35 | ↓ -44% |
| Anthem BCBS Healthplus | Child Health Plus | $4,489.71 | ↓ -39% |
| HealthFirst | nystateofhealth plans | $4,492.31 | ↓ -39% |
| MVP Health | nystateofhealth plans | $5,237.99 | ↓ -29% |
| Consumer Health Network | All Commercial Plans | $5,505.29 | ↓ -25% |
| MagnaCare | All Commercial Plans | $5,578.69 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $5,872.30 | ↓ -20% |
| MVP Health Plan | All Commercial Plans | $6,082.00 | ↓ -17% |
| First Health | All Commercial Plans | $6,239.32 | ↓ -15% |
| MVP Health | All NYS Essential Plans | $6,435.25 | ↓ -12% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $6,734.56 | ↓ -8% |
| EmblemHealth | All Commercial Plans | $6,872.82 | ↓ -6% |
| Fidelis Care | nystateofhealth plans | $7,482.85 | ↑ +2% |
| Fidelis Care | All NYS Essential Plans | $7,482.85 | ↑ +2% |
| Anthem BCBS | Medicare Advantage | $8,030.52 | ↑ +9% |
| Anthem BCBS Healthplus | Medicare Advantage | $8,030.52 | ↑ +9% |
| United Healthcare | Medicare Advantage | $8,271.43 | ↑ +13% |
| Cigna Healthcare | Medicare Advantage | $8,453.18 | ↑ +15% |
| Fidelis Care | Medicare Advantage | $8,453.18 | ↑ +15% |
| EmblemHealth | Medicare Advantage | $8,453.18 | ↑ +15% |
| Oxford Health Plans | Medicare Advantage | $8,706.77 | ↑ +19% |
| Aetna | Medicare Advantage | $8,706.77 | ↑ +19% |
| VNS Health | Medicare Advantage | $8,706.77 | ↑ +19% |
| WellCare | Medicare Advantage | $8,749.04 | ↑ +19% |
| HealthFirst | Medicare Advantage | $8,875.83 | ↑ +21% |
| Elderplan | Medicare Advantage | $8,875.83 | ↑ +21% |
| Oxford Health Plans | All Commercial Plans | $8,945.62 | ↑ +22% |
| MVP Health | Medicare Advantage | $9,298.49 | ↑ +27% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $9,937.22 | ↑ +35% |
| Senior Whole Health | Medicare Advantage | $10,566.47 | ↑ +44% |
| Longevity | Medicare Advantage | $10,566.47 | ↑ +44% |
| United Healthcare | All NYS Essential Plans | $10,947.40 | ↑ +49% |
| HealthFirst | All Essential Plans | $12,120.42 | ↑ +65% |
| Anthem BCBS | All Commercial Plans | $14,244.70 | ↑ +94% |
| United Healthcare | All HMO Plans | $16,313.50 | ↑ +122% |
Visitor-reported prices
Comments
Repair biceps tendon at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $8,453.60 | $431.54 – $18,115.63 |
| Harlem Hospital Center | New York | $8,453.60 | $857.71 – $18,115.63 |
| Kings County Hospital Center | Brooklyn | $8,453.60 | $431.54 – $18,115.63 |
| Lincoln Medical Center | Bronx | $8,453.60 | $885.74 – $18,115.63 |
| Metropolitan Hospital Center | New York | $8,453.60 | $885.74 – $18,115.63 |
| Queens Hospital Center | Jamaica | $8,453.60 | $431.54 – $18,115.63 |
| Woodhull Medical Center | Brooklyn | $8,453.60 | $431.54 – $18,115.63 |
| South Brooklyn Health | Brooklyn | $8,453.60 | $885.74 – $18,115.63 |