Surgical pathology level 6 gross & microscopic examination at NewYork-Presbyterian Hudson Valley Hospital
1980 Crompond Road, Cortlandt Manor, NY · NewYork-Presbyterian · · NPI 1881659274
$1,020.00
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.
$119.89 with MVP Health vs $1,208.30 with Longevity — 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 |
|---|---|---|---|
| MVP Health | Medicaid/Child Health Plus | $119.89 | ↓ -88% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $119.89 | ↓ -88% |
| VNS Health | Medicaid | $119.89 | ↓ -88% |
| Fidelis Care | Medicaid/Child Health Plus | $119.89 | ↓ -88% |
| Anthem BCBS Healthplus | nystateofhealth plans | $119.89 | ↓ -88% |
| Anthem BCBS Healthplus | Medicaid | $119.89 | ↓ -88% |
| United Healthcare | Medicaid | $127.79 | ↓ -87% |
| HealthFirst | Medicaid/Child Health Plus | $128.28 | ↓ -87% |
| United Healthcare | Child Health Plus | $133.42 | ↓ -87% |
| EmblemHealth | Medicaid/Child Health Plus | $137.87 | ↓ -86% |
| Amida Care | Medicaid | $137.87 | ↓ -86% |
| Anthem BCBS Healthplus | Child Health Plus | $179.83 | ↓ -82% |
| MVP Health | nystateofhealth plans | $209.80 | ↓ -79% |
| MVP Health Plan | All Commercial Plans | $214.20 | ↓ -79% |
| MVP Health | All NYS Essential Plans | $257.76 | ↓ -75% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $269.74 | ↓ -74% |
| Cigna Healthcare | All Commercial Plans | $283.45 | ↓ -72% |
| Fidelis Care | nystateofhealth plans | $299.72 | ↓ -71% |
| Fidelis Care | All NYS Essential Plans | $299.72 | ↓ -71% |
| Oxford Health Plans | All Commercial Plans | $306.45 | ↓ -70% |
| United Healthcare | All HMO Plans | $351.12 | ↓ -66% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $398.02 | ↓ -61% |
| United Healthcare | All NYS Essential Plans | $438.48 | ↓ -57% |
| Aetna | Commercial | $449.82 | ↓ -56% |
| HealthFirst | All Essential Plans | $485.47 | ↓ -52% |
| EmblemHealth | nystateofhealth plans | $581.40 | ↓ -43% |
| HealthFirst | nystateofhealth plans | $624.24 | ↓ -39% |
| Anthem BCBS | All Commercial Plans | $703.80 | ↓ -31% |
| Consumer Health Network | All Commercial Plans | $765.00 | ↓ -25% |
| MagnaCare | All Commercial Plans | $775.20 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $816.00 | ↓ -20% |
| EmblemHealth | All Commercial Plans | $816.00 | ↓ -20% |
| First Health | All Commercial Plans | $867.00 | ↓ -15% |
| Anthem BCBS | Medicare Advantage | $918.31 | ↓ -10% |
| Anthem BCBS Healthplus | Medicare Advantage | $918.31 | ↓ -10% |
| United Healthcare | Medicare Advantage | $945.86 | ↓ -7% |
| Fidelis Care | Medicare Advantage | $966.64 | ↓ -5% |
| Cigna Healthcare | Medicare Advantage | $966.64 | ↓ -5% |
| EmblemHealth | Medicare Advantage | $966.64 | ↓ -5% |
| VNS Health | Medicare Advantage | $995.64 | ↓ -2% |
| Aetna | Medicare Advantage | $995.64 | ↓ -2% |
| Oxford Health Plans | Medicare Advantage | $995.64 | ↓ -2% |
| WellCare | Medicare Advantage | $1,000.47 | ↓ -2% |
| HealthFirst | Medicare Advantage | $1,014.97 | ↓ -0% |
| Elderplan | Medicare Advantage | $1,014.97 | ↓ -0% |
| MVP Health | Medicare Advantage | $1,063.30 | ↑ +4% |
| Senior Whole Health | Medicare Advantage | $1,208.30 | ↑ +18% |
| Longevity | Medicare Advantage | $1,208.30 | ↑ +18% |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $1,498.00 | $50.00 – $1,014.97 |
| Bellevue Hospital Center | NY 10016 | $966.69 | $1.00 – $1,508.58 |
| Harlem Hospital Center | New York | $966.69 | $1.00 – $1,508.58 |
| Kings County Hospital Center | Brooklyn | $966.69 | $1.00 – $1,508.58 |
| Lincoln Medical Center | Bronx | $966.69 | $1.00 – $1,508.58 |
| Metropolitan Hospital Center | New York | $966.69 | $1.00 – $1,508.58 |
| UPMC Chautauqua | Jamestown | $566.40 | $34.85 – $2,503.13 |
| Queens Hospital Center | Jamaica | $966.69 | $1.00 – $1,508.58 |