Bx breast add lesion mr imag at NewYork-Presbyterian Queens
56-45 Main Street, Flushing, NY · NewYork-Presbyterian · · NPI 1952347205
$6,798.00
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.
$176.24 with EmblemHealth vs $7,654.87 with HealthFirst — 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 |
|---|---|---|---|
| EmblemHealth | All NYS Essential Plans | $176.24 | ↓ -97% |
| EmblemHealth | All Commercial Plans | $939.66 | ↓ -86% |
| 1199SEIU Funds | All Commercial Plans | $946.00 | ↓ -86% |
| Anthem BCBS | All Commercial Plans | $1,016.41 | ↓ -85% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $1,890.37 | ↓ -72% |
| VNS Health | Medicaid | $1,890.37 | ↓ -72% |
| Anthem BCBS Healthplus | nystateofhealth plans | $1,890.37 | ↓ -72% |
| Fidelis Care | Medicaid/Child Health Plus | $1,890.37 | ↓ -72% |
| Anthem BCBS Healthplus | Medicaid | $1,890.37 | ↓ -72% |
| United Healthcare | Medicaid | $2,014.94 | ↓ -70% |
| HealthFirst | Medicaid/Child Health Plus | $2,022.70 | ↓ -70% |
| United Healthcare | Child Health Plus | $2,103.79 | ↓ -69% |
| Amida Care | Medicaid | $2,173.92 | ↓ -68% |
| EmblemHealth | Medicaid/Child Health Plus | $2,173.92 | ↓ -68% |
| Anthem BCBS Healthplus | Child Health Plus | $2,835.55 | ↓ -58% |
| Cigna Healthcare | All Commercial Plans | $3,257.06 | ↓ -52% |
| United Healthcare | All Commercial Plans | $3,399.00 | ↓ -50% |
| HealthFirst | nystateofhealth plans | $4,160.38 | ↓ -39% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $4,253.33 | ↓ -37% |
| Aetna | Commercial | $4,711.01 | ↓ -31% |
| Fidelis Care | All NYS Essential Plans | $4,725.92 | ↓ -30% |
| Fidelis Care | nystateofhealth plans | $4,725.92 | ↓ -30% |
| MagnaCare | All Commercial Plans | $5,166.48 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $5,778.30 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $5,914.26 | ↓ -13% |
| Devon | All Commercial Plans | $6,118.20 | ↓ -10% |
| Beechstreet | All Commercial Plans | $6,118.20 | ↓ -10% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $6,276.03 | ↓ -8% |
| First Health | All Commercial Plans | $6,322.14 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $6,390.12 | ↓ -6% |
| United Healthcare | All NYS Essential Plans | $6,914.03 | ↑ +2% |
| HealthFirst | All Essential Plans | $7,654.87 | ↑ +13% |
Visitor-reported prices
Comments
Bx breast add lesion mr imag at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | not published | $57.18 – $138.47 |
| Harlem Hospital Center | New York | not published | $96.16 – $138.47 |
| Kings County Hospital Center | Brooklyn | not published | $57.18 – $141.42 |
| Lincoln Medical Center | Bronx | not published | $98.21 – $141.42 |
| Metropolitan Hospital Center | New York | not published | $98.21 – $141.42 |
| Queens Hospital Center | Jamaica | not published | $57.18 – $704.77 |
| Woodhull Medical Center | Brooklyn | not published | $57.18 – $704.77 |
| South Brooklyn Health | Brooklyn | not published | $98.21 – $141.42 |