Administration vaccine pneumococcal at Harlem Hospital Center
506 Lenox Avenue, New York, NY · NYC Health + Hospitals · · NPI 1033124961
$54.60
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.
$10.00 with Local 1199 vs $116.90 with Elderplan — 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 |
|---|---|---|---|
| Local 1199 | ALL PRODUCTS | $10.00 | ↓ -82% |
| Healthfirst | Essential Plan 200-250 | $13.23 | ↓ -76% |
| Healthfirst | Essential Plan 1-2 | $13.23 | ↓ -76% |
| Healthfirst | Essential Plan 3-4 | $13.23 | ↓ -76% |
| Healthfirst | EXCHANGE | $16.54 | ↓ -70% |
| Aetna | ALL PRODUCTS | $17.00 | ↓ -69% |
| Healthfirst | CHP | $39.96 | ↓ -27% |
| Healthfirst | HARP | $39.96 | ↓ -27% |
| Healthfirst | Managed Medicaid | $39.96 | ↓ -27% |
| MetroPlus | Essential Plan 1-2 | $43.33 | ↓ -21% |
| MetroPlus | Essential Plan 200-250 | $43.33 | ↓ -21% |
| MetroPlus | Essential Plan 3-4 | $43.33 | ↓ -21% |
| Hamaspik | MEDICARE ADVANTAGE | $43.68 | ↓ -20% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $48.14 | ↓ -12% |
| Anthem HealthPlus | EXCHANGE | $48.14 | ↓ -12% |
| Carelon | Managed Medicaid_HARP_CHP | $48.14 | ↓ -12% |
| UNITED | Managed Medicaid | $48.14 | ↓ -12% |
| UNITED | HARP | $48.14 | ↓ -12% |
| Fidelis | HARP_Managed Medicaid | $48.14 | ↓ -12% |
| Fidelis | CHP | $48.14 | ↓ -12% |
| MetroPlus | Gold | $48.15 | ↓ -12% |
| MetroPlus | SNP | $48.15 | ↓ -12% |
| Carelon | GHI BMP | $48.15 | ↓ -12% |
| Carelon | Commercial_Essential Plans | $48.15 | ↓ -12% |
| MetroPlus | Managed Medicaid | $48.15 | ↓ -12% |
| MetroPlus | Goldcare 1 & 2 | $48.15 | ↓ -12% |
| MetroPlus | HARP | $48.15 | ↓ -12% |
| MetroPlus | CHP | $48.15 | ↓ -12% |
| Healthfirst | Medicare Advantage PPO | $48.52 | ↓ -11% |
| VNSNY | MAP | $49.10 | ↓ -10% |
| VNSNY | Medicaid SNP | $49.10 | ↓ -10% |
| UNITED BEHAVIORAL HEALTH | CHP | $49.10 | ↓ -10% |
| UNITED BEHAVIORAL HEALTH | HARP | $49.10 | ↓ -10% |
| Carelon (Amida Care) | Managed Medicaid | $49.10 | ↓ -10% |
| UNITED | Essential Plan 1-4_200-250 | $51.51 | ↓ -6% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $52.95 | ↓ -3% |
| VACCN | All Products | $54.60 | ↑ +0% |
| Senior Whole Health | MAP | $54.60 | ↑ +0% |
| VNSNY | Medicare Advantage | $54.60 | ↑ +0% |
| VNSNY | Medicare SNP | $54.60 | ↑ +0% |
| Fidelis | MAP | $54.60 | ↑ +0% |
| Senior Whole Health | MLTC | $54.60 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $54.60 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $54.60 | ↑ +0% |
| Healthfirst | MEDICARE ADVANTAGE | $57.28 | ↑ +5% |
| Healthfirst | MAP | $57.28 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $57.33 | ↑ +5% |
| Amidacare | Managed Medicaid | $58.45 | ↑ +7% |
| VillageCare Max | MEDICARE ADVANTAGE | $58.45 | ↑ +7% |
| VillageCare Max | MAP | $58.45 | ↑ +7% |
| Centerlight | PACE | $58.45 | ↑ +7% |
| UNITED | CHP | $60.19 | ↑ +10% |
| EMBLEM | Essential Plan 3-4 | $60.19 | ↑ +10% |
| UNITED | MEDICARE ADVANTAGE | $61.37 | ↑ +12% |
| Emblem | Essential Plan 200-250 | $65.00 | ↑ +19% |
| EMBLEM | Essential Plan 1-2 | $65.00 | ↑ +19% |
| MAGNACARE | Direct Plus Non-FPP | $65.52 | ↑ +20% |
| MAGNACARE | PPO FPP | $65.52 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $65.52 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $65.52 | ↑ +20% |
| MetroPlus | MAP | $66.05 | ↑ +21% |
| MetroPlus | MEDICARE ADVANTAGE | $66.05 | ↑ +21% |
| MetroPlus | EXCHANGE | $66.05 | ↑ +21% |
| Fidelis | EXCHANGE | $77.53 | ↑ +42% |
| Healthfirst | Small Group | $78.48 | ↑ +44% |
| Wellcare | MEDICARE ADVANTAGE | $80.81 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $81.90 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $87.68 | ↑ +61% |
| Affinity | Essential Plan 3-4 | $108.32 | ↑ +98% |
| Anthem HealthPlus | Essential Plan 3-4 | $108.32 | ↑ +98% |
| Affinity | Essential Plan 200-250 | $108.32 | ↑ +98% |
| Anthem HealthPlus | Essential Plan 1-2 | $108.32 | ↑ +98% |
| Anthem HealthPlus | Essential Plan 200-250 | $108.32 | ↑ +98% |
| Affinity | Essential Plan 1-2 | $108.32 | ↑ +98% |
| Fidelis | Essential Plan 1-4_200-250 | $108.32 | ↑ +98% |
| Elderplan | MAP_Medicare Advantage_MLTC | $116.90 | ↑ +114% |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Metropolitan Hospital Center | New York | $54.60 | $10.00 – $116.90 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $117.00 | $10.00 – $68.25 |
| NewYork-Presbyterian Queens | Flushing | $342.00 | $10.00 – $57.33 |
| Bellevue Hospital Center | NY 10016 | $54.60 | $10.00 – $116.90 |
| Kings County Hospital Center | Brooklyn | $54.60 | $10.00 – $116.90 |
| Lincoln Medical Center | Bronx | $54.60 | $10.00 – $116.90 |
| UPMC Chautauqua | Jamestown | $12.00 | $12.00 – $58.06 |
| Queens Hospital Center | Jamaica | $54.60 | $10.00 – $116.90 |