Aquatic exercise - group charge at Harlem Hospital Center
506 Lenox Avenue, New York, NY · NYC Health + Hospitals · · NPI 1033124961
$19.92
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.
$298.32
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.
$15.94 with Hamaspik vs $314.00 with UNITED — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $15.94 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $16.98 | ↓ -15% |
| EMBLEM | PPO_Commercial | $19.58 | ↓ -2% |
| Aetna | MEDICARE ADVANTAGE | $19.58 | ↓ -2% |
| EMBLEM | HIP_GHI_CHP | $19.58 | ↓ -2% |
| VNSNY | Medicare Advantage | $19.92 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $19.92 | ↑ +0% |
| VNSNY | Medicare SNP | $19.92 | ↑ +0% |
| Senior Whole Health | MLTC | $19.92 | ↑ +0% |
| Senior Whole Health | MAP | $19.92 | ↑ +0% |
| Fidelis | MAP | $19.92 | ↑ +0% |
| VACCN | All Products | $19.92 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $19.92 | ↑ +0% |
| Healthfirst | MEDICARE ADVANTAGE | $20.05 | ↑ +1% |
| Healthfirst | MAP | $20.05 | ↑ +1% |
| VillageCare Max | MEDICARE ADVANTAGE | $20.46 | ↑ +3% |
| VillageCare Max | MAP | $20.46 | ↑ +3% |
| Centerlight | PACE | $20.46 | ↑ +3% |
| Amidacare | Managed Medicaid | $20.46 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $20.92 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $21.48 | ↑ +8% |
| MetroPlus | MAP | $23.12 | ↑ +16% |
| MetroPlus | MEDICARE ADVANTAGE | $23.12 | ↑ +16% |
| MetroPlus | EXCHANGE | $23.12 | ↑ +16% |
| MAGNACARE | PPO Non-FPP | $23.90 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $23.90 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $23.90 | ↑ +20% |
| MAGNACARE | PPO FPP | $23.90 | ↑ +20% |
| MetroPlus | Essential Plan 1-2 | $24.54 | ↑ +23% |
| MetroPlus | Essential Plan 200-250 | $24.54 | ↑ +23% |
| MetroPlus | Essential Plan 3-4 | $24.54 | ↑ +23% |
| Wellcare | MEDICARE ADVANTAGE | $29.48 | ↑ +48% |
| OSCAR | ALL PRODUCTS | $30.69 | ↑ +54% |
| Aetna | ALL PRODUCTS | $37.40 | ↑ +88% |
| Elderplan | MAP_Medicare Advantage_MLTC | $40.92 | ↑ +105% |
| ANTHEM | Blue Access Small Group | $58.34 | ↑ +193% |
| ANTHEM | Small Group EPO_PPO | $58.34 | ↑ +193% |
| ANTHEM | Blue Access Large Group | $60.22 | ↑ +202% |
| ANTHEM | HMO | $65.03 | ↑ +226% |
| ANTHEM | INDEMNITY | $65.03 | ↑ +226% |
| ANTHEM | EPO | $65.03 | ↑ +226% |
| ANTHEM | PPO | $65.03 | ↑ +226% |
| Healthfirst | Managed Medicaid | $95.13 | ↑ +378% |
| Healthfirst | CHP | $95.13 | ↑ +378% |
| Healthfirst | HARP | $95.13 | ↑ +378% |
| MetroPlus | Gold | $114.62 | ↑ +475% |
| MetroPlus | SNP | $114.62 | ↑ +475% |
| Fidelis | HARP_Managed Medicaid | $114.62 | ↑ +475% |
| Fidelis | CHP | $114.62 | ↑ +475% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $114.62 | ↑ +475% |
| UNITED | HARP | $114.62 | ↑ +475% |
| MetroPlus | CHP | $114.62 | ↑ +475% |
| MetroPlus | HARP | $114.62 | ↑ +475% |
| Carelon | GHI BMP | $114.62 | ↑ +475% |
| Carelon | Managed Medicaid_HARP_CHP | $114.62 | ↑ +475% |
| Carelon | Commercial_Essential Plans | $114.62 | ↑ +475% |
| MetroPlus | Managed Medicaid | $114.62 | ↑ +475% |
| MetroPlus | Goldcare 1 & 2 | $114.62 | ↑ +475% |
| Anthem HealthPlus | EXCHANGE | $114.62 | ↑ +475% |
| UNITED | Managed Medicaid | $114.62 | ↑ +475% |
| UNITED BEHAVIORAL HEALTH | CHP | $116.91 | ↑ +487% |
| Carelon (Amida Care) | Managed Medicaid | $116.91 | ↑ +487% |
| VNSNY | Medicaid SNP | $116.91 | ↑ +487% |
| VNSNY | MAP | $116.91 | ↑ +487% |
| UNITED BEHAVIORAL HEALTH | HARP | $116.91 | ↑ +487% |
| UNITED | Essential Plan 1-4_200-250 | $122.64 | ↑ +516% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $126.08 | ↑ +533% |
| UNITED | CHP | $143.28 | ↑ +619% |
| EMBLEM | Essential Plan 3-4 | $143.28 | ↑ +619% |
| EMBLEM | Essential Plan 1-2 | $154.74 | ↑ +677% |
| Emblem | Essential Plan 200-250 | $154.74 | ↑ +677% |
| Healthfirst | EXCHANGE | $183.39 | ↑ +821% |
| Healthfirst | Small Group | $186.83 | ↑ +838% |
| Carelon | MAP_Medicare Advantage | $193.91 | ↑ +873% |
| MULTIPLAN | ALL PRODUCTS | $238.66 | ↑ +1098% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +1110% |
| OXFORD | Liberty | $248.00 | ↑ +1145% |
| Local 1199 | ALL PRODUCTS | $253.57 | ↑ +1173% |
| Healthfirst | Essential Plan 3-4 | $257.90 | ↑ +1195% |
| Fidelis | Essential Plan 1-4_200-250 | $257.90 | ↑ +1195% |
| Healthfirst | Essential Plan 200-250 | $257.90 | ↑ +1195% |
| Healthfirst | Essential Plan 1-2 | $257.90 | ↑ +1195% |
| Affinity | Essential Plan 3-4 | $257.90 | ↑ +1195% |
| Affinity | Essential Plan 200-250 | $257.90 | ↑ +1195% |
| Affinity | Essential Plan 1-2 | $257.90 | ↑ +1195% |
| Anthem HealthPlus | Essential Plan 1-2 | $257.90 | ↑ +1195% |
| Anthem HealthPlus | Essential Plan 200-250 | $257.90 | ↑ +1195% |
| Anthem HealthPlus | Essential Plan 3-4 | $257.90 | ↑ +1195% |
| OXFORD | Freedom | $278.00 | ↑ +1296% |
| UNITED | EXCHANGE | $314.00 | ↑ +1476% |
| Fidelis | EXCHANGE | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
Visitor-reported prices
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Aquatic exercise - group charge at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Metropolitan Hospital Center | New York | $19.58 | $15.66 – $40.30 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $200.00 | $18.60 – $180.68 |
| NewYork-Presbyterian Queens | Flushing | $212.00 | $18.75 – $126.51 |
| Bellevue Hospital Center | NY 10016 | $20.15 | $10.34 – $40.30 |
| Kings County Hospital Center | Brooklyn | $20.46 | $10.34 – $40.92 |
| Lincoln Medical Center | Bronx | $19.92 | $15.94 – $40.92 |
| UPMC Chautauqua | Jamestown | $50.40 | $12.73 – $81.07 |
| Queens Hospital Center | Jamaica | $20.26 | $10.34 – $40.52 |