Biopsy skin incisional single lesion at Harlem Hospital Center
506 Lenox Avenue, New York, NY · NYC Health + Hospitals · · NPI 1033124961
$724.37
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.
$1,145.50
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.
$62.50 with EMBLEM vs $4,677.00 with OSCAR — 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 |
|---|---|---|---|
| EMBLEM | PPO_Commercial | $62.50 | ↓ -91% |
| Aetna | MEDICARE ADVANTAGE | $62.50 | ↓ -91% |
| EMBLEM | HIP_GHI_CHP | $62.50 | ↓ -91% |
| Fidelis | MAP | $90.00 | ↓ -88% |
| Local 1199 | ALL PRODUCTS | $441.00 | ↓ -39% |
| Healthfirst | Managed Medicaid | $644.39 | ↓ -11% |
| Healthfirst | HARP | $644.39 | ↓ -11% |
| Healthfirst | CHP | $644.39 | ↓ -11% |
| VNSNY | Medicare SNP | $724.37 | ↑ +0% |
| Senior Whole Health | MLTC | $724.37 | ↑ +0% |
| Senior Whole Health | MAP | $724.37 | ↑ +0% |
| VACCN | All Products | $724.37 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $724.37 | ↑ +0% |
| VNSNY | Medicare Advantage | $724.37 | ↑ +0% |
| Carelon | MAP_Medicare Advantage | $744.58 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $760.59 | ↑ +5% |
| Healthfirst | MEDICARE ADVANTAGE | $765.73 | ↑ +6% |
| Healthfirst | Medicare Advantage PPO | $765.73 | ↑ +6% |
| Healthfirst | MAP | $765.73 | ↑ +6% |
| MetroPlus | Goldcare 1 & 2 | $776.37 | ↑ +7% |
| MetroPlus | Managed Medicaid | $776.37 | ↑ +7% |
| MetroPlus | SNP | $776.37 | ↑ +7% |
| MetroPlus | HARP | $776.37 | ↑ +7% |
| MetroPlus | CHP | $776.37 | ↑ +7% |
| Carelon | GHI BMP | $776.37 | ↑ +7% |
| Carelon | Managed Medicaid_HARP_CHP | $776.37 | ↑ +7% |
| UNITED | Managed Medicaid | $776.37 | ↑ +7% |
| UNITED | HARP | $776.37 | ↑ +7% |
| Carelon | Commercial_Essential Plans | $776.37 | ↑ +7% |
| Fidelis | HARP_Managed Medicaid | $776.37 | ↑ +7% |
| Fidelis | CHP | $776.37 | ↑ +7% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $776.37 | ↑ +7% |
| Anthem HealthPlus | EXCHANGE | $776.37 | ↑ +7% |
| MetroPlus | Gold | $776.37 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $782.32 | ↑ +8% |
| VNSNY | MAP | $791.90 | ↑ +9% |
| UNITED BEHAVIORAL HEALTH | HARP | $791.90 | ↑ +9% |
| UNITED BEHAVIORAL HEALTH | CHP | $791.90 | ↑ +9% |
| VNSNY | Medicaid SNP | $791.90 | ↑ +9% |
| Carelon (Amida Care) | Managed Medicaid | $791.90 | ↑ +9% |
| UNITED | Essential Plan 1-4_200-250 | $830.72 | ↑ +15% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $854.01 | ↑ +18% |
| MAGNACARE | PPO Non-FPP | $859.13 | ↑ +19% |
| MAGNACARE | PPO FPP | $859.13 | ↑ +19% |
| MAGNACARE | Direct Plus Non-FPP | $859.13 | ↑ +19% |
| MAGNACARE | Direct Plus FPP | $859.13 | ↑ +19% |
| EMBLEM | MEDICARE ADVANTAGE | $905.46 | ↑ +25% |
| UNITED | EXCHANGE | $916.40 | ↑ +27% |
| MULTIPLAN | ALL PRODUCTS | $916.40 | ↑ +27% |
| Elderplan | MAP_Medicare Advantage_MLTC | $922.57 | ↑ +27% |
| Centerlight | PACE | $922.57 | ↑ +27% |
| VillageCare Max | MEDICARE ADVANTAGE | $922.57 | ↑ +27% |
| VillageCare Max | MAP | $922.57 | ↑ +27% |
| Amidacare | Managed Medicaid | $922.57 | ↑ +27% |
| UNITED | MEDICARE ADVANTAGE | $968.70 | ↑ +34% |
| UNITED | CHP | $970.46 | ↑ +34% |
| EMBLEM | Essential Plan 3-4 | $970.46 | ↑ +34% |
| Fidelis | EXCHANGE | $1,028.61 | ↑ +42% |
| MetroPlus | EXCHANGE | $1,042.51 | ↑ +44% |
| MetroPlus | MEDICARE ADVANTAGE | $1,042.51 | ↑ +44% |
| MetroPlus | MAP | $1,042.51 | ↑ +44% |
| Emblem | Essential Plan 200-250 | $1,048.10 | ↑ +45% |
| EMBLEM | Essential Plan 1-2 | $1,048.10 | ↑ +45% |
| Healthfirst | EXCHANGE | $1,242.19 | ↑ +71% |
| Healthfirst | Small Group | $1,265.48 | ↑ +75% |
| ANTHEM | Blue Access Small Group | $1,651.00 | ↑ +128% |
| ANTHEM | Small Group EPO_PPO | $1,651.00 | ↑ +128% |
| ANTHEM | Blue Access Large Group | $1,697.00 | ↑ +134% |
| Aetna | ALL PRODUCTS | $1,715.00 | ↑ +137% |
| Healthfirst | Essential Plan 200-250 | $1,746.83 | ↑ +141% |
| Healthfirst | Essential Plan 1-2 | $1,746.83 | ↑ +141% |
| Healthfirst | Essential Plan 3-4 | $1,746.83 | ↑ +141% |
| Affinity | Essential Plan 3-4 | $1,746.83 | ↑ +141% |
| Fidelis | Essential Plan 1-4_200-250 | $1,746.83 | ↑ +141% |
| Affinity | Essential Plan 200-250 | $1,746.83 | ↑ +141% |
| Affinity | Essential Plan 1-2 | $1,746.83 | ↑ +141% |
| MetroPlus | Essential Plan 3-4 | $1,746.83 | ↑ +141% |
| MetroPlus | Essential Plan 200-250 | $1,746.83 | ↑ +141% |
| MetroPlus | Essential Plan 1-2 | $1,746.83 | ↑ +141% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,746.83 | ↑ +141% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,746.83 | ↑ +141% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,746.83 | ↑ +141% |
| ANTHEM | INDEMNITY | $1,834.00 | ↑ +153% |
| ANTHEM | PPO | $1,834.00 | ↑ +153% |
| ANTHEM | HMO | $1,834.00 | ↑ +153% |
| ANTHEM | EPO | $1,834.00 | ↑ +153% |
| OXFORD | Liberty | $3,399.00 | ↑ +369% |
| OXFORD | Freedom | $3,850.00 | ↑ +431% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↑ +492% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↑ +546% |
| Affinity | CHP | 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 | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Metropolitan Hospital Center | New York | $724.37 | $64.18 – $1,042.51 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $2,002.00 | $688.11 – $1,047.55 |
| NewYork-Presbyterian Queens | Flushing | $1,526.00 | $179.00 – $888.92 |
| Bellevue Hospital Center | NY 10016 | $755.08 | $40.21 – $1,383.86 |
| Kings County Hospital Center | Brooklyn | $755.08 | $40.21 – $1,383.86 |
| Lincoln Medical Center | Bronx | $724.37 | $64.18 – $1,042.51 |
| UPMC Chautauqua | Jamestown | $498.00 | $47.31 – $2,904.64 |
| Queens Hospital Center | Jamaica | $755.08 | $40.21 – $1,383.86 |