Compre oph exam new pt 1/> at Harlem Hospital Center
506 Lenox Avenue, New York, NY · NYC Health + Hospitals · · NPI 1033124961
$152.50
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.
$586.60
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.
$0.01 with CIGNA vs $645.00 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| EMBLEM | Essential Plan 3-4 | $37.88 | ↓ -75% |
| EMBLEM | Essential Plan 1-2 | $40.91 | ↓ -73% |
| Emblem | Essential Plan 200-250 | $40.91 | ↓ -73% |
| Aetna | MEDICARE ADVANTAGE | $98.78 | ↓ -35% |
| Healthfirst | Small Group | $117.32 | ↓ -23% |
| Healthfirst | MAP | $137.94 | ↓ -10% |
| Healthfirst | MEDICARE ADVANTAGE | $137.94 | ↓ -10% |
| Fidelis | MAP | $142.24 | ↓ -7% |
| Local 1199 | ALL PRODUCTS | $143.00 | ↓ -6% |
| Healthfirst | EXCHANGE | $146.65 | ↓ -4% |
| Hamaspik | MEDICARE ADVANTAGE | $152.50 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $152.50 | ↑ +0% |
| VACCN | All Products | $152.50 | ↑ +0% |
| VNSNY | Medicare SNP | $152.50 | ↑ +0% |
| VNSNY | Medicare Advantage | $152.50 | ↑ +0% |
| Senior Whole Health | MLTC | $152.50 | ↑ +0% |
| Senior Whole Health | MAP | $152.50 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $160.12 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $164.70 | ↑ +8% |
| Amidacare | Managed Medicaid | $166.19 | ↑ +9% |
| Centerlight | PACE | $166.19 | ↑ +9% |
| Elderplan | MAP_Medicare Advantage_MLTC | $166.19 | ↑ +9% |
| VillageCare Max | MEDICARE ADVANTAGE | $166.19 | ↑ +9% |
| VillageCare Max | MAP | $166.19 | ↑ +9% |
| UNITED | MEDICARE ADVANTAGE | $174.50 | ↑ +14% |
| MetroPlus | EXCHANGE | $187.80 | ↑ +23% |
| MetroPlus | MEDICARE ADVANTAGE | $187.80 | ↑ +23% |
| MetroPlus | MAP | $187.80 | ↑ +23% |
| MetroPlus | Essential Plan 3-4 | $207.46 | ↑ +36% |
| MetroPlus | Essential Plan 1-2 | $207.46 | ↑ +36% |
| MetroPlus | Essential Plan 200-250 | $207.46 | ↑ +36% |
| Fidelis | EXCHANGE | $216.55 | ↑ +42% |
| Healthfirst | Medicare Advantage PPO | $225.00 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $228.75 | ↑ +50% |
| Aetna | ALL PRODUCTS | $257.00 | ↑ +69% |
| ANTHEM | Small Group EPO_PPO | $313.88 | ↑ +106% |
| ANTHEM | Blue Access Small Group | $313.88 | ↑ +106% |
| ANTHEM | Blue Access Large Group | $324.00 | ↑ +112% |
| MAGNACARE | PPO FPP | $330.00 | ↑ +116% |
| MAGNACARE | Direct Plus FPP | $330.00 | ↑ +116% |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | ↑ +116% |
| MAGNACARE | PPO Non-FPP | $330.00 | ↑ +116% |
| EMBLEM | HIP_GHI_CHP | $332.00 | ↑ +118% |
| EMBLEM | PPO_Commercial | $332.00 | ↑ +118% |
| ANTHEM | PPO | $349.88 | ↑ +129% |
| ANTHEM | INDEMNITY | $349.88 | ↑ +129% |
| ANTHEM | EPO | $349.88 | ↑ +129% |
| ANTHEM | HMO | $349.88 | ↑ +129% |
| OXFORD | Liberty | $380.00 | ↑ +149% |
| Carelon | Commercial_Essential Plans | $381.29 | ↑ +150% |
| Carelon | MAP_Medicare Advantage | $381.29 | ↑ +150% |
| Carelon | GHI BMP | $381.29 | ↑ +150% |
| Carelon | Managed Medicaid_HARP_CHP | $381.29 | ↑ +150% |
| OXFORD | Freedom | $431.00 | ↑ +183% |
| MULTIPLAN | ALL PRODUCTS | $469.28 | ↑ +208% |
| Carelon (Amida Care) | Managed Medicaid | $469.28 | ↑ +208% |
| UNITED | EXCHANGE | $480.00 | ↑ +215% |
| VNSNY | MAP | $498.61 | ↑ +227% |
| VNSNY | Medicaid SNP | $498.61 | ↑ +227% |
| OSCAR | ALL PRODUCTS | $645.00 | ↑ +323% |
| Healthfirst | Essential Plan 3-4 | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | HARP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | CHP | not published by hospital | — |
| MetroPlus | SNP | not published by hospital | — |
| MetroPlus | Gold | not published by hospital | — |
| MetroPlus | Goldcare 1 & 2 | not published by hospital | — |
| MetroPlus | Managed Medicaid | not published by hospital | — |
| MetroPlus | HARP | not published by hospital | — |
| MetroPlus | CHP | not published by hospital | — |
| UNITED | Essential Plan 1-4_200-250 | not published by hospital | — |
| UNITED | Managed Medicaid | not published by hospital | — |
| UNITED | HARP | not published by hospital | — |
| UNITED | CHP | not published by hospital | — |
| Affinity | Essential Plan 1-2 | not published by hospital | — |
| Affinity | Essential Plan 200-250 | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Affinity | Essential Plan 3-4 | not published by hospital | — |
| Healthfirst | Essential Plan 1-2 | not published by hospital | — |
| Healthfirst | Managed Medicaid | not published by hospital | — |
| Healthfirst | Essential Plan 200-250 | not published by hospital | — |
| Healthfirst | HARP | not published by hospital | — |
| Healthfirst | CHP | not published by hospital | — |
| Fidelis | Essential Plan 1-4_200-250 | not published by hospital | — |
| Fidelis | CHP | not published by hospital | — |
| Fidelis | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 1-2 | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 200-250 | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Anthem HealthPlus | EXCHANGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 3-4 | not published by hospital | — |
Visitor-reported prices
Comments
Compre oph exam new pt 1/> at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Metropolitan Hospital Center | New York | $152.50 | $0.01 – $645.00 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $715.00 | $143.00 – $190.61 |
| NewYork-Presbyterian Queens | Flushing | $702.00 | $143.00 – $160.11 |
| Bellevue Hospital Center | NY 10016 | $152.50 | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn | $152.50 | $0.01 – $645.00 |
| Lincoln Medical Center | Bronx | $152.50 | $0.01 – $645.00 |
| Queens Hospital Center | Jamaica | $152.50 | $0.01 – $645.00 |
| Woodhull Medical Center | Brooklyn | $152.50 | $0.01 – $645.00 |