Contrast x-ray of elbow at Harlem Hospital Center
506 Lenox Avenue, New York, NY · NYC Health + Hospitals · · NPI 1033124961
$422.61
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.
$1,118.78
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.
$1.00 with UNITED vs $1,193.00 with Aetna — 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 |
|---|---|---|---|
| UNITED | EXCHANGE | $1.00 | ↓ -100% |
| Aetna | MEDICARE ADVANTAGE | $109.75 | ↓ -74% |
| EMBLEM | PPO_Commercial | $109.75 | ↓ -74% |
| EMBLEM | HIP_GHI_CHP | $109.75 | ↓ -74% |
| Fidelis | MAP | $158.04 | ↓ -63% |
| CIGNA | ALL PRODUCTS | $175.48 | ↓ -58% |
| Healthfirst | Medicare Advantage PPO | $223.76 | ↓ -47% |
| Healthfirst | MEDICARE ADVANTAGE | $223.76 | ↓ -47% |
| Healthfirst | MAP | $223.76 | ↓ -47% |
| ANTHEM | Small Group EPO_PPO | $224.43 | ↓ -47% |
| ANTHEM | Blue Access Small Group | $224.43 | ↓ -47% |
| ANTHEM | Blue Access Large Group | $231.67 | ↓ -45% |
| ANTHEM | EPO | $250.17 | ↓ -41% |
| ANTHEM | PPO | $250.17 | ↓ -41% |
| ANTHEM | INDEMNITY | $250.17 | ↓ -41% |
| ANTHEM | HMO | $250.17 | ↓ -41% |
| Healthfirst | Managed Medicaid | $276.13 | ↓ -35% |
| Healthfirst | HARP | $276.13 | ↓ -35% |
| Healthfirst | CHP | $276.13 | ↓ -35% |
| Fidelis | HARP_Managed Medicaid | $332.69 | ↓ -21% |
| MetroPlus | HARP | $332.69 | ↓ -21% |
| MetroPlus | CHP | $332.69 | ↓ -21% |
| Carelon | Commercial_Essential Plans | $332.69 | ↓ -21% |
| Carelon | Managed Medicaid_HARP_CHP | $332.69 | ↓ -21% |
| Carelon | GHI BMP | $332.69 | ↓ -21% |
| UNITED | HARP | $332.69 | ↓ -21% |
| Fidelis | CHP | $332.69 | ↓ -21% |
| UNITED | Managed Medicaid | $332.69 | ↓ -21% |
| Anthem HealthPlus | EXCHANGE | $332.69 | ↓ -21% |
| MetroPlus | SNP | $332.69 | ↓ -21% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $332.69 | ↓ -21% |
| MetroPlus | Gold | $332.69 | ↓ -21% |
| MetroPlus | Goldcare 1 & 2 | $332.69 | ↓ -21% |
| MetroPlus | Managed Medicaid | $332.69 | ↓ -21% |
| UNITED BEHAVIORAL HEALTH | HARP | $339.34 | ↓ -20% |
| UNITED BEHAVIORAL HEALTH | CHP | $339.34 | ↓ -20% |
| Carelon (Amida Care) | Managed Medicaid | $339.34 | ↓ -20% |
| VNSNY | Medicaid SNP | $339.34 | ↓ -20% |
| VNSNY | MAP | $339.34 | ↓ -20% |
| UNITED | Essential Plan 1-4_200-250 | $355.98 | ↓ -16% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $365.96 | ↓ -13% |
| OXFORD | Freedom | $398.09 | ↓ -6% |
| OXFORD | Liberty | $398.09 | ↓ -6% |
| EMBLEM | Essential Plan 3-4 | $415.86 | ↓ -2% |
| UNITED | CHP | $415.86 | ↓ -2% |
| Senior Whole Health | MAP | $422.61 | ↑ +0% |
| VACCN | All Products | $422.61 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $422.61 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $422.61 | ↑ +0% |
| VNSNY | Medicare Advantage | $422.61 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $422.61 | ↑ +0% |
| VNSNY | Medicare SNP | $422.61 | ↑ +0% |
| Senior Whole Health | MLTC | $422.61 | ↑ +0% |
| Amidacare | Managed Medicaid | $435.49 | ↑ +3% |
| VillageCare Max | MAP | $435.49 | ↑ +3% |
| VillageCare Max | MEDICARE ADVANTAGE | $435.49 | ↑ +3% |
| Elderplan | MAP_Medicare Advantage_MLTC | $435.49 | ↑ +3% |
| Centerlight | PACE | $435.49 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $443.74 | ↑ +5% |
| Emblem | Essential Plan 200-250 | $449.13 | ↑ +6% |
| EMBLEM | Essential Plan 1-2 | $449.13 | ↑ +6% |
| Wellcare | MEDICARE ADVANTAGE | $456.42 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $457.27 | ↑ +8% |
| MetroPlus | MEDICARE ADVANTAGE | $492.11 | ↑ +16% |
| MetroPlus | EXCHANGE | $492.11 | ↑ +16% |
| MetroPlus | MAP | $492.11 | ↑ +16% |
| Healthfirst | EXCHANGE | $532.30 | ↑ +26% |
| Healthfirst | Small Group | $542.28 | ↑ +28% |
| Fidelis | EXCHANGE | $600.11 | ↑ +42% |
| OSCAR | ALL PRODUCTS | $615.33 | ↑ +46% |
| Carelon | MAP_Medicare Advantage | $727.21 | ↑ +72% |
| MetroPlus | Essential Plan 3-4 | $748.55 | ↑ +77% |
| Healthfirst | Essential Plan 3-4 | $748.55 | ↑ +77% |
| Healthfirst | Essential Plan 200-250 | $748.55 | ↑ +77% |
| MetroPlus | Essential Plan 200-250 | $748.55 | ↑ +77% |
| MetroPlus | Essential Plan 1-2 | $748.55 | ↑ +77% |
| Affinity | Essential Plan 1-2 | $748.55 | ↑ +77% |
| Fidelis | Essential Plan 1-4_200-250 | $748.55 | ↑ +77% |
| Healthfirst | Essential Plan 1-2 | $748.55 | ↑ +77% |
| Anthem HealthPlus | Essential Plan 3-4 | $748.55 | ↑ +77% |
| Affinity | Essential Plan 3-4 | $748.55 | ↑ +77% |
| Affinity | Essential Plan 200-250 | $748.55 | ↑ +77% |
| Anthem HealthPlus | Essential Plan 1-2 | $748.55 | ↑ +77% |
| Anthem HealthPlus | Essential Plan 200-250 | $748.55 | ↑ +77% |
| MAGNACARE | PPO Non-FPP | $839.09 | ↑ +99% |
| MAGNACARE | Direct Plus Non-FPP | $839.09 | ↑ +99% |
| MAGNACARE | Direct Plus FPP | $839.09 | ↑ +99% |
| MAGNACARE | PPO FPP | $839.09 | ↑ +99% |
| MULTIPLAN | ALL PRODUCTS | $895.02 | ↑ +112% |
| Local 1199 | ALL PRODUCTS | $950.96 | ↑ +125% |
| Aetna | ALL PRODUCTS | $1,193.00 | ↑ +182% |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of elbow at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Metropolitan Hospital Center | New York | $422.61 | $1.00 – $653.24 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $1,570.00 | $108.00 – $528.24 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| NewYork-Presbyterian Queens | Flushing | $2,154.00 | $108.00 – $443.72 |
| Bellevue Hospital Center | NY 10016 | $422.61 | $1.00 – $653.24 |
| Kings County Hospital Center | Brooklyn | $422.61 | $1.00 – $653.24 |
| Lincoln Medical Center | Bronx | $422.61 | $1.00 – $653.24 |
| UPMC Chautauqua | Jamestown | $660.00 | $118.77 – $1,094.32 |