Ghs st - re-eval for alt comm at Harlem Hospital Center
506 Lenox Avenue, New York, NY · NYC Health + Hospitals · · NPI 1033124961
$80.81
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.
$444.86
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.
$64.65 with Hamaspik vs $391.39 with Anthem HealthPlus — 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 | $64.65 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $66.32 | ↓ -18% |
| Healthfirst | MAP | $78.30 | ↓ -3% |
| Healthfirst | MEDICARE ADVANTAGE | $78.30 | ↓ -3% |
| EMBLEM | HIP_GHI_CHP | $79.49 | ↓ -2% |
| EMBLEM | PPO_Commercial | $79.49 | ↓ -2% |
| Aetna | MEDICARE ADVANTAGE | $79.49 | ↓ -2% |
| Centerlight | PACE | $79.90 | ↓ -1% |
| VillageCare Max | MEDICARE ADVANTAGE | $79.90 | ↓ -1% |
| Senior Whole Health | MLTC | $79.90 | ↓ -1% |
| Amidacare | Managed Medicaid | $79.90 | ↓ -1% |
| VillageCare Max | MAP | $79.90 | ↓ -1% |
| Senior Whole Health | MAP | $80.81 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $80.81 | ↑ +0% |
| VNSNY | Medicare Advantage | $80.81 | ↑ +0% |
| VNSNY | Medicare SNP | $80.81 | ↑ +0% |
| Fidelis | MAP | $80.81 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $80.81 | ↑ +0% |
| VACCN | All Products | $80.81 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $83.90 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $84.85 | ↑ +5% |
| MetroPlus | MEDICARE ADVANTAGE | $90.29 | ↑ +12% |
| MetroPlus | MAP | $90.29 | ↑ +12% |
| MetroPlus | EXCHANGE | $90.29 | ↑ +12% |
| MAGNACARE | Direct Plus Non-FPP | $96.97 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $96.97 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $96.97 | ↑ +20% |
| MAGNACARE | PPO FPP | $96.97 | ↑ +20% |
| MetroPlus | Essential Plan 1-2 | $98.62 | ↑ +22% |
| MetroPlus | Essential Plan 3-4 | $98.62 | ↑ +22% |
| MetroPlus | Essential Plan 200-250 | $98.62 | ↑ +22% |
| Local 1199 | ALL PRODUCTS | $111.00 | ↑ +37% |
| Wellcare | MEDICARE ADVANTAGE | $119.60 | ↑ +48% |
| OSCAR | ALL PRODUCTS | $119.85 | ↑ +48% |
| Healthfirst | HARP | $144.38 | ↑ +79% |
| Healthfirst | CHP | $144.38 | ↑ +79% |
| Healthfirst | Managed Medicaid | $144.38 | ↑ +79% |
| Aetna | ALL PRODUCTS | $151.83 | ↑ +88% |
| Elderplan | MAP_Medicare Advantage_MLTC | $159.80 | ↑ +98% |
| MetroPlus | Gold | $173.95 | ↑ +115% |
| MetroPlus | Managed Medicaid | $173.95 | ↑ +115% |
| MetroPlus | HARP | $173.95 | ↑ +115% |
| MetroPlus | CHP | $173.95 | ↑ +115% |
| UNITED | Managed Medicaid | $173.95 | ↑ +115% |
| UNITED | HARP | $173.95 | ↑ +115% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $173.95 | ↑ +115% |
| Carelon | GHI BMP | $173.95 | ↑ +115% |
| Carelon | Managed Medicaid_HARP_CHP | $173.95 | ↑ +115% |
| Carelon | Commercial_Essential Plans | $173.95 | ↑ +115% |
| Fidelis | HARP_Managed Medicaid | $173.95 | ↑ +115% |
| Fidelis | CHP | $173.95 | ↑ +115% |
| Anthem HealthPlus | EXCHANGE | $173.95 | ↑ +115% |
| MetroPlus | SNP | $173.95 | ↑ +115% |
| MetroPlus | Goldcare 1 & 2 | $173.95 | ↑ +115% |
| UNITED BEHAVIORAL HEALTH | CHP | $177.43 | ↑ +120% |
| Carelon (Amida Care) | Managed Medicaid | $177.43 | ↑ +120% |
| UNITED BEHAVIORAL HEALTH | HARP | $177.43 | ↑ +120% |
| VNSNY | Medicaid SNP | $177.43 | ↑ +120% |
| VNSNY | MAP | $177.43 | ↑ +120% |
| UNITED | Essential Plan 1-4_200-250 | $186.13 | ↑ +130% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $191.35 | ↑ +137% |
| UNITED | CHP | $217.44 | ↑ +169% |
| EMBLEM | Essential Plan 3-4 | $217.44 | ↑ +169% |
| ANTHEM | Small Group EPO_PPO | $228.64 | ↑ +183% |
| ANTHEM | Blue Access Small Group | $228.64 | ↑ +183% |
| Emblem | Essential Plan 200-250 | $234.83 | ↑ +191% |
| EMBLEM | Essential Plan 1-2 | $234.83 | ↑ +191% |
| ANTHEM | Blue Access Large Group | $236.02 | ↑ +192% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +198% |
| OXFORD | Liberty | $248.00 | ↑ +207% |
| ANTHEM | HMO | $254.86 | ↑ +215% |
| ANTHEM | INDEMNITY | $254.86 | ↑ +215% |
| ANTHEM | PPO | $254.86 | ↑ +215% |
| ANTHEM | EPO | $254.86 | ↑ +215% |
| OXFORD | Freedom | $278.00 | ↑ +244% |
| Healthfirst | EXCHANGE | $278.32 | ↑ +244% |
| Healthfirst | Small Group | $283.54 | ↑ +251% |
| Carelon | MAP_Medicare Advantage | $289.16 | ↑ +258% |
| UNITED | EXCHANGE | $314.00 | ↑ +289% |
| MULTIPLAN | ALL PRODUCTS | $355.89 | ↑ +340% |
| Healthfirst | Essential Plan 3-4 | $391.39 | ↑ +384% |
| Fidelis | Essential Plan 1-4_200-250 | $391.39 | ↑ +384% |
| Healthfirst | Essential Plan 200-250 | $391.39 | ↑ +384% |
| Healthfirst | Essential Plan 1-2 | $391.39 | ↑ +384% |
| Affinity | Essential Plan 3-4 | $391.39 | ↑ +384% |
| Affinity | Essential Plan 200-250 | $391.39 | ↑ +384% |
| Affinity | Essential Plan 1-2 | $391.39 | ↑ +384% |
| Anthem HealthPlus | Essential Plan 1-2 | $391.39 | ↑ +384% |
| Anthem HealthPlus | Essential Plan 200-250 | $391.39 | ↑ +384% |
| Anthem HealthPlus | Essential Plan 3-4 | $391.39 | ↑ +384% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Ghs st - re-eval for alt comm at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Metropolitan Hospital Center | New York | $79.49 | $63.59 – $157.86 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $545.00 | $75.52 – $249.04 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| NewYork-Presbyterian Queens | Flushing | $410.00 | $76.09 – $194.87 |
| Bellevue Hospital Center | NY 10016 | $79.49 | $29.09 – $157.86 |
| Kings County Hospital Center | Brooklyn | $80.81 | $29.09 – $159.80 |
| Lincoln Medical Center | Bronx | $80.81 | $64.65 – $159.80 |
| Queens Hospital Center | Jamaica | $80.09 | $29.09 – $158.84 |