Plmt nephroureteral catheter at Harlem Hospital Center
506 Lenox Avenue, New York, NY · NYC Health + Hospitals · · NPI 1033124961
$4,081.37
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.
$9,286.23
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.
$273.32 with Aetna vs $7,428.98 with EMBLEM — 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 |
|---|---|---|---|
| Aetna | MEDICARE ADVANTAGE | $273.32 | ↓ -93% |
| Aetna | ALL PRODUCTS | $522.04 | ↓ -87% |
| ANTHEM | Blue Access Small Group | $841.24 | ↓ -79% |
| ANTHEM | Small Group EPO_PPO | $841.24 | ↓ -79% |
| ANTHEM | Blue Access Large Group | $868.38 | ↓ -79% |
| ANTHEM | EPO | $937.73 | ↓ -77% |
| ANTHEM | INDEMNITY | $937.73 | ↓ -77% |
| ANTHEM | HMO | $937.73 | ↓ -77% |
| ANTHEM | PPO | $937.73 | ↓ -77% |
| Local 1199 | ALL PRODUCTS | $1,340.00 | ↓ -67% |
| Healthfirst | Managed Medicaid | $1,446.62 | ↓ -65% |
| Healthfirst | HARP | $1,446.62 | ↓ -65% |
| Healthfirst | CHP | $1,446.62 | ↓ -65% |
| MetroPlus | Essential Plan 3-4 | $1,648.17 | ↓ -60% |
| MetroPlus | Essential Plan 200-250 | $1,648.17 | ↓ -60% |
| MetroPlus | Essential Plan 1-2 | $1,648.17 | ↓ -60% |
| UNITED | HARP | $1,742.90 | ↓ -57% |
| Anthem HealthPlus | EXCHANGE | $1,742.90 | ↓ -57% |
| Carelon | Managed Medicaid_HARP_CHP | $1,742.90 | ↓ -57% |
| Fidelis | HARP_Managed Medicaid | $1,742.90 | ↓ -57% |
| Fidelis | CHP | $1,742.90 | ↓ -57% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $1,742.90 | ↓ -57% |
| UNITED | Managed Medicaid | $1,742.90 | ↓ -57% |
| MetroPlus | HARP | $1,742.91 | ↓ -57% |
| MetroPlus | CHP | $1,742.91 | ↓ -57% |
| MetroPlus | Goldcare 1 & 2 | $1,742.91 | ↓ -57% |
| MetroPlus | Gold | $1,742.91 | ↓ -57% |
| MetroPlus | SNP | $1,742.91 | ↓ -57% |
| Carelon | Commercial_Essential Plans | $1,742.91 | ↓ -57% |
| Carelon | GHI BMP | $1,742.91 | ↓ -57% |
| MetroPlus | Managed Medicaid | $1,742.91 | ↓ -57% |
| VNSNY | MAP | $1,777.76 | ↓ -56% |
| VNSNY | Medicaid SNP | $1,777.76 | ↓ -56% |
| UNITED BEHAVIORAL HEALTH | CHP | $1,777.76 | ↓ -56% |
| Carelon (Amida Care) | Managed Medicaid | $1,777.76 | ↓ -56% |
| UNITED BEHAVIORAL HEALTH | HARP | $1,777.76 | ↓ -56% |
| Healthfirst | MAP | $1,857.25 | ↓ -54% |
| Healthfirst | Medicare Advantage PPO | $1,857.25 | ↓ -54% |
| Healthfirst | MEDICARE ADVANTAGE | $1,857.25 | ↓ -54% |
| UNITED | Essential Plan 1-4_200-250 | $1,864.90 | ↓ -54% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $1,917.19 | ↓ -53% |
| UNITED | CHP | $2,178.64 | ↓ -47% |
| EMBLEM | Essential Plan 3-4 | $2,178.64 | ↓ -47% |
| Emblem | Essential Plan 200-250 | $2,352.93 | ↓ -42% |
| EMBLEM | Essential Plan 1-2 | $2,352.93 | ↓ -42% |
| Healthfirst | EXCHANGE | $2,788.66 | ↓ -32% |
| Healthfirst | Small Group | $2,840.94 | ↓ -30% |
| Hamaspik | MEDICARE ADVANTAGE | $3,265.10 | ↓ -20% |
| OXFORD | Liberty | $3,399.00 | ↓ -17% |
| UNITED | EXCHANGE | $3,594.00 | ↓ -12% |
| OXFORD | Freedom | $3,850.00 | ↓ -6% |
| Anthem HealthPlus | Essential Plan 1-2 | $3,921.53 | ↓ -4% |
| Affinity | Essential Plan 3-4 | $3,921.53 | ↓ -4% |
| Healthfirst | Essential Plan 3-4 | $3,921.53 | ↓ -4% |
| Anthem HealthPlus | Essential Plan 200-250 | $3,921.53 | ↓ -4% |
| Affinity | Essential Plan 200-250 | $3,921.53 | ↓ -4% |
| Affinity | Essential Plan 1-2 | $3,921.53 | ↓ -4% |
| Healthfirst | Essential Plan 1-2 | $3,921.53 | ↓ -4% |
| Healthfirst | Essential Plan 200-250 | $3,921.53 | ↓ -4% |
| Anthem HealthPlus | Essential Plan 3-4 | $3,921.53 | ↓ -4% |
| Fidelis | Essential Plan 1-4_200-250 | $3,921.53 | ↓ -4% |
| VNSNY | Medicare SNP | $4,081.37 | ↑ +0% |
| VNSNY | Medicare Advantage | $4,081.37 | ↑ +0% |
| VACCN | All Products | $4,081.37 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $4,081.37 | ↑ +0% |
| Senior Whole Health | MAP | $4,081.37 | ↑ +0% |
| Fidelis | MAP | $4,081.37 | ↑ +0% |
| Senior Whole Health | MLTC | $4,081.37 | ↑ +0% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $4,285.44 | ↑ +5% |
| VillageCare Max | MAP | $4,400.18 | ↑ +8% |
| Amidacare | Managed Medicaid | $4,400.18 | ↑ +8% |
| Centerlight | PACE | $4,400.18 | ↑ +8% |
| VillageCare Max | MEDICARE ADVANTAGE | $4,400.18 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $4,620.19 | ↑ +13% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↑ +15% |
| MAGNACARE | PPO Non-FPP | $4,897.65 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $4,897.65 | ↑ +20% |
| MAGNACARE | PPO FPP | $4,897.65 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $4,897.65 | ↑ +20% |
| MetroPlus | MAP | $4,972.20 | ↑ +22% |
| MetroPlus | EXCHANGE | $4,972.20 | ↑ +22% |
| MetroPlus | MEDICARE ADVANTAGE | $4,972.20 | ↑ +22% |
| Wellcare | MEDICARE ADVANTAGE | $5,571.74 | ↑ +37% |
| Fidelis | EXCHANGE | $5,795.55 | ↑ +42% |
| Elderplan | MAP_Medicare Advantage_MLTC | $6,036.05 | ↑ +48% |
| Carelon | MAP_Medicare Advantage | $6,036.05 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $6,122.06 | ↑ +50% |
| MULTIPLAN | ALL PRODUCTS | $7,428.98 | ↑ +82% |
| EMBLEM | PPO_Commercial | $7,428.98 | ↑ +82% |
| EMBLEM | HIP_GHI_CHP | $7,428.98 | ↑ +82% |
| Affinity | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | 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
Comments
Plmt nephroureteral catheter at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Metropolitan Hospital Center | New York | $4,081.37 | $279.63 – $8,800.35 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | not published | $1,940.97 – $5,101.46 |
| Bellevue Hospital Center | NY 10016 | $4,081.37 | $180.58 – $8,800.35 |
| Kings County Hospital Center | Brooklyn | $4,081.37 | $180.58 – $8,800.35 |
| Lincoln Medical Center | Bronx | $4,081.37 | $279.63 – $8,800.35 |
| UPMC Chautauqua | Jamestown | $1,574.40 | $209.91 – $4,340.44 |
| Queens Hospital Center | Jamaica | $4,081.37 | $180.58 – $8,800.35 |
| Woodhull Medical Center | Brooklyn | $4,081.37 | $180.58 – $8,800.35 |