Reconstruct shoulder joint at Harlem Hospital Center
506 Lenox Avenue, New York, NY · NYC Health + Hospitals · · NPI 1033124961
$21,762.05
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.
not published by hospital
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.
$1,646.19 with Aetna vs $43,774.37 with Elderplan — 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 | $1,646.19 | ↓ -92% |
| MetroPlus | Essential Plan 1-2 | $2,100.84 | ↓ -90% |
| MetroPlus | Essential Plan 200-250 | $2,100.84 | ↓ -90% |
| MetroPlus | Essential Plan 3-4 | $2,100.84 | ↓ -90% |
| Healthfirst | CHP | $3,461.39 | ↓ -84% |
| Healthfirst | Managed Medicaid | $3,461.39 | ↓ -84% |
| Healthfirst | HARP | $3,461.39 | ↓ -84% |
| Aetna | ALL PRODUCTS | $3,695.00 | ↓ -83% |
| UNITED | HARP | $4,170.34 | ↓ -81% |
| Anthem HealthPlus | EXCHANGE | $4,170.34 | ↓ -81% |
| Carelon | Managed Medicaid_HARP_CHP | $4,170.34 | ↓ -81% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $4,170.34 | ↓ -81% |
| Fidelis | HARP_Managed Medicaid | $4,170.34 | ↓ -81% |
| Fidelis | CHP | $4,170.34 | ↓ -81% |
| UNITED | Managed Medicaid | $4,170.34 | ↓ -81% |
| MetroPlus | Gold | $4,170.35 | ↓ -81% |
| MetroPlus | Goldcare 1 & 2 | $4,170.35 | ↓ -81% |
| MetroPlus | Managed Medicaid | $4,170.35 | ↓ -81% |
| MetroPlus | HARP | $4,170.35 | ↓ -81% |
| MetroPlus | CHP | $4,170.35 | ↓ -81% |
| Carelon | Commercial_Essential Plans | $4,170.35 | ↓ -81% |
| Carelon | GHI BMP | $4,170.35 | ↓ -81% |
| MetroPlus | SNP | $4,170.35 | ↓ -81% |
| UNITED BEHAVIORAL HEALTH | HARP | $4,253.75 | ↓ -80% |
| Carelon (Amida Care) | Managed Medicaid | $4,253.75 | ↓ -80% |
| VNSNY | Medicaid SNP | $4,253.75 | ↓ -80% |
| VNSNY | MAP | $4,253.75 | ↓ -80% |
| UNITED BEHAVIORAL HEALTH | CHP | $4,253.75 | ↓ -80% |
| UNITED | Essential Plan 1-4_200-250 | $4,462.26 | ↓ -79% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $4,587.37 | ↓ -79% |
| ANTHEM | Small Group EPO_PPO | $4,754.00 | ↓ -78% |
| ANTHEM | Blue Access Small Group | $4,754.00 | ↓ -78% |
| ANTHEM | Blue Access Large Group | $4,887.00 | ↓ -78% |
| UNITED | CHP | $5,212.94 | ↓ -76% |
| EMBLEM | Essential Plan 3-4 | $5,212.94 | ↓ -76% |
| ANTHEM | PPO | $5,283.00 | ↓ -76% |
| ANTHEM | INDEMNITY | $5,283.00 | ↓ -76% |
| ANTHEM | EPO | $5,283.00 | ↓ -76% |
| ANTHEM | HMO | $5,283.00 | ↓ -76% |
| OXFORD | Liberty | $5,512.00 | ↓ -75% |
| EMBLEM | Essential Plan 1-2 | $5,629.97 | ↓ -74% |
| Emblem | Essential Plan 200-250 | $5,629.97 | ↓ -74% |
| OXFORD | Freedom | $6,246.00 | ↓ -71% |
| Healthfirst | EXCHANGE | $6,672.56 | ↓ -69% |
| Healthfirst | Small Group | $6,797.67 | ↓ -69% |
| UNITED | EXCHANGE | $7,001.00 | ↓ -68% |
| Fidelis | Essential Plan 1-4_200-250 | $9,383.27 | ↓ -57% |
| Affinity | Essential Plan 200-250 | $9,383.27 | ↓ -57% |
| Affinity | Essential Plan 3-4 | $9,383.27 | ↓ -57% |
| Anthem HealthPlus | Essential Plan 3-4 | $9,383.27 | ↓ -57% |
| Anthem HealthPlus | Essential Plan 200-250 | $9,383.27 | ↓ -57% |
| Anthem HealthPlus | Essential Plan 1-2 | $9,383.27 | ↓ -57% |
| Healthfirst | Essential Plan 1-2 | $9,383.27 | ↓ -57% |
| Healthfirst | Essential Plan 200-250 | $9,383.27 | ↓ -57% |
| Healthfirst | Essential Plan 3-4 | $9,383.27 | ↓ -57% |
| Affinity | Essential Plan 1-2 | $9,383.27 | ↓ -57% |
| Hamaspik | MEDICARE ADVANTAGE | $17,409.64 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $18,166.36 | ↓ -17% |
| Healthfirst | MEDICARE ADVANTAGE | $21,449.44 | ↓ -1% |
| Healthfirst | MAP | $21,449.44 | ↓ -1% |
| Senior Whole Health | MAP | $21,762.05 | ↑ +0% |
| Senior Whole Health | MLTC | $21,762.05 | ↑ +0% |
| VNSNY | Medicare Advantage | $21,762.05 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $21,762.05 | ↑ +0% |
| VACCN | All Products | $21,762.05 | ↑ +0% |
| VNSNY | Medicare SNP | $21,762.05 | ↑ +0% |
| Fidelis | MAP | $21,762.05 | ↑ +0% |
| Centerlight | PACE | $21,887.18 | ↑ +1% |
| Amidacare | Managed Medicaid | $21,887.18 | ↑ +1% |
| VillageCare Max | MAP | $21,887.18 | ↑ +1% |
| VillageCare Max | MEDICARE ADVANTAGE | $21,887.18 | ↑ +1% |
| OXFORD | MEDICARE ADVANTAGE | $22,850.15 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $22,981.54 | ↑ +6% |
| MetroPlus | EXCHANGE | $24,732.52 | ↑ +14% |
| MetroPlus | MAP | $24,732.52 | ↑ +14% |
| MetroPlus | MEDICARE ADVANTAGE | $24,732.52 | ↑ +14% |
| MAGNACARE | Direct Plus FPP | $26,114.46 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $26,114.46 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $26,114.46 | ↑ +20% |
| MAGNACARE | PPO FPP | $26,114.46 | ↑ +20% |
| Fidelis | EXCHANGE | $30,902.11 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $32,207.83 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $32,643.07 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $32,830.77 | ↑ +51% |
| Local 1199 | ALL PRODUCTS | $33,507.00 | ↑ +54% |
| Elderplan | MAP_Medicare Advantage_MLTC | $43,774.37 | ↑ +101% |
Visitor-reported prices
Comments
Reconstruct shoulder joint at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Metropolitan Hospital Center | New York | $21,762.05 | $1,700.98 – $43,774.37 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | not published | $4,527.92 – $27,201.19 |
| Bellevue Hospital Center | NY 10016 | $21,762.05 | $876.54 – $43,774.37 |
| Kings County Hospital Center | Brooklyn | $21,762.05 | $876.54 – $43,774.37 |
| Lincoln Medical Center | Bronx | $21,762.05 | $1,700.98 – $43,774.37 |
| Queens Hospital Center | Jamaica | $21,762.05 | $876.54 – $43,774.37 |
| Woodhull Medical Center | Brooklyn | $21,762.05 | $876.54 – $43,774.37 |
| South Brooklyn Health | Brooklyn | $21,762.05 | $1,700.98 – $43,774.37 |