Sigmoid/rmv tumor/polyp/hot bx for 45333 at Harlem Hospital Center
506 Lenox Avenue, New York, NY · NYC Health + Hospitals · · NPI 1033124961
$1,078.88
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.
$2,685.72
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.
$104.56 with Aetna vs $5,014.00 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 | $104.56 | ↓ -90% |
| Fidelis | MAP | $150.57 | ↓ -86% |
| Healthfirst | CHP | $786.13 | ↓ -27% |
| Healthfirst | HARP | $786.13 | ↓ -27% |
| Healthfirst | Managed Medicaid | $786.13 | ↓ -27% |
| Anthem HealthPlus | EXCHANGE | $947.13 | ↓ -12% |
| UNITED | Managed Medicaid | $947.13 | ↓ -12% |
| UNITED | HARP | $947.13 | ↓ -12% |
| Fidelis | HARP_Managed Medicaid | $947.13 | ↓ -12% |
| Fidelis | CHP | $947.13 | ↓ -12% |
| Carelon | Managed Medicaid_HARP_CHP | $947.13 | ↓ -12% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $947.13 | ↓ -12% |
| MetroPlus | Goldcare 1 & 2 | $947.14 | ↓ -12% |
| MetroPlus | SNP | $947.14 | ↓ -12% |
| Carelon | Commercial_Essential Plans | $947.14 | ↓ -12% |
| Carelon | GHI BMP | $947.14 | ↓ -12% |
| MetroPlus | Managed Medicaid | $947.14 | ↓ -12% |
| MetroPlus | HARP | $947.14 | ↓ -12% |
| MetroPlus | Gold | $947.14 | ↓ -12% |
| MetroPlus | CHP | $947.14 | ↓ -12% |
| Healthfirst | MEDICARE ADVANTAGE | $963.51 | ↓ -11% |
| Healthfirst | MAP | $963.51 | ↓ -11% |
| UNITED BEHAVIORAL HEALTH | HARP | $966.07 | ↓ -10% |
| VNSNY | MAP | $966.07 | ↓ -10% |
| Carelon (Amida Care) | Managed Medicaid | $966.07 | ↓ -10% |
| VNSNY | Medicaid SNP | $966.07 | ↓ -10% |
| UNITED BEHAVIORAL HEALTH | CHP | $966.07 | ↓ -10% |
| UNITED | Essential Plan 1-4_200-250 | $1,013.43 | ↓ -6% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $1,041.84 | ↓ -3% |
| ANTHEM | MEDICARE ADVANTAGE | $1,078.88 | ↑ +0% |
| VACCN | All Products | $1,078.88 | ↑ +0% |
| Senior Whole Health | MAP | $1,078.88 | ↑ +0% |
| Senior Whole Health | MLTC | $1,078.88 | ↑ +0% |
| VNSNY | Medicare Advantage | $1,078.88 | ↑ +0% |
| VNSNY | Medicare SNP | $1,078.88 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $1,132.83 | ↑ +5% |
| Healthfirst | Medicare Advantage PPO | $1,137.63 | ↑ +5% |
| VillageCare Max | MAP | $1,160.85 | ↑ +8% |
| Elderplan | MAP_Medicare Advantage_MLTC | $1,160.85 | ↑ +8% |
| Centerlight | PACE | $1,160.85 | ↑ +8% |
| VillageCare Max | MEDICARE ADVANTAGE | $1,160.85 | ↑ +8% |
| Wellcare | MEDICARE ADVANTAGE | $1,165.19 | ↑ +8% |
| EMBLEM | Essential Plan 3-4 | $1,183.93 | ↑ +10% |
| UNITED | CHP | $1,183.93 | ↑ +10% |
| UNITED | MEDICARE ADVANTAGE | $1,218.89 | ↑ +13% |
| EMBLEM | Essential Plan 1-2 | $1,278.64 | ↑ +19% |
| Emblem | Essential Plan 200-250 | $1,278.64 | ↑ +19% |
| MetroPlus | MAP | $1,311.76 | ↑ +22% |
| MetroPlus | EXCHANGE | $1,311.76 | ↑ +22% |
| MetroPlus | MEDICARE ADVANTAGE | $1,311.76 | ↑ +22% |
| EMBLEM | MEDICARE ADVANTAGE | $1,348.60 | ↑ +25% |
| Healthfirst | EXCHANGE | $1,515.42 | ↑ +40% |
| Fidelis | EXCHANGE | $1,532.01 | ↑ +42% |
| Healthfirst | Small Group | $1,543.84 | ↑ +43% |
| ANTHEM | Blue Access Small Group | $1,651.00 | ↑ +53% |
| ANTHEM | Small Group EPO_PPO | $1,651.00 | ↑ +53% |
| ANTHEM | Blue Access Large Group | $1,697.00 | ↑ +57% |
| Aetna | ALL PRODUCTS | $1,715.00 | ↑ +59% |
| Carelon | MAP_Medicare Advantage | $1,745.72 | ↑ +62% |
| ANTHEM | HMO | $1,834.00 | ↑ +70% |
| ANTHEM | PPO | $1,834.00 | ↑ +70% |
| ANTHEM | INDEMNITY | $1,834.00 | ↑ +70% |
| ANTHEM | EPO | $1,834.00 | ↑ +70% |
| MAGNACARE | PPO Non-FPP | $2,014.29 | ↑ +87% |
| MAGNACARE | PPO FPP | $2,014.29 | ↑ +87% |
| MAGNACARE | Direct Plus Non-FPP | $2,014.29 | ↑ +87% |
| MAGNACARE | Direct Plus FPP | $2,014.29 | ↑ +87% |
| Anthem HealthPlus | Essential Plan 200-250 | $2,131.04 | ↑ +98% |
| Healthfirst | Essential Plan 1-2 | $2,131.04 | ↑ +98% |
| Healthfirst | Essential Plan 200-250 | $2,131.04 | ↑ +98% |
| Healthfirst | Essential Plan 3-4 | $2,131.04 | ↑ +98% |
| Fidelis | Essential Plan 1-4_200-250 | $2,131.04 | ↑ +98% |
| MetroPlus | Essential Plan 1-2 | $2,131.04 | ↑ +98% |
| MetroPlus | Essential Plan 200-250 | $2,131.04 | ↑ +98% |
| MetroPlus | Essential Plan 3-4 | $2,131.04 | ↑ +98% |
| Anthem HealthPlus | Essential Plan 3-4 | $2,131.04 | ↑ +98% |
| Anthem HealthPlus | Essential Plan 1-2 | $2,131.04 | ↑ +98% |
| Affinity | Essential Plan 3-4 | $2,131.04 | ↑ +98% |
| Affinity | Essential Plan 200-250 | $2,131.04 | ↑ +98% |
| Affinity | Essential Plan 1-2 | $2,131.04 | ↑ +98% |
| MULTIPLAN | ALL PRODUCTS | $2,148.58 | ↑ +99% |
| Local 1199 | ALL PRODUCTS | $2,282.86 | ↑ +112% |
| OXFORD | Liberty | $2,454.00 | ↑ +127% |
| UNITED | EXCHANGE | $2,594.00 | ↑ +140% |
| Amidacare | Managed Medicaid | $2,764.00 | ↑ +156% |
| OXFORD | Freedom | $2,780.00 | ↑ +158% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↑ +297% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↑ +334% |
| EMBLEM | HIP_GHI_CHP | $5,014.00 | ↑ +365% |
| EMBLEM | PPO_Commercial | $5,014.00 | ↑ +365% |
| Affinity | CHP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Sigmoid/rmv tumor/polyp/hot bx for 45333 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Metropolitan Hospital Center | New York | $1,078.88 | $107.59 – $1,348.60 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Bellevue Hospital Center | NY 10016 | $1,078.88 | $62.51 – $1,741.28 |
| Kings County Hospital Center | Brooklyn | $1,078.88 | $62.51 – $1,741.28 |
| Lincoln Medical Center | Bronx | $1,078.88 | $107.59 – $1,348.60 |
| UPMC Chautauqua | Jamestown | $993.60 | $77.99 – $1,490.40 |
| Queens Hospital Center | Jamaica | $1,078.88 | $62.51 – $1,741.28 |
| Woodhull Medical Center | Brooklyn | $1,078.88 | $62.51 – $1,741.28 |