Assay of phenylketones at Metropolitan Hospital Center
1901 1st Avenue, New York, NY · NYC Health + Hospitals · · NPI 1013924372
$3.98
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.
$3.18 with Hamaspik vs $51.14 with Affinity — 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 | $3.18 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $3.30 | ↓ -17% |
| Healthfirst | MAP | $3.90 | ↓ -2% |
| Healthfirst | MEDICARE ADVANTAGE | $3.90 | ↓ -2% |
| Amidacare | Managed Medicaid | $3.98 | ↑ +0% |
| VillageCare Max | MEDICARE ADVANTAGE | $3.98 | ↑ +0% |
| VillageCare Max | MAP | $3.98 | ↑ +0% |
| VACCN | All Products | $3.98 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $3.98 | ↑ +0% |
| Senior Whole Health | MLTC | $3.98 | ↑ +0% |
| Senior Whole Health | MAP | $3.98 | ↑ +0% |
| Fidelis | MAP | $3.98 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $3.98 | ↑ +0% |
| VNSNY | Medicare SNP | $3.98 | ↑ +0% |
| VNSNY | Medicare Advantage | $3.98 | ↑ +0% |
| Centerlight | PACE | $3.98 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $3.98 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $4.18 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $4.18 | ↑ +5% |
| MetroPlus | MEDICARE ADVANTAGE | $4.50 | ↑ +13% |
| MetroPlus | MAP | $4.50 | ↑ +13% |
| MetroPlus | EXCHANGE | $4.50 | ↑ +13% |
| Aetna | ALL PRODUCTS | $4.73 | ↑ +19% |
| MAGNACARE | PPO FPP | $4.78 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $4.78 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $4.78 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $4.78 | ↑ +20% |
| MetroPlus | Essential Plan 200-250 | $4.82 | ↑ +21% |
| MetroPlus | Essential Plan 3-4 | $4.82 | ↑ +21% |
| MetroPlus | Essential Plan 1-2 | $4.82 | ↑ +21% |
| OXFORD | Freedom | $5.34 | ↑ +34% |
| UNITED | ALL PRODUCTS | $5.34 | ↑ +34% |
| OXFORD | Liberty | $5.34 | ↑ +34% |
| Wellcare | MEDICARE ADVANTAGE | $5.89 | ↑ +48% |
| OSCAR | ALL PRODUCTS | $5.97 | ↑ +50% |
| Local 1199 | ALL PRODUCTS | $6.00 | ↑ +51% |
| Elderplan | MAP_Medicare Advantage_MLTC | $7.96 | ↑ +100% |
| CIGNA | ALL PRODUCTS | $9.69 | ↑ +143% |
| ANTHEM | Blue Access Small Group | $12.61 | ↑ +217% |
| ANTHEM | Small Group EPO_PPO | $12.61 | ↑ +217% |
| ANTHEM | Blue Access Large Group | $13.02 | ↑ +227% |
| ANTHEM | EPO | $14.06 | ↑ +253% |
| ANTHEM | INDEMNITY | $14.06 | ↑ +253% |
| ANTHEM | HMO | $14.06 | ↑ +253% |
| ANTHEM | PPO | $14.06 | ↑ +253% |
| Healthfirst | CHP | $18.87 | ↑ +374% |
| Healthfirst | HARP | $18.87 | ↑ +374% |
| Healthfirst | Managed Medicaid | $18.87 | ↑ +374% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $22.73 | ↑ +471% |
| Carelon | Managed Medicaid_HARP_CHP | $22.73 | ↑ +471% |
| UNITED | HARP | $22.73 | ↑ +471% |
| UNITED | Managed Medicaid | $22.73 | ↑ +471% |
| Fidelis | HARP_Managed Medicaid | $22.73 | ↑ +471% |
| Anthem HealthPlus | EXCHANGE | $22.73 | ↑ +471% |
| Fidelis | CHP | $22.73 | ↑ +471% |
| MetroPlus | Managed Medicaid | $22.74 | ↑ +471% |
| Carelon | GHI BMP | $22.74 | ↑ +471% |
| MetroPlus | Gold | $22.74 | ↑ +471% |
| MetroPlus | Goldcare 1 & 2 | $22.74 | ↑ +471% |
| MetroPlus | HARP | $22.74 | ↑ +471% |
| Carelon | Commercial_Essential Plans | $22.74 | ↑ +471% |
| MetroPlus | SNP | $22.74 | ↑ +471% |
| MetroPlus | CHP | $22.74 | ↑ +471% |
| VNSNY | MAP | $23.18 | ↑ +482% |
| UNITED BEHAVIORAL HEALTH | HARP | $23.18 | ↑ +482% |
| VNSNY | Medicaid SNP | $23.18 | ↑ +482% |
| Carelon (Amida Care) | Managed Medicaid | $23.18 | ↑ +482% |
| UNITED BEHAVIORAL HEALTH | CHP | $23.18 | ↑ +482% |
| UNITED | Essential Plan 1-4_200-250 | $24.32 | ↑ +511% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $25.00 | ↑ +528% |
| UNITED | CHP | $28.43 | ↑ +614% |
| EMBLEM | Essential Plan 3-4 | $28.43 | ↑ +614% |
| EMBLEM | Essential Plan 1-2 | $30.70 | ↑ +671% |
| Emblem | Essential Plan 200-250 | $30.70 | ↑ +671% |
| Healthfirst | EXCHANGE | $36.38 | ↑ +814% |
| Healthfirst | Small Group | $37.07 | ↑ +831% |
| Affinity | Essential Plan 1-2 | $51.14 | ↑ +1185% |
| Anthem HealthPlus | Essential Plan 3-4 | $51.14 | ↑ +1185% |
| Anthem HealthPlus | Essential Plan 200-250 | $51.14 | ↑ +1185% |
| Anthem HealthPlus | Essential Plan 1-2 | $51.14 | ↑ +1185% |
| Fidelis | Essential Plan 1-4_200-250 | $51.14 | ↑ +1185% |
| Healthfirst | Essential Plan 3-4 | $51.14 | ↑ +1185% |
| Healthfirst | Essential Plan 200-250 | $51.14 | ↑ +1185% |
| Healthfirst | Essential Plan 1-2 | $51.14 | ↑ +1185% |
| Affinity | Essential Plan 3-4 | $51.14 | ↑ +1185% |
| Affinity | Essential Plan 200-250 | $51.14 | ↑ +1185% |
Visitor-reported prices
Comments
Assay of phenylketones at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | $3.98 | $3.18 – $9.69 |
| Bellevue Hospital Center | NY 10016 | $3.98 | $2.72 – $9.69 |
| Kings County Hospital Center | Brooklyn | $3.98 | $2.72 – $9.69 |
| Lincoln Medical Center | Bronx | $3.98 | $3.18 – $9.69 |
| Queens Hospital Center | Jamaica | $3.98 | $2.72 – $9.69 |
| Woodhull Medical Center | Brooklyn | $3.98 | $2.72 – $9.69 |
| South Brooklyn Health | Brooklyn | $3.98 | $3.18 – $9.69 |
| North Central Bronx | Bronx | $3.98 | $3.18 – $9.69 |