Lung perfusion imaging at Metropolitan Hospital Center
1901 1st Avenue, New York, NY · NYC Health + Hospitals · · NPI 1013924372
$475.51
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.
$1,294.30
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.
$246.64 with Aetna vs $2,019.22 with Fidelis — 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 | $246.64 | ↓ -48% |
| EMBLEM | HIP_GHI_CHP | $246.64 | ↓ -48% |
| EMBLEM | PPO_Commercial | $246.64 | ↓ -48% |
| OXFORD | Liberty | $317.48 | ↓ -33% |
| OXFORD | Freedom | $317.48 | ↓ -33% |
| UNITED | ALL PRODUCTS | $317.48 | ↓ -33% |
| Fidelis | MAP | $355.16 | ↓ -25% |
| VNSNY | Medicare SNP | $475.51 | ↑ +0% |
| Senior Whole Health | MLTC | $475.51 | ↑ +0% |
| Senior Whole Health | MAP | $475.51 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $475.51 | ↑ +0% |
| VACCN | All Products | $475.51 | ↑ +0% |
| VNSNY | Medicare Advantage | $475.51 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $475.51 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $475.51 | ↑ +0% |
| Healthfirst | Medicare Advantage PPO | $489.05 | ↑ +3% |
| Healthfirst | MEDICARE ADVANTAGE | $489.05 | ↑ +3% |
| Healthfirst | MAP | $489.05 | ↑ +3% |
| VillageCare Max | MEDICARE ADVANTAGE | $499.03 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $499.03 | ↑ +5% |
| VillageCare Max | MAP | $499.03 | ↑ +5% |
| Centerlight | PACE | $499.03 | ↑ +5% |
| Amidacare | Managed Medicaid | $499.03 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $499.28 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $513.55 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $523.98 | ↑ +10% |
| MetroPlus | MEDICARE ADVANTAGE | $563.90 | ↑ +19% |
| MetroPlus | EXCHANGE | $563.90 | ↑ +19% |
| MetroPlus | MAP | $563.90 | ↑ +19% |
| Fidelis | EXCHANGE | $675.22 | ↑ +42% |
| ANTHEM | Blue Access Small Group | $707.68 | ↑ +49% |
| ANTHEM | Small Group EPO_PPO | $707.68 | ↑ +49% |
| ANTHEM | Blue Access Large Group | $730.51 | ↑ +54% |
| Healthfirst | CHP | $744.88 | ↑ +57% |
| Healthfirst | HARP | $744.88 | ↑ +57% |
| Healthfirst | Managed Medicaid | $744.88 | ↑ +57% |
| OSCAR | ALL PRODUCTS | $748.54 | ↑ +57% |
| ANTHEM | INDEMNITY | $788.85 | ↑ +66% |
| ANTHEM | PPO | $788.85 | ↑ +66% |
| ANTHEM | HMO | $788.85 | ↑ +66% |
| ANTHEM | EPO | $788.85 | ↑ +66% |
| Carelon | MAP_Medicare Advantage | $841.30 | ↑ +77% |
| Anthem HealthPlus | EXCHANGE | $897.43 | ↑ +89% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $897.43 | ↑ +89% |
| Carelon | Managed Medicaid_HARP_CHP | $897.43 | ↑ +89% |
| UNITED | HARP | $897.43 | ↑ +89% |
| Fidelis | HARP_Managed Medicaid | $897.43 | ↑ +89% |
| Fidelis | CHP | $897.43 | ↑ +89% |
| UNITED | Managed Medicaid | $897.43 | ↑ +89% |
| MetroPlus | SNP | $897.44 | ↑ +89% |
| MetroPlus | CHP | $897.44 | ↑ +89% |
| Carelon | Commercial_Essential Plans | $897.44 | ↑ +89% |
| MetroPlus | Managed Medicaid | $897.44 | ↑ +89% |
| MetroPlus | Goldcare 1 & 2 | $897.44 | ↑ +89% |
| MetroPlus | Gold | $897.44 | ↑ +89% |
| MetroPlus | HARP | $897.44 | ↑ +89% |
| Carelon | GHI BMP | $897.44 | ↑ +89% |
| CIGNA | ALL PRODUCTS | $906.01 | ↑ +91% |
| UNITED BEHAVIORAL HEALTH | HARP | $915.38 | ↑ +93% |
| VNSNY | Medicaid SNP | $915.38 | ↑ +93% |
| UNITED BEHAVIORAL HEALTH | CHP | $915.38 | ↑ +93% |
| VNSNY | MAP | $915.38 | ↑ +93% |
| Carelon (Amida Care) | Managed Medicaid | $915.38 | ↑ +93% |
| UNITED | Essential Plan 1-4_200-250 | $960.25 | ↑ +102% |
| MAGNACARE | PPO FPP | $970.73 | ↑ +104% |
| MAGNACARE | Direct Plus FPP | $970.73 | ↑ +104% |
| MAGNACARE | Direct Plus Non-FPP | $970.73 | ↑ +104% |
| MAGNACARE | PPO Non-FPP | $970.73 | ↑ +104% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $987.17 | ↑ +108% |
| UNITED | EXCHANGE | $1,035.44 | ↑ +118% |
| MULTIPLAN | ALL PRODUCTS | $1,035.44 | ↑ +118% |
| Local 1199 | ALL PRODUCTS | $1,100.16 | ↑ +131% |
| EMBLEM | Essential Plan 3-4 | $1,121.80 | ↑ +136% |
| UNITED | CHP | $1,121.80 | ↑ +136% |
| Aetna | ALL PRODUCTS | $1,193.00 | ↑ +151% |
| Emblem | Essential Plan 200-250 | $1,211.54 | ↑ +155% |
| EMBLEM | Essential Plan 1-2 | $1,211.54 | ↑ +155% |
| Healthfirst | EXCHANGE | $1,435.90 | ↑ +202% |
| Healthfirst | Small Group | $1,462.83 | ↑ +208% |
| MetroPlus | Essential Plan 3-4 | $2,019.22 | ↑ +325% |
| MetroPlus | Essential Plan 200-250 | $2,019.22 | ↑ +325% |
| MetroPlus | Essential Plan 1-2 | $2,019.22 | ↑ +325% |
| Affinity | Essential Plan 3-4 | $2,019.22 | ↑ +325% |
| Healthfirst | Essential Plan 1-2 | $2,019.22 | ↑ +325% |
| Affinity | Essential Plan 1-2 | $2,019.22 | ↑ +325% |
| Affinity | Essential Plan 200-250 | $2,019.22 | ↑ +325% |
| Healthfirst | Essential Plan 3-4 | $2,019.22 | ↑ +325% |
| Healthfirst | Essential Plan 200-250 | $2,019.22 | ↑ +325% |
| Anthem HealthPlus | Essential Plan 1-2 | $2,019.22 | ↑ +325% |
| Anthem HealthPlus | Essential Plan 200-250 | $2,019.22 | ↑ +325% |
| Anthem HealthPlus | Essential Plan 3-4 | $2,019.22 | ↑ +325% |
| Fidelis | Essential Plan 1-4_200-250 | $2,019.22 | ↑ +325% |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Lung perfusion imaging at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | $475.51 | $239.86 – $748.54 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $2,941.00 | $175.00 – $1,101.61 |
| NewYork-Presbyterian Queens | Flushing | $2,084.00 | $175.00 – $1,047.44 |
| Bellevue Hospital Center | NY 10016 | $475.51 | $162.58 – $748.54 |
| Kings County Hospital Center | Brooklyn | $475.51 | $162.58 – $748.54 |
| Lincoln Medical Center | Bronx | $475.51 | $246.64 – $748.54 |
| UPMC Chautauqua | Jamestown | $516.60 | $98.75 – $1,231.28 |
| Queens Hospital Center | Jamaica | $475.51 | $162.58 – $748.54 |