healthcosts.net
Lymphocyte culture mixed at Metropolitan Hospital Center
1901 1st Avenue, New York, NY · NYC Health + Hospitals · · NPI 1013924372
not published by hospital
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.
$36.56 with Amidacare vs $156.20 with Anthem HealthPlus — 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 |
|---|---|---|---|
| Amidacare | Managed Medicaid | $36.56 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $36.56 | — |
| Fidelis | MAP | $36.56 | — |
| Aetna | MEDICARE ADVANTAGE | $41.92 | — |
| MAGNACARE | Direct Plus FPP | $43.87 | — |
| MAGNACARE | PPO FPP | $43.87 | — |
| MetroPlus | Essential Plan 200-250 | $44.24 | — |
| MetroPlus | Essential Plan 3-4 | $44.24 | — |
| MetroPlus | Essential Plan 1-2 | $44.24 | — |
| UNITED | Managed Medicaid | $52.24 | — |
| OSCAR | ALL PRODUCTS | $54.84 | — |
| UNITED | Essential Plan 1-4_200-250 | $55.90 | — |
| MetroPlus | HARP | $64.35 | — |
| Aetna | ALL PRODUCTS | $69.17 | — |
| Fidelis | HARP_Managed Medicaid | $69.42 | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $69.42 | — |
| Anthem HealthPlus | EXCHANGE | $69.42 | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $69.42 | — |
| Carelon | Managed Medicaid_HARP_CHP | $69.42 | — |
| Fidelis | CHP | $69.42 | — |
| Senior Whole Health | MLTC | $69.42 | — |
| Senior Whole Health | MAP | $69.42 | — |
| MetroPlus | CHP | $69.42 | — |
| MetroPlus | Gold | $69.42 | — |
| MetroPlus | Goldcare 1 & 2 | $69.42 | — |
| MetroPlus | Managed Medicaid | $69.42 | — |
| MetroPlus | SNP | $69.42 | — |
| VNSNY | MAP | $70.81 | — |
| UNITED BEHAVIORAL HEALTH | CHP | $70.81 | — |
| VNSNY | Medicaid SNP | $70.81 | — |
| UNITED BEHAVIORAL HEALTH | HARP | $70.81 | — |
| Carelon (Amida Care) | Managed Medicaid | $70.81 | — |
| Affinity | HARP_Managed Medicaid | $70.81 | — |
| Affinity | CHP | $72.89 | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $76.36 | — |
| Anthem HealthPlus | CHP | $76.36 | — |
| UNITED | HARP | $76.83 | — |
| Local 1199 | ALL PRODUCTS | $79.00 | — |
| OXFORD | Freedom | $82.44 | — |
| UNITED | ALL PRODUCTS | $82.44 | — |
| UNITED | EXCHANGE | $82.44 | — |
| OXFORD | Liberty | $82.44 | — |
| UNITED | CHP | $86.78 | — |
| Healthfirst | EXCHANGE | $86.78 | — |
| EMBLEM | Essential Plan 3-4 | $86.78 | — |
| CIGNA | ALL PRODUCTS | $89.98 | — |
| Healthfirst | Small Group | $90.47 | — |
| EMBLEM | Essential Plan 1-2 | $93.72 | — |
| ANTHEM | Blue Access Small Group | $120.07 | — |
| ANTHEM | Small Group EPO_PPO | $120.07 | — |
| ANTHEM | Blue Access Large Group | $123.68 | — |
| ANTHEM | INDEMNITY | $133.61 | — |
| ANTHEM | EPO | $133.61 | — |
| ANTHEM | PPO | $133.61 | — |
| ANTHEM | HMO | $133.61 | — |
| Affinity | Essential Plan 1-2 | $144.79 | — |
| Affinity | Essential Plan 3-4 | $144.79 | — |
| Affinity | Essential Plan 200-250 | $144.79 | — |
| Fidelis | Essential Plan 1-4_200-250 | $156.20 | — |
| Healthfirst | Essential Plan 1-2 | $156.20 | — |
| Healthfirst | Essential Plan 200-250 | $156.20 | — |
| Healthfirst | Essential Plan 3-4 | $156.20 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $156.20 | — |
| Anthem HealthPlus | Essential Plan 3-4 | $156.20 | — |
Visitor-reported prices
Comments
Lymphocyte culture mixed at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | not published | $36.56 – $120.07 |
| Bellevue Hospital Center | NY 10016 | $36.56 | $29.25 – $120.52 |
| Kings County Hospital Center | Brooklyn | $36.56 | $31.08 – $120.07 |
| Queens Hospital Center | Jamaica | $36.56 | $31.08 – $120.98 |
| Woodhull Medical Center | Brooklyn | $36.56 | $31.08 – $120.07 |
| Elmhurst Hospital Center | NY 11373 | not published | $36.56 – $119.62 |
| Jacobi Medical Center | Bronx | not published | $36.56 – $120.75 |
| Lincoln Medical Center | Bronx | not published | $36.56 – $120.52 |