Pt evaluation moderate complexity patient/family at Metropolitan Hospital Center
1901 1st Avenue, New York, NY · NYC Health + Hospitals · · NPI 1013924372
$109.88
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.
?
What you pay up front if you don't use insurance.
$478.50
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.
?
The hospital's undiscounted list price — almost no one pays this.
$90.32 with Healthfirst vs $406.73 with Local 1199 — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Healthfirst | MAP | $90.32 | ↓ -18% |
| Healthfirst | MEDICARE ADVANTAGE | $90.32 | ↓ -18% |
| Healthfirst | Medicare Advantage PPO | $106.64 | ↓ -3% |
| Senior Whole Health | MLTC | $108.82 | ↓ -1% |
| Centerlight | PACE | $108.82 | ↓ -1% |
| Amidacare | Managed Medicaid | $108.82 | ↓ -1% |
| VACCN | All Products | $109.88 | ↑ +0% |
| VNSNY | Medicare Advantage | $109.88 | ↑ +0% |
| Senior Whole Health | MAP | $109.88 | ↑ +0% |
| VNSNY | Medicare SNP | $109.88 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $109.88 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $109.88 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $111.81 | ↑ +2% |
| UNITED | MEDICARE ADVANTAGE | $114.26 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $115.37 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $118.67 | ↑ +8% |
| MetroPlus | MAP | $122.97 | ↑ +12% |
| MetroPlus | MEDICARE ADVANTAGE | $122.97 | ↑ +12% |
| MetroPlus | EXCHANGE | $122.97 | ↑ +12% |
| Healthfirst | Managed Medicaid | $134.40 | ↑ +22% |
| Healthfirst | HARP | $134.40 | ↑ +22% |
| Healthfirst | CHP | $134.40 | ↑ +22% |
| Fidelis | MAP | $161.01 | ↑ +47% |
| Fidelis | HARP_Managed Medicaid | $161.92 | ↑ +47% |
| UNITED | Managed Medicaid | $161.92 | ↑ +47% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $161.92 | ↑ +47% |
| Fidelis | CHP | $161.92 | ↑ +47% |
| Carelon | Managed Medicaid_HARP_CHP | $161.92 | ↑ +47% |
| UNITED | HARP | $161.92 | ↑ +47% |
| Anthem HealthPlus | EXCHANGE | $161.92 | ↑ +47% |
| Carelon | Commercial_Essential Plans | $161.93 | ↑ +47% |
| MetroPlus | SNP | $161.93 | ↑ +47% |
| MetroPlus | Gold | $161.93 | ↑ +47% |
| MetroPlus | Goldcare 1 & 2 | $161.93 | ↑ +47% |
| MetroPlus | Managed Medicaid | $161.93 | ↑ +47% |
| MetroPlus | HARP | $161.93 | ↑ +47% |
| MetroPlus | CHP | $161.93 | ↑ +47% |
| Carelon | GHI BMP | $161.93 | ↑ +47% |
| VNSNY | Medicaid SNP | $165.16 | ↑ +50% |
| UNITED BEHAVIORAL HEALTH | HARP | $165.16 | ↑ +50% |
| VNSNY | MAP | $165.16 | ↑ +50% |
| UNITED BEHAVIORAL HEALTH | CHP | $165.16 | ↑ +50% |
| Carelon (Amida Care) | Managed Medicaid | $165.16 | ↑ +50% |
| UNITED | Essential Plan 1-4_200-250 | $173.25 | ↑ +58% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $178.11 | ↑ +62% |
| UNITED | CHP | $202.41 | ↑ +84% |
| EMBLEM | Essential Plan 3-4 | $202.41 | ↑ +84% |
| Aetna | ALL PRODUCTS | $203.00 | ↑ +85% |
| Elderplan | MAP_Medicare Advantage_MLTC | $217.64 | ↑ +98% |
| Emblem | Essential Plan 200-250 | $218.61 | ↑ +99% |
| EMBLEM | Essential Plan 1-2 | $218.61 | ↑ +99% |
| EMBLEM | HIP_GHI_CHP | $222.00 | ↑ +102% |
| EMBLEM | PPO_Commercial | $222.00 | ↑ +102% |
| EMBLEM | MEDICARE ADVANTAGE | $237.00 | ↑ +116% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +119% |
| VillageCare Max | MEDICARE ADVANTAGE | $242.25 | ↑ +120% |
| VillageCare Max | MAP | $242.25 | ↑ +120% |
| OXFORD | Liberty | $248.00 | ↑ +126% |
| Healthfirst | EXCHANGE | $259.09 | ↑ +136% |
| Healthfirst | Small Group | $263.95 | ↑ +140% |
| OSCAR | ALL PRODUCTS | $264.00 | ↑ +140% |
| ANTHEM | Small Group EPO_PPO | $268.82 | ↑ +145% |
| ANTHEM | Blue Access Small Group | $268.82 | ↑ +145% |
| ANTHEM | Blue Access Large Group | $277.49 | ↑ +153% |
| OXFORD | Freedom | $278.00 | ↑ +153% |
| ANTHEM | PPO | $299.65 | ↑ +173% |
| ANTHEM | INDEMNITY | $299.65 | ↑ +173% |
| ANTHEM | EPO | $299.65 | ↑ +173% |
| ANTHEM | HMO | $299.65 | ↑ +173% |
| Carelon | MAP_Medicare Advantage | $311.03 | ↑ +183% |
| UNITED | EXCHANGE | $314.00 | ↑ +186% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +215% |
| MAGNACARE | Direct Plus Non-FPP | $358.88 | ↑ +227% |
| MAGNACARE | Direct Plus FPP | $358.88 | ↑ +227% |
| MAGNACARE | PPO FPP | $358.88 | ↑ +227% |
| MAGNACARE | PPO Non-FPP | $358.88 | ↑ +227% |
| MetroPlus | Essential Plan 1-2 | $364.32 | ↑ +232% |
| MetroPlus | Essential Plan 3-4 | $364.32 | ↑ +232% |
| Healthfirst | Essential Plan 3-4 | $364.32 | ↑ +232% |
| Anthem HealthPlus | Essential Plan 3-4 | $364.32 | ↑ +232% |
| Fidelis | Essential Plan 1-4_200-250 | $364.32 | ↑ +232% |
| Affinity | Essential Plan 3-4 | $364.32 | ↑ +232% |
| Affinity | Essential Plan 1-2 | $364.32 | ↑ +232% |
| Healthfirst | Essential Plan 200-250 | $364.32 | ↑ +232% |
| Affinity | Essential Plan 200-250 | $364.32 | ↑ +232% |
| Healthfirst | Essential Plan 1-2 | $364.32 | ↑ +232% |
| Anthem HealthPlus | Essential Plan 1-2 | $364.32 | ↑ +232% |
| Anthem HealthPlus | Essential Plan 200-250 | $364.32 | ↑ +232% |
| MetroPlus | Essential Plan 200-250 | $364.32 | ↑ +232% |
| MULTIPLAN | ALL PRODUCTS | $382.80 | ↑ +248% |
| Local 1199 | ALL PRODUCTS | $406.73 | ↑ +270% |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | $111.81 | $91.42 – $242.25 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $837.00 | $93.00 – $254.22 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| NewYork-Presbyterian Queens | Flushing | $734.00 | $93.00 – $200.04 |
| Bellevue Hospital Center | NY 10016 | $109.88 | $49.11 – $242.25 |
| Kings County Hospital Center | Brooklyn | $111.81 | $49.11 – $242.25 |
| Lincoln Medical Center | Bronx | $111.81 | $91.42 – $242.25 |
| UPMC Chautauqua | Jamestown | $98.40 | $66.99 – $161.15 |