Close lac/mouth vest/2.5 cm or < 40830 at NewYork-Presbyterian Columbia University Irving Medical Center
622 West 168th Street, New York, NY · NewYork-Presbyterian · · NPI 1952332801
$806.00
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.
$261.05 with Anthem BCBS vs $12,700.68 with EmblemHealth — 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 |
|---|---|---|---|
| Anthem BCBS | Medicare Advantage | $261.05 | ↓ -68% |
| Anthem BCBS Healthplus | Medicare Advantage | $268.88 | ↓ -67% |
| Fidelis Care | Medicare Advantage | $274.79 | ↓ -66% |
| EmblemHealth | Medicare Advantage | $274.79 | ↓ -66% |
| Cigna Healthcare | Medicare Advantage | $274.79 | ↓ -66% |
| Oxford Health Plans | Medicare Advantage | $283.03 | ↓ -65% |
| Aetna | Medicare Advantage | $283.03 | ↓ -65% |
| United Healthcare | Medicare Advantage | $283.03 | ↓ -65% |
| VNS Health | Medicare Advantage | $283.03 | ↓ -65% |
| WellCare | Medicare Advantage | $284.41 | ↓ -65% |
| Anthem BCBS Healthplus | Medicaid | $284.83 | ↓ -65% |
| MVP Health | Medicaid/Child Health Plus | $284.83 | ↓ -65% |
| Anthem BCBS Healthplus | nystateofhealth plans | $284.83 | ↓ -65% |
| VNS Health | Medicaid | $284.83 | ↓ -65% |
| Fidelis Care | Medicaid/Child Health Plus | $284.83 | ↓ -65% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $284.83 | ↓ -65% |
| HealthFirst | Medicare Advantage | $288.53 | ↓ -64% |
| United Healthcare | Medicaid | $303.60 | ↓ -62% |
| HealthFirst | Medicaid/Child Health Plus | $304.77 | ↓ -62% |
| EmblemHealth | Medicaid/Child Health Plus | $327.55 | ↓ -59% |
| Amida Care | Medicaid | $327.55 | ↓ -59% |
| Senior Whole Health | Medicare Advantage | $343.49 | ↓ -57% |
| Anthem BCBS Healthplus | Child Health Plus | $427.24 | ↓ -47% |
| HealthFirst | nystateofhealth plans | $493.27 | ↓ -39% |
| MVP Health | All NYS Essential Plans | $612.38 | ↓ -24% |
| Worldwide | All Commercial Plans | $612.56 | ↓ -24% |
| MagnaCare | All Commercial Plans | $612.56 | ↓ -24% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $640.87 | ↓ -20% |
| QHM | All Commercial Plans | $685.10 | ↓ -15% |
| Claritev dba MultiPlan | All Commercial Plans | $685.10 | ↓ -15% |
| United Healthcare | Child Health Plus | $685.10 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $701.22 | ↓ -13% |
| Cigna Healthcare | All Commercial Plans | $703.56 | ↓ -13% |
| Fidelis Care | All NYS Essential Plans | $712.07 | ↓ -12% |
| Fidelis Care | nystateofhealth plans | $712.07 | ↓ -12% |
| Beech Street | All Commercial Plans | $725.40 | ↓ -10% |
| Devon | All Commercial Plans | $725.40 | ↓ -10% |
| First Health | All Commercial Plans | $749.58 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $757.64 | ↓ -6% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $945.63 | ↑ +17% |
| 1199SEIU Funds | All Commercial Plans | $968.00 | ↑ +20% |
| United Healthcare | All NYS Essential Plans | $1,041.76 | ↑ +29% |
| HealthFirst | All Essential Plans | $1,153.39 | ↑ +43% |
| Oxford Health Plans | All Commercial Plans | $3,638.84 | ↑ +351% |
| United Healthcare | All Commercial Plans | $3,964.00 | ↑ +392% |
| EmblemHealth | All NYS Essential Plans | $7,207.20 | ↑ +794% |
| Anthem BCBS | All Commercial Plans | $11,197.80 | ↑ +1289% |
| Aetna | Commercial | $11,977.24 | ↑ +1386% |
| EmblemHealth | All Commercial Plans | $12,700.68 | ↑ +1476% |
Visitor-reported prices
Comments
Close lac/mouth vest/2.5 cm or < 40830 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | $274.80 | $165.22 – $781.00 |
| Metropolitan Hospital Center | New York | $274.80 | $169.61 – $781.00 |
| NewYork-Presbyterian Queens | Flushing | $395.00 | $184.41 – $288.53 |
| Bellevue Hospital Center | NY 10016 | $274.80 | $92.02 – $781.00 |
| Kings County Hospital Center | Brooklyn | $274.80 | $92.02 – $781.00 |
| Lincoln Medical Center | Bronx | $274.80 | $169.61 – $781.00 |
| UPMC Chautauqua | Jamestown | $210.60 | $39.38 – $622.00 |
| Queens Hospital Center | Jamaica | $274.80 | $92.02 – $781.00 |