M/phmtrc alysishquant/semiq at NewYork-Presbyterian Columbia University Irving Medical Center
622 West 168th Street, New York, NY · NewYork-Presbyterian · · NPI 1952332801
$462.00
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.
$462.00
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.
$57.00 with 1199SEIU Funds vs $566.28 with HealthFirst — 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 |
|---|---|---|---|
| 1199SEIU Funds | All Commercial Plans | $57.00 | ↓ -88% |
| United Healthcare | All Commercial Plans | $58.43 | ↓ -87% |
| Oxford Health Plans | All Commercial Plans | $65.40 | ↓ -86% |
| Cigna Healthcare | All Commercial Plans | $80.90 | ↓ -82% |
| Anthem BCBS | All Commercial Plans | $98.74 | ↓ -79% |
| Fidelis Care | Medicaid/Child Health Plus | $139.84 | ↓ -70% |
| Anthem BCBS Healthplus | Medicaid | $139.84 | ↓ -70% |
| Anthem BCBS Healthplus | nystateofhealth plans | $139.84 | ↓ -70% |
| MVP Health | Medicaid/Child Health Plus | $139.84 | ↓ -70% |
| VNS Health | Medicaid | $139.84 | ↓ -70% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $139.84 | ↓ -70% |
| United Healthcare | Medicaid | $149.06 | ↓ -68% |
| HealthFirst | Medicaid/Child Health Plus | $149.63 | ↓ -68% |
| EmblemHealth | Medicaid/Child Health Plus | $160.82 | ↓ -65% |
| Amida Care | Medicaid | $160.82 | ↓ -65% |
| Anthem BCBS Healthplus | Child Health Plus | $209.76 | ↓ -55% |
| EmblemHealth | All NYS Essential Plans | $231.00 | ↓ -50% |
| HealthFirst | nystateofhealth plans | $282.74 | ↓ -39% |
| MVP Health | All NYS Essential Plans | $300.66 | ↓ -35% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $314.65 | ↓ -32% |
| Aetna | Commercial | $342.34 | ↓ -26% |
| Fidelis Care | All NYS Essential Plans | $349.61 | ↓ -24% |
| Fidelis Care | nystateofhealth plans | $349.61 | ↓ -24% |
| MagnaCare | All Commercial Plans | $351.12 | ↓ -24% |
| Worldwide | All Commercial Plans | $351.12 | ↓ -24% |
| EmblemHealth | All Commercial Plans | $370.71 | ↓ -20% |
| QHM | All Commercial Plans | $392.70 | ↓ -15% |
| Claritev dba MultiPlan | All Commercial Plans | $392.70 | ↓ -15% |
| United Healthcare | Child Health Plus | $392.70 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $401.94 | ↓ -13% |
| Devon | All Commercial Plans | $415.80 | ↓ -10% |
| Beech Street | All Commercial Plans | $415.80 | ↓ -10% |
| First Health | All Commercial Plans | $429.66 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $434.28 | ↓ -6% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $464.28 | ↑ +0% |
| United Healthcare | All NYS Essential Plans | $511.48 | ↑ +11% |
| HealthFirst | All Essential Plans | $566.28 | ↑ +23% |
Visitor-reported prices
Comments
M/phmtrc alysishquant/semiq at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | not published | $1.00 – $256.43 |
| Metropolitan Hospital Center | New York | not published | $1.00 – $256.43 |
| Bellevue Hospital Center | NY 10016 | not published | $1.00 – $257.35 |
| Kings County Hospital Center | Brooklyn | not published | $1.00 – $256.43 |
| Lincoln Medical Center | Bronx | not published | $1.00 – $257.35 |
| Queens Hospital Center | Jamaica | not published | $1.00 – $258.27 |
| Woodhull Medical Center | Brooklyn | not published | $1.00 – $256.43 |
| South Brooklyn Health | Brooklyn | not published | $1.00 – $256.43 |