Nasal/sinus endo w/front sinus expl 31276 at NewYork-Presbyterian Columbia University Irving Medical Center
622 West 168th Street, New York, NY · NewYork-Presbyterian · · NPI 1952332801
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.
$597.60 with MVP Health vs $18,144.64 with United Healthcare — 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 |
|---|---|---|---|
| MVP Health | Medicaid/Child Health Plus | $597.60 | — |
| Anthem BCBS Healthplus | Medicaid | $597.60 | — |
| VNS Health | Medicaid | $597.60 | — |
| Anthem BCBS Healthplus | nystateofhealth plans | $597.60 | — |
| Fidelis Care | Medicaid/Child Health Plus | $597.60 | — |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $597.60 | — |
| United Healthcare | Medicaid | $636.98 | — |
| HealthFirst | Medicaid/Child Health Plus | $639.43 | — |
| EmblemHealth | Medicaid/Child Health Plus | $687.24 | — |
| Amida Care | Medicaid | $687.24 | — |
| Anthem BCBS Healthplus | Child Health Plus | $896.40 | — |
| MVP Health | All NYS Essential Plans | $1,284.84 | — |
| Affinity by Molina Healthcare | All NYS Essential Plans | $1,344.60 | — |
| Fidelis Care | All NYS Essential Plans | $1,493.99 | — |
| Fidelis Care | nystateofhealth plans | $1,493.99 | — |
| Anthem BCBS Healthplus | All NYS Essential Plans | $1,984.03 | — |
| United Healthcare | All NYS Essential Plans | $2,185.71 | — |
| HealthFirst | All Essential Plans | $2,419.91 | — |
| 1199SEIU Funds | All Commercial Plans | $3,009.00 | — |
| EmblemHealth | All NYS Essential Plans | $7,207.20 | — |
| Anthem BCBS | Medicare Advantage | $7,781.79 | — |
| Anthem BCBS Healthplus | Medicare Advantage | $8,015.25 | — |
| Fidelis Care | Medicare Advantage | $8,191.36 | — |
| Cigna Healthcare | Medicare Advantage | $8,191.36 | — |
| EmblemHealth | Medicare Advantage | $8,191.36 | — |
| United Healthcare | Medicare Advantage | $8,437.10 | — |
| VNS Health | Medicare Advantage | $8,437.10 | — |
| Aetna | Medicare Advantage | $8,437.10 | — |
| Oxford Health Plans | Medicare Advantage | $8,437.10 | — |
| WellCare | Medicare Advantage | $8,478.06 | — |
| HealthFirst | Medicare Advantage | $8,600.93 | — |
| Oxford Health Plans | All Commercial Plans | $8,909.36 | — |
| Cigna Healthcare | All Commercial Plans | $9,433.91 | — |
| United Healthcare | All Commercial Plans | $9,712.00 | — |
| Senior Whole Health | Medicare Advantage | $10,239.20 | — |
| Aetna | Commercial | $11,977.24 | — |
| EmblemHealth | All Commercial Plans | $12,700.68 | — |
| HealthFirst | nystateofhealth plans | $13,064.14 | — |
| Anthem BCBS | All Commercial Plans | $17,557.90 | — |
| United Healthcare | Child Health Plus | $18,144.64 | — |
| First Health Coventry | All Commercial Plans | not published by hospital | — |
| First Health | All Commercial Plans | not published by hospital | — |
| Claritev dba MultiPlan | All Commercial Plans | not published by hospital | — |
| Consumer Health Network | All Commercial Plans | not published by hospital | — |
| Devon | All Commercial Plans | not published by hospital | — |
| MagnaCare | All Commercial Plans | not published by hospital | — |
| Worldwide | All Commercial Plans | not published by hospital | — |
| QHM | All Commercial Plans | not published by hospital | — |
| Beech Street | All Commercial Plans | not published by hospital | — |
Visitor-reported prices
Comments
Nasal/sinus endo w/front sinus expl 31276 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | $8,191.77 | $419.67 – $17,619.43 |
| Metropolitan Hospital Center | New York | $8,191.77 | $431.68 – $17,619.43 |
| Bellevue Hospital Center | NY 10016 | $8,191.77 | $307.61 – $17,619.43 |
| Kings County Hospital Center | Brooklyn | $8,191.77 | $307.61 – $17,619.43 |
| Lincoln Medical Center | Bronx | $8,191.77 | $431.68 – $17,619.43 |
| Queens Hospital Center | Jamaica | $8,191.77 | $307.61 – $17,619.43 |
| Woodhull Medical Center | Brooklyn | $8,191.77 | $307.61 – $17,619.43 |
| South Brooklyn Health | Brooklyn | $8,191.77 | $431.68 – $17,619.43 |