Occupational Therapy Evaluation (moderate complexity) at NewYork-Presbyterian Columbia University Irving Medical Center
622 West 168th Street, New York, NY · NewYork-Presbyterian · · NPI 1952332801
$837.00
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.
$837.00
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.
$90.00 with 1199SEIU Funds vs $974.74 with Anthem BCBS — 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 | $90.00 | ↓ -89% |
| Anthem BCBS | Medicare Advantage | $107.26 | ↓ -87% |
| Anthem BCBS Healthplus | Medicare Advantage | $107.26 | ↓ -87% |
| Cigna Healthcare | Medicare Advantage | $112.90 | ↓ -87% |
| EmblemHealth | Medicare Advantage | $112.90 | ↓ -87% |
| Fidelis Care | Medicare Advantage | $112.90 | ↓ -87% |
| Oxford Health Plans | Medicare Advantage | $116.29 | ↓ -86% |
| Aetna | Medicare Advantage | $116.29 | ↓ -86% |
| United Healthcare | Medicare Advantage | $116.29 | ↓ -86% |
| VNS Health | Medicare Advantage | $116.29 | ↓ -86% |
| WellCare | Medicare Advantage | $116.85 | ↓ -86% |
| HealthFirst | Medicare Advantage | $118.55 | ↓ -86% |
| Senior Whole Health | Medicare Advantage | $141.13 | ↓ -83% |
| Fidelis Care | Medicaid/Child Health Plus | $230.06 | ↓ -73% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $230.06 | ↓ -73% |
| VNS Health | Medicaid | $230.06 | ↓ -73% |
| Anthem BCBS Healthplus | Medicaid | $230.06 | ↓ -73% |
| Anthem BCBS Healthplus | nystateofhealth plans | $230.06 | ↓ -73% |
| MVP Health | Medicaid/Child Health Plus | $230.06 | ↓ -73% |
| United Healthcare | Medicaid | $245.22 | ↓ -71% |
| HealthFirst | Medicaid/Child Health Plus | $246.17 | ↓ -71% |
| EmblemHealth | Medicaid/Child Health Plus | $264.57 | ↓ -68% |
| Amida Care | Medicaid | $264.57 | ↓ -68% |
| Cigna Healthcare | All Commercial Plans | $292.36 | ↓ -65% |
| Anthem BCBS Healthplus | Child Health Plus | $345.09 | ↓ -59% |
| MVP Health | All NYS Essential Plans | $494.63 | ↓ -41% |
| HealthFirst | nystateofhealth plans | $512.24 | ↓ -39% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $517.64 | ↓ -38% |
| EmblemHealth | All NYS Essential Plans | $534.43 | ↓ -36% |
| Fidelis Care | nystateofhealth plans | $575.16 | ↓ -31% |
| Fidelis Care | All NYS Essential Plans | $575.16 | ↓ -31% |
| Aetna | Commercial | $620.22 | ↓ -26% |
| MagnaCare | All Commercial Plans | $636.12 | ↓ -24% |
| Worldwide | All Commercial Plans | $636.12 | ↓ -24% |
| United Healthcare | Child Health Plus | $711.45 | ↓ -15% |
| Claritev dba MultiPlan | All Commercial Plans | $711.45 | ↓ -15% |
| QHM | All Commercial Plans | $711.45 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $728.19 | ↓ -13% |
| Beech Street | All Commercial Plans | $753.30 | ↓ -10% |
| Devon | All Commercial Plans | $753.30 | ↓ -10% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $763.81 | ↓ -9% |
| First Health | All Commercial Plans | $778.41 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $786.78 | ↓ -6% |
| EmblemHealth | All Commercial Plans | $827.74 | ↓ -1% |
| United Healthcare | All NYS Essential Plans | $841.45 | ↑ +1% |
| Oxford Health Plans | All Commercial Plans | $907.33 | ↑ +8% |
| United Healthcare | All Commercial Plans | $931.43 | ↑ +11% |
| HealthFirst | All Essential Plans | $931.62 | ↑ +11% |
| Anthem BCBS | All Commercial Plans | $974.74 | ↑ +16% |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (moderate complexity) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | $114.91 | $94.06 – $242.25 |
| Metropolitan Hospital Center | New York | $112.90 | $92.89 – $242.25 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Bellevue Hospital Center | NY 10016 | $112.90 | $47.55 – $242.25 |
| Kings County Hospital Center | Brooklyn | $114.91 | $47.55 – $242.25 |
| Lincoln Medical Center | Bronx | $114.91 | $94.06 – $242.25 |
| UPMC Chautauqua | Jamestown | $99.00 | $47.06 – $148.50 |
| Queens Hospital Center | Jamaica | $114.08 | $47.55 – $242.25 |