Pt evaluation high complexity patient/family at NewYork-Presbyterian Columbia University Irving Medical Center
622 West 168th Street, New York, NY · NewYork-Presbyterian · · NPI 1952332801
$922.00
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.
$93.00 with 1199SEIU Funds vs $919.23 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 | $93.00 | ↓ -90% |
| Anthem BCBS | Medicare Advantage | $104.39 | ↓ -89% |
| Anthem BCBS Healthplus | Medicare Advantage | $104.39 | ↓ -89% |
| EmblemHealth | Medicare Advantage | $109.88 | ↓ -88% |
| Cigna Healthcare | Medicare Advantage | $109.88 | ↓ -88% |
| Fidelis Care | Medicare Advantage | $109.88 | ↓ -88% |
| Oxford Health Plans | Medicare Advantage | $113.18 | ↓ -88% |
| United Healthcare | Medicare Advantage | $113.18 | ↓ -88% |
| VNS Health | Medicare Advantage | $113.18 | ↓ -88% |
| Aetna | Medicare Advantage | $113.18 | ↓ -88% |
| WellCare | Medicare Advantage | $113.73 | ↓ -88% |
| HealthFirst | Medicare Advantage | $115.37 | ↓ -87% |
| Senior Whole Health | Medicare Advantage | $137.35 | ↓ -85% |
| Fidelis Care | Medicaid/Child Health Plus | $221.06 | ↓ -76% |
| Anthem BCBS Healthplus | nystateofhealth plans | $221.06 | ↓ -76% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $221.06 | ↓ -76% |
| MVP Health | Medicaid/Child Health Plus | $221.06 | ↓ -76% |
| VNS Health | Medicaid | $221.06 | ↓ -76% |
| Anthem BCBS Healthplus | Medicaid | $221.06 | ↓ -76% |
| United Healthcare | Medicaid | $235.63 | ↓ -74% |
| HealthFirst | Medicaid/Child Health Plus | $236.53 | ↓ -74% |
| EmblemHealth | Medicaid/Child Health Plus | $254.22 | ↓ -72% |
| Amida Care | Medicaid | $254.22 | ↓ -72% |
| Cigna Healthcare | All Commercial Plans | $292.36 | ↓ -68% |
| Anthem BCBS Healthplus | Child Health Plus | $331.59 | ↓ -64% |
| MVP Health | All NYS Essential Plans | $475.28 | ↓ -48% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $497.39 | ↓ -46% |
| EmblemHealth | All NYS Essential Plans | $534.43 | ↓ -42% |
| Fidelis Care | All NYS Essential Plans | $552.65 | ↓ -40% |
| Fidelis Care | nystateofhealth plans | $552.65 | ↓ -40% |
| HealthFirst | nystateofhealth plans | $564.26 | ↓ -39% |
| Aetna | Commercial | $683.20 | ↓ -26% |
| Worldwide | All Commercial Plans | $700.72 | ↓ -24% |
| MagnaCare | All Commercial Plans | $700.72 | ↓ -24% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $733.92 | ↓ -20% |
| United Healthcare | Child Health Plus | $783.70 | ↓ -15% |
| Claritev dba MultiPlan | All Commercial Plans | $783.70 | ↓ -15% |
| QHM | All Commercial Plans | $783.70 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $802.14 | ↓ -13% |
| United Healthcare | All NYS Essential Plans | $808.53 | ↓ -12% |
| Devon | All Commercial Plans | $829.80 | ↓ -10% |
| Beech Street | All Commercial Plans | $829.80 | ↓ -10% |
| EmblemHealth | All Commercial Plans | $836.10 | ↓ -9% |
| First Health | All Commercial Plans | $857.46 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $866.68 | ↓ -6% |
| Oxford Health Plans | All Commercial Plans | $883.06 | ↓ -4% |
| HealthFirst | All Essential Plans | $895.16 | ↓ -3% |
| United Healthcare | All Commercial Plans | $906.51 | ↓ -2% |
| Anthem BCBS | All Commercial Plans | $919.23 | ↓ -0% |
Visitor-reported prices
Comments
Pt evaluation high 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 |
| Metropolitan Hospital Center | New York | $109.88 | $90.32 – $242.25 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| NewYork-Presbyterian Queens | Flushing | $879.00 | $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 | $108.60 | $66.99 – $201.43 |