Shoulder MRI (without contrast) at NewYork-Presbyterian Columbia University Irving Medical Center
622 West 168th Street, New York, NY · NewYork-Presbyterian · · NPI 1952332801
$4,841.00
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.
$4,841.00
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.
$271.73 with Anthem BCBS vs $4,550.54 with Consumer Health Network — 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 | $271.73 | ↓ -94% |
| Anthem BCBS Healthplus | Medicare Advantage | $279.88 | ↓ -94% |
| EmblemHealth | Medicare Advantage | $286.03 | ↓ -94% |
| Cigna Healthcare | Medicare Advantage | $286.03 | ↓ -94% |
| Fidelis Care | Medicare Advantage | $286.03 | ↓ -94% |
| Oxford Health Plans | Medicare Advantage | $294.61 | ↓ -94% |
| United Healthcare | Medicare Advantage | $294.61 | ↓ -94% |
| Aetna | Medicare Advantage | $294.61 | ↓ -94% |
| VNS Health | Medicare Advantage | $294.61 | ↓ -94% |
| WellCare | Medicare Advantage | $296.04 | ↓ -94% |
| HealthFirst | Medicare Advantage | $300.33 | ↓ -94% |
| EmblemHealth | All NYS Essential Plans | $329.05 | ↓ -93% |
| Senior Whole Health | Medicare Advantage | $357.54 | ↓ -93% |
| United Healthcare | All Commercial Plans | $548.69 | ↓ -89% |
| 1199SEIU Funds | All Commercial Plans | $571.00 | ↓ -88% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $590.69 | ↓ -88% |
| Anthem BCBS Healthplus | Medicaid | $590.69 | ↓ -88% |
| Anthem BCBS Healthplus | nystateofhealth plans | $590.69 | ↓ -88% |
| Fidelis Care | Medicaid/Child Health Plus | $590.69 | ↓ -88% |
| MVP Health | Medicaid/Child Health Plus | $590.69 | ↓ -88% |
| VNS Health | Medicaid | $590.69 | ↓ -88% |
| Oxford Health Plans | All Commercial Plans | $614.15 | ↓ -87% |
| United Healthcare | Medicaid | $629.62 | ↓ -87% |
| HealthFirst | Medicaid/Child Health Plus | $632.04 | ↓ -87% |
| Amida Care | Medicaid | $679.29 | ↓ -86% |
| EmblemHealth | Medicaid/Child Health Plus | $679.29 | ↓ -86% |
| Anthem BCBS Healthplus | Child Health Plus | $886.04 | ↓ -82% |
| EmblemHealth | All Commercial Plans | $934.21 | ↓ -81% |
| MVP Health | All NYS Essential Plans | $1,269.98 | ↓ -74% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $1,329.05 | ↓ -73% |
| Fidelis Care | All NYS Essential Plans | $1,476.73 | ↓ -69% |
| Fidelis Care | nystateofhealth plans | $1,476.73 | ↓ -69% |
| Anthem BCBS | All Commercial Plans | $1,796.98 | ↓ -63% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $1,961.09 | ↓ -59% |
| United Healthcare | All NYS Essential Plans | $2,160.45 | ↓ -55% |
| Cigna Healthcare | All Commercial Plans | $2,319.42 | ↓ -52% |
| HealthFirst | All Essential Plans | $2,391.94 | ↓ -51% |
| HealthFirst | nystateofhealth plans | $2,962.69 | ↓ -39% |
| Aetna | Commercial | $3,587.18 | ↓ -26% |
| Worldwide | All Commercial Plans | $3,679.16 | ↓ -24% |
| MagnaCare | All Commercial Plans | $3,679.16 | ↓ -24% |
| United Healthcare | Child Health Plus | $4,114.85 | ↓ -15% |
| QHM | All Commercial Plans | $4,114.85 | ↓ -15% |
| Claritev dba MultiPlan | All Commercial Plans | $4,114.85 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $4,211.67 | ↓ -13% |
| Beech Street | All Commercial Plans | $4,356.90 | ↓ -10% |
| Devon | All Commercial Plans | $4,356.90 | ↓ -10% |
| First Health | All Commercial Plans | $4,502.13 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $4,550.54 | ↓ -6% |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | $286.04 | $1.00 – $1,787.00 |
| Metropolitan Hospital Center | New York | $286.04 | $1.00 – $1,787.00 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Bellevue Hospital Center | NY 10016 | $286.04 | $1.00 – $1,787.00 |
| Kings County Hospital Center | Brooklyn | $286.04 | $1.00 – $1,787.00 |
| Lincoln Medical Center | Bronx | $286.04 | $1.00 – $1,787.00 |
| UPMC Chautauqua | Jamestown | $685.80 | $221.48 – $1,028.70 |
| Queens Hospital Center | Jamaica | $286.04 | $1.00 – $1,787.00 |