X-ray of mammary ducts at NewYork-Presbyterian Columbia University Irving Medical Center
622 West 168th Street, New York, NY · NewYork-Presbyterian · · NPI 1952332801
$1,134.00
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$108.09 with EmblemHealth vs $1,520.92 with HealthFirst — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| EmblemHealth | All NYS Essential Plans | $108.09 | ↓ -90% |
| 1199SEIU Funds | All Commercial Plans | $155.00 | ↓ -86% |
| EmblemHealth | All Commercial Plans | $261.98 | ↓ -77% |
| Anthem BCBS | Medicare Advantage | $271.73 | ↓ -76% |
| Anthem BCBS Healthplus | Medicare Advantage | $279.88 | ↓ -75% |
| Fidelis Care | Medicare Advantage | $286.03 | ↓ -75% |
| EmblemHealth | Medicare Advantage | $286.03 | ↓ -75% |
| Cigna Healthcare | Medicare Advantage | $286.03 | ↓ -75% |
| Oxford Health Plans | Medicare Advantage | $294.61 | ↓ -74% |
| Aetna | Medicare Advantage | $294.61 | ↓ -74% |
| United Healthcare | Medicare Advantage | $294.61 | ↓ -74% |
| VNS Health | Medicare Advantage | $294.61 | ↓ -74% |
| WellCare | Medicare Advantage | $296.04 | ↓ -74% |
| HealthFirst | Medicare Advantage | $300.33 | ↓ -74% |
| Senior Whole Health | Medicare Advantage | $357.54 | ↓ -68% |
| United Healthcare | All Commercial Plans | $367.94 | ↓ -68% |
| Anthem BCBS Healthplus | Medicaid | $375.59 | ↓ -67% |
| MVP Health | Medicaid/Child Health Plus | $375.59 | ↓ -67% |
| VNS Health | Medicaid | $375.59 | ↓ -67% |
| Anthem BCBS Healthplus | nystateofhealth plans | $375.59 | ↓ -67% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $375.59 | ↓ -67% |
| Fidelis Care | Medicaid/Child Health Plus | $375.59 | ↓ -67% |
| United Healthcare | Medicaid | $400.34 | ↓ -65% |
| HealthFirst | Medicaid/Child Health Plus | $401.88 | ↓ -65% |
| Oxford Health Plans | All Commercial Plans | $411.84 | ↓ -64% |
| Amida Care | Medicaid | $431.93 | ↓ -62% |
| EmblemHealth | Medicaid/Child Health Plus | $431.93 | ↓ -62% |
| Cigna Healthcare | All Commercial Plans | $543.32 | ↓ -52% |
| Anthem BCBS Healthplus | Child Health Plus | $563.39 | ↓ -50% |
| Anthem BCBS | All Commercial Plans | $569.24 | ↓ -50% |
| HealthFirst | nystateofhealth plans | $694.01 | ↓ -39% |
| MVP Health | All NYS Essential Plans | $807.52 | ↓ -29% |
| Aetna | Commercial | $840.29 | ↓ -26% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $845.08 | ↓ -25% |
| Worldwide | All Commercial Plans | $861.84 | ↓ -24% |
| MagnaCare | All Commercial Plans | $861.84 | ↓ -24% |
| Fidelis Care | All NYS Essential Plans | $938.98 | ↓ -17% |
| Fidelis Care | nystateofhealth plans | $938.98 | ↓ -17% |
| Claritev dba MultiPlan | All Commercial Plans | $963.90 | ↓ -15% |
| QHM | All Commercial Plans | $963.90 | ↓ -15% |
| United Healthcare | Child Health Plus | $963.90 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $986.58 | ↓ -13% |
| Beech Street | All Commercial Plans | $1,020.60 | ↓ -10% |
| Devon | All Commercial Plans | $1,020.60 | ↓ -10% |
| First Health | All Commercial Plans | $1,054.62 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $1,065.96 | ↓ -6% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $1,246.96 | ↑ +10% |
| United Healthcare | All NYS Essential Plans | $1,373.72 | ↑ +21% |
| HealthFirst | All Essential Plans | $1,520.92 | ↑ +34% |
Visitor-reported prices
Comments
X-ray of mammary ducts at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | $286.04 | $1.00 – $446.76 |
| Metropolitan Hospital Center | New York | $286.04 | $1.00 – $446.76 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Bellevue Hospital Center | NY 10016 | $286.04 | $1.00 – $446.76 |
| Kings County Hospital Center | Brooklyn | $286.04 | $1.00 – $446.76 |
| Lincoln Medical Center | Bronx | $286.04 | $1.00 – $446.76 |
| Queens Hospital Center | Jamaica | $286.04 | $1.00 – $446.76 |
| Woodhull Medical Center | Brooklyn | $286.04 | $1.00 – $446.76 |