healthcosts.net
Diagnostic Mammogram (one breast) at Bellevue Hospital Center
462 1st Ave New York, NY 10016, NY · NYC Health + Hospitals · · NPI 1073535027
$166.36
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.
$479.82
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.
$70.25 with Healthfirst vs $1,131.00 with Aetna — 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 |
|---|---|---|---|
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $70.25 | ↓ -58% |
| Healthfirst | Small Group | $95.96 | ↓ -42% |
| Aetna | All Products | $104.04 | ↓ -37% |
| Aetna | MEDICARE ADVANTAGE | $104.04 | ↓ -37% |
| Aetna | Medicare Advantage | $104.04 | ↓ -37% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $112.39 | ↓ -32% |
| Affinity | CHP | $123.63 | ↓ -26% |
| Anthem HealthPlus | Exchange | $124.85 | ↓ -25% |
| Healthfirst | CHP | $126.44 | ↓ -24% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $130.66 | ↓ -21% |
| OXFORD | Freedom | $134.72 | ↓ -19% |
| UNITED | ALL PRODUCTS | $134.72 | ↓ -19% |
| OXFORD | Liberty | $134.72 | ↓ -19% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $137.68 | ↓ -17% |
| Anthem HealthPlus | HARP | $140.49 | ↓ -16% |
| EMBLEM | HIP_GHI_CHP | $140.49 | ↓ -16% |
| Anthem HealthPlus | MLTC | $140.49 | ↓ -16% |
| Elderplan | MAP | $140.49 | ↓ -16% |
| Anthem HealthPlus | MAP | $140.49 | ↓ -16% |
| Fidelis | Managed Medicaid | $140.49 | ↓ -16% |
| Elderplan | Medicare Advantage | $140.49 | ↓ -16% |
| Centerlight | PACE | $140.49 | ↓ -16% |
| Healthfirst | Medicare Advantage PPO | $140.49 | ↓ -16% |
| Fidelis | CHP | $140.49 | ↓ -16% |
| Elderplan | MLTC | $140.49 | ↓ -16% |
| EMBLEM | MEDICARE ADVANTAGE | $140.49 | ↓ -16% |
| Fidelis | FHP | $140.49 | ↓ -16% |
| Wellcare | Medicare Advantage | $142.60 | ↓ -14% |
| Centers Plan for Healthy Living | Medicare Advantage | $146.11 | ↓ -12% |
| Hamaspik | Medicare Advantage | $147.51 | ↓ -11% |
| Healthfirst | HARP | $149.72 | ↓ -10% |
| Healthfirst | Managed Medicaid | $149.72 | ↓ -10% |
| Anthem HealthPlus | CHP | $154.54 | ↓ -7% |
| Healthfirst | MEDICARE ADVANTAGE | $163.03 | ↓ -2% |
| Healthfirst | MAP | $163.03 | ↓ -2% |
| Hamaspik | MEDICARE ADVANTAGE | $164.52 | ↓ -1% |
| MetroPlus | HARP | $166.23 | ↓ -0% |
| Anthem HealthPlus | Essential Plan 1-2 | $168.59 | ↑ +1% |
| OXFORD | MEDICARE ADVANTAGE | $172.75 | ↑ +4% |
| Oscar | All Products | $175.61 | ↑ +6% |
| MetroPlus | Managed Medicaid | $179.43 | ↑ +8% |
| UNITED | HARP | $179.43 | ↑ +8% |
| MetroPlus | CHP | $179.43 | ↑ +8% |
| Senior Whole Health | MLTC | $179.43 | ↑ +8% |
| UNITED | Managed Medicaid | $179.43 | ↑ +8% |
| MetroPlus | Goldcare 1 & 2 | $179.43 | ↑ +8% |
| MetroPlus | Gold | $179.43 | ↑ +8% |
| MetroPlus | SNP | $179.43 | ↑ +8% |
| Carelon | Managed Medicaid_HARP_CHP | $179.43 | ↑ +8% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $179.43 | ↑ +8% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $179.43 | ↑ +8% |
| Anthem HealthPlus | EXCHANGE | $179.43 | ↑ +8% |
| Senior Whole Health | MAP | $179.43 | ↑ +8% |
| Amidacare | Managed Medicaid | $179.43 | ↑ +8% |
| Fidelis | HARP_Managed Medicaid | $179.43 | ↑ +8% |
| Wellcare | MEDICARE ADVANTAGE | $179.67 | ↑ +8% |
| VNSNY | Medicaid SNP | $183.02 | ↑ +10% |
| UNITED BEHAVIORAL HEALTH | HARP | $183.02 | ↑ +10% |
| VNSNY | MAP | $183.02 | ↑ +10% |
| Affinity | HARP_Managed Medicaid | $183.02 | ↑ +10% |
| Carelon (Amida Care) | Managed Medicaid | $183.02 | ↑ +10% |
| UNITED BEHAVIORAL HEALTH | CHP | $183.02 | ↑ +10% |
| Fidelis | QHC | $187.20 | ↑ +13% |
| MetroPlus | MAP | $187.99 | ↑ +13% |
| MetroPlus | EXCHANGE | $187.99 | ↑ +13% |
| MetroPlus | MEDICARE ADVANTAGE | $187.99 | ↑ +13% |
| UNITED | Essential Plan 1-4_200-250 | $191.99 | ↑ +15% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $197.37 | ↑ +19% |
| VillageCare Max | MEDICARE ADVANTAGE | $199.63 | ↑ +20% |
| Fidelis | MAP | $202.31 | ↑ +22% |
| OSCAR | ALL PRODUCTS | $210.74 | ↑ +27% |
| CIGNA | ALL PRODUCTS | $210.84 | ↑ +27% |
| Healthfirst | EXCHANGE | $224.29 | ↑ +35% |
| EMBLEM | Essential Plan 3-4 | $224.29 | ↑ +35% |
| UNITED | CHP | $224.29 | ↑ +35% |
| EMBLEM | Essential Plan 1-2 | $242.23 | ↑ +46% |
| Affinity | Essential Plan 1-4_200-250 | $252.88 | ↑ +52% |
| Fidelis | Essential Plan 1-4_200-250 | $252.88 | ↑ +52% |
| Local 1199 | All Products | $298.35 | ↑ +79% |
| ANTHEM | Small Group EPO_PPO | $303.26 | ↑ +82% |
| ANTHEM | Blue Access Small Group | $303.26 | ↑ +82% |
| Carelon | GHI BMP | $311.88 | ↑ +87% |
| Elderplan | MAP_Medicare Advantage_MLTC | $311.88 | ↑ +87% |
| Carelon | MAP_Medicare Advantage | $311.88 | ↑ +87% |
| Carelon | Commercial_Essential Plans | $311.88 | ↑ +87% |
| ANTHEM | Blue Access Large Group | $312.35 | ↑ +88% |
| ANTHEM | EPO | $337.33 | ↑ +103% |
| ANTHEM | INDEMNITY | $337.33 | ↑ +103% |
| ANTHEM | PPO | $337.33 | ↑ +103% |
| ANTHEM | HMO | $337.33 | ↑ +103% |
| MAGNACARE | PPO Non-FPP | $359.87 | ↑ +116% |
| MAGNACARE | Direct Plus Non-FPP | $359.87 | ↑ +116% |
| MULTIPLAN | ALL PRODUCTS | $383.86 | ↑ +131% |
| UNITED | EXCHANGE | $383.86 | ↑ +131% |
| Healthfirst | Essential Plan 1-2 | $403.72 | ↑ +143% |
| MetroPlus | Essential Plan 200-250 | $403.72 | ↑ +143% |
| Healthfirst | Essential Plan 3-4 | $403.72 | ↑ +143% |
| MetroPlus | Essential Plan 1-2 | $403.72 | ↑ +143% |
| Anthem HealthPlus | Essential Plan 3-4 | $403.72 | ↑ +143% |
| Affinity | Essential Plan 1-2 | $403.72 | ↑ +143% |
| Affinity | Essential Plan 200-250 | $403.72 | ↑ +143% |
| Healthfirst | Essential Plan 200-250 | $403.72 | ↑ +143% |
| Affinity | Essential Plan 3-4 | $403.72 | ↑ +143% |
| MetroPlus | Essential Plan 3-4 | $403.72 | ↑ +143% |
| VNSNY | Medicare Advantage | $407.85 | ↑ +145% |
| VillageCare Max | MAP | $407.85 | ↑ +145% |
| Local 1199 | ALL PRODUCTS | $407.85 | ↑ +145% |
| VNSNY | Medicare SNP | $407.85 | ↑ +145% |
| Aetna | ALL PRODUCTS | $1,131.00 | ↑ +580% |
| VACCN | All Products | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| United Behavioral Health | Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | All Products | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings County Hospital Center | Brooklyn | $166.36 | $72.09 – $407.85 |
| UPMC Chautauqua | Jamestown | $177.00 | $114.60 – $265.50 |
| Queens Hospital Center | Jamaica | $166.36 | $71.42 – $407.85 |
| Woodhull Medical Center | Brooklyn | $166.36 | $72.09 – $407.85 |
| Elmhurst Hospital Center | NY 11373 | not published | $95.96 – $407.85 |
| Harlem Hospital Center | New York | not published | $95.96 – $407.85 |
| Jacobi Medical Center | Bronx | not published | $95.96 – $407.85 |
| Lincoln Medical Center | Bronx | not published | $95.96 – $407.85 |