Excision of mouth lesion complex 40816 at Bellevue Hospital Center
462 1st Ave New York, NY 10016, NY · NYC Health + Hospitals · · NPI 1073535027
$3,837.72
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.
$9,029.84
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.
$0.01 with CIGNA vs $7,223.87 with MULTIPLAN — 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| PB - ANTHEM | EXCHANGE | $182.06 | ↓ -95% |
| Healthfirst | Medicare Advantage PPO | $225.00 | ↓ -94% |
| Aetna | ALL PRODUCTS | $257.00 | ↓ -93% |
| PB - LOCAL 1199 | ALL PRODUCTS | $303.00 | ↓ -92% |
| Local 1199 | ALL PRODUCTS | $303.00 | ↓ -92% |
| MAGNACARE | Direct Plus FPP | $330.00 | ↓ -91% |
| MAGNACARE | PPO Non-FPP | $330.00 | ↓ -91% |
| MAGNACARE | PPO FPP | $330.00 | ↓ -91% |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | ↓ -91% |
| EMBLEM | PPO_Commercial | $332.00 | ↓ -91% |
| EMBLEM | HIP_GHI_CHP | $332.00 | ↓ -91% |
| Aetna | MEDICARE ADVANTAGE | $343.57 | ↓ -91% |
| PB - AETNA | ALL PRODUCTS | $374.93 | ↓ -90% |
| OXFORD | Liberty | $380.00 | ↓ -90% |
| PB - CENTERLIGHT | PACE | $402.00 | ↓ -90% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $402.00 | ↓ -90% |
| Healthfirst | HARP | $402.40 | ↓ -90% |
| Healthfirst | CHP | $402.40 | ↓ -90% |
| Healthfirst | Managed Medicaid | $402.40 | ↓ -90% |
| OXFORD | Freedom | $431.00 | ↓ -89% |
| PB - OSCAR | ALL PRODUCTS | $442.20 | ↓ -88% |
| PB - AETNA | MEDICARE ADVANTAGE | $474.11 | ↓ -88% |
| UNITED | EXCHANGE | $480.00 | ↓ -87% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $482.40 | ↓ -87% |
| Fidelis | HARP_Managed Medicaid | $484.81 | ↓ -87% |
| UNITED | Managed Medicaid | $484.81 | ↓ -87% |
| UNITED | HARP | $484.81 | ↓ -87% |
| Anthem HealthPlus | EXCHANGE | $484.81 | ↓ -87% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $484.81 | ↓ -87% |
| Carelon | Managed Medicaid_HARP_CHP | $484.81 | ↓ -87% |
| Fidelis | CHP | $484.81 | ↓ -87% |
| MetroPlus | CHP | $484.82 | ↓ -87% |
| Carelon | Commercial_Essential Plans | $484.82 | ↓ -87% |
| Carelon | GHI BMP | $484.82 | ↓ -87% |
| MetroPlus | Gold | $484.82 | ↓ -87% |
| MetroPlus | Goldcare 1 & 2 | $484.82 | ↓ -87% |
| MetroPlus | HARP | $484.82 | ↓ -87% |
| MetroPlus | Managed Medicaid | $484.82 | ↓ -87% |
| MetroPlus | SNP | $484.82 | ↓ -87% |
| UNITED | CHP | $484.82 | ↓ -87% |
| UNITED BEHAVIORAL HEALTH | HARP | $494.51 | ↓ -87% |
| VNSNY | Medicaid SNP | $494.51 | ↓ -87% |
| VNSNY | MAP | $494.51 | ↓ -87% |
| UNITED BEHAVIORAL HEALTH | CHP | $494.51 | ↓ -87% |
| Carelon (Amida Care) | Managed Medicaid | $494.51 | ↓ -87% |
| Fidelis | MAP | $494.74 | ↓ -87% |
| UNITED | Essential Plan 1-4_200-250 | $518.75 | ↓ -86% |
| UNITED | ALL PRODUCTS | $529.00 | ↓ -86% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $533.29 | ↓ -86% |
| PB - AFFINITY | ESSENTIAL | $562.80 | ↓ -85% |
| PB - AFFINITY | CHP | $562.80 | ↓ -85% |
| OSCAR | ALL PRODUCTS | $645.00 | ↓ -83% |
| EMBLEM | Essential Plan 3-4 | $727.23 | ↓ -81% |
| Healthfirst | EXCHANGE | $775.71 | ↓ -80% |
| Emblem | Essential Plan 200-250 | $775.71 | ↓ -80% |
| EMBLEM | Essential Plan 1-2 | $775.71 | ↓ -80% |
| Healthfirst | Small Group | $790.26 | ↓ -79% |
| ANTHEM | Blue Access Small Group | $1,063.19 | ↓ -72% |
| ANTHEM | Small Group EPO_PPO | $1,063.19 | ↓ -72% |
| Healthfirst | Essential Plan 3-4 | $1,090.82 | ↓ -72% |
| Healthfirst | Essential Plan 200-250 | $1,090.82 | ↓ -72% |
| Affinity | Essential Plan 200-250 | $1,090.82 | ↓ -72% |
| Affinity | Essential Plan 3-4 | $1,090.82 | ↓ -72% |
| Healthfirst | Essential Plan 1-2 | $1,090.82 | ↓ -72% |
| Fidelis | Essential Plan 1-4_200-250 | $1,090.82 | ↓ -72% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,090.82 | ↓ -72% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,090.82 | ↓ -72% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,090.82 | ↓ -72% |
| MetroPlus | Essential Plan 1-2 | $1,090.82 | ↓ -72% |
| MetroPlus | Essential Plan 200-250 | $1,090.82 | ↓ -72% |
| MetroPlus | Essential Plan 3-4 | $1,090.82 | ↓ -72% |
| Affinity | Essential Plan 1-2 | $1,090.82 | ↓ -72% |
| ANTHEM | Blue Access Large Group | $1,097.36 | ↓ -71% |
| ANTHEM | PPO | $1,184.70 | ↓ -69% |
| ANTHEM | EPO | $1,184.70 | ↓ -69% |
| ANTHEM | INDEMNITY | $1,184.70 | ↓ -69% |
| ANTHEM | HMO | $1,184.70 | ↓ -69% |
| Healthfirst | MEDICARE ADVANTAGE | $3,435.07 | ↓ -10% |
| Healthfirst | MAP | $3,435.07 | ↓ -10% |
| Senior Whole Health | MAP | $3,837.72 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $3,837.72 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $3,837.72 | ↑ +0% |
| VACCN | All Products | $3,837.72 | ↑ +0% |
| VNSNY | Medicare Advantage | $3,837.72 | ↑ +0% |
| VNSNY | Medicare SNP | $3,837.72 | ↑ +0% |
| Senior Whole Health | MLTC | $3,837.72 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $4,029.61 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $4,138.63 | ↑ +8% |
| Centerlight | PACE | $4,138.63 | ↑ +8% |
| Amidacare | Managed Medicaid | $4,138.63 | ↑ +8% |
| Wellcare | MEDICARE ADVANTAGE | $4,144.74 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $4,345.57 | ↑ +13% |
| MetroPlus | MAP | $4,676.66 | ↑ +22% |
| MetroPlus | MEDICARE ADVANTAGE | $4,676.66 | ↑ +22% |
| MetroPlus | EXCHANGE | $4,676.66 | ↑ +22% |
| Fidelis | EXCHANGE | $5,449.56 | ↑ +42% |
| EMBLEM | MEDICARE ADVANTAGE | $5,756.58 | ↑ +50% |
| Carelon | MAP_Medicare Advantage | $5,869.40 | ↑ +53% |
| VillageCare Max | MEDICARE ADVANTAGE | $6,207.95 | ↑ +62% |
| VillageCare Max | MAP | $6,207.95 | ↑ +62% |
| MULTIPLAN | ALL PRODUCTS | $7,223.87 | ↑ +88% |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Excision of mouth lesion complex 40816 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | $3,837.72 | $0.01 – $4,676.66 |
| Kings County Hospital Center | Brooklyn | $3,837.72 | $0.01 – $6,207.95 |
| Lincoln Medical Center | Bronx | $3,837.72 | $0.01 – $4,676.66 |
| Metropolitan Hospital Center | New York | $3,837.72 | $0.01 – $4,676.66 |
| Queens Hospital Center | Jamaica | $3,837.72 | $0.01 – $6,207.95 |
| Woodhull Medical Center | Brooklyn | $3,837.72 | $0.01 – $6,207.95 |
| South Brooklyn Health | Brooklyn | $3,837.72 | $0.01 – $4,676.66 |
| North Central Bronx | Bronx | $3,837.72 | $0.01 – $6,207.95 |