Ghs layered repair 12.6 - 20.0 cm -12055 at Bellevue Hospital Center
462 1st Ave New York, NY 10016, NY · NYC Health + Hospitals · · NPI 1073535027
$472.79
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.
$2,039.60
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.
$218.16 with PB - ANTHEM vs $1,936.40 with Healthfirst — 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 |
|---|---|---|---|
| PB - ANTHEM | EXCHANGE | $218.16 | ↓ -54% |
| Healthfirst | MEDICARE ADVANTAGE | $220.50 | ↓ -53% |
| Healthfirst | MAP | $220.50 | ↓ -53% |
| PB - AETNA | ALL PRODUCTS | $266.37 | ↓ -44% |
| PB - LOCAL 1199 | ALL PRODUCTS | $290.00 | ↓ -39% |
| Aetna | MEDICARE ADVANTAGE | $341.13 | ↓ -28% |
| PB - AETNA | MEDICARE ADVANTAGE | $402.22 | ↓ -15% |
| Healthfirst | Medicare Advantage PPO | $421.18 | ↓ -11% |
| PB - CENTERLIGHT | PACE | $427.00 | ↓ -10% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $427.00 | ↓ -10% |
| PB - OSCAR | ALL PRODUCTS | $469.70 | ↓ -1% |
| Senior Whole Health | MAP | $472.79 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $472.79 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $472.79 | ↑ +0% |
| Senior Whole Health | MLTC | $472.79 | ↑ +0% |
| VNSNY | Medicare Advantage | $472.79 | ↑ +0% |
| VNSNY | Medicare SNP | $472.79 | ↑ +0% |
| VACCN | All Products | $472.79 | ↑ +0% |
| Fidelis | MAP | $491.23 | ↑ +4% |
| Amidacare | Managed Medicaid | $493.00 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $496.43 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $507.45 | ↑ +7% |
| Centerlight | PACE | $507.45 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $510.61 | ↑ +8% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $512.40 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $532.82 | ↑ +13% |
| MetroPlus | MAP | $573.41 | ↑ +21% |
| MetroPlus | MEDICARE ADVANTAGE | $573.41 | ↑ +21% |
| MetroPlus | EXCHANGE | $573.41 | ↑ +21% |
| EMBLEM | MEDICARE ADVANTAGE | $590.98 | ↑ +25% |
| PB - AFFINITY | ESSENTIAL | $597.80 | ↑ +26% |
| PB - AFFINITY | CHP | $597.80 | ↑ +26% |
| Fidelis | EXCHANGE | $671.36 | ↑ +42% |
| Healthfirst | HARP | $714.31 | ↑ +51% |
| Healthfirst | Managed Medicaid | $714.31 | ↑ +51% |
| Healthfirst | CHP | $714.31 | ↑ +51% |
| VillageCare Max | MEDICARE ADVANTAGE | $761.17 | ↑ +61% |
| VillageCare Max | MAP | $761.17 | ↑ +61% |
| Carelon | MAP_Medicare Advantage | $781.00 | ↑ +65% |
| OXFORD | Liberty | $820.00 | ↑ +73% |
| Local 1199 | ALL PRODUCTS | $836.00 | ↑ +77% |
| Fidelis | HARP_Managed Medicaid | $860.62 | ↑ +82% |
| UNITED | HARP | $860.62 | ↑ +82% |
| UNITED | CHP | $860.62 | ↑ +82% |
| UNITED | Managed Medicaid | $860.62 | ↑ +82% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $860.62 | ↑ +82% |
| Anthem HealthPlus | EXCHANGE | $860.62 | ↑ +82% |
| MetroPlus | CHP | $860.62 | ↑ +82% |
| MetroPlus | HARP | $860.62 | ↑ +82% |
| MetroPlus | SNP | $860.62 | ↑ +82% |
| Carelon | GHI BMP | $860.62 | ↑ +82% |
| Carelon | Managed Medicaid_HARP_CHP | $860.62 | ↑ +82% |
| Carelon | Commercial_Essential Plans | $860.62 | ↑ +82% |
| MetroPlus | Gold | $860.62 | ↑ +82% |
| MetroPlus | Goldcare 1 & 2 | $860.62 | ↑ +82% |
| MetroPlus | Managed Medicaid | $860.62 | ↑ +82% |
| Fidelis | CHP | $860.62 | ↑ +82% |
| UNITED BEHAVIORAL HEALTH | HARP | $877.83 | ↑ +86% |
| Carelon (Amida Care) | Managed Medicaid | $877.83 | ↑ +86% |
| UNITED BEHAVIORAL HEALTH | CHP | $877.83 | ↑ +86% |
| VNSNY | Medicaid SNP | $877.83 | ↑ +86% |
| VNSNY | MAP | $877.83 | ↑ +86% |
| UNITED | Essential Plan 1-4_200-250 | $920.86 | ↑ +95% |
| OXFORD | Freedom | $926.00 | ↑ +96% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $946.68 | ↑ +100% |
| EMBLEM | PPO_Commercial | $1,016.00 | ↑ +115% |
| EMBLEM | HIP_GHI_CHP | $1,016.00 | ↑ +115% |
| UNITED | EXCHANGE | $1,040.00 | ↑ +120% |
| EMBLEM | Essential Plan 3-4 | $1,075.78 | ↑ +128% |
| UNITED | ALL PRODUCTS | $1,147.00 | ↑ +143% |
| EMBLEM | Essential Plan 1-2 | $1,161.84 | ↑ +146% |
| Emblem | Essential Plan 200-250 | $1,161.84 | ↑ +146% |
| Aetna | ALL PRODUCTS | $1,235.00 | ↑ +161% |
| Healthfirst | EXCHANGE | $1,376.99 | ↑ +191% |
| Healthfirst | Small Group | $1,402.81 | ↑ +197% |
| OSCAR | ALL PRODUCTS | $1,466.00 | ↑ +210% |
| CIGNA | ALL PRODUCTS | $1,500.00 | ↑ +217% |
| MAGNACARE | Direct Plus Non-FPP | $1,529.70 | ↑ +224% |
| MAGNACARE | Direct Plus FPP | $1,529.70 | ↑ +224% |
| MAGNACARE | PPO FPP | $1,529.70 | ↑ +224% |
| MAGNACARE | PPO Non-FPP | $1,529.70 | ↑ +224% |
| ANTHEM | Small Group EPO_PPO | $1,536.00 | ↑ +225% |
| ANTHEM | Blue Access Small Group | $1,536.00 | ↑ +225% |
| ANTHEM | Blue Access Large Group | $1,579.00 | ↑ +234% |
| MULTIPLAN | ALL PRODUCTS | $1,631.68 | ↑ +245% |
| ANTHEM | PPO | $1,707.00 | ↑ +261% |
| ANTHEM | HMO | $1,707.00 | ↑ +261% |
| ANTHEM | INDEMNITY | $1,707.00 | ↑ +261% |
| ANTHEM | EPO | $1,707.00 | ↑ +261% |
| Healthfirst | Essential Plan 1-2 | $1,936.40 | ↑ +310% |
| Fidelis | Essential Plan 1-4_200-250 | $1,936.40 | ↑ +310% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,936.40 | ↑ +310% |
| MetroPlus | Essential Plan 3-4 | $1,936.40 | ↑ +310% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,936.40 | ↑ +310% |
| MetroPlus | Essential Plan 1-2 | $1,936.40 | ↑ +310% |
| Affinity | Essential Plan 3-4 | $1,936.40 | ↑ +310% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,936.40 | ↑ +310% |
| Affinity | Essential Plan 200-250 | $1,936.40 | ↑ +310% |
| Affinity | Essential Plan 1-2 | $1,936.40 | ↑ +310% |
| Healthfirst | Essential Plan 3-4 | $1,936.40 | ↑ +310% |
| MetroPlus | Essential Plan 200-250 | $1,936.40 | ↑ +310% |
| Healthfirst | Essential Plan 200-250 | $1,936.40 | ↑ +310% |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layered repair 12.6 - 20.0 cm -12055 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $305.00 | $186.66 – $981.37 |
| Harlem Hospital Center | New York | $472.79 | $220.50 – $781.00 |
| Kings County Hospital Center | Brooklyn | $472.79 | $218.16 – $781.00 |
| Lincoln Medical Center | Bronx | $472.79 | $220.50 – $781.00 |
| Metropolitan Hospital Center | New York | $472.79 | $220.50 – $781.00 |
| Queens Hospital Center | Jamaica | $472.79 | $218.16 – $781.00 |
| Woodhull Medical Center | Brooklyn | $472.79 | $218.16 – $781.00 |
| South Brooklyn Health | Brooklyn | $472.79 | $220.50 – $781.00 |