Impres&prep oral surg splint at Bellevue Hospital Center

462 1st Ave New York, NY 10016, NY · NYC Health + Hospitals · · NPI 1073535027

Source: hospital's published price file ↗ · Published Sep 5, 2026 · Ingested Sep 10, 2026

$274.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,539.44

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$74.56 with Healthfirst vs $4,677.00 with OSCAR — 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 →

Payer
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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
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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 Managed Medicaid $74.56 ↓ -73%
Healthfirst CHP $74.56 ↓ -73%
Healthfirst HARP $74.56 ↓ -73%
MetroPlus SNP $89.83 ↓ -67%
Anthem HealthPlus EXCHANGE $89.83 ↓ -67%
UNITED BEHAVIORAL HEALTH Managed Medicaid $89.83 ↓ -67%
MetroPlus Gold $89.83 ↓ -67%
MetroPlus Goldcare 1 & 2 $89.83 ↓ -67%
MetroPlus Managed Medicaid $89.83 ↓ -67%
MetroPlus HARP $89.83 ↓ -67%
MetroPlus CHP $89.83 ↓ -67%
UNITED Managed Medicaid $89.83 ↓ -67%
UNITED HARP $89.83 ↓ -67%
UNITED CHP $89.83 ↓ -67%
Carelon GHI BMP $89.83 ↓ -67%
Carelon Managed Medicaid_HARP_CHP $89.83 ↓ -67%
Carelon Commercial_Essential Plans $89.83 ↓ -67%
Fidelis HARP_Managed Medicaid $89.83 ↓ -67%
Fidelis CHP $89.83 ↓ -67%
Carelon (Amida Care) Managed Medicaid $91.63 ↓ -67%
VNSNY Medicaid SNP $91.63 ↓ -67%
VNSNY MAP $91.63 ↓ -67%
UNITED BEHAVIORAL HEALTH CHP $91.63 ↓ -67%
UNITED BEHAVIORAL HEALTH HARP $91.63 ↓ -67%
UNITED Essential Plan 1-4_200-250 $96.12 ↓ -65%
UNITED BEHAVIORAL HEALTH Essential Plan $98.81 ↓ -64%
EMBLEM Essential Plan 3-4 $112.29 ↓ -59%
EMBLEM Essential Plan 1-2 $121.27 ↓ -56%
Emblem Essential Plan 200-250 $121.27 ↓ -56%
Healthfirst EXCHANGE $143.73 ↓ -48%
Healthfirst Small Group $146.42 ↓ -47%
Healthfirst Essential Plan 1-2 $202.12 ↓ -26%
Healthfirst Essential Plan 200-250 $202.12 ↓ -26%
MetroPlus Essential Plan 200-250 $202.12 ↓ -26%
MetroPlus Essential Plan 3-4 $202.12 ↓ -26%
Anthem HealthPlus Essential Plan 1-2 $202.12 ↓ -26%
Affinity Essential Plan 1-2 $202.12 ↓ -26%
Affinity Essential Plan 200-250 $202.12 ↓ -26%
Affinity Essential Plan 3-4 $202.12 ↓ -26%
Healthfirst Essential Plan 3-4 $202.12 ↓ -26%
Anthem HealthPlus Essential Plan 3-4 $202.12 ↓ -26%
Anthem HealthPlus Essential Plan 200-250 $202.12 ↓ -26%
Fidelis Essential Plan 1-4_200-250 $202.12 ↓ -26%
MetroPlus Essential Plan 1-2 $202.12 ↓ -26%
Healthfirst Medicare Advantage PPO $245.39 ↓ -11%
Healthfirst MEDICARE ADVANTAGE $245.39 ↓ -11%
Healthfirst MAP $245.39 ↓ -11%
VNSNY Medicare SNP $274.80 ↑ +0%
Senior Whole Health MLTC $274.80 ↑ +0%
Senior Whole Health MAP $274.80 ↑ +0%
VACCN All Products $274.80 ↑ +0%
ANTHEM MEDICARE ADVANTAGE $274.80 ↑ +0%
VNSNY Medicare Advantage $274.80 ↑ +0%
OXFORD MEDICARE ADVANTAGE $288.54 ↑ +5%
Elderplan MAP_Medicare Advantage_MLTC $295.66 ↑ +8%
Centerlight PACE $295.66 ↑ +8%
Amidacare Managed Medicaid $295.66 ↑ +8%
Wellcare MEDICARE ADVANTAGE $296.78 ↑ +8%
UNITED MEDICARE ADVANTAGE $310.44 ↑ +13%
MetroPlus MEDICARE ADVANTAGE $334.09 ↑ +22%
MetroPlus EXCHANGE $334.09 ↑ +22%
MetroPlus MAP $334.09 ↑ +22%
PB - ANTHEM EXCHANGE $342.19 ↑ +25%
EMBLEM MEDICARE ADVANTAGE $343.50 ↑ +25%
Fidelis EXCHANGE $390.22 ↑ +42%
VillageCare Max MEDICARE ADVANTAGE $443.48 ↑ +61%
VillageCare Max MAP $443.48 ↑ +61%
EMBLEM PPO_Commercial $539.38 ↑ +96%
Aetna MEDICARE ADVANTAGE $539.38 ↑ +96%
EMBLEM HIP_GHI_CHP $539.38 ↑ +96%
PB - AETNA ALL PRODUCTS $588.97 ↑ +114%
PB - LOCAL 1199 ALL PRODUCTS $602.00 ↑ +119%
PB - HAMASPIK MEDICARE ADVANTAGE $609.50 ↑ +122%
PB - CENTERLIGHT PACE $609.50 ↑ +122%
PB - OSCAR ALL PRODUCTS $670.45 ↑ +144%
PB - WELLCARE MEDICARE ADVANTAGE $731.40 ↑ +166%
Fidelis MAP $776.71 ↑ +183%
PB - AETNA MEDICARE ADVANTAGE $785.14 ↑ +186%
PB - AFFINITY ESSENTIAL $853.30 ↑ +211%
PB - AFFINITY CHP $853.30 ↑ +211%
Carelon MAP_Medicare Advantage $1,650.64 ↑ +501%
MAGNACARE PPO FPP $1,904.58 ↑ +593%
MAGNACARE PPO Non-FPP $1,904.58 ↑ +593%
MAGNACARE Direct Plus Non-FPP $1,904.58 ↑ +593%
MAGNACARE Direct Plus FPP $1,904.58 ↑ +593%
MULTIPLAN ALL PRODUCTS $2,031.55 ↑ +639%
Local 1199 ALL PRODUCTS $2,158.52 ↑ +685%
ANTHEM Blue Access Small Group $2,379.00 ↑ +766%
ANTHEM Small Group EPO_PPO $2,379.00 ↑ +766%
ANTHEM Blue Access Large Group $2,445.00 ↑ +790%
OXFORD Liberty $2,454.00 ↑ +793%
UNITED EXCHANGE $2,594.00 ↑ +844%
Aetna ALL PRODUCTS $2,626.00 ↑ +856%
ANTHEM PPO $2,644.00 ↑ +862%
ANTHEM EPO $2,644.00 ↑ +862%
ANTHEM HMO $2,644.00 ↑ +862%
ANTHEM INDEMNITY $2,644.00 ↑ +862%
OXFORD Freedom $2,780.00 ↑ +912%
UNITED ALL PRODUCTS $2,860.00 ↑ +941%
CIGNA ALL PRODUCTS $4,285.00 ↑ +1459%
OSCAR ALL PRODUCTS $4,677.00 ↑ +1602%
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE not published by hospital
PB - ANTHEM CHP not published by hospital
Anthem HealthPlus CHP not published by hospital
PB - ANTHEM ESSENTIAL PLAN 1-4 and 200-250 not published by hospital
UNITED BEHAVIORAL HEALTH All Products_Exchange 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
Hamaspik MEDICARE ADVANTAGE not published by hospital
PB - HEALTHFIRST MEDICARE ADVANTAGE PPO not published by hospital
Affinity CHP 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
Anthem HealthPlus Managed Medicaid_HARP_MLTC_MAP not published by hospital

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Impres&prep oral surg splint at other New-york hospitals

Hospital City Cash price Negotiated range
NewYork-Presbyterian Queens Flushing $4,091.00 $81.15 – $602.00
Harlem Hospital Center New York $274.80 $245.39 – $539.38
Kings County Hospital Center Brooklyn $274.80 $245.39 – $602.00
Lincoln Medical Center Bronx $274.80 $245.39 – $551.96
Metropolitan Hospital Center New York $274.80 $245.39 – $551.96
Queens Hospital Center Jamaica $274.80 $245.39 – $785.14
Woodhull Medical Center Brooklyn $274.80 $245.39 – $785.14
South Brooklyn Health Brooklyn $274.80 $245.39 – $551.96

All New-york hospitals for this procedure →