Incision/fixation of femur at Bellevue Hospital Center
462 1st Ave New York, NY 10016, NY · NYC Health + Hospitals · · NPI 1073535027
$7,413.38
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.
$3,664.00
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.
$788.38 with PB - ANTHEM vs $18,115.63 with Elderplan — 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 |
|---|---|---|---|
| PB - ANTHEM | EXCHANGE | $788.38 | ↓ -89% |
| PB - AETNA | ALL PRODUCTS | $1,418.50 | ↓ -81% |
| PB - AETNA | MEDICARE ADVANTAGE | $1,418.50 | ↓ -81% |
| PB - LOCAL 1199 | ALL PRODUCTS | $1,529.00 | ↓ -79% |
| Aetna | MEDICARE ADVANTAGE | $1,566.02 | ↓ -79% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $1,832.00 | ↓ -75% |
| PB - CENTERLIGHT | PACE | $1,832.00 | ↓ -75% |
| MetroPlus | Essential Plan 1-2 | $2,004.38 | ↓ -73% |
| MetroPlus | Essential Plan 3-4 | $2,004.38 | ↓ -73% |
| MetroPlus | Essential Plan 200-250 | $2,004.38 | ↓ -73% |
| PB - OSCAR | ALL PRODUCTS | $2,015.20 | ↓ -73% |
| Healthfirst | Managed Medicaid | $2,184.29 | ↓ -71% |
| Healthfirst | HARP | $2,184.29 | ↓ -71% |
| Healthfirst | CHP | $2,184.29 | ↓ -71% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $2,198.40 | ↓ -70% |
| Fidelis | MAP | $2,255.07 | ↓ -70% |
| PB - AFFINITY | CHP | $2,564.80 | ↓ -65% |
| PB - AFFINITY | ESSENTIAL | $2,564.80 | ↓ -65% |
| Fidelis | CHP | $2,631.67 | ↓ -65% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $2,631.67 | ↓ -65% |
| MetroPlus | SNP | $2,631.67 | ↓ -65% |
| MetroPlus | Gold | $2,631.67 | ↓ -65% |
| MetroPlus | Goldcare 1 & 2 | $2,631.67 | ↓ -65% |
| MetroPlus | Managed Medicaid | $2,631.67 | ↓ -65% |
| MetroPlus | HARP | $2,631.67 | ↓ -65% |
| MetroPlus | CHP | $2,631.67 | ↓ -65% |
| UNITED | Managed Medicaid | $2,631.67 | ↓ -65% |
| UNITED | HARP | $2,631.67 | ↓ -65% |
| UNITED | CHP | $2,631.67 | ↓ -65% |
| Anthem HealthPlus | EXCHANGE | $2,631.67 | ↓ -65% |
| Carelon | GHI BMP | $2,631.67 | ↓ -65% |
| Carelon | Managed Medicaid_HARP_CHP | $2,631.67 | ↓ -65% |
| Carelon | Commercial_Essential Plans | $2,631.67 | ↓ -65% |
| Fidelis | HARP_Managed Medicaid | $2,631.67 | ↓ -65% |
| UNITED BEHAVIORAL HEALTH | HARP | $2,684.30 | ↓ -64% |
| UNITED BEHAVIORAL HEALTH | CHP | $2,684.30 | ↓ -64% |
| VNSNY | MAP | $2,684.30 | ↓ -64% |
| VNSNY | Medicaid SNP | $2,684.30 | ↓ -64% |
| Carelon (Amida Care) | Managed Medicaid | $2,684.30 | ↓ -64% |
| UNITED | Essential Plan 1-4_200-250 | $2,815.89 | ↓ -62% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $2,894.84 | ↓ -61% |
| EMBLEM | Essential Plan 3-4 | $3,289.59 | ↓ -56% |
| Emblem | Essential Plan 200-250 | $3,552.75 | ↓ -52% |
| EMBLEM | Essential Plan 1-2 | $3,552.75 | ↓ -52% |
| Healthfirst | EXCHANGE | $4,210.67 | ↓ -43% |
| Healthfirst | Small Group | $4,289.62 | ↓ -42% |
| Healthfirst | Essential Plan 3-4 | $5,921.26 | ↓ -20% |
| Healthfirst | Essential Plan 200-250 | $5,921.26 | ↓ -20% |
| Healthfirst | Essential Plan 1-2 | $5,921.26 | ↓ -20% |
| Anthem HealthPlus | Essential Plan 1-2 | $5,921.26 | ↓ -20% |
| Anthem HealthPlus | Essential Plan 200-250 | $5,921.26 | ↓ -20% |
| Affinity | Essential Plan 3-4 | $5,921.26 | ↓ -20% |
| Anthem HealthPlus | Essential Plan 3-4 | $5,921.26 | ↓ -20% |
| Affinity | Essential Plan 200-250 | $5,921.26 | ↓ -20% |
| Affinity | Essential Plan 1-2 | $5,921.26 | ↓ -20% |
| Fidelis | Essential Plan 1-4_200-250 | $5,921.26 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $7,517.99 | ↑ +1% |
| Healthfirst | MAP | $8,876.66 | ↑ +20% |
| Healthfirst | MEDICARE ADVANTAGE | $8,876.66 | ↑ +20% |
| Senior Whole Health | MLTC | $9,057.82 | ↑ +22% |
| Amidacare | Managed Medicaid | $9,057.82 | ↑ +22% |
| Centerlight | PACE | $9,057.82 | ↑ +22% |
| UNITED | MEDICARE ADVANTAGE | $9,510.71 | ↑ +28% |
| MetroPlus | MEDICARE ADVANTAGE | $10,235.33 | ↑ +38% |
| MetroPlus | MAP | $10,235.33 | ↑ +38% |
| MetroPlus | EXCHANGE | $10,235.33 | ↑ +38% |
| VillageCare Max | MEDICARE ADVANTAGE | $13,586.72 | ↑ +83% |
| VillageCare Max | MAP | $13,586.72 | ↑ +83% |
| OSCAR | ALL PRODUCTS | $13,586.72 | ↑ +83% |
| Elderplan | MAP_Medicare Advantage_MLTC | $18,115.63 | ↑ +144% |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Incision/fixation of femur at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings County Hospital Center | Brooklyn | $7,413.38 | $788.38 – $18,115.63 |
| Queens Hospital Center | Jamaica | $7,413.38 | $788.38 – $18,115.63 |
| Woodhull Medical Center | Brooklyn | $7,413.38 | $788.38 – $18,115.63 |
| Harlem Hospital Center | New York | not published | $1,566.02 – $18,115.63 |
| Lincoln Medical Center | Bronx | not published | $1,618.65 – $18,115.63 |
| Metropolitan Hospital Center | New York | not published | $1,618.65 – $18,115.63 |
| South Brooklyn Health | Brooklyn | not published | $1,618.65 – $18,115.63 |
| North Central Bronx | Bronx | not published | $1,618.65 – $18,115.63 |