Pt init/spiromet rec/review/interp 94016 at Bellevue Hospital Center
462 1st Ave New York, NY 10016, NY · NYC Health + Hospitals · · NPI 1073535027
$27.33
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.
$306.21
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.
$14.95 with PB - ANTHEM vs $274.10 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 | $14.95 | ↓ -45% |
| PB - AETNA | ALL PRODUCTS | $21.57 | ↓ -21% |
| PB - AETNA | MEDICARE ADVANTAGE | $21.57 | ↓ -21% |
| Healthfirst | MAP | $22.68 | ↓ -17% |
| Healthfirst | MEDICARE ADVANTAGE | $22.68 | ↓ -17% |
| Aetna | MEDICARE ADVANTAGE | $25.77 | ↓ -6% |
| Senior Whole Health | MAP | $25.77 | ↓ -6% |
| VNSNY | Medicare Advantage | $25.77 | ↓ -6% |
| Hamaspik | MEDICARE ADVANTAGE | $25.77 | ↓ -6% |
| EMBLEM | PPO_Commercial | $25.77 | ↓ -6% |
| EMBLEM | HIP_GHI_CHP | $25.77 | ↓ -6% |
| VNSNY | Medicare SNP | $25.77 | ↓ -6% |
| ANTHEM | MEDICARE ADVANTAGE | $25.77 | ↓ -6% |
| VACCN | All Products | $25.77 | ↓ -6% |
| Senior Whole Health | MLTC | $25.77 | ↓ -6% |
| Healthfirst | Medicare Advantage PPO | $26.78 | ↓ -2% |
| OXFORD | MEDICARE ADVANTAGE | $27.06 | ↓ -1% |
| Elderplan | MAP_Medicare Advantage_MLTC | $27.33 | ↑ +0% |
| Centerlight | PACE | $27.33 | ↑ +0% |
| Amidacare | Managed Medicaid | $27.33 | ↑ +0% |
| Wellcare | MEDICARE ADVANTAGE | $27.83 | ↑ +2% |
| UNITED | MEDICARE ADVANTAGE | $28.70 | ↑ +5% |
| PB - LOCAL 1199 | ALL PRODUCTS | $29.00 | ↑ +6% |
| MetroPlus | EXCHANGE | $30.88 | ↑ +13% |
| MetroPlus | MEDICARE ADVANTAGE | $30.88 | ↑ +13% |
| MetroPlus | MAP | $30.88 | ↑ +13% |
| EMBLEM | MEDICARE ADVANTAGE | $32.21 | ↑ +18% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $34.50 | ↑ +26% |
| PB - CENTERLIGHT | PACE | $34.50 | ↑ +26% |
| Fidelis | MAP | $37.11 | ↑ +36% |
| Aetna | ALL PRODUCTS | $37.53 | ↑ +37% |
| PB - OSCAR | ALL PRODUCTS | $37.95 | ↑ +39% |
| VillageCare Max | MAP | $41.00 | ↑ +50% |
| VillageCare Max | MEDICARE ADVANTAGE | $41.00 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $41.00 | ↑ +50% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $41.40 | ↑ +51% |
| PB - AFFINITY | ESSENTIAL | $48.30 | ↑ +77% |
| PB - AFFINITY | CHP | $48.30 | ↑ +77% |
| ANTHEM | Blue Access Small Group | $79.80 | ↑ +192% |
| ANTHEM | Small Group EPO_PPO | $79.80 | ↑ +192% |
| ANTHEM | Blue Access Large Group | $82.37 | ↑ +201% |
| OXFORD | Liberty | $88.00 | ↑ +222% |
| ANTHEM | PPO | $88.92 | ↑ +225% |
| ANTHEM | EPO | $88.92 | ↑ +225% |
| ANTHEM | HMO | $88.92 | ↑ +225% |
| ANTHEM | INDEMNITY | $88.92 | ↑ +225% |
| Healthfirst | HARP | $101.12 | ↑ +270% |
| Healthfirst | CHP | $101.12 | ↑ +270% |
| Healthfirst | Managed Medicaid | $101.12 | ↑ +270% |
| OXFORD | Freedom | $102.00 | ↑ +273% |
| UNITED | EXCHANGE | $115.00 | ↑ +321% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $121.82 | ↑ +346% |
| Carelon | Managed Medicaid_HARP_CHP | $121.82 | ↑ +346% |
| Anthem HealthPlus | EXCHANGE | $121.82 | ↑ +346% |
| Fidelis | HARP_Managed Medicaid | $121.82 | ↑ +346% |
| UNITED | Managed Medicaid | $121.82 | ↑ +346% |
| Fidelis | CHP | $121.82 | ↑ +346% |
| UNITED | HARP | $121.82 | ↑ +346% |
| MetroPlus | Gold | $121.83 | ↑ +346% |
| MetroPlus | CHP | $121.83 | ↑ +346% |
| UNITED | CHP | $121.83 | ↑ +346% |
| MetroPlus | Goldcare 1 & 2 | $121.83 | ↑ +346% |
| MetroPlus | HARP | $121.83 | ↑ +346% |
| MetroPlus | Managed Medicaid | $121.83 | ↑ +346% |
| MetroPlus | SNP | $121.83 | ↑ +346% |
| Carelon | Commercial_Essential Plans | $121.83 | ↑ +346% |
| Carelon | GHI BMP | $121.83 | ↑ +346% |
| UNITED BEHAVIORAL HEALTH | HARP | $124.26 | ↑ +355% |
| Carelon (Amida Care) | Managed Medicaid | $124.26 | ↑ +355% |
| UNITED BEHAVIORAL HEALTH | CHP | $124.26 | ↑ +355% |
| VNSNY | Medicaid SNP | $124.26 | ↑ +355% |
| VNSNY | MAP | $124.26 | ↑ +355% |
| UNITED | ALL PRODUCTS | $128.00 | ↑ +368% |
| UNITED | Essential Plan 1-4_200-250 | $130.35 | ↑ +377% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $134.00 | ↑ +390% |
| EMBLEM | Essential Plan 3-4 | $152.29 | ↑ +457% |
| EMBLEM | Essential Plan 1-2 | $164.47 | ↑ +502% |
| Emblem | Essential Plan 200-250 | $164.47 | ↑ +502% |
| Healthfirst | EXCHANGE | $194.93 | ↑ +613% |
| Healthfirst | Small Group | $198.58 | ↑ +627% |
| Carelon | MAP_Medicare Advantage | $199.04 | ↑ +628% |
| MAGNACARE | PPO Non-FPP | $229.66 | ↑ +740% |
| MAGNACARE | PPO FPP | $229.66 | ↑ +740% |
| CIGNA | ALL PRODUCTS | $229.66 | ↑ +740% |
| MAGNACARE | Direct Plus FPP | $229.66 | ↑ +740% |
| MAGNACARE | Direct Plus Non-FPP | $229.66 | ↑ +740% |
| MULTIPLAN | ALL PRODUCTS | $244.97 | ↑ +796% |
| Local 1199 | ALL PRODUCTS | $260.28 | ↑ +852% |
| Affinity | Essential Plan 200-250 | $274.10 | ↑ +903% |
| Affinity | Essential Plan 1-2 | $274.10 | ↑ +903% |
| Fidelis | Essential Plan 1-4_200-250 | $274.10 | ↑ +903% |
| MetroPlus | Essential Plan 3-4 | $274.10 | ↑ +903% |
| MetroPlus | Essential Plan 200-250 | $274.10 | ↑ +903% |
| MetroPlus | Essential Plan 1-2 | $274.10 | ↑ +903% |
| Healthfirst | Essential Plan 200-250 | $274.10 | ↑ +903% |
| Healthfirst | Essential Plan 1-2 | $274.10 | ↑ +903% |
| Anthem HealthPlus | Essential Plan 3-4 | $274.10 | ↑ +903% |
| Anthem HealthPlus | Essential Plan 200-250 | $274.10 | ↑ +903% |
| Affinity | Essential Plan 3-4 | $274.10 | ↑ +903% |
| Anthem HealthPlus | Essential Plan 1-2 | $274.10 | ↑ +903% |
| Healthfirst | Essential Plan 3-4 | $274.10 | ↑ +903% |
| Affinity | CHP | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | 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 | — |
Visitor-reported prices
Comments
Pt init/spiromet rec/review/interp 94016 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Harlem Hospital Center | New York | $26.14 | $23.00 – $41.57 |
| Kings County Hospital Center | Brooklyn | $27.71 | $14.95 – $41.57 |
| Lincoln Medical Center | Bronx | $26.14 | $23.00 – $41.57 |
| Metropolitan Hospital Center | New York | $25.77 | $22.68 – $41.00 |
| Queens Hospital Center | Jamaica | $27.38 | $14.95 – $41.07 |
| Woodhull Medical Center | Brooklyn | $27.71 | $14.95 – $41.57 |
| South Brooklyn Health | Brooklyn | $26.14 | $23.00 – $41.57 |
| North Central Bronx | Bronx | $26.14 | $23.00 – $41.57 |