healthcosts.net
Shoulder Arthroscopy (Rotator Cuff Repair) at Bellevue Hospital Center
462 1st Ave New York, NY 10016, NY · NYC Health + Hospitals · · NPI 1073535027
$8,273.12
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.
$16,661.08
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.
$0.01 with Hamaspik vs $13,328.86 with MULTIPLAN — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $0.01 | ↓ -100% |
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $610.87 | ↓ -93% |
| Healthfirst | CHP | $977.38 | ↓ -88% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $977.38 | ↓ -88% |
| Affinity | CHP | $1,075.12 | ↓ -87% |
| Aetna | All Products | $1,080.67 | ↓ -87% |
| Aetna | MEDICARE ADVANTAGE | $1,080.67 | ↓ -87% |
| Aetna | Medicare Advantage | $1,080.67 | ↓ -87% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $1,136.21 | ↓ -86% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $1,197.30 | ↓ -86% |
| MetroPlus | HARP | $1,200.00 | ↓ -85% |
| Anthem HealthPlus | HARP | $1,221.73 | ↓ -85% |
| Anthem HealthPlus | MLTC | $1,221.73 | ↓ -85% |
| Elderplan | MAP | $1,221.73 | ↓ -85% |
| Anthem HealthPlus | MAP | $1,221.73 | ↓ -85% |
| Healthfirst | Small Group | $1,221.73 | ↓ -85% |
| Fidelis | Managed Medicaid | $1,221.73 | ↓ -85% |
| Elderplan | Medicare Advantage | $1,221.73 | ↓ -85% |
| Centerlight | PACE | $1,221.73 | ↓ -85% |
| Healthfirst | Medicare Advantage PPO | $1,221.73 | ↓ -85% |
| Fidelis | CHP | $1,221.73 | ↓ -85% |
| Elderplan | MLTC | $1,221.73 | ↓ -85% |
| Fidelis | FHP | $1,221.73 | ↓ -85% |
| Local 1199 | All Products | $1,228.00 | ↓ -85% |
| Wellcare | Medicare Advantage | $1,240.06 | ↓ -85% |
| Centers Plan for Healthy Living | Medicare Advantage | $1,270.60 | ↓ -85% |
| Hamaspik | Medicare Advantage | $1,282.82 | ↓ -84% |
| Healthfirst | HARP | $1,326.75 | ↓ -84% |
| Healthfirst | Managed Medicaid | $1,326.75 | ↓ -84% |
| Anthem HealthPlus | CHP | $1,343.90 | ↓ -84% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,466.08 | ↓ -82% |
| Oscar | All Products | $1,527.16 | ↓ -82% |
| Fidelis | QHC | $1,627.96 | ↓ -80% |
| Fidelis | MAP | $1,759.29 | ↓ -79% |
| Affinity | Essential Plan 1-4_200-250 | $2,199.11 | ↓ -73% |
| Fidelis | Essential Plan 1-4_200-250 | $2,199.11 | ↓ -73% |
| Healthfirst | MEDICARE ADVANTAGE | $2,914.00 | ↓ -65% |
| Healthfirst | MAP | $2,914.00 | ↓ -65% |
| Aetna | ALL PRODUCTS | $3,502.00 | ↓ -58% |
| Local 1199 | ALL PRODUCTS | $3,770.00 | ↓ -54% |
| MetroPlus | Managed Medicaid | $4,140.82 | ↓ -50% |
| UNITED | HARP | $4,140.82 | ↓ -50% |
| MetroPlus | CHP | $4,140.82 | ↓ -50% |
| Senior Whole Health | MLTC | $4,140.82 | ↓ -50% |
| UNITED | Managed Medicaid | $4,140.82 | ↓ -50% |
| MetroPlus | Goldcare 1 & 2 | $4,140.82 | ↓ -50% |
| MetroPlus | Gold | $4,140.82 | ↓ -50% |
| MetroPlus | SNP | $4,140.82 | ↓ -50% |
| Carelon | Managed Medicaid_HARP_CHP | $4,140.82 | ↓ -50% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $4,140.82 | ↓ -50% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $4,140.82 | ↓ -50% |
| Anthem HealthPlus | EXCHANGE | $4,140.82 | ↓ -50% |
| Senior Whole Health | MAP | $4,140.82 | ↓ -50% |
| Amidacare | Managed Medicaid | $4,140.82 | ↓ -50% |
| Fidelis | HARP_Managed Medicaid | $4,140.82 | ↓ -50% |
| VNSNY | Medicaid SNP | $4,223.64 | ↓ -49% |
| UNITED BEHAVIORAL HEALTH | HARP | $4,223.64 | ↓ -49% |
| VNSNY | MAP | $4,223.64 | ↓ -49% |
| Affinity | HARP_Managed Medicaid | $4,223.64 | ↓ -49% |
| Carelon (Amida Care) | Managed Medicaid | $4,223.64 | ↓ -49% |
| UNITED BEHAVIORAL HEALTH | CHP | $4,223.64 | ↓ -49% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↓ -48% |
| OXFORD | Liberty | $4,313.00 | ↓ -48% |
| UNITED | Essential Plan 1-4_200-250 | $4,430.68 | ↓ -46% |
| OSCAR | ALL PRODUCTS | $4,454.00 | ↓ -46% |
| ANTHEM | Small Group EPO_PPO | $4,533.00 | ↓ -45% |
| ANTHEM | Blue Access Small Group | $4,533.00 | ↓ -45% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $4,554.90 | ↓ -45% |
| ANTHEM | Blue Access Large Group | $4,659.00 | ↓ -44% |
| EMBLEM | HIP_GHI_CHP | $4,821.00 | ↓ -42% |
| OXFORD | Freedom | $4,894.00 | ↓ -41% |
| ANTHEM | EPO | $5,037.00 | ↓ -39% |
| ANTHEM | INDEMNITY | $5,037.00 | ↓ -39% |
| ANTHEM | PPO | $5,037.00 | ↓ -39% |
| ANTHEM | HMO | $5,037.00 | ↓ -39% |
| Healthfirst | EXCHANGE | $5,176.03 | ↓ -37% |
| EMBLEM | Essential Plan 3-4 | $5,176.03 | ↓ -37% |
| UNITED | CHP | $5,176.03 | ↓ -37% |
| UNITED | EXCHANGE | $5,218.00 | ↓ -37% |
| EMBLEM | Essential Plan 1-2 | $5,590.11 | ↓ -32% |
| UNITED | ALL PRODUCTS | $6,042.00 | ↓ -27% |
| Elderplan | MAP_Medicare Advantage_MLTC | $8,453.60 | ↑ +2% |
| VNSNY | Medicare Advantage | $8,453.60 | ↑ +2% |
| ANTHEM | MEDICARE ADVANTAGE | $8,453.60 | ↑ +2% |
| VACCN | All Products | $8,453.60 | ↑ +2% |
| VNSNY | Medicare SNP | $8,453.60 | ↑ +2% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $8,791.75 | ↑ +6% |
| UNITED | MEDICARE ADVANTAGE | $8,876.28 | ↑ +7% |
| OXFORD | MEDICARE ADVANTAGE | $8,876.28 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $8,934.97 | ↑ +8% |
| Healthfirst | Essential Plan 1-2 | $9,316.85 | ↑ +13% |
| MetroPlus | Essential Plan 200-250 | $9,316.85 | ↑ +13% |
| Healthfirst | Essential Plan 3-4 | $9,316.85 | ↑ +13% |
| MetroPlus | Essential Plan 1-2 | $9,316.85 | ↑ +13% |
| Anthem HealthPlus | Essential Plan 3-4 | $9,316.85 | ↑ +13% |
| Affinity | Essential Plan 1-2 | $9,316.85 | ↑ +13% |
| Affinity | Essential Plan 200-250 | $9,316.85 | ↑ +13% |
| Healthfirst | Essential Plan 200-250 | $9,316.85 | ↑ +13% |
| Affinity | Essential Plan 3-4 | $9,316.85 | ↑ +13% |
| MetroPlus | Essential Plan 3-4 | $9,316.85 | ↑ +13% |
| MetroPlus | MAP | $9,348.62 | ↑ +13% |
| MetroPlus | EXCHANGE | $9,348.62 | ↑ +13% |
| MetroPlus | MEDICARE ADVANTAGE | $9,348.62 | ↑ +13% |
| EMBLEM | MEDICARE ADVANTAGE | $10,567.01 | ↑ +28% |
| Carelon | GHI BMP | $10,829.70 | ↑ +31% |
| Carelon | MAP_Medicare Advantage | $10,829.70 | ↑ +31% |
| Carelon | Commercial_Essential Plans | $10,829.70 | ↑ +31% |
| Fidelis | EXCHANGE | $12,004.11 | ↑ +45% |
| VillageCare Max | MAP | $12,409.67 | ↑ +50% |
| VillageCare Max | MEDICARE ADVANTAGE | $12,409.67 | ↑ +50% |
| MAGNACARE | PPO Non-FPP | $12,495.81 | ↑ +51% |
| MAGNACARE | Direct Plus Non-FPP | $12,495.81 | ↑ +51% |
| MULTIPLAN | ALL PRODUCTS | $13,328.86 | ↑ +61% |
| United Behavioral Health | Exchange | not published by hospital | — |
| Anthem HealthPlus | Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder Arthroscopy (Rotator Cuff Repair) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings County Hospital Center | Brooklyn | $8,189.28 | $630.98 – $14,161.92 |
| Queens Hospital Center | Jamaica | $8,273.12 | $607.86 – $14,161.92 |
| Woodhull Medical Center | Brooklyn | $8,273.12 | $630.98 – $14,161.92 |
| Elmhurst Hospital Center | NY 11373 | not published | $972.57 – $11,918.04 |
| Harlem Hospital Center | New York | not published | $977.38 – $11,918.04 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Jacobi Medical Center | Bronx | not published | $1,009.57 – $14,161.92 |
| Lincoln Medical Center | Bronx | not published | $1,009.57 – $11,918.04 |