healthcosts.net
Shoulder X-ray at Bellevue Hospital Center
462 1st Ave New York, NY 10016, NY · NYC Health + Hospitals · · NPI 1073535027
$105.08
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.
$332.75
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.
$15.00 with UNITED vs $282.84 with Local 1199 — 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 |
|---|---|---|---|
| UNITED | HARP | $15.00 | ↓ -86% |
| UNITED | Managed Medicaid | $15.00 | ↓ -86% |
| UNITED | Essential Plan 1-4_200-250 | $16.05 | ↓ -85% |
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $19.48 | ↓ -81% |
| EMBLEM | Essential Plan 1-2 | $20.45 | ↓ -81% |
| Aetna | All Products | $22.38 | ↓ -79% |
| Aetna | Medicare Advantage | $22.38 | ↓ -79% |
| Anthem HealthPlus | Exchange | $24.01 | ↓ -77% |
| Healthfirst | HARP | $31.16 | ↓ -70% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $31.16 | ↓ -70% |
| Healthfirst | Managed Medicaid | $31.16 | ↓ -70% |
| Affinity | CHP | $34.28 | ↓ -67% |
| Healthfirst | CHP | $35.06 | ↓ -67% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $36.22 | ↓ -66% |
| Aetna | ALL PRODUCTS | $36.93 | ↓ -65% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $38.17 | ↓ -64% |
| Anthem HealthPlus | HARP | $38.95 | ↓ -63% |
| EMBLEM | HIP_GHI_CHP | $38.95 | ↓ -63% |
| Anthem HealthPlus | MLTC | $38.95 | ↓ -63% |
| Elderplan | MAP | $38.95 | ↓ -63% |
| Anthem HealthPlus | MAP | $38.95 | ↓ -63% |
| Healthfirst | Small Group | $38.95 | ↓ -63% |
| Fidelis | Managed Medicaid | $38.95 | ↓ -63% |
| Elderplan | Medicare Advantage | $38.95 | ↓ -63% |
| Centerlight | PACE | $38.95 | ↓ -63% |
| Healthfirst | Medicare Advantage PPO | $38.95 | ↓ -63% |
| Fidelis | CHP | $38.95 | ↓ -63% |
| Elderplan | MLTC | $38.95 | ↓ -63% |
| Fidelis | FHP | $38.95 | ↓ -63% |
| Amidacare | Managed Medicaid | $38.95 | ↓ -63% |
| Wellcare | Medicare Advantage | $39.53 | ↓ -62% |
| Centers Plan for Healthy Living | Medicare Advantage | $40.51 | ↓ -61% |
| Hamaspik | Medicare Advantage | $40.90 | ↓ -61% |
| Local 1199 | All Products | $41.00 | ↓ -61% |
| Anthem HealthPlus | CHP | $42.85 | ↓ -59% |
| Anthem HealthPlus | Essential Plan 1-2 | $46.74 | ↓ -56% |
| Oscar | All Products | $48.69 | ↓ -54% |
| MetroPlus | Essential Plan 200-250 | $50.12 | ↓ -52% |
| MetroPlus | Essential Plan 1-2 | $50.12 | ↓ -52% |
| MetroPlus | Essential Plan 3-4 | $50.12 | ↓ -52% |
| Fidelis | QHC | $51.90 | ↓ -51% |
| Fidelis | MAP | $56.09 | ↓ -47% |
| CIGNA | ALL PRODUCTS | $63.01 | ↓ -40% |
| ANTHEM | Small Group EPO_PPO | $63.95 | ↓ -39% |
| ANTHEM | Blue Access Small Group | $63.95 | ↓ -39% |
| ANTHEM | Blue Access Large Group | $65.86 | ↓ -37% |
| Healthfirst | MEDICARE ADVANTAGE | $66.55 | ↓ -37% |
| Healthfirst | MAP | $66.55 | ↓ -37% |
| OXFORD | Freedom | $67.05 | ↓ -36% |
| UNITED | ALL PRODUCTS | $67.05 | ↓ -36% |
| OXFORD | Liberty | $67.05 | ↓ -36% |
| UNITED | EXCHANGE | $67.05 | ↓ -36% |
| Affinity | Essential Plan 1-4_200-250 | $70.11 | ↓ -33% |
| Fidelis | Essential Plan 1-4_200-250 | $70.11 | ↓ -33% |
| ANTHEM | EPO | $71.13 | ↓ -32% |
| ANTHEM | INDEMNITY | $71.13 | ↓ -32% |
| ANTHEM | PPO | $71.13 | ↓ -32% |
| ANTHEM | HMO | $71.13 | ↓ -32% |
| MetroPlus | HARP | $71.64 | ↓ -32% |
| MetroPlus | Managed Medicaid | $75.38 | ↓ -28% |
| MetroPlus | CHP | $75.38 | ↓ -28% |
| Senior Whole Health | MLTC | $75.38 | ↓ -28% |
| MetroPlus | Goldcare 1 & 2 | $75.38 | ↓ -28% |
| MetroPlus | Gold | $75.38 | ↓ -28% |
| MetroPlus | SNP | $75.38 | ↓ -28% |
| Carelon | Managed Medicaid_HARP_CHP | $75.38 | ↓ -28% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $75.38 | ↓ -28% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $75.38 | ↓ -28% |
| Anthem HealthPlus | EXCHANGE | $75.38 | ↓ -28% |
| Senior Whole Health | MAP | $75.38 | ↓ -28% |
| Fidelis | HARP_Managed Medicaid | $75.38 | ↓ -28% |
| VNSNY | Medicaid SNP | $76.89 | ↓ -27% |
| UNITED BEHAVIORAL HEALTH | HARP | $76.89 | ↓ -27% |
| VNSNY | MAP | $76.89 | ↓ -27% |
| Affinity | HARP_Managed Medicaid | $76.89 | ↓ -27% |
| Carelon (Amida Care) | Managed Medicaid | $76.89 | ↓ -27% |
| UNITED BEHAVIORAL HEALTH | CHP | $76.89 | ↓ -27% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $82.92 | ↓ -21% |
| Hamaspik | MEDICARE ADVANTAGE | $83.36 | ↓ -21% |
| Healthfirst | EXCHANGE | $94.23 | ↓ -10% |
| EMBLEM | Essential Plan 3-4 | $94.23 | ↓ -10% |
| UNITED | CHP | $94.23 | ↓ -10% |
| VNSNY | Medicare Advantage | $104.19 | ↓ -1% |
| ANTHEM | MEDICARE ADVANTAGE | $104.19 | ↓ -1% |
| Aetna | MEDICARE ADVANTAGE | $104.19 | ↓ -1% |
| VACCN | All Products | $104.19 | ↓ -1% |
| VNSNY | Medicare SNP | $104.19 | ↓ -1% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $108.36 | ↑ +3% |
| UNITED | MEDICARE ADVANTAGE | $109.40 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $109.40 | ↑ +4% |
| MetroPlus | MAP | $118.74 | ↑ +13% |
| MetroPlus | EXCHANGE | $118.74 | ↑ +13% |
| MetroPlus | MEDICARE ADVANTAGE | $118.74 | ↑ +13% |
| Fidelis | EXCHANGE | $147.95 | ↑ +41% |
| Wellcare | MEDICARE ADVANTAGE | $154.21 | ↑ +47% |
| OSCAR | ALL PRODUCTS | $156.29 | ↑ +49% |
| EMBLEM | MEDICARE ADVANTAGE | $156.29 | ↑ +49% |
| VillageCare Max | MAP | $157.63 | ↑ +50% |
| VillageCare Max | MEDICARE ADVANTAGE | $157.63 | ↑ +50% |
| Healthfirst | Essential Plan 1-2 | $169.61 | ↑ +61% |
| Healthfirst | Essential Plan 3-4 | $169.61 | ↑ +61% |
| Anthem HealthPlus | Essential Plan 3-4 | $169.61 | ↑ +61% |
| Affinity | Essential Plan 1-2 | $169.61 | ↑ +61% |
| Affinity | Essential Plan 200-250 | $169.61 | ↑ +61% |
| Healthfirst | Essential Plan 200-250 | $169.61 | ↑ +61% |
| Affinity | Essential Plan 3-4 | $169.61 | ↑ +61% |
| Elderplan | MAP_Medicare Advantage_MLTC | $208.39 | ↑ +98% |
| Carelon | GHI BMP | $216.29 | ↑ +106% |
| Carelon | MAP_Medicare Advantage | $216.29 | ↑ +106% |
| Carelon | Commercial_Essential Plans | $216.29 | ↑ +106% |
| MAGNACARE | PPO Non-FPP | $249.56 | ↑ +137% |
| MAGNACARE | Direct Plus Non-FPP | $249.56 | ↑ +137% |
| MULTIPLAN | ALL PRODUCTS | $266.20 | ↑ +153% |
| Local 1199 | ALL PRODUCTS | $282.84 | ↑ +169% |
| United Behavioral Health | 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 X-ray at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings County Hospital Center | Brooklyn | $104.02 | $15.00 – $282.84 |
| UPMC Chautauqua | Jamestown | $133.80 | $35.89 – $269.80 |
| Queens Hospital Center | Jamaica | $105.08 | $15.00 – $282.84 |
| Woodhull Medical Center | Brooklyn | $105.08 | $20.02 – $282.84 |
| Elmhurst Hospital Center | NY 11373 | not published | $15.00 – $198.76 |
| Harlem Hospital Center | New York | not published | $15.00 – $198.76 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Jacobi Medical Center | Bronx | not published | $22.38 – $282.84 |