Cost of Services
After Hours Coverage
Cost of Services
NYC Health + Hospitals/Harlem is committed to providing you with as much information as possible about our charges. The information on the link below contains the charges for all services and items provided by the hospital.
The charges are uniform for all patients served by the hospital. However, the hospital charges rarely reflect the expected out-of-pocket expense for a specific hospital service, nor do they reflect the actual payment that the hospital will receive for those services. Your own charges and out-of-pocket expenses will depend on one or more of the following:
- the actual patient care services received
- the terms of your insurance coverage, including your specific co-insurance, co-payment and deductible, and/or
- your eligibility for financial assistance
If you don’t have insurance, we can help explain the choices available to you and assist you enrolling in the plan that is best for you and your family. If you do not qualify or cannot afford any of the free or low-cost health insurance plans available, you may qualify for NYC Health + Hospitals Options – a free or discount payment plan to make our health care services affordable for you and your family. For a fuller understanding of your estimated out-of-pocket expenses, you should contact your insurer or the hospital’s patient financial counseling department at 212-939-8125.
The charges provided are for hospital services only and do not reflect any charges you may receive from the physicians caring for you.
Average Cost of Hospital Stay by Condition – Diagnosis Related Group (DRG)
COVID-19 tests are available FREE at all NYC Health + Hospitals testing sites. Insurance is not required to receive a free COVID-19 test or an antibody test at any NYC Health + Hospitals location. If patients have insurance, we bill the insurer directly and never charge a co-pay or co-insurance.
The charges listed below reflect the standard charge amounts that the government requires us to publicly post and do not reflect costs to patients.
COVID-19 Test Pricing Information
Avoid Surprises. Reduce your chances of receiving an unexpected invoice for non-emergency healthcare. Get information about how to reach our financial counselors, what health plans we participate in and the costs for many of our services.
Click here for a list of the insurance plans we participate with currently at NYC Health + Hospitals/Harlem.
- Financial Assistance
If you are not eligible for health insurance coverage or cannot afford it, you may qualify for one of our financial assistance programs, NYC Care or H+H Options. These financial assistance programs make our health care services affordable for you and your family.
A NYC Health + Hospitals subsidiary offers moderate, low, and no-cost health insurance. MetroPlusHealth also offers MetroPlusHealth Gold for employees of NYC Heath + Hospitals (H+H), and other City agencies and their dependents.
- Other Contracted Health Plans include:
|Healthfirst||Independence Care System|
|Emblem (HIP and GHI)||Magnacare|
|United Community Plan||Multiplan|
|United Healthcare||NSLIJ CareConnect|
|AlphaCare||RiverSpring (ElderServe via Magnacare)|
|CenterLight||Village Care MAX|
|Centers Plan for Health Living||GuildNet|
SPECIALTY SERVICES ONLY
- Value Options
- United Behavioral Health/OPTUM
- Beacon Health Strategies
MetroPlusHealth and Healthfirst representatives are also available in the Ronald H. Brown Pavilion to assist you with the following;
- PCP Assignment
- Customer Service requests
For additional information regarding any health plan that is not listed, Managed Care representatives are located on the 1st-4th floors of the Ronald H. Brown Pavilion or for a complete list of all contracted health plans, contact the Managed Care office at 212-939-8395.
If you have Medicaid, please speak with one of our Medicaid Manage Care counselors about enrolling in a Managed Care Plan. For additional information, call us at 212-939-8395.
Other Public Financial Assistance – Our financial counselors can help you get financial assistance for healthcare costs through a number of programs.
Prescription Assistance – If you don’t have prescription coverage, we can help you access several programs that could help.
We can assist you with health plan changes including requests for authorizations, referrals, primary care provider updates, and site changes. NYC Health + Hospitals/Harlem is contracted with and accepts a variety of Health Insurance Plans through the following lines of business: Medicaid, Child Health Plus, Medicaid HIV Special Needs Plan (SNP), Medicare, Health and Recovery Plan (HARP), Fully Integrated Dual Advantage (FIDA), and Commercial: Essential Plan (EP) and Qualified Health Plan (QHP), Small Business Health Options Program (SHOP).
The Pharmacy is conveniently located on the first floor of the Ronald H. Brown Ambulatory Care Pavilion. It is open from 8:30 a.m. to 6:00 p.m. Monday to Friday. In the event you do not have Medicaid, Medicare or insurance coverage your prescriptions can be filled if you are financially cleared by the Department of Finance also located in the Ronald H. Brown Building.
The Transportation Office will help you make arrangements to get to NYC Health + Hospitals/Harlem by ambulette or livery if you have Medicaid and your doctor recommends it. Call: 212-939-8160.
We can help you get the family support and social services you need. Our Social Workers are specially trained to help you manage your care and make sure you and your family get the support you need. Call 212-939-4600
Our World Trade Center Counseling Project provides counseling to victims or responders. Call 212-939-3212 for additional information.
NYC Health + Hospitals/Harlem understands that information about you and your health is very personal. We are committed to protecting the privacy of that information.
The Women, Infants and Children (WIC) program provided eligible women and their children with supplement food nutrition, health education and referrals for health care services. Call 212-939-2730 for more information on their location.
AFTER HOURS COVERAGE
If you need to reach your physician after hours, please call 800-353-7102