App high cost ss t/a/l >100sq cm addl 100sq cm at NewYork-Presbyterian Queens
56-45 Main Street, Flushing, NY · NewYork-Presbyterian · · NPI 1952347205
$4,107.00
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.
not published by hospital
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.
$79.00 with 1199SEIU Funds vs $7,072.43 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 |
|---|---|---|---|
| 1199SEIU Funds | All Commercial Plans | $79.00 | ↓ -98% |
| Oxford Health Plans | All Commercial Plans | $384.99 | ↓ -91% |
| United Healthcare | All Commercial Plans | $403.80 | ↓ -90% |
| VNS Health | Medicaid | $1,746.54 | ↓ -57% |
| Fidelis Care | Medicaid/Child Health Plus | $1,746.54 | ↓ -57% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $1,746.54 | ↓ -57% |
| Anthem BCBS Healthplus | Medicaid | $1,746.54 | ↓ -57% |
| Anthem BCBS Healthplus | nystateofhealth plans | $1,746.54 | ↓ -57% |
| United Healthcare | Medicaid | $1,861.63 | ↓ -55% |
| HealthFirst | Medicaid/Child Health Plus | $1,868.79 | ↓ -54% |
| United Healthcare | Child Health Plus | $1,943.72 | ↓ -53% |
| EmblemHealth | Medicaid/Child Health Plus | $2,008.52 | ↓ -51% |
| Amida Care | Medicaid | $2,008.52 | ↓ -51% |
| HealthFirst | nystateofhealth plans | $2,513.48 | ↓ -39% |
| Anthem BCBS Healthplus | Child Health Plus | $2,619.81 | ↓ -36% |
| MagnaCare | All Commercial Plans | $3,121.32 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $3,490.95 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $3,573.09 | ↓ -13% |
| Beechstreet | All Commercial Plans | $3,696.30 | ↓ -10% |
| Devon | All Commercial Plans | $3,696.30 | ↓ -10% |
| First Health | All Commercial Plans | $3,819.51 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $3,860.58 | ↓ -6% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $3,929.71 | ↓ -4% |
| Fidelis Care | All NYS Essential Plans | $4,366.34 | ↑ +6% |
| Fidelis Care | nystateofhealth plans | $4,366.34 | ↑ +6% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $5,798.50 | ↑ +41% |
| United Healthcare | All NYS Essential Plans | $6,387.96 | ↑ +56% |
| HealthFirst | All Essential Plans | $7,072.43 | ↑ +72% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm addl 100sq cm at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $211.20 | $37.63 – $1,033.67 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $4,107.00 | $1,946.54 – $2,238.52 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $4,107.00 | $1,946.54 – $2,238.52 |
| Bellevue Hospital Center | NY 10016 | not published | $0.01 – $645.00 |
| Harlem Hospital Center | New York | not published | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn | not published | $0.01 – $645.00 |
| Lincoln Medical Center | Bronx | not published | $0.01 – $645.00 |
| Metropolitan Hospital Center | New York | not published | $0.01 – $645.00 |