Gamunex-c/gammaked at NewYork-Presbyterian Queens
56-45 Main Street, Flushing, NY · NewYork-Presbyterian · · NPI 1952347205
$34.74
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.
$11.38 with Cigna Healthcare vs $6,168.03 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 |
|---|---|---|---|
| Cigna Healthcare | All Commercial Plans | $11.38 | ↓ -67% |
| HealthFirst | nystateofhealth plans | $21.26 | ↓ -39% |
| MagnaCare | All Commercial Plans | $26.40 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $29.53 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $30.22 | ↓ -13% |
| Devon | All Commercial Plans | $31.27 | ↓ -10% |
| Beechstreet | All Commercial Plans | $31.27 | ↓ -10% |
| First Health | All Commercial Plans | $32.31 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $32.66 | ↓ -6% |
| Anthem BCBS | Medicare Advantage | $45.63 | ↑ +31% |
| Anthem BCBS Healthplus | Medicare Advantage | $45.63 | ↑ +31% |
| EmblemHealth | Medicare Advantage | $48.03 | ↑ +38% |
| Anthem BCBS | All Commercial Plans | $48.03 | ↑ +38% |
| 1199SEIU Funds | All Commercial Plans | $48.03 | ↑ +38% |
| Senior Whole Health | Medicare Advantage | $48.03 | ↑ +38% |
| Fidelis Care | Medicare Advantage | $48.03 | ↑ +38% |
| Cigna Healthcare | Medicare Advantage | $48.03 | ↑ +38% |
| Aetna | Medicare Advantage | $49.47 | ↑ +42% |
| Oxford Health Plans | Medicare Advantage | $49.47 | ↑ +42% |
| United Healthcare | Medicare Advantage | $49.47 | ↑ +42% |
| VNS Health | Medicare Advantage | $49.47 | ↑ +42% |
| WellCare | Medicare Advantage | $49.71 | ↑ +43% |
| Elderplan | Medicare Advantage | $50.43 | ↑ +45% |
| HealthFirst | Medicare Advantage | $50.43 | ↑ +45% |
| EmblemHealth | All NYS Essential Plans | $83.57 | ↑ +141% |
| United Healthcare | All Commercial Plans | $84.13 | ↑ +142% |
| Oxford Health Plans | All Commercial Plans | $89.68 | ↑ +158% |
| Aetna | Commercial | $139.73 | ↑ +302% |
| EmblemHealth | All Commercial Plans | $150.08 | ↑ +332% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $1,447.04 | ↑ +4065% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $1,447.04 | ↑ +4065% |
| Fidelis Care | All NYS Essential Plans | $1,523.20 | ↑ +4285% |
| Anthem BCBS Healthplus | nystateofhealth plans | $1,523.20 | ↑ +4285% |
| Amida Care | Medicaid | $1,523.20 | ↑ +4285% |
| Fidelis Care | nystateofhealth plans | $1,523.20 | ↑ +4285% |
| Fidelis Care | Medicaid/Child Health Plus | $1,523.20 | ↑ +4285% |
| Anthem BCBS Healthplus | Medicaid | $1,523.20 | ↑ +4285% |
| VNS Health | Medicaid | $1,523.20 | ↑ +4285% |
| United Healthcare | Medicaid | $1,623.57 | ↑ +4573% |
| HealthFirst | Medicaid/Child Health Plus | $1,629.82 | ↑ +4591% |
| United Healthcare | Child Health Plus | $1,695.16 | ↑ +4780% |
| EmblemHealth | Medicaid/Child Health Plus | $2,284.79 | ↑ +6477% |
| Anthem BCBS Healthplus | Child Health Plus | $2,284.79 | ↑ +6477% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $5,057.01 | ↑ +14457% |
| United Healthcare | All NYS Essential Plans | $5,571.09 | ↑ +15937% |
| HealthFirst | All Essential Plans | $6,168.03 | ↑ +17655% |