Ghs intermed repair 12.6 - 20.0 cm-12035 at NewYork-Presbyterian Queens
56-45 Main Street, Flushing, NY · NewYork-Presbyterian · · NPI 1952347205
$3,264.00
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.
$225.00 with 1199SEIU Funds vs $3,455.62 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 | $225.00 | ↓ -93% |
| Anthem BCBS Healthplus | Medicare Advantage | $449.12 | ↓ -86% |
| Anthem BCBS | Medicare Advantage | $449.12 | ↓ -86% |
| EmblemHealth | Medicare Advantage | $472.76 | ↓ -86% |
| Cigna Healthcare | Medicare Advantage | $472.76 | ↓ -86% |
| Senior Whole Health | Medicare Advantage | $472.76 | ↓ -86% |
| Fidelis Care | Medicare Advantage | $472.76 | ↓ -86% |
| Oxford Health Plans | Medicare Advantage | $486.94 | ↓ -85% |
| United Healthcare | Medicare Advantage | $486.94 | ↓ -85% |
| VNS Health | Medicare Advantage | $486.94 | ↓ -85% |
| Aetna | Medicare Advantage | $486.94 | ↓ -85% |
| WellCare | Medicare Advantage | $489.31 | ↓ -85% |
| Elderplan | Medicare Advantage | $496.40 | ↓ -85% |
| HealthFirst | Medicare Advantage | $496.40 | ↓ -85% |
| Fidelis Care | Medicaid/Child Health Plus | $853.37 | ↓ -74% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $853.37 | ↓ -74% |
| Anthem BCBS Healthplus | Medicaid | $853.37 | ↓ -74% |
| Anthem BCBS Healthplus | nystateofhealth plans | $853.37 | ↓ -74% |
| VNS Health | Medicaid | $853.37 | ↓ -74% |
| United Healthcare | Medicaid | $909.60 | ↓ -72% |
| HealthFirst | Medicaid/Child Health Plus | $913.10 | ↓ -72% |
| United Healthcare | Child Health Plus | $949.71 | ↓ -71% |
| EmblemHealth | Medicaid/Child Health Plus | $981.37 | ↓ -70% |
| Amida Care | Medicaid | $981.37 | ↓ -70% |
| Anthem BCBS Healthplus | Child Health Plus | $1,280.05 | ↓ -61% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $1,920.07 | ↓ -41% |
| HealthFirst | nystateofhealth plans | $1,997.57 | ↓ -39% |
| Fidelis Care | nystateofhealth plans | $2,133.42 | ↓ -35% |
| Fidelis Care | All NYS Essential Plans | $2,133.42 | ↓ -35% |
| Oxford Health Plans | All Commercial Plans | $2,159.58 | ↓ -34% |
| United Healthcare | All Commercial Plans | $2,265.07 | ↓ -31% |
| MagnaCare | All Commercial Plans | $2,480.64 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $2,774.40 | ↓ -15% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $2,833.18 | ↓ -13% |
| First Health Coventry | All Commercial Plans | $2,839.68 | ↓ -13% |
| Beechstreet | All Commercial Plans | $2,937.60 | ↓ -10% |
| Devon | All Commercial Plans | $2,937.60 | ↓ -10% |
| First Health | All Commercial Plans | $3,035.52 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $3,068.16 | ↓ -6% |
| United Healthcare | All NYS Essential Plans | $3,121.19 | ↓ -4% |
| HealthFirst | All Essential Plans | $3,455.62 | ↑ +6% |
Visitor-reported prices
Comments
Ghs intermed repair 12.6 - 20.0 cm-12035 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $472.79 | $0.01 – $781.00 |
| Harlem Hospital Center | New York | $472.79 | $0.01 – $781.00 |
| Kings County Hospital Center | Brooklyn | $472.79 | $0.01 – $781.00 |
| Lincoln Medical Center | Bronx | $472.79 | $0.01 – $781.00 |
| Metropolitan Hospital Center | New York | $472.79 | $0.01 – $781.00 |
| UPMC Chautauqua | Jamestown | $83.40 | $83.40 – $1,033.67 |
| Queens Hospital Center | Jamaica | $472.79 | $0.01 – $781.00 |
| Woodhull Medical Center | Brooklyn | $472.79 | $0.01 – $781.00 |