Inj, fulvestrant (fresenius) at NewYork-Presbyterian Queens
56-45 Main Street, Flushing, NY · NewYork-Presbyterian · · NPI 1952347205
$341.25
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.
$3.15 with Anthem BCBS Healthplus vs $394.82 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 |
|---|---|---|---|
| Anthem BCBS Healthplus | Medicare Advantage | $3.15 | ↓ -99% |
| Anthem BCBS | Medicare Advantage | $3.15 | ↓ -99% |
| Fidelis Care | Medicare Advantage | $3.32 | ↓ -99% |
| Senior Whole Health | Medicare Advantage | $3.32 | ↓ -99% |
| EmblemHealth | Medicare Advantage | $3.32 | ↓ -99% |
| Cigna Healthcare | Medicare Advantage | $3.32 | ↓ -99% |
| Anthem BCBS | All Commercial Plans | $3.32 | ↓ -99% |
| United Healthcare | Medicare Advantage | $3.42 | ↓ -99% |
| Oxford Health Plans | Medicare Advantage | $3.42 | ↓ -99% |
| VNS Health | Medicare Advantage | $3.42 | ↓ -99% |
| Aetna | Medicare Advantage | $3.42 | ↓ -99% |
| WellCare | Medicare Advantage | $3.44 | ↓ -99% |
| HealthFirst | Medicare Advantage | $3.49 | ↓ -99% |
| Elderplan | Medicare Advantage | $3.49 | ↓ -99% |
| 1199SEIU Funds | All Commercial Plans | $4.38 | ↓ -99% |
| EmblemHealth | All NYS Essential Plans | $5.78 | ↓ -98% |
| Aetna | Commercial | $9.59 | ↓ -97% |
| EmblemHealth | All Commercial Plans | $10.37 | ↓ -97% |
| United Healthcare | All Commercial Plans | $50.40 | ↓ -85% |
| Oxford Health Plans | All Commercial Plans | $53.73 | ↓ -84% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $92.63 | ↓ -73% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $92.63 | ↓ -73% |
| Fidelis Care | All NYS Essential Plans | $97.50 | ↓ -71% |
| Fidelis Care | Medicaid/Child Health Plus | $97.50 | ↓ -71% |
| Fidelis Care | nystateofhealth plans | $97.50 | ↓ -71% |
| Amida Care | Medicaid | $97.50 | ↓ -71% |
| Anthem BCBS Healthplus | Medicaid | $97.50 | ↓ -71% |
| Anthem BCBS Healthplus | nystateofhealth plans | $97.50 | ↓ -71% |
| VNS Health | Medicaid | $97.50 | ↓ -71% |
| United Healthcare | Medicaid | $103.93 | ↓ -70% |
| HealthFirst | Medicaid/Child Health Plus | $104.33 | ↓ -69% |
| United Healthcare | Child Health Plus | $108.51 | ↓ -68% |
| Cigna Healthcare | All Commercial Plans | $111.83 | ↓ -67% |
| EmblemHealth | Medicaid/Child Health Plus | $146.25 | ↓ -57% |
| Anthem BCBS Healthplus | Child Health Plus | $146.25 | ↓ -57% |
| HealthFirst | nystateofhealth plans | $208.85 | ↓ -39% |
| MagnaCare | All Commercial Plans | $259.35 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $290.06 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $296.89 | ↓ -13% |
| Beechstreet | All Commercial Plans | $307.13 | ↓ -10% |
| Devon | All Commercial Plans | $307.13 | ↓ -10% |
| First Health | All Commercial Plans | $317.36 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $320.78 | ↓ -6% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $323.70 | ↓ -5% |
| United Healthcare | All NYS Essential Plans | $356.61 | ↑ +5% |
| HealthFirst | All Essential Plans | $394.82 | ↑ +16% |
Visitor-reported prices
Comments
Inj, fulvestrant (fresenius) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $341.25 | $3.16 – $97.50 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $341.25 | $3.15 – $97.50 |