Injection, siltuximab at NewYork-Presbyterian Queens
56-45 Main Street, Flushing, NY · NewYork-Presbyterian · · NPI 1952347205
$21,587.44
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.
$153.86 with Anthem BCBS vs $21,605.33 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 | Medicare Advantage | $153.86 | ↓ -99% |
| Anthem BCBS Healthplus | Medicare Advantage | $153.86 | ↓ -99% |
| United Healthcare | All Commercial Plans | $160.41 | ↓ -99% |
| 1199SEIU Funds | All Commercial Plans | $161.96 | ↓ -99% |
| Senior Whole Health | Medicare Advantage | $161.96 | ↓ -99% |
| EmblemHealth | Medicare Advantage | $161.96 | ↓ -99% |
| Cigna Healthcare | Medicare Advantage | $161.96 | ↓ -99% |
| Anthem BCBS | All Commercial Plans | $161.96 | ↓ -99% |
| Fidelis Care | Medicare Advantage | $161.96 | ↓ -99% |
| Oxford Health Plans | Medicare Advantage | $166.82 | ↓ -99% |
| Aetna | Medicare Advantage | $166.82 | ↓ -99% |
| VNS Health | Medicare Advantage | $166.82 | ↓ -99% |
| United Healthcare | Medicare Advantage | $166.82 | ↓ -99% |
| WellCare | Medicare Advantage | $167.63 | ↓ -99% |
| Elderplan | Medicare Advantage | $170.06 | ↓ -99% |
| HealthFirst | Medicare Advantage | $170.06 | ↓ -99% |
| Oxford Health Plans | All Commercial Plans | $171.00 | ↓ -99% |
| EmblemHealth | All NYS Essential Plans | $281.81 | ↓ -99% |
| Aetna | Commercial | $472.14 | ↓ -98% |
| EmblemHealth | All Commercial Plans | $506.09 | ↓ -98% |
| Affinity by Molina Healthcare | Medicaid/Child Health Plus | $5,068.67 | ↓ -77% |
| Affinity by Molina Healthcare | All NYS Essential Plans | $5,068.67 | ↓ -77% |
| Fidelis Care | nystateofhealth plans | $5,335.44 | ↓ -75% |
| Anthem BCBS Healthplus | Medicaid | $5,335.44 | ↓ -75% |
| Fidelis Care | All NYS Essential Plans | $5,335.44 | ↓ -75% |
| VNS Health | Medicaid | $5,335.44 | ↓ -75% |
| Anthem BCBS Healthplus | nystateofhealth plans | $5,335.44 | ↓ -75% |
| Fidelis Care | Medicaid/Child Health Plus | $5,335.44 | ↓ -75% |
| Amida Care | Medicaid | $5,335.44 | ↓ -75% |
| United Healthcare | Medicaid | $5,687.05 | ↓ -74% |
| HealthFirst | Medicaid/Child Health Plus | $5,708.92 | ↓ -74% |
| United Healthcare | Child Health Plus | $5,937.81 | ↓ -72% |
| Cigna Healthcare | All Commercial Plans | $7,074.20 | ↓ -67% |
| Anthem BCBS Healthplus | Child Health Plus | $8,003.16 | ↓ -63% |
| EmblemHealth | Medicaid/Child Health Plus | $8,003.16 | ↓ -63% |
| HealthFirst | nystateofhealth plans | $13,211.51 | ↓ -39% |
| MagnaCare | All Commercial Plans | $16,406.45 | ↓ -24% |
| Anthem BCBS Healthplus | All NYS Essential Plans | $17,713.66 | ↓ -18% |
| Claritev dba MultiPlan | All Commercial Plans | $18,349.32 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $18,781.07 | ↓ -13% |
| Devon | All Commercial Plans | $19,428.70 | ↓ -10% |
| Beechstreet | All Commercial Plans | $19,428.70 | ↓ -10% |
| United Healthcare | All NYS Essential Plans | $19,514.37 | ↓ -10% |
| First Health | All Commercial Plans | $20,076.32 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $20,292.19 | ↓ -6% |
| HealthFirst | All Essential Plans | $21,605.33 | ↑ +0% |
Visitor-reported prices
Comments
Injection, siltuximab at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $21,587.44 | $153.86 – $5,335.15 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $21,587.44 | $153.86 – $4,028.08 |