Sirolimus, oral at NewYork-Presbyterian Queens
56-45 Main Street, Flushing, NY · NewYork-Presbyterian · · NPI 1952347205
$35.72
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.
$0.96 with 1199SEIU Funds vs $33.58 with Consumer Health Network — 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 | $0.96 | ↓ -97% |
| Anthem BCBS | All Commercial Plans | $0.96 | ↓ -97% |
| EmblemHealth | All NYS Essential Plans | $1.67 | ↓ -95% |
| EmblemHealth | All Commercial Plans | $3.00 | ↓ -92% |
| Aetna | Commercial | $3.29 | ↓ -91% |
| Cigna Healthcare | All Commercial Plans | $11.71 | ↓ -67% |
| United Healthcare | All Commercial Plans | $20.65 | ↓ -42% |
| Oxford Health Plans | All Commercial Plans | $22.01 | ↓ -38% |
| MagnaCare | All Commercial Plans | $27.15 | ↓ -24% |
| Claritev dba MultiPlan | All Commercial Plans | $30.36 | ↓ -15% |
| First Health Coventry | All Commercial Plans | $31.08 | ↓ -13% |
| Beechstreet | All Commercial Plans | $32.15 | ↓ -10% |
| Devon | All Commercial Plans | $32.15 | ↓ -10% |
| First Health | All Commercial Plans | $33.22 | ↓ -7% |
| Consumer Health Network | All Commercial Plans | $33.58 | ↓ -6% |
Visitor-reported prices
Comments
Sirolimus, oral at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $11.00 | $0.87 – $11.70 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $35.72 | $0.96 – $3.32 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $35.72 | $0.96 – $22.01 |
| Bellevue Hospital Center | NY 10016 | not published | $0.74 – $3.81 |
| Harlem Hospital Center | New York | not published | $0.74 – $3.81 |
| Kings County Hospital Center | Brooklyn | not published | $0.74 – $3.81 |
| Lincoln Medical Center | Bronx | not published | $0.74 – $3.81 |
| Metropolitan Hospital Center | New York | not published | $0.74 – $3.81 |