Adv prim care mgmt lvl 1 at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$38.28
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.
$31.00
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.
$9.13 with PB - AETNA vs $93.54 with Elderplan — 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 |
|---|---|---|---|
| PB - AETNA | ALL PRODUCTS | $9.13 | ↓ -76% |
| PB - AETNA | MEDICARE ADVANTAGE | $9.13 | ↓ -76% |
| Aetna | ALL PRODUCTS | $12.41 | ↓ -68% |
| Aetna | MEDICARE ADVANTAGE | $13.42 | ↓ -65% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $15.50 | ↓ -60% |
| PB - CENTERLIGHT | PACE | $15.50 | ↓ -60% |
| PB - OSCAR | ALL PRODUCTS | $17.05 | ↓ -55% |
| Local 1199 | ALL PRODUCTS | $17.23 | ↓ -55% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $18.60 | ↓ -51% |
| PB - AFFINITY | CHP | $21.70 | ↓ -43% |
| PB - AFFINITY | ESSENTIAL | $21.70 | ↓ -43% |
| PB - LOCAL 1199 | ALL PRODUCTS | $26.35 | ↓ -31% |
| Hamaspik | MEDICARE ADVANTAGE | $28.20 | ↓ -26% |
| VACCN | All Products | $35.25 | ↓ -8% |
| Senior Whole Health | MLTC | $35.25 | ↓ -8% |
| Senior Whole Health | MAP | $35.25 | ↓ -8% |
| ANTHEM | MEDICARE ADVANTAGE | $35.25 | ↓ -8% |
| Fidelis | MAP | $35.25 | ↓ -8% |
| VNSNY | Medicare SNP | $35.25 | ↓ -8% |
| VNSNY | Medicare Advantage | $35.25 | ↓ -8% |
| OXFORD | MEDICARE ADVANTAGE | $37.01 | ↓ -3% |
| Healthfirst | Medicare Advantage PPO | $38.82 | ↑ +1% |
| MAGNACARE | Direct Plus FPP | $42.30 | ↑ +11% |
| MAGNACARE | PPO Non-FPP | $42.30 | ↑ +11% |
| MAGNACARE | PPO FPP | $42.30 | ↑ +11% |
| MAGNACARE | Direct Plus Non-FPP | $42.30 | ↑ +11% |
| Healthfirst | MEDICARE ADVANTAGE | $45.84 | ↑ +20% |
| Healthfirst | MAP | $45.84 | ↑ +20% |
| Amidacare | Managed Medicaid | $46.77 | ↑ +22% |
| Centerlight | PACE | $46.77 | ↑ +22% |
| UNITED | MEDICARE ADVANTAGE | $49.11 | ↑ +28% |
| Fidelis | EXCHANGE | $50.06 | ↑ +31% |
| Wellcare | MEDICARE ADVANTAGE | $52.17 | ↑ +36% |
| MetroPlus | MEDICARE ADVANTAGE | $52.85 | ↑ +38% |
| MetroPlus | MAP | $52.85 | ↑ +38% |
| MetroPlus | EXCHANGE | $52.85 | ↑ +38% |
| EMBLEM | MEDICARE ADVANTAGE | $52.88 | ↑ +38% |
| VillageCare Max | MAP | $70.16 | ↑ +83% |
| OSCAR | ALL PRODUCTS | $70.16 | ↑ +83% |
| VillageCare Max | MEDICARE ADVANTAGE | $70.16 | ↑ +83% |
| Elderplan | MAP_Medicare Advantage_MLTC | $93.54 | ↑ +144% |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-2 | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | EXCHANGE | not published by hospital | — |
Visitor-reported prices
Comments
Adv prim care mgmt lvl 1 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $38.28 | $7.13 – $93.54 |
| Harlem Hospital Center | New York | $35.25 | $13.46 – $93.54 |
| Kings County Hospital Center | Brooklyn | $38.28 | $7.13 – $93.54 |
| Lincoln Medical Center | Bronx | $35.25 | $13.73 – $93.54 |
| Metropolitan Hospital Center | New York | $35.25 | $13.73 – $93.54 |
| Woodhull Medical Center | Brooklyn | $38.28 | $9.13 – $93.54 |
| South Brooklyn Health | Brooklyn | $35.25 | $12.41 – $93.54 |
| North Central Bronx | Bronx | $35.25 | $13.73 – $93.54 |