healthcosts.net
Appendix Removal (Laparoscopic) at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$6,672.53
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.
$19,262.40
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.
$0.01 with CIGNA vs $16,373.04 with VillageCare Max — 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| EMBLEM | HIP_GHI_CHP | $319.00 | ↓ -95% |
| MAGNACARE | PPO Non-FPP | $320.00 | ↓ -95% |
| MAGNACARE | Direct Plus Non-FPP | $320.00 | ↓ -95% |
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $343.60 | ↓ -95% |
| OXFORD | Liberty | $362.00 | ↓ -95% |
| OXFORD | Freedom | $410.00 | ↓ -94% |
| UNITED | EXCHANGE | $434.00 | ↓ -93% |
| UNITED | ALL PRODUCTS | $504.00 | ↓ -92% |
| Healthfirst | CHP | $549.76 | ↓ -92% |
| Healthfirst | HARP | $549.76 | ↓ -92% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $549.76 | ↓ -92% |
| Healthfirst | Managed Medicaid | $549.76 | ↓ -92% |
| Healthfirst | MEDICARE ADVANTAGE | $570.38 | ↓ -91% |
| Healthfirst | MAP | $570.38 | ↓ -91% |
| Healthfirst | Medicare Advantage PPO | $570.38 | ↓ -91% |
| Local 1199 | All Products | $577.00 | ↓ -91% |
| Local 1199 | ALL PRODUCTS | $577.00 | ↓ -91% |
| Affinity | CHP | $604.74 | ↓ -91% |
| OSCAR | ALL PRODUCTS | $614.00 | ↓ -91% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $639.10 | ↓ -90% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $673.46 | ↓ -90% |
| Anthem HealthPlus | HARP | $687.20 | ↓ -90% |
| Anthem HealthPlus | MLTC | $687.20 | ↓ -90% |
| Elderplan | MAP | $687.20 | ↓ -90% |
| Anthem HealthPlus | MAP | $687.20 | ↓ -90% |
| Healthfirst | Small Group | $687.20 | ↓ -90% |
| Fidelis | Managed Medicaid | $687.20 | ↓ -90% |
| Elderplan | Medicare Advantage | $687.20 | ↓ -90% |
| Centerlight | PACE | $687.20 | ↓ -90% |
| Fidelis | CHP | $687.20 | ↓ -90% |
| Elderplan | MLTC | $687.20 | ↓ -90% |
| Fidelis | FHP | $687.20 | ↓ -90% |
| Wellcare | Medicare Advantage | $697.51 | ↓ -90% |
| Aetna | All Products | $713.46 | ↓ -89% |
| Aetna | MEDICARE ADVANTAGE | $713.46 | ↓ -89% |
| Aetna | Medicare Advantage | $713.46 | ↓ -89% |
| Centers Plan for Healthy Living | Medicare Advantage | $714.69 | ↓ -89% |
| Hamaspik | Medicare Advantage | $721.56 | ↓ -89% |
| Wellcare | MEDICARE ADVANTAGE | $742.18 | ↓ -89% |
| Anthem HealthPlus | CHP | $755.92 | ↓ -89% |
| Anthem HealthPlus | Essential Plan 1-2 | $824.64 | ↓ -88% |
| Oscar | All Products | $859.00 | ↓ -87% |
| Fidelis | QHC | $915.69 | ↓ -86% |
| Fidelis | MAP | $989.57 | ↓ -85% |
| MetroPlus | HARP | $1,200.00 | ↓ -82% |
| Affinity | Essential Plan 1-4_200-250 | $1,236.96 | ↓ -81% |
| Fidelis | Essential Plan 1-4_200-250 | $1,236.96 | ↓ -81% |
| MetroPlus | Managed Medicaid | $3,019.10 | ↓ -55% |
| UNITED | HARP | $3,019.10 | ↓ -55% |
| MetroPlus | CHP | $3,019.10 | ↓ -55% |
| Senior Whole Health | MLTC | $3,019.10 | ↓ -55% |
| UNITED | Managed Medicaid | $3,019.10 | ↓ -55% |
| MetroPlus | Goldcare 1 & 2 | $3,019.10 | ↓ -55% |
| MetroPlus | Gold | $3,019.10 | ↓ -55% |
| MetroPlus | SNP | $3,019.10 | ↓ -55% |
| Carelon | Managed Medicaid_HARP_CHP | $3,019.10 | ↓ -55% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $3,019.10 | ↓ -55% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $3,019.10 | ↓ -55% |
| Anthem HealthPlus | EXCHANGE | $3,019.10 | ↓ -55% |
| Senior Whole Health | MAP | $3,019.10 | ↓ -55% |
| Amidacare | Managed Medicaid | $3,019.10 | ↓ -55% |
| Fidelis | HARP_Managed Medicaid | $3,019.10 | ↓ -55% |
| VNSNY | Medicaid SNP | $3,079.48 | ↓ -54% |
| UNITED BEHAVIORAL HEALTH | HARP | $3,079.48 | ↓ -54% |
| VNSNY | MAP | $3,079.48 | ↓ -54% |
| Affinity | HARP_Managed Medicaid | $3,079.48 | ↓ -54% |
| Carelon (Amida Care) | Managed Medicaid | $3,079.48 | ↓ -54% |
| UNITED BEHAVIORAL HEALTH | CHP | $3,079.48 | ↓ -54% |
| UNITED | Essential Plan 1-4_200-250 | $3,230.44 | ↓ -52% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $3,321.01 | ↓ -50% |
| Healthfirst | EXCHANGE | $3,773.88 | ↓ -43% |
| EMBLEM | Essential Plan 3-4 | $4,528.65 | ↓ -32% |
| ANTHEM | Small Group EPO_PPO | $4,541.00 | ↓ -32% |
| ANTHEM | Blue Access Small Group | $4,541.00 | ↓ -32% |
| ANTHEM | Blue Access Large Group | $4,668.00 | ↓ -30% |
| EMBLEM | Essential Plan 1-2 | $4,830.56 | ↓ -28% |
| ANTHEM | EPO | $5,046.00 | ↓ -24% |
| ANTHEM | INDEMNITY | $5,046.00 | ↓ -24% |
| ANTHEM | PPO | $5,046.00 | ↓ -24% |
| ANTHEM | HMO | $5,046.00 | ↓ -24% |
| Aetna | ALL PRODUCTS | $5,402.00 | ↓ -19% |
| Affinity | Essential Plan 1-2 | $6,181.63 | ↓ -7% |
| Affinity | Essential Plan 200-250 | $6,181.63 | ↓ -7% |
| Affinity | Essential Plan 3-4 | $6,181.63 | ↓ -7% |
| Healthfirst | Essential Plan 1-2 | $6,792.98 | ↑ +2% |
| MetroPlus | Essential Plan 200-250 | $6,792.98 | ↑ +2% |
| Healthfirst | Essential Plan 3-4 | $6,792.98 | ↑ +2% |
| MetroPlus | Essential Plan 1-2 | $6,792.98 | ↑ +2% |
| Anthem HealthPlus | Essential Plan 3-4 | $6,792.98 | ↑ +2% |
| Healthfirst | Essential Plan 200-250 | $6,792.98 | ↑ +2% |
| MetroPlus | Essential Plan 3-4 | $6,792.98 | ↑ +2% |
| Elderplan | MAP_Medicare Advantage_MLTC | $6,904.15 | ↑ +3% |
| VNSNY | Medicare Advantage | $6,904.15 | ↑ +3% |
| ANTHEM | MEDICARE ADVANTAGE | $6,904.15 | ↑ +3% |
| VACCN | All Products | $6,904.15 | ↑ +3% |
| VNSNY | Medicare SNP | $6,904.15 | ↑ +3% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $7,180.31 | ↑ +8% |
| EMBLEM | MEDICARE ADVANTAGE | $8,630.19 | ↑ +29% |
| Fidelis | EXCHANGE | $9,803.89 | ↑ +47% |
| Carelon | GHI BMP | $12,520.56 | ↑ +88% |
| Carelon | MAP_Medicare Advantage | $12,520.56 | ↑ +88% |
| Carelon | Commercial_Essential Plans | $12,520.56 | ↑ +88% |
| MULTIPLAN | ALL PRODUCTS | $15,409.92 | ↑ +131% |
| VillageCare Max | MAP | $16,373.04 | ↑ +145% |
| VillageCare Max | MEDICARE ADVANTAGE | $16,373.04 | ↑ +145% |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| UNITED | CHP | not published by hospital | — |
| United Behavioral Health | Exchange | not published by hospital | — |
| Anthem HealthPlus | Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Appendix Removal (Laparoscopic) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $6,672.53 | $0.01 – $15,409.92 |
| Kings County Hospital Center | Brooklyn | $6,604.91 | $0.01 – $16,373.04 |
| Woodhull Medical Center | Brooklyn | $6,672.53 | $360.90 – $16,373.04 |
| Elmhurst Hospital Center | NY 11373 | not published | $549.76 – $14,445.53 |
| Harlem Hospital Center | New York | not published | $0.01 – $14,445.53 |
| Jacobi Medical Center | Bronx | not published | $599.09 – $13,808.30 |
| Lincoln Medical Center | Bronx | not published | $599.09 – $13,808.30 |
| Metropolitan Hospital Center | New York | not published | $0.01 – $14,445.53 |