Cdp-sot 6 cond w/i&r mct&adt at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$152.54
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.
?
What you pay up front if you don't use insurance.
$529.07
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.
?
The hospital's undiscounted list price — almost no one pays this.
$56.07 with PB - AETNA vs $449.71 with Local 1199 — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $56.07 | ↓ -63% |
| PB - AETNA | MEDICARE ADVANTAGE | $56.07 | ↓ -63% |
| Aetna | MEDICARE ADVANTAGE | $71.50 | ↓ -53% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $89.00 | ↓ -42% |
| PB - CENTERLIGHT | PACE | $89.00 | ↓ -42% |
| Aetna | ALL PRODUCTS | $97.56 | ↓ -36% |
| PB - OSCAR | ALL PRODUCTS | $97.90 | ↓ -36% |
| Fidelis | MAP | $102.96 | ↓ -33% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $106.80 | ↓ -30% |
| PB - AFFINITY | ESSENTIAL | $124.60 | ↓ -18% |
| PB - AFFINITY | CHP | $124.60 | ↓ -18% |
| Healthfirst | MEDICARE ADVANTAGE | $137.85 | ↓ -10% |
| Healthfirst | MAP | $137.85 | ↓ -10% |
| PB - LOCAL 1199 | ALL PRODUCTS | $151.30 | ↓ -1% |
| Senior Whole Health | MLTC | $152.54 | ↑ +0% |
| VACCN | All Products | $152.54 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $152.54 | ↑ +0% |
| Senior Whole Health | MAP | $152.54 | ↑ +0% |
| VNSNY | Medicare Advantage | $152.54 | ↑ +0% |
| VNSNY | Medicare SNP | $152.54 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $152.54 | ↑ +0% |
| Healthfirst | CHP | $157.99 | ↑ +4% |
| Healthfirst | Managed Medicaid | $157.99 | ↑ +4% |
| Healthfirst | HARP | $157.99 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $160.16 | ↑ +5% |
| Healthfirst | Medicare Advantage PPO | $162.76 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $164.74 | ↑ +8% |
| Centerlight | PACE | $166.08 | ↑ +9% |
| Elderplan | MAP_Medicare Advantage_MLTC | $166.08 | ↑ +9% |
| Amidacare | Managed Medicaid | $166.08 | ↑ +9% |
| UNITED | MEDICARE ADVANTAGE | $174.39 | ↑ +14% |
| MetroPlus | MEDICARE ADVANTAGE | $187.67 | ↑ +23% |
| MetroPlus | EXCHANGE | $187.67 | ↑ +23% |
| MetroPlus | MAP | $187.67 | ↑ +23% |
| MetroPlus | CHP | $190.35 | ↑ +25% |
| MetroPlus | HARP | $190.35 | ↑ +25% |
| Fidelis | CHP | $190.35 | ↑ +25% |
| MetroPlus | Goldcare 1 & 2 | $190.35 | ↑ +25% |
| MetroPlus | Gold | $190.35 | ↑ +25% |
| Fidelis | HARP_Managed Medicaid | $190.35 | ↑ +25% |
| MetroPlus | Managed Medicaid | $190.35 | ↑ +25% |
| Carelon | GHI BMP | $190.35 | ↑ +25% |
| Carelon | Commercial_Essential Plans | $190.35 | ↑ +25% |
| MetroPlus | SNP | $190.35 | ↑ +25% |
| Anthem HealthPlus | EXCHANGE | $190.35 | ↑ +25% |
| UNITED | HARP | $190.35 | ↑ +25% |
| UNITED | Managed Medicaid | $190.35 | ↑ +25% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $190.35 | ↑ +25% |
| Carelon | Managed Medicaid_HARP_CHP | $190.35 | ↑ +25% |
| EMBLEM | MEDICARE ADVANTAGE | $190.67 | ↑ +25% |
| VNSNY | MAP | $194.16 | ↑ +27% |
| VNSNY | Medicaid SNP | $194.16 | ↑ +27% |
| Carelon (Amida Care) | Managed Medicaid | $194.16 | ↑ +27% |
| UNITED BEHAVIORAL HEALTH | HARP | $194.16 | ↑ +27% |
| UNITED BEHAVIORAL HEALTH | CHP | $194.16 | ↑ +27% |
| UNITED | Essential Plan 1-4_200-250 | $203.67 | ↑ +34% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $209.39 | ↑ +37% |
| Fidelis | EXCHANGE | $216.61 | ↑ +42% |
| EMBLEM | HIP_GHI_CHP | $222.00 | ↑ +46% |
| EMBLEM | PPO_Commercial | $222.00 | ↑ +46% |
| EMBLEM | Essential Plan 3-4 | $237.94 | ↑ +56% |
| UNITED | CHP | $237.94 | ↑ +56% |
| OXFORD | Liberty | $248.00 | ↑ +63% |
| VillageCare Max | MAP | $249.12 | ↑ +63% |
| VillageCare Max | MEDICARE ADVANTAGE | $249.12 | ↑ +63% |
| Emblem | Essential Plan 200-250 | $256.97 | ↑ +68% |
| EMBLEM | Essential Plan 1-2 | $256.97 | ↑ +68% |
| OSCAR | ALL PRODUCTS | $264.00 | ↑ +73% |
| OXFORD | Freedom | $278.00 | ↑ +82% |
| Healthfirst | EXCHANGE | $304.56 | ↑ +100% |
| Healthfirst | Small Group | $310.27 | ↑ +103% |
| UNITED | EXCHANGE | $314.00 | ↑ +106% |
| Carelon | MAP_Medicare Advantage | $343.90 | ↑ +125% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +127% |
| MAGNACARE | Direct Plus FPP | $396.80 | ↑ +160% |
| MAGNACARE | PPO Non-FPP | $396.80 | ↑ +160% |
| CIGNA | ALL PRODUCTS | $396.80 | ↑ +160% |
| MAGNACARE | PPO FPP | $396.80 | ↑ +160% |
| MAGNACARE | Direct Plus Non-FPP | $396.80 | ↑ +160% |
| ANTHEM | Small Group EPO_PPO | $423.26 | ↑ +177% |
| MULTIPLAN | ALL PRODUCTS | $423.26 | ↑ +177% |
| ANTHEM | Blue Access Large Group | $423.26 | ↑ +177% |
| ANTHEM | Blue Access Small Group | $423.26 | ↑ +177% |
| ANTHEM | EPO | $423.26 | ↑ +177% |
| ANTHEM | HMO | $423.26 | ↑ +177% |
| ANTHEM | INDEMNITY | $423.26 | ↑ +177% |
| ANTHEM | PPO | $423.26 | ↑ +177% |
| Anthem HealthPlus | Essential Plan 3-4 | $428.29 | ↑ +181% |
| MetroPlus | Essential Plan 200-250 | $428.29 | ↑ +181% |
| MetroPlus | Essential Plan 1-2 | $428.29 | ↑ +181% |
| Healthfirst | Essential Plan 3-4 | $428.29 | ↑ +181% |
| Healthfirst | Essential Plan 200-250 | $428.29 | ↑ +181% |
| Healthfirst | Essential Plan 1-2 | $428.29 | ↑ +181% |
| Fidelis | Essential Plan 1-4_200-250 | $428.29 | ↑ +181% |
| MetroPlus | Essential Plan 3-4 | $428.29 | ↑ +181% |
| Anthem HealthPlus | Essential Plan 200-250 | $428.29 | ↑ +181% |
| Anthem HealthPlus | Essential Plan 1-2 | $428.29 | ↑ +181% |
| Affinity | Essential Plan 3-4 | $428.29 | ↑ +181% |
| Affinity | Essential Plan 200-250 | $428.29 | ↑ +181% |
| Affinity | Essential Plan 1-2 | $428.29 | ↑ +181% |
| Local 1199 | ALL PRODUCTS | $449.71 | ↑ +195% |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - ANTHEM | EXCHANGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-2 | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Cdp-sot 6 cond w/i&r mct&adt at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $152.54 | $56.07 – $249.12 |
| Harlem Hospital Center | New York | $152.54 | $70.64 – $190.67 |
| Kings County Hospital Center | Brooklyn | $152.54 | $56.07 – $249.12 |
| Lincoln Medical Center | Bronx | $152.54 | $71.96 – $190.67 |
| Metropolitan Hospital Center | New York | $152.54 | $71.96 – $190.67 |
| Woodhull Medical Center | Brooklyn | $152.54 | $56.07 – $249.12 |
| South Brooklyn Health | Brooklyn | $152.54 | $71.96 – $190.67 |
| North Central Bronx | Bronx | $152.54 | $71.96 – $249.12 |