Clsd tx shoulder dislc/fx 23665 at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$1,893.86
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.
$5,248.14
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.
$220.50 with Healthfirst vs $4,198.51 with MULTIPLAN — 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 |
|---|---|---|---|
| Healthfirst | MEDICARE ADVANTAGE | $220.50 | ↓ -88% |
| Healthfirst | MAP | $220.50 | ↓ -88% |
| PB - ANTHEM | EXCHANGE | $221.34 | ↓ -88% |
| PB - AETNA | ALL PRODUCTS | $433.20 | ↓ -77% |
| PB - AETNA | MEDICARE ADVANTAGE | $433.20 | ↓ -77% |
| Healthfirst | Medicare Advantage PPO | $450.00 | ↓ -76% |
| Aetna | MEDICARE ADVANTAGE | $474.10 | ↓ -75% |
| PB - LOCAL 1199 | ALL PRODUCTS | $484.00 | ↓ -74% |
| Amidacare | Managed Medicaid | $493.00 | ↓ -74% |
| Healthfirst | CHP | $519.45 | ↓ -73% |
| Healthfirst | HARP | $519.45 | ↓ -73% |
| Healthfirst | Managed Medicaid | $519.45 | ↓ -73% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $607.00 | ↓ -68% |
| PB - CENTERLIGHT | PACE | $607.00 | ↓ -68% |
| Carelon | Managed Medicaid_HARP_CHP | $625.83 | ↓ -67% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $625.83 | ↓ -67% |
| Fidelis | CHP | $625.83 | ↓ -67% |
| Fidelis | HARP_Managed Medicaid | $625.83 | ↓ -67% |
| UNITED | HARP | $625.83 | ↓ -67% |
| UNITED | Managed Medicaid | $625.83 | ↓ -67% |
| Anthem HealthPlus | EXCHANGE | $625.83 | ↓ -67% |
| MetroPlus | Gold | $625.84 | ↓ -67% |
| MetroPlus | SNP | $625.84 | ↓ -67% |
| MetroPlus | Goldcare 1 & 2 | $625.84 | ↓ -67% |
| MetroPlus | Managed Medicaid | $625.84 | ↓ -67% |
| MetroPlus | HARP | $625.84 | ↓ -67% |
| MetroPlus | CHP | $625.84 | ↓ -67% |
| Carelon | Commercial_Essential Plans | $625.84 | ↓ -67% |
| Carelon | GHI BMP | $625.84 | ↓ -67% |
| VNSNY | Medicaid SNP | $638.35 | ↓ -66% |
| UNITED BEHAVIORAL HEALTH | HARP | $638.35 | ↓ -66% |
| VNSNY | MAP | $638.35 | ↓ -66% |
| UNITED BEHAVIORAL HEALTH | CHP | $638.35 | ↓ -66% |
| Carelon (Amida Care) | Managed Medicaid | $638.35 | ↓ -66% |
| PB - OSCAR | ALL PRODUCTS | $667.70 | ↓ -65% |
| UNITED | Essential Plan 1-4_200-250 | $669.64 | ↓ -65% |
| Fidelis | MAP | $682.70 | ↓ -64% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $688.41 | ↓ -64% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $728.40 | ↓ -62% |
| Carelon | MAP_Medicare Advantage | $781.00 | ↓ -59% |
| UNITED | CHP | $782.30 | ↓ -59% |
| EMBLEM | Essential Plan 3-4 | $782.30 | ↓ -59% |
| OXFORD | Liberty | $820.00 | ↓ -57% |
| Local 1199 | ALL PRODUCTS | $836.00 | ↓ -56% |
| EMBLEM | Essential Plan 1-2 | $844.88 | ↓ -55% |
| Emblem | Essential Plan 200-250 | $844.88 | ↓ -55% |
| PB - AFFINITY | CHP | $849.80 | ↓ -55% |
| PB - AFFINITY | ESSENTIAL | $849.80 | ↓ -55% |
| OXFORD | Freedom | $926.00 | ↓ -51% |
| Healthfirst | EXCHANGE | $1,001.34 | ↓ -47% |
| EMBLEM | HIP_GHI_CHP | $1,016.00 | ↓ -46% |
| EMBLEM | PPO_Commercial | $1,016.00 | ↓ -46% |
| Healthfirst | Small Group | $1,020.12 | ↓ -46% |
| UNITED | EXCHANGE | $1,040.00 | ↓ -45% |
| UNITED | ALL PRODUCTS | $1,147.00 | ↓ -39% |
| Aetna | ALL PRODUCTS | $1,235.00 | ↓ -35% |
| Fidelis | Essential Plan 1-4_200-250 | $1,408.12 | ↓ -26% |
| MetroPlus | Essential Plan 1-2 | $1,408.12 | ↓ -26% |
| MetroPlus | Essential Plan 200-250 | $1,408.12 | ↓ -26% |
| MetroPlus | Essential Plan 3-4 | $1,408.12 | ↓ -26% |
| Affinity | Essential Plan 1-2 | $1,408.12 | ↓ -26% |
| Affinity | Essential Plan 200-250 | $1,408.12 | ↓ -26% |
| Affinity | Essential Plan 3-4 | $1,408.12 | ↓ -26% |
| Healthfirst | Essential Plan 1-2 | $1,408.12 | ↓ -26% |
| Healthfirst | Essential Plan 200-250 | $1,408.12 | ↓ -26% |
| Healthfirst | Essential Plan 3-4 | $1,408.12 | ↓ -26% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,408.12 | ↓ -26% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,408.12 | ↓ -26% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,408.12 | ↓ -26% |
| OSCAR | ALL PRODUCTS | $1,466.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $1,500.00 | ↓ -21% |
| ANTHEM | Blue Access Small Group | $1,536.00 | ↓ -19% |
| ANTHEM | Small Group EPO_PPO | $1,536.00 | ↓ -19% |
| ANTHEM | Blue Access Large Group | $1,579.00 | ↓ -17% |
| ANTHEM | HMO | $1,707.00 | ↓ -10% |
| ANTHEM | PPO | $1,707.00 | ↓ -10% |
| ANTHEM | INDEMNITY | $1,707.00 | ↓ -10% |
| ANTHEM | EPO | $1,707.00 | ↓ -10% |
| Senior Whole Health | MAP | $1,893.86 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $1,893.86 | ↑ +0% |
| VACCN | All Products | $1,893.86 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $1,893.86 | ↑ +0% |
| VNSNY | Medicare SNP | $1,893.86 | ↑ +0% |
| VNSNY | Medicare Advantage | $1,893.86 | ↑ +0% |
| Senior Whole Health | MLTC | $1,893.86 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $1,988.55 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $2,007.23 | ↑ +6% |
| Centerlight | PACE | $2,007.23 | ↑ +6% |
| Wellcare | MEDICARE ADVANTAGE | $2,045.37 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $2,107.59 | ↑ +11% |
| MetroPlus | MEDICARE ADVANTAGE | $2,268.17 | ↑ +20% |
| MetroPlus | EXCHANGE | $2,268.17 | ↑ +20% |
| MetroPlus | MAP | $2,268.17 | ↑ +20% |
| EMBLEM | MEDICARE ADVANTAGE | $2,367.33 | ↑ +25% |
| Fidelis | EXCHANGE | $2,689.28 | ↑ +42% |
| VillageCare Max | MEDICARE ADVANTAGE | $3,010.85 | ↑ +59% |
| VillageCare Max | MAP | $3,010.85 | ↑ +59% |
| MAGNACARE | Direct Plus FPP | $3,936.11 | ↑ +108% |
| MAGNACARE | Direct Plus Non-FPP | $3,936.11 | ↑ +108% |
| MAGNACARE | PPO Non-FPP | $3,936.11 | ↑ +108% |
| MAGNACARE | PPO FPP | $3,936.11 | ↑ +108% |
| MULTIPLAN | ALL PRODUCTS | $4,198.51 | ↑ +122% |
| PB - ANTHEM | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-2 | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx shoulder dislc/fx 23665 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $4,533.00 | $622.27 – $1,988.46 |
| Bellevue Hospital Center | NY 10016 | $1,893.86 | $220.50 – $3,010.85 |
| Harlem Hospital Center | New York | $1,893.86 | $220.50 – $2,268.17 |
| Kings County Hospital Center | Brooklyn | $1,893.86 | $220.50 – $3,010.85 |
| Lincoln Medical Center | Bronx | $1,893.86 | $220.50 – $2,268.17 |
| Metropolitan Hospital Center | New York | $1,893.86 | $220.50 – $2,268.17 |
| UPMC Chautauqua | Jamestown | $388.80 | $196.25 – $2,014.07 |
| Woodhull Medical Center | Brooklyn | $1,893.86 | $220.50 – $3,010.85 |