Cover eye w/membrane suture at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$4,462.45
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.
$383.00
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.
$114.54 with Aetna vs $9,815.00 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 |
|---|---|---|---|
| Aetna | MEDICARE ADVANTAGE | $114.54 | ↓ -97% |
| PB - ANTHEM | EXCHANGE | $183.78 | ↓ -96% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $191.50 | ↓ -96% |
| PB - CENTERLIGHT | PACE | $191.50 | ↓ -96% |
| PB - OSCAR | ALL PRODUCTS | $210.65 | ↓ -95% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $229.80 | ↓ -95% |
| PB - AFFINITY | CHP | $268.10 | ↓ -94% |
| PB - AFFINITY | ESSENTIAL | $268.10 | ↓ -94% |
| PB - LOCAL 1199 | ALL PRODUCTS | $325.55 | ↓ -93% |
| Local 1199 | ALL PRODUCTS | $1,011.00 | ↓ -77% |
| PB - AETNA | ALL PRODUCTS | $1,459.75 | ↓ -67% |
| PB - AETNA | MEDICARE ADVANTAGE | $1,459.75 | ↓ -67% |
| Healthfirst | Managed Medicaid | $1,464.83 | ↓ -67% |
| Healthfirst | HARP | $1,464.83 | ↓ -67% |
| Healthfirst | CHP | $1,609.47 | ↓ -64% |
| MetroPlus | Essential Plan 200-250 | $1,651.42 | ↓ -63% |
| MetroPlus | Essential Plan 1-2 | $1,651.42 | ↓ -63% |
| MetroPlus | Essential Plan 3-4 | $1,651.42 | ↓ -63% |
| Aetna | ALL PRODUCTS | $1,715.00 | ↓ -62% |
| Carelon | Managed Medicaid_HARP_CHP | $1,939.12 | ↓ -57% |
| MetroPlus | Gold | $1,939.12 | ↓ -57% |
| Anthem HealthPlus | EXCHANGE | $1,939.12 | ↓ -57% |
| Carelon | Commercial_Essential Plans | $1,939.12 | ↓ -57% |
| Carelon | GHI BMP | $1,939.12 | ↓ -57% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $1,939.12 | ↓ -57% |
| Fidelis | CHP | $1,939.12 | ↓ -57% |
| UNITED | Managed Medicaid | $1,939.12 | ↓ -57% |
| Fidelis | HARP_Managed Medicaid | $1,939.12 | ↓ -57% |
| UNITED | HARP | $1,939.12 | ↓ -57% |
| MetroPlus | SNP | $1,939.12 | ↓ -57% |
| MetroPlus | Managed Medicaid | $1,939.12 | ↓ -57% |
| MetroPlus | HARP | $1,939.12 | ↓ -57% |
| MetroPlus | CHP | $1,939.12 | ↓ -57% |
| MetroPlus | Goldcare 1 & 2 | $1,939.12 | ↓ -57% |
| VNSNY | Medicaid SNP | $1,977.90 | ↓ -56% |
| UNITED BEHAVIORAL HEALTH | HARP | $1,977.90 | ↓ -56% |
| UNITED BEHAVIORAL HEALTH | CHP | $1,977.90 | ↓ -56% |
| VNSNY | MAP | $1,977.90 | ↓ -56% |
| Carelon (Amida Care) | Managed Medicaid | $1,977.90 | ↓ -56% |
| UNITED | Essential Plan 1-4_200-250 | $2,074.86 | ↓ -54% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $2,133.03 | ↓ -52% |
| EMBLEM | Essential Plan 3-4 | $2,423.90 | ↓ -46% |
| UNITED | CHP | $2,423.90 | ↓ -46% |
| Emblem | Essential Plan 200-250 | $2,617.81 | ↓ -41% |
| EMBLEM | Essential Plan 1-2 | $2,617.81 | ↓ -41% |
| Amidacare | Managed Medicaid | $2,764.00 | ↓ -38% |
| Healthfirst | EXCHANGE | $3,102.59 | ↓ -30% |
| Healthfirst | Small Group | $3,160.77 | ↓ -29% |
| Hamaspik | MEDICARE ADVANTAGE | $3,569.96 | ↓ -20% |
| ANTHEM | Small Group EPO_PPO | $3,576.00 | ↓ -20% |
| ANTHEM | Blue Access Small Group | $3,576.00 | ↓ -20% |
| ANTHEM | Blue Access Large Group | $3,675.00 | ↓ -18% |
| ANTHEM | HMO | $3,973.00 | ↓ -11% |
| ANTHEM | INDEMNITY | $3,973.00 | ↓ -11% |
| ANTHEM | EPO | $3,973.00 | ↓ -11% |
| ANTHEM | PPO | $3,973.00 | ↓ -11% |
| Healthfirst | Medicare Advantage PPO | $4,073.23 | ↓ -9% |
| Healthfirst | Essential Plan 3-4 | $4,363.02 | ↓ -2% |
| Affinity | Essential Plan 1-2 | $4,363.02 | ↓ -2% |
| Affinity | Essential Plan 200-250 | $4,363.02 | ↓ -2% |
| Affinity | Essential Plan 3-4 | $4,363.02 | ↓ -2% |
| Anthem HealthPlus | Essential Plan 1-2 | $4,363.02 | ↓ -2% |
| Anthem HealthPlus | Essential Plan 200-250 | $4,363.02 | ↓ -2% |
| Anthem HealthPlus | Essential Plan 3-4 | $4,363.02 | ↓ -2% |
| Fidelis | Essential Plan 1-4_200-250 | $4,363.02 | ↓ -2% |
| Healthfirst | Essential Plan 1-2 | $4,363.02 | ↓ -2% |
| Healthfirst | Essential Plan 200-250 | $4,363.02 | ↓ -2% |
| UNITED | EXCHANGE | $4,438.00 | ↓ -1% |
| VNSNY | Medicare SNP | $4,462.45 | ↑ +0% |
| VNSNY | Medicare Advantage | $4,462.45 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $4,462.45 | ↑ +0% |
| VACCN | All Products | $4,462.45 | ↑ +0% |
| Fidelis | MAP | $4,462.45 | ↑ +0% |
| Senior Whole Health | MLTC | $4,462.45 | ↑ +0% |
| Senior Whole Health | MAP | $4,462.45 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $4,685.57 | ↑ +5% |
| Healthfirst | MEDICARE ADVANTAGE | $4,809.35 | ↑ +8% |
| Healthfirst | MAP | $4,809.35 | ↑ +8% |
| UNITED | ALL PRODUCTS | $4,893.00 | ↑ +10% |
| Centerlight | PACE | $4,907.50 | ↑ +10% |
| EMBLEM | PPO_Commercial | $5,014.00 | ↑ +12% |
| EMBLEM | HIP_GHI_CHP | $5,014.00 | ↑ +12% |
| UNITED | MEDICARE ADVANTAGE | $5,152.88 | ↑ +15% |
| MAGNACARE | PPO FPP | $5,354.94 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $5,354.94 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $5,354.94 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $5,354.94 | ↑ +20% |
| MetroPlus | MEDICARE ADVANTAGE | $5,545.48 | ↑ +24% |
| MetroPlus | EXCHANGE | $5,545.48 | ↑ +24% |
| MetroPlus | MAP | $5,545.48 | ↑ +24% |
| Fidelis | EXCHANGE | $6,336.68 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $6,604.43 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $6,693.68 | ↑ +50% |
| VillageCare Max | MEDICARE ADVANTAGE | $7,361.25 | ↑ +65% |
| OSCAR | ALL PRODUCTS | $7,361.25 | ↑ +65% |
| VillageCare Max | MAP | $7,361.25 | ↑ +65% |
| Elderplan | MAP_Medicare Advantage_MLTC | $9,815.00 | ↑ +120% |
| PB - ANTHEM | ESSENTIAL PLAN 1-2 | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cover eye w/membrane suture at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $4,462.45 | $114.33 – $9,815.00 |
| Harlem Hospital Center | New York | $4,462.45 | $114.33 – $9,815.00 |
| Kings County Hospital Center | Brooklyn | $4,462.45 | $116.91 – $9,815.00 |
| Lincoln Medical Center | Bronx | $4,462.45 | $116.91 – $9,815.00 |
| Metropolitan Hospital Center | New York | $4,462.45 | $116.91 – $9,815.00 |
| Woodhull Medical Center | Brooklyn | $4,462.45 | $116.91 – $9,815.00 |
| South Brooklyn Health | Brooklyn | $4,462.45 | $116.91 – $9,815.00 |
| North Central Bronx | Bronx | $4,462.45 | $116.91 – $9,815.00 |