Difelikefalin, esrd on dialy at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$0.15
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.
not published by hospital
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.
$0.08 with VACCN vs $896.85 with Affinity — 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 |
|---|---|---|---|
| VACCN | All Products | $0.08 | ↓ -47% |
| Senior Whole Health | MLTC | $0.08 | ↓ -47% |
| VNSNY | Medicare Advantage | $0.08 | ↓ -47% |
| VNSNY | Medicare SNP | $0.08 | ↓ -47% |
| Senior Whole Health | MAP | $0.08 | ↓ -47% |
| ANTHEM | MEDICARE ADVANTAGE | $0.08 | ↓ -47% |
| MAGNACARE | PPO Non-FPP | $0.10 | ↓ -33% |
| MAGNACARE | Direct Plus FPP | $0.10 | ↓ -33% |
| MAGNACARE | Direct Plus Non-FPP | $0.10 | ↓ -33% |
| MAGNACARE | PPO FPP | $0.10 | ↓ -33% |
| EMBLEM | MEDICARE ADVANTAGE | $0.12 | ↓ -20% |
| Hamaspik | MEDICARE ADVANTAGE | $0.12 | ↓ -20% |
| Fidelis | MAP | $0.15 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $0.15 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $0.16 | ↑ +7% |
| Fidelis | EXCHANGE | $0.21 | ↑ +40% |
| Wellcare | MEDICARE ADVANTAGE | $0.22 | ↑ +47% |
| Local 1199 | ALL PRODUCTS | $0.25 | ↑ +67% |
| MetroPlus | Essential Plan 200-250 | $0.29 | ↑ +93% |
| MetroPlus | Essential Plan 3-4 | $0.29 | ↑ +93% |
| MetroPlus | Essential Plan 1-2 | $0.29 | ↑ +93% |
| Aetna | ALL PRODUCTS | $0.33 | ↑ +120% |
| Healthfirst | CHP | $330.84 | ↑ +220460% |
| Healthfirst | HARP | $330.84 | ↑ +220460% |
| Healthfirst | Managed Medicaid | $330.84 | ↑ +220460% |
| UNITED | HARP | $398.60 | ↑ +265633% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $398.60 | ↑ +265633% |
| MetroPlus | SNP | $398.60 | ↑ +265633% |
| MetroPlus | Gold | $398.60 | ↑ +265633% |
| MetroPlus | Goldcare 1 & 2 | $398.60 | ↑ +265633% |
| MetroPlus | Managed Medicaid | $398.60 | ↑ +265633% |
| MetroPlus | HARP | $398.60 | ↑ +265633% |
| MetroPlus | CHP | $398.60 | ↑ +265633% |
| UNITED | Managed Medicaid | $398.60 | ↑ +265633% |
| Anthem HealthPlus | EXCHANGE | $398.60 | ↑ +265633% |
| Carelon | GHI BMP | $398.60 | ↑ +265633% |
| Carelon | Managed Medicaid_HARP_CHP | $398.60 | ↑ +265633% |
| Carelon | Commercial_Essential Plans | $398.60 | ↑ +265633% |
| Fidelis | CHP | $398.60 | ↑ +265633% |
| Fidelis | HARP_Managed Medicaid | $398.60 | ↑ +265633% |
| VNSNY | MAP | $406.57 | ↑ +270947% |
| UNITED BEHAVIORAL HEALTH | CHP | $406.57 | ↑ +270947% |
| VNSNY | Medicaid SNP | $406.57 | ↑ +270947% |
| Carelon (Amida Care) | Managed Medicaid | $406.57 | ↑ +270947% |
| UNITED BEHAVIORAL HEALTH | HARP | $406.57 | ↑ +270947% |
| UNITED | Essential Plan 1-4_200-250 | $426.50 | ↑ +284233% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $438.46 | ↑ +292207% |
| UNITED | CHP | $498.25 | ↑ +332067% |
| EMBLEM | Essential Plan 3-4 | $498.25 | ↑ +332067% |
| EMBLEM | Essential Plan 1-2 | $538.11 | ↑ +358640% |
| Emblem | Essential Plan 200-250 | $538.11 | ↑ +358640% |
| Healthfirst | EXCHANGE | $637.76 | ↑ +425073% |
| Healthfirst | Small Group | $649.72 | ↑ +433047% |
| Affinity | Essential Plan 200-250 | $896.85 | ↑ +597800% |
| Anthem HealthPlus | Essential Plan 1-2 | $896.85 | ↑ +597800% |
| Anthem HealthPlus | Essential Plan 200-250 | $896.85 | ↑ +597800% |
| Affinity | Essential Plan 1-2 | $896.85 | ↑ +597800% |
| Anthem HealthPlus | Essential Plan 3-4 | $896.85 | ↑ +597800% |
| Healthfirst | Essential Plan 3-4 | $896.85 | ↑ +597800% |
| Fidelis | Essential Plan 1-4_200-250 | $896.85 | ↑ +597800% |
| Healthfirst | Essential Plan 200-250 | $896.85 | ↑ +597800% |
| Healthfirst | Essential Plan 1-2 | $896.85 | ↑ +597800% |
| Affinity | Essential Plan 3-4 | $896.85 | ↑ +597800% |
Visitor-reported prices
Comments
Difelikefalin, esrd on dialy at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $0.15 | $0.08 – $0.29 |
| Harlem Hospital Center | New York | $0.15 | $0.08 – $0.29 |
| Kings County Hospital Center | Brooklyn | $0.15 | $0.08 – $0.29 |
| Lincoln Medical Center | Bronx | $0.15 | $0.08 – $0.29 |
| Metropolitan Hospital Center | New York | $0.15 | $0.08 – $0.29 |
| Woodhull Medical Center | Brooklyn | $0.15 | $0.08 – $0.29 |
| South Brooklyn Health | Brooklyn | $0.15 | $0.08 – $0.29 |
| North Central Bronx | Bronx | $0.15 | $0.08 – $0.29 |