healthcosts.net
Established Patient Office Visit (level 2) at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
not published by hospital
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.
$534.80
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.
$0.01 with EMBLEM vs $427.84 with UNITED — 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 |
|---|---|---|---|
| EMBLEM | HIP_GHI_CHP | $0.01 | — |
| EMBLEM | Essential Plan 3-4 | $0.01 | — |
| CIGNA | ALL PRODUCTS | $0.01 | — |
| EMBLEM | Essential Plan 1-2 | $0.01 | — |
| EMBLEM | MEDICARE ADVANTAGE | $0.01 | — |
| UNITED | Managed Medicaid | $17.59 | — |
| Aetna | MEDICARE ADVANTAGE | $18.50 | — |
| UNITED | Essential Plan 1-4_200-250 | $18.82 | — |
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $19.04 | — |
| UNITED | HARP | $25.87 | — |
| Local 1199 | All Products | $27.00 | — |
| Healthfirst | CHP | $30.46 | — |
| Healthfirst | HARP | $30.46 | — |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $30.46 | — |
| Healthfirst | Managed Medicaid | $30.46 | — |
| Aetna | All Products | $32.32 | — |
| Aetna | Medicare Advantage | $32.32 | — |
| Affinity | CHP | $33.51 | — |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $35.41 | — |
| Healthfirst | MAP_Medicare Advantage Primary Services | $37.32 | — |
| Anthem HealthPlus | HARP | $38.08 | — |
| Anthem HealthPlus | MLTC | $38.08 | — |
| Elderplan | MAP | $38.08 | — |
| Anthem HealthPlus | MAP | $38.08 | — |
| Healthfirst | Small Group | $38.08 | — |
| Fidelis | Managed Medicaid | $38.08 | — |
| Elderplan | Medicare Advantage | $38.08 | — |
| Centerlight | PACE | $38.08 | — |
| Healthfirst | Medicare Advantage PPO | $38.08 | — |
| Fidelis | CHP | $38.08 | — |
| Elderplan | MLTC | $38.08 | — |
| Fidelis | FHP | $38.08 | — |
| Amidacare | Managed Medicaid | $38.08 | — |
| Centers Plan for Healthy Living | Medicare Advantage | $39.60 | — |
| Hamaspik | Medicare Advantage | $39.98 | — |
| Wellcare | MEDICARE ADVANTAGE | $41.13 | — |
| Wellcare | Medicare Advantage | $41.13 | — |
| Anthem HealthPlus | CHP | $41.89 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $45.70 | — |
| Oscar | All Products | $49.50 | — |
| Fidelis | QHC | $50.74 | — |
| Carelon | MAP_Medicare Advantage | $52.00 | — |
| Fidelis | MAP | $54.84 | — |
| United Behavioral Health | Medicare Advantage | $56.81 | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | $56.81 | — |
| Carelon | GHI BMP | $57.00 | — |
| OSCAR | ALL PRODUCTS | $57.12 | — |
| United Behavioral Health | All Products | $58.53 | — |
| United Behavioral Health | Exchange | $58.53 | — |
| Carelon | Commercial_Essential Plans | $59.00 | — |
| Aetna | ALL PRODUCTS | $66.64 | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | $67.31 | — |
| Affinity | Essential Plan 1-4_200-250 | $68.54 | — |
| Fidelis | Essential Plan 1-4_200-250 | $68.54 | — |
| MetroPlus | Essential Plan 200-250 | $79.65 | — |
| MetroPlus | Essential Plan 1-2 | $79.65 | — |
| MetroPlus | Essential Plan 3-4 | $79.65 | — |
| Healthfirst | EXCHANGE | $116.27 | — |
| Healthfirst | MEDICARE ADVANTAGE | $125.00 | — |
| Healthfirst | MAP | $125.00 | — |
| OXFORD | Liberty | $267.40 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $302.29 | — |
| Carelon | Managed Medicaid_HARP_CHP | $302.29 | — |
| MAGNACARE | PPO Non-FPP | $320.00 | — |
| MAGNACARE | Direct Plus Non-FPP | $320.00 | — |
| OXFORD | Freedom | $320.88 | — |
| ANTHEM | EPO | $372.05 | — |
| MULTIPLAN | ALL PRODUCTS | $372.05 | — |
| ANTHEM | INDEMNITY | $372.05 | — |
| ANTHEM | PPO | $372.05 | — |
| ANTHEM | Blue Access Large Group | $372.05 | — |
| ANTHEM | Small Group EPO_PPO | $372.05 | — |
| ANTHEM | HMO | $372.05 | — |
| Carelon (Amida Care) | Managed Medicaid | $372.05 | — |
| ANTHEM | Blue Access Small Group | $372.05 | — |
| VNSNY | Medicaid SNP | $395.30 | — |
| VNSNY | Medicare Advantage | $395.30 | — |
| VillageCare Max | MAP | $395.30 | — |
| VillageCare Max | MEDICARE ADVANTAGE | $395.30 | — |
| VNSNY | MAP | $395.30 | — |
| Local 1199 | ALL PRODUCTS | $395.30 | — |
| VNSNY | Medicare SNP | $395.30 | — |
| UNITED | ALL PRODUCTS | $427.84 | — |
| UNITED | EXCHANGE | $427.84 | — |
| Fidelis | HARP_Managed Medicaid | not published by hospital | — |
| Senior Whole Health | MAP | not published by hospital | — |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| VACCN | All Products | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | CHP | not published by hospital | — |
| Anthem HealthPlus | EXCHANGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | SNP | not published by hospital | — |
| MetroPlus | Gold | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| UNITED | CHP | not published by hospital | — |
| Anthem HealthPlus | Exchange | not published by hospital | — |
| MetroPlus | HARP | not published by hospital | — |
| MetroPlus | Goldcare 1 & 2 | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | Essential Plan 3-4 | not published by hospital | — |
| Healthfirst | Essential Plan 200-250 | not published by hospital | — |
| Affinity | Essential Plan 200-250 | not published by hospital | — |
| Affinity | Essential Plan 1-2 | not published by hospital | — |
| Senior Whole Health | MLTC | not published by hospital | — |
| MetroPlus | CHP | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 3-4 | not published by hospital | — |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | Managed Medicaid | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| Healthfirst | Essential Plan 3-4 | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | HARP | not published by hospital | — |
| Healthfirst | Essential Plan 1-2 | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $97.80 | $30.00 – $146.70 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Bellevue Hospital Center | NY 10016 | not published | $0.01 – $395.30 |
| Elmhurst Hospital Center | NY 11373 | not published | $0.01 – $454.58 |
| Harlem Hospital Center | New York | not published | $0.01 – $395.30 |
| Jacobi Medical Center | Bronx | not published | $0.01 – $395.30 |
| Kings County Hospital Center | Brooklyn | not published | $0.01 – $395.30 |
| Lincoln Medical Center | Bronx | not published | $0.01 – $395.30 |