Ghs layered repair 12.6 - 20.0 cm -12045 at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$755.08
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.
$1,984.48
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.
$169.68 with PB - ANTHEM vs $1,927.15 with MetroPlus — 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 |
|---|---|---|---|
| PB - ANTHEM | EXCHANGE | $169.68 | ↓ -78% |
| Healthfirst | MAP | $220.50 | ↓ -71% |
| Healthfirst | MEDICARE ADVANTAGE | $220.50 | ↓ -71% |
| PB - LOCAL 1199 | ALL PRODUCTS | $245.00 | ↓ -68% |
| Aetna | MEDICARE ADVANTAGE | $308.05 | ↓ -59% |
| PB - AETNA | ALL PRODUCTS | $346.61 | ↓ -54% |
| PB - AETNA | MEDICARE ADVANTAGE | $346.61 | ↓ -54% |
| PB - CENTERLIGHT | PACE | $389.00 | ↓ -48% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $389.00 | ↓ -48% |
| PB - OSCAR | ALL PRODUCTS | $427.90 | ↓ -43% |
| Fidelis | MAP | $443.59 | ↓ -41% |
| Healthfirst | Medicare Advantage PPO | $450.00 | ↓ -40% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $466.80 | ↓ -38% |
| Amidacare | Managed Medicaid | $493.00 | ↓ -35% |
| PB - AFFINITY | CHP | $544.60 | ↓ -28% |
| PB - AFFINITY | ESSENTIAL | $544.60 | ↓ -28% |
| Healthfirst | CHP | $710.90 | ↓ -6% |
| Healthfirst | HARP | $710.90 | ↓ -6% |
| Healthfirst | Managed Medicaid | $710.90 | ↓ -6% |
| Hamaspik | MEDICARE ADVANTAGE | $724.37 | ↓ -4% |
| VNSNY | Medicare SNP | $724.37 | ↓ -4% |
| VNSNY | Medicare Advantage | $724.37 | ↓ -4% |
| VACCN | All Products | $724.37 | ↓ -4% |
| ANTHEM | MEDICARE ADVANTAGE | $724.37 | ↓ -4% |
| Senior Whole Health | MLTC | $724.37 | ↓ -4% |
| Senior Whole Health | MAP | $724.37 | ↓ -4% |
| OXFORD | MEDICARE ADVANTAGE | $760.59 | ↑ +1% |
| Carelon | MAP_Medicare Advantage | $781.00 | ↑ +3% |
| Wellcare | MEDICARE ADVANTAGE | $782.32 | ↑ +4% |
| OXFORD | Liberty | $820.00 | ↑ +9% |
| Local 1199 | ALL PRODUCTS | $836.00 | ↑ +11% |
| UNITED | HARP | $856.51 | ↑ +13% |
| Fidelis | CHP | $856.51 | ↑ +13% |
| UNITED | Managed Medicaid | $856.51 | ↑ +13% |
| Fidelis | HARP_Managed Medicaid | $856.51 | ↑ +13% |
| MetroPlus | Gold | $856.51 | ↑ +13% |
| Carelon | Managed Medicaid_HARP_CHP | $856.51 | ↑ +13% |
| Carelon | GHI BMP | $856.51 | ↑ +13% |
| Carelon | Commercial_Essential Plans | $856.51 | ↑ +13% |
| Anthem HealthPlus | EXCHANGE | $856.51 | ↑ +13% |
| MetroPlus | CHP | $856.51 | ↑ +13% |
| MetroPlus | SNP | $856.51 | ↑ +13% |
| MetroPlus | Managed Medicaid | $856.51 | ↑ +13% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $856.51 | ↑ +13% |
| MetroPlus | HARP | $856.51 | ↑ +13% |
| MetroPlus | Goldcare 1 & 2 | $856.51 | ↑ +13% |
| Carelon (Amida Care) | Managed Medicaid | $873.64 | ↑ +16% |
| UNITED BEHAVIORAL HEALTH | HARP | $873.64 | ↑ +16% |
| VNSNY | MAP | $873.64 | ↑ +16% |
| UNITED BEHAVIORAL HEALTH | CHP | $873.64 | ↑ +16% |
| VNSNY | Medicaid SNP | $873.64 | ↑ +16% |
| UNITED | Essential Plan 1-4_200-250 | $916.47 | ↑ +21% |
| Elderplan | MAP_Medicare Advantage_MLTC | $922.57 | ↑ +22% |
| Centerlight | PACE | $922.57 | ↑ +22% |
| OXFORD | Freedom | $926.00 | ↑ +23% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $942.16 | ↑ +25% |
| UNITED | MEDICARE ADVANTAGE | $968.70 | ↑ +28% |
| EMBLEM | PPO_Commercial | $1,016.00 | ↑ +35% |
| EMBLEM | HIP_GHI_CHP | $1,016.00 | ↑ +35% |
| Fidelis | EXCHANGE | $1,028.61 | ↑ +36% |
| UNITED | EXCHANGE | $1,040.00 | ↑ +38% |
| MetroPlus | MAP | $1,042.51 | ↑ +38% |
| MetroPlus | EXCHANGE | $1,042.51 | ↑ +38% |
| MetroPlus | MEDICARE ADVANTAGE | $1,042.51 | ↑ +38% |
| UNITED | CHP | $1,070.64 | ↑ +42% |
| EMBLEM | Essential Plan 3-4 | $1,070.64 | ↑ +42% |
| EMBLEM | MEDICARE ADVANTAGE | $1,086.56 | ↑ +44% |
| UNITED | ALL PRODUCTS | $1,147.00 | ↑ +52% |
| Emblem | Essential Plan 200-250 | $1,156.29 | ↑ +53% |
| EMBLEM | Essential Plan 1-2 | $1,156.29 | ↑ +53% |
| Aetna | ALL PRODUCTS | $1,235.00 | ↑ +64% |
| Healthfirst | EXCHANGE | $1,370.42 | ↑ +81% |
| VillageCare Max | MEDICARE ADVANTAGE | $1,383.86 | ↑ +83% |
| VillageCare Max | MAP | $1,383.86 | ↑ +83% |
| Healthfirst | Small Group | $1,396.11 | ↑ +85% |
| OSCAR | ALL PRODUCTS | $1,466.00 | ↑ +94% |
| MAGNACARE | Direct Plus Non-FPP | $1,488.36 | ↑ +97% |
| MAGNACARE | Direct Plus FPP | $1,488.36 | ↑ +97% |
| MAGNACARE | PPO Non-FPP | $1,488.36 | ↑ +97% |
| MAGNACARE | PPO FPP | $1,488.36 | ↑ +97% |
| CIGNA | ALL PRODUCTS | $1,500.00 | ↑ +99% |
| ANTHEM | Blue Access Small Group | $1,536.00 | ↑ +103% |
| ANTHEM | Small Group EPO_PPO | $1,536.00 | ↑ +103% |
| ANTHEM | Blue Access Large Group | $1,579.00 | ↑ +109% |
| MULTIPLAN | ALL PRODUCTS | $1,587.58 | ↑ +110% |
| ANTHEM | INDEMNITY | $1,707.00 | ↑ +126% |
| ANTHEM | HMO | $1,707.00 | ↑ +126% |
| ANTHEM | EPO | $1,707.00 | ↑ +126% |
| ANTHEM | PPO | $1,707.00 | ↑ +126% |
| MetroPlus | Essential Plan 1-2 | $1,927.15 | ↑ +155% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,927.15 | ↑ +155% |
| Affinity | Essential Plan 3-4 | $1,927.15 | ↑ +155% |
| Affinity | Essential Plan 200-250 | $1,927.15 | ↑ +155% |
| Affinity | Essential Plan 1-2 | $1,927.15 | ↑ +155% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,927.15 | ↑ +155% |
| Healthfirst | Essential Plan 1-2 | $1,927.15 | ↑ +155% |
| Healthfirst | Essential Plan 200-250 | $1,927.15 | ↑ +155% |
| Fidelis | Essential Plan 1-4_200-250 | $1,927.15 | ↑ +155% |
| Healthfirst | Essential Plan 3-4 | $1,927.15 | ↑ +155% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,927.15 | ↑ +155% |
| MetroPlus | Essential Plan 3-4 | $1,927.15 | ↑ +155% |
| MetroPlus | Essential Plan 200-250 | $1,927.15 | ↑ +155% |
| Affinity | CHP | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-2 | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layered repair 12.6 - 20.0 cm -12045 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $755.08 | $169.68 – $1,383.86 |
| Harlem Hospital Center | New York | $724.37 | $220.50 – $1,042.51 |
| Kings County Hospital Center | Brooklyn | $755.08 | $169.68 – $1,383.86 |
| Lincoln Medical Center | Bronx | $724.37 | $220.50 – $1,042.51 |
| Metropolitan Hospital Center | New York | $724.37 | $220.50 – $1,042.51 |
| UPMC Chautauqua | Jamestown | $217.80 | $115.00 – $1,033.67 |
| Woodhull Medical Center | Brooklyn | $755.08 | $169.68 – $1,383.86 |
| South Brooklyn Health | Brooklyn | $724.37 | $220.50 – $1,042.51 |