Incision of tendon & muscle at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$8,453.60
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.
$1,656.00
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.
$366.14 with PB - ANTHEM vs $18,115.63 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 |
|---|---|---|---|
| PB - ANTHEM | EXCHANGE | $366.14 | ↓ -96% |
| PB - AETNA | MEDICARE ADVANTAGE | $641.98 | ↓ -92% |
| PB - AETNA | ALL PRODUCTS | $641.98 | ↓ -92% |
| Aetna | MEDICARE ADVANTAGE | $704.39 | ↓ -92% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $828.00 | ↓ -90% |
| PB - CENTERLIGHT | PACE | $828.00 | ↓ -90% |
| PB - LOCAL 1199 | ALL PRODUCTS | $834.00 | ↓ -90% |
| Local 1199 | ALL PRODUCTS | $834.00 | ↓ -90% |
| MetroPlus | Essential Plan 1-2 | $901.05 | ↓ -89% |
| MetroPlus | Essential Plan 3-4 | $901.05 | ↓ -89% |
| MetroPlus | Essential Plan 200-250 | $901.05 | ↓ -89% |
| PB - OSCAR | ALL PRODUCTS | $910.80 | ↓ -89% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $993.60 | ↓ -88% |
| PB - AFFINITY | ESSENTIAL | $1,159.20 | ↓ -86% |
| PB - AFFINITY | CHP | $1,159.20 | ↓ -86% |
| Healthfirst | CHP | $2,265.99 | ↓ -73% |
| Fidelis | HARP_Managed Medicaid | $2,730.10 | ↓ -68% |
| Anthem HealthPlus | EXCHANGE | $2,730.10 | ↓ -68% |
| Carelon | Managed Medicaid_HARP_CHP | $2,730.10 | ↓ -68% |
| Fidelis | CHP | $2,730.10 | ↓ -68% |
| UNITED | HARP | $2,730.10 | ↓ -68% |
| UNITED | Managed Medicaid | $2,730.10 | ↓ -68% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $2,730.10 | ↓ -68% |
| Carelon | Commercial_Essential Plans | $2,730.11 | ↓ -68% |
| MetroPlus | CHP | $2,730.11 | ↓ -68% |
| MetroPlus | Gold | $2,730.11 | ↓ -68% |
| MetroPlus | Goldcare 1 & 2 | $2,730.11 | ↓ -68% |
| MetroPlus | HARP | $2,730.11 | ↓ -68% |
| MetroPlus | Managed Medicaid | $2,730.11 | ↓ -68% |
| MetroPlus | SNP | $2,730.11 | ↓ -68% |
| Carelon | GHI BMP | $2,730.11 | ↓ -68% |
| VNSNY | MAP | $2,784.70 | ↓ -67% |
| UNITED BEHAVIORAL HEALTH | HARP | $2,784.70 | ↓ -67% |
| Carelon (Amida Care) | Managed Medicaid | $2,784.70 | ↓ -67% |
| UNITED BEHAVIORAL HEALTH | CHP | $2,784.70 | ↓ -67% |
| VNSNY | Medicaid SNP | $2,784.70 | ↓ -67% |
| UNITED | Essential Plan 1-4_200-250 | $2,921.21 | ↓ -65% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $3,003.11 | ↓ -64% |
| UNITED | CHP | $3,412.64 | ↓ -60% |
| EMBLEM | Essential Plan 3-4 | $3,412.64 | ↓ -60% |
| EMBLEM | Essential Plan 1-2 | $3,685.65 | ↓ -56% |
| Emblem | Essential Plan 200-250 | $3,685.65 | ↓ -56% |
| Healthfirst | EXCHANGE | $4,368.18 | ↓ -48% |
| Healthfirst | Small Group | $4,450.08 | ↓ -47% |
| Fidelis | Essential Plan 1-4_200-250 | $6,142.73 | ↓ -27% |
| Affinity | Essential Plan 3-4 | $6,142.73 | ↓ -27% |
| Affinity | Essential Plan 1-2 | $6,142.73 | ↓ -27% |
| Anthem HealthPlus | Essential Plan 3-4 | $6,142.73 | ↓ -27% |
| Anthem HealthPlus | Essential Plan 1-2 | $6,142.73 | ↓ -27% |
| Anthem HealthPlus | Essential Plan 200-250 | $6,142.73 | ↓ -27% |
| Affinity | Essential Plan 200-250 | $6,142.73 | ↓ -27% |
| Healthfirst | Essential Plan 1-2 | $6,142.73 | ↓ -27% |
| Healthfirst | Essential Plan 200-250 | $6,142.73 | ↓ -27% |
| Healthfirst | Essential Plan 3-4 | $6,142.73 | ↓ -27% |
| Hamaspik | MEDICARE ADVANTAGE | $6,762.88 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $7,517.99 | ↓ -11% |
| Fidelis | MAP | $8,453.60 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $8,453.60 | ↑ +0% |
| Senior Whole Health | MAP | $8,453.60 | ↑ +0% |
| Senior Whole Health | MLTC | $8,453.60 | ↑ +0% |
| VNSNY | Medicare Advantage | $8,453.60 | ↑ +0% |
| VNSNY | Medicare SNP | $8,453.60 | ↑ +0% |
| VACCN | All Products | $8,453.60 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $8,876.28 | ↑ +5% |
| Healthfirst | MEDICARE ADVANTAGE | $8,876.66 | ↑ +5% |
| Healthfirst | MAP | $8,876.66 | ↑ +5% |
| Centerlight | PACE | $9,057.82 | ↑ +7% |
| UNITED | MEDICARE ADVANTAGE | $9,510.71 | ↑ +13% |
| MAGNACARE | PPO FPP | $10,144.33 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $10,144.33 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $10,144.33 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $10,144.33 | ↑ +20% |
| MetroPlus | MEDICARE ADVANTAGE | $10,235.33 | ↑ +21% |
| MetroPlus | MAP | $10,235.33 | ↑ +21% |
| MetroPlus | EXCHANGE | $10,235.33 | ↑ +21% |
| Fidelis | EXCHANGE | $12,004.11 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $12,511.33 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $12,680.41 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $13,586.72 | ↑ +61% |
| VillageCare Max | MEDICARE ADVANTAGE | $13,586.72 | ↑ +61% |
| VillageCare Max | MAP | $13,586.72 | ↑ +61% |
| Elderplan | MAP_Medicare Advantage_MLTC | $18,115.63 | ↑ +114% |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | 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 | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-2 | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Incision of tendon & muscle at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $8,453.60 | $366.14 – $18,115.63 |
| Harlem Hospital Center | New York | $8,453.60 | $705.79 – $18,115.63 |
| Kings County Hospital Center | Brooklyn | $8,453.60 | $366.14 – $18,115.63 |
| Lincoln Medical Center | Bronx | $8,453.60 | $728.02 – $18,115.63 |
| Metropolitan Hospital Center | New York | $8,453.60 | $728.02 – $18,115.63 |
| Woodhull Medical Center | Brooklyn | $8,453.60 | $366.14 – $18,115.63 |
| South Brooklyn Health | Brooklyn | $8,453.60 | $728.02 – $18,115.63 |
| North Central Bronx | Bronx | $8,453.60 | $728.02 – $18,115.63 |