Inj., tildrakizumab, 1 mg at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$135.92
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.
$108.74 with Hamaspik vs $24,501.15 with Healthfirst — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $108.74 | ↓ -20% |
| Healthfirst | MEDICARE ADVANTAGE | $115.84 | ↓ -15% |
| Healthfirst | MAP | $115.84 | ↓ -15% |
| Healthfirst | Medicare Advantage PPO | $115.84 | ↓ -15% |
| Fidelis | EXCHANGE | $118.20 | ↓ -13% |
| Local 1199 | ALL PRODUCTS | $124.27 | ↓ -9% |
| Senior Whole Health | MLTC | $124.27 | ↓ -9% |
| ANTHEM | EPO | $125.29 | ↓ -8% |
| ANTHEM | Blue Access Large Group | $125.29 | ↓ -8% |
| ANTHEM | Blue Access Small Group | $125.29 | ↓ -8% |
| ANTHEM | HMO | $125.29 | ↓ -8% |
| ANTHEM | INDEMNITY | $125.29 | ↓ -8% |
| ANTHEM | PPO | $125.29 | ↓ -8% |
| ANTHEM | Small Group EPO_PPO | $125.29 | ↓ -8% |
| VACCN | All Products | $126.24 | ↓ -7% |
| ANTHEM | MEDICARE ADVANTAGE | $126.24 | ↓ -7% |
| VNSNY | Medicare SNP | $127.65 | ↓ -6% |
| Senior Whole Health | MAP | $127.65 | ↓ -6% |
| Centerlight | PACE | $127.65 | ↓ -6% |
| EMBLEM | HIP_GHI_CHP | $127.65 | ↓ -6% |
| EMBLEM | PPO_Commercial | $127.65 | ↓ -6% |
| VNSNY | MAP | $127.65 | ↓ -6% |
| VNSNY | Medicaid SNP | $127.65 | ↓ -6% |
| Amidacare | Managed Medicaid | $127.65 | ↓ -6% |
| VNSNY | Medicare Advantage | $127.65 | ↓ -6% |
| UNITED | MEDICARE ADVANTAGE | $130.48 | ↓ -4% |
| Fidelis | MAP | $135.92 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $135.92 | ↑ +0% |
| MetroPlus | EXCHANGE | $140.43 | ↑ +3% |
| MetroPlus | MEDICARE ADVANTAGE | $140.43 | ↑ +3% |
| MetroPlus | MAP | $140.43 | ↑ +3% |
| VillageCare Max | MEDICARE ADVANTAGE | $141.84 | ↑ +4% |
| OSCAR | ALL PRODUCTS | $141.84 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $142.72 | ↑ +5% |
| MAGNACARE | PPO Non-FPP | $151.49 | ↑ +11% |
| MAGNACARE | Direct Plus Non-FPP | $151.49 | ↑ +11% |
| MAGNACARE | Direct Plus FPP | $151.49 | ↑ +11% |
| MAGNACARE | PPO FPP | $151.49 | ↑ +11% |
| MetroPlus | Essential Plan 1-2 | $166.30 | ↑ +22% |
| MetroPlus | Essential Plan 200-250 | $166.30 | ↑ +22% |
| MetroPlus | Essential Plan 3-4 | $166.30 | ↑ +22% |
| VillageCare Max | MAP | $186.41 | ↑ +37% |
| EMBLEM | MEDICARE ADVANTAGE | $189.36 | ↑ +39% |
| Wellcare | MEDICARE ADVANTAGE | $201.16 | ↑ +48% |
| Aetna | ALL PRODUCTS | $206.85 | ↑ +52% |
| CIGNA | ALL PRODUCTS | $228.12 | ↑ +68% |
| Elderplan | MAP_Medicare Advantage_MLTC | $248.54 | ↑ +83% |
| Healthfirst | HARP | $9,038.21 | ↑ +6550% |
| Healthfirst | CHP | $9,038.21 | ↑ +6550% |
| Healthfirst | Managed Medicaid | $9,038.21 | ↑ +6550% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $10,889.40 | ↑ +7912% |
| Fidelis | HARP_Managed Medicaid | $10,889.40 | ↑ +7912% |
| UNITED | HARP | $10,889.40 | ↑ +7912% |
| Anthem HealthPlus | EXCHANGE | $10,889.40 | ↑ +7912% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $10,889.40 | ↑ +7912% |
| Carelon | Managed Medicaid_HARP_CHP | $10,889.40 | ↑ +7912% |
| UNITED | Managed Medicaid | $10,889.40 | ↑ +7912% |
| MetroPlus | Goldcare 1 & 2 | $10,889.41 | ↑ +7912% |
| MetroPlus | Managed Medicaid | $10,889.41 | ↑ +7912% |
| Carelon | Commercial_Essential Plans | $10,889.41 | ↑ +7912% |
| MetroPlus | SNP | $10,889.41 | ↑ +7912% |
| Carelon | GHI BMP | $10,889.41 | ↑ +7912% |
| MetroPlus | CHP | $10,889.41 | ↑ +7912% |
| MetroPlus | Gold | $10,889.41 | ↑ +7912% |
| MetroPlus | HARP | $10,889.41 | ↑ +7912% |
| Affinity | HARP_Managed Medicaid | $11,107.19 | ↑ +8072% |
| Carelon (Amida Care) | Managed Medicaid | $11,107.19 | ↑ +8072% |
| UNITED BEHAVIORAL HEALTH | CHP | $11,107.19 | ↑ +8072% |
| UNITED BEHAVIORAL HEALTH | HARP | $11,107.19 | ↑ +8072% |
| Affinity | CHP | $11,433.87 | ↑ +8312% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $11,978.34 | ↑ +8713% |
| Anthem HealthPlus | CHP | $11,978.34 | ↑ +8713% |
| Fidelis | CHP | $12,849.49 | ↑ +9354% |
| EMBLEM | Essential Plan 3-4 | $13,611.76 | ↑ +9915% |
| EMBLEM | HARP_Managed Medicaid | $13,611.76 | ↑ +9915% |
| UNITED | CHP | $13,611.76 | ↑ +9915% |
| EMBLEM | Essential Plan 1-2 | $14,700.70 | ↑ +10716% |
| Emblem | Essential Plan 200-250 | $14,700.70 | ↑ +10716% |
| Healthfirst | EXCHANGE | $17,423.06 | ↑ +12719% |
| Healthfirst | Small Group | $17,749.74 | ↑ +12959% |
| Anthem HealthPlus | Essential Plan 3-4 | $24,501.15 | ↑ +17926% |
| Healthfirst | Essential Plan 3-4 | $24,501.15 | ↑ +17926% |
| UNITED | Essential Plan 1-4_200-250 | $24,501.15 | ↑ +17926% |
| Anthem HealthPlus | Essential Plan 1-2 | $24,501.15 | ↑ +17926% |
| Fidelis | Essential Plan 1-4_200-250 | $24,501.15 | ↑ +17926% |
| Healthfirst | Essential Plan 200-250 | $24,501.15 | ↑ +17926% |
| Affinity | Essential Plan 3-4 | $24,501.15 | ↑ +17926% |
| Affinity | Essential Plan 200-250 | $24,501.15 | ↑ +17926% |
| Affinity | Essential Plan 1-2 | $24,501.15 | ↑ +17926% |
| Anthem HealthPlus | Essential Plan 200-250 | $24,501.15 | ↑ +17926% |
| Healthfirst | Essential Plan 1-2 | $24,501.15 | ↑ +17926% |
Visitor-reported prices
Comments
Inj., tildrakizumab, 1 mg at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $47,573.05 | $119.93 – $8,178.26 |
| NewYork-Presbyterian Queens | Flushing | $47,573.05 | $119.93 – $8,178.55 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $47,573.05 | $119.93 – $6,160.41 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $91.72 – $178.63 |
| Rochester General Hospital | Rochester | not published | $121.80 – $260.97 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $123.79 – $185.85 |
| Gouverneur Hospital | Gouverneur | not published | $131.46 – $185.85 |
| The Unity Hospital of Rochester | Rochester | not published | $121.80 – $185.85 |