healthcosts.net
Lower Back (Lumbar Spine) CT scan (without contrast) at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$127.14
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.
$1,537.55
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.
$74.26 with Healthfirst vs $1,306.92 with Local 1199 — 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 |
|---|---|---|---|
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $74.26 | ↓ -42% |
| Healthfirst | HARP | $78.62 | ↓ -38% |
| Healthfirst | Managed Medicaid | $78.62 | ↓ -38% |
| Healthfirst | MEDICARE ADVANTAGE | $81.56 | ↓ -36% |
| Healthfirst | MAP | $81.56 | ↓ -36% |
| Healthfirst | Medicare Advantage PPO | $81.56 | ↓ -36% |
| Healthfirst | CHP | $88.44 | ↓ -30% |
| EMBLEM | HIP_GHI_CHP | $98.27 | ↓ -23% |
| EMBLEM | MEDICARE ADVANTAGE | $98.27 | ↓ -23% |
| Wellcare | MEDICARE ADVANTAGE | $106.13 | ↓ -17% |
| Aetna | MEDICARE ADVANTAGE | $117.06 | ↓ -8% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $118.82 | ↓ -7% |
| VNSNY | Medicare Advantage | $125.84 | ↓ -1% |
| ANTHEM | MEDICARE ADVANTAGE | $125.84 | ↓ -1% |
| VACCN | All Products | $125.84 | ↓ -1% |
| VNSNY | Medicare SNP | $125.84 | ↓ -1% |
| Affinity | CHP | $130.70 | ↑ +3% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $130.87 | ↑ +3% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $138.12 | ↑ +9% |
| UNITED | HARP | $140.00 | ↑ +10% |
| UNITED | Managed Medicaid | $140.00 | ↑ +10% |
| Fidelis | MAP | $141.51 | ↑ +11% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $145.55 | ↑ +14% |
| Anthem HealthPlus | HARP | $148.52 | ↑ +17% |
| Anthem HealthPlus | MLTC | $148.52 | ↑ +17% |
| Elderplan | MAP | $148.52 | ↑ +17% |
| Anthem HealthPlus | MAP | $148.52 | ↑ +17% |
| Healthfirst | Small Group | $148.52 | ↑ +17% |
| Fidelis | Managed Medicaid | $148.52 | ↑ +17% |
| Elderplan | Medicare Advantage | $148.52 | ↑ +17% |
| Centerlight | PACE | $148.52 | ↑ +17% |
| Fidelis | CHP | $148.52 | ↑ +17% |
| Elderplan | MLTC | $148.52 | ↑ +17% |
| Fidelis | FHP | $148.52 | ↑ +17% |
| Amidacare | Managed Medicaid | $148.52 | ↑ +17% |
| UNITED | Essential Plan 1-4_200-250 | $149.80 | ↑ +18% |
| Wellcare | Medicare Advantage | $150.75 | ↑ +19% |
| Centers Plan for Healthy Living | Medicare Advantage | $154.46 | ↑ +21% |
| Hamaspik | Medicare Advantage | $155.95 | ↑ +23% |
| Anthem HealthPlus | CHP | $163.37 | ↑ +28% |
| Aetna | All Products | $167.73 | ↑ +32% |
| Aetna | Medicare Advantage | $167.73 | ↑ +32% |
| Anthem HealthPlus | Essential Plan 1-2 | $178.22 | ↑ +40% |
| Fidelis | EXCHANGE | $178.69 | ↑ +41% |
| Oscar | All Products | $185.65 | ↑ +46% |
| OSCAR | ALL PRODUCTS | $188.76 | ↑ +48% |
| MetroPlus | Essential Plan 200-250 | $190.50 | ↑ +50% |
| MetroPlus | Essential Plan 1-2 | $190.50 | ↑ +50% |
| MetroPlus | Essential Plan 3-4 | $190.50 | ↑ +50% |
| EMBLEM | Essential Plan 1-2 | $190.89 | ↑ +50% |
| Fidelis | QHC | $197.90 | ↑ +56% |
| Anthem HealthPlus | Exchange | $239.16 | ↑ +88% |
| Elderplan | MAP_Medicare Advantage_MLTC | $251.68 | ↑ +98% |
| Affinity | Essential Plan 1-4_200-250 | $267.34 | ↑ +110% |
| Fidelis | Essential Plan 1-4_200-250 | $267.34 | ↑ +110% |
| Aetna | ALL PRODUCTS | $276.75 | ↑ +118% |
| OXFORD | Freedom | $291.59 | ↑ +129% |
| UNITED | ALL PRODUCTS | $291.59 | ↑ +129% |
| OXFORD | Liberty | $291.59 | ↑ +129% |
| UNITED | EXCHANGE | $291.59 | ↑ +129% |
| MetroPlus | HARP | $351.36 | ↑ +176% |
| Local 1199 | All Products | $374.00 | ↑ +194% |
| MetroPlus | Managed Medicaid | $383.49 | ↑ +202% |
| MetroPlus | CHP | $383.49 | ↑ +202% |
| Senior Whole Health | MLTC | $383.49 | ↑ +202% |
| MetroPlus | Goldcare 1 & 2 | $383.49 | ↑ +202% |
| MetroPlus | Gold | $383.49 | ↑ +202% |
| MetroPlus | SNP | $383.49 | ↑ +202% |
| Carelon | Managed Medicaid_HARP_CHP | $383.49 | ↑ +202% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $383.49 | ↑ +202% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $383.49 | ↑ +202% |
| Anthem HealthPlus | EXCHANGE | $383.49 | ↑ +202% |
| Senior Whole Health | MAP | $383.49 | ↑ +202% |
| Fidelis | HARP_Managed Medicaid | $383.49 | ↑ +202% |
| VNSNY | Medicaid SNP | $391.16 | ↑ +208% |
| UNITED BEHAVIORAL HEALTH | HARP | $391.16 | ↑ +208% |
| VNSNY | MAP | $391.16 | ↑ +208% |
| Affinity | HARP_Managed Medicaid | $391.16 | ↑ +208% |
| Carelon (Amida Care) | Managed Medicaid | $391.16 | ↑ +208% |
| UNITED BEHAVIORAL HEALTH | CHP | $391.16 | ↑ +208% |
| ANTHEM | Small Group EPO_PPO | $417.09 | ↑ +228% |
| ANTHEM | Blue Access Small Group | $417.09 | ↑ +228% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $421.84 | ↑ +232% |
| ANTHEM | Blue Access Large Group | $429.54 | ↑ +238% |
| ANTHEM | EPO | $463.78 | ↑ +265% |
| ANTHEM | INDEMNITY | $463.78 | ↑ +265% |
| ANTHEM | PPO | $463.78 | ↑ +265% |
| ANTHEM | HMO | $463.78 | ↑ +265% |
| Healthfirst | EXCHANGE | $479.36 | ↑ +277% |
| EMBLEM | Essential Plan 3-4 | $479.36 | ↑ +277% |
| Affinity | Essential Plan 1-2 | $790.56 | ↑ +522% |
| Affinity | Essential Plan 200-250 | $790.56 | ↑ +522% |
| Affinity | Essential Plan 3-4 | $790.56 | ↑ +522% |
| Healthfirst | Essential Plan 1-2 | $862.85 | ↑ +579% |
| Healthfirst | Essential Plan 3-4 | $862.85 | ↑ +579% |
| Anthem HealthPlus | Essential Plan 3-4 | $862.85 | ↑ +579% |
| Healthfirst | Essential Plan 200-250 | $862.85 | ↑ +579% |
| Carelon | GHI BMP | $999.41 | ↑ +686% |
| Carelon | MAP_Medicare Advantage | $999.41 | ↑ +686% |
| Carelon | Commercial_Essential Plans | $999.41 | ↑ +686% |
| CIGNA | ALL PRODUCTS | $1,056.00 | ↑ +731% |
| MAGNACARE | PPO Non-FPP | $1,153.16 | ↑ +807% |
| MAGNACARE | Direct Plus Non-FPP | $1,153.16 | ↑ +807% |
| MULTIPLAN | ALL PRODUCTS | $1,230.04 | ↑ +867% |
| VillageCare Max | MAP | $1,306.92 | ↑ +928% |
| VillageCare Max | MEDICARE ADVANTAGE | $1,306.92 | ↑ +928% |
| Local 1199 | ALL PRODUCTS | $1,306.92 | ↑ +928% |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| UNITED | CHP | not published by hospital | — |
| United Behavioral Health | Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (without contrast) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $127.14 | $73.07 – $1,230.04 |
| Kings County Hospital Center | Brooklyn | $125.85 | $74.86 – $1,306.92 |
| UPMC Chautauqua | Jamestown | $507.00 | $129.93 – $760.50 |
| Woodhull Medical Center | Brooklyn | $127.14 | $74.86 – $1,306.92 |
| Elmhurst Hospital Center | NY 11373 | not published | $78.62 – $1,056.00 |
| Harlem Hospital Center | New York | not published | $76.77 – $1,056.00 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Jacobi Medical Center | Bronx | not published | $79.06 – $1,306.92 |