healthcosts.net
Lower Back (Lumbar Spine) MRI (with contrast) at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$444.73
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.
$2,212.47
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.
$155.88 with Healthfirst vs $1,880.60 with Local 1199 — 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 |
|---|---|---|---|
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $155.88 | ↓ -65% |
| Healthfirst | HARP | $249.41 | ↓ -44% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $249.41 | ↓ -44% |
| Healthfirst | Managed Medicaid | $249.41 | ↓ -44% |
| Healthfirst | MEDICARE ADVANTAGE | $258.76 | ↓ -42% |
| Healthfirst | MAP | $258.76 | ↓ -42% |
| Healthfirst | Medicare Advantage PPO | $258.76 | ↓ -42% |
| Affinity | CHP | $274.35 | ↓ -38% |
| Healthfirst | CHP | $280.58 | ↓ -37% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $289.94 | ↓ -35% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $305.52 | ↓ -31% |
| Anthem HealthPlus | HARP | $311.76 | ↓ -30% |
| EMBLEM | HIP_GHI_CHP | $311.76 | ↓ -30% |
| Anthem HealthPlus | MLTC | $311.76 | ↓ -30% |
| Elderplan | MAP | $311.76 | ↓ -30% |
| Anthem HealthPlus | MAP | $311.76 | ↓ -30% |
| Healthfirst | Small Group | $311.76 | ↓ -30% |
| Fidelis | Managed Medicaid | $311.76 | ↓ -30% |
| Elderplan | Medicare Advantage | $311.76 | ↓ -30% |
| Centerlight | PACE | $311.76 | ↓ -30% |
| Fidelis | CHP | $311.76 | ↓ -30% |
| Elderplan | MLTC | $311.76 | ↓ -30% |
| Fidelis | FHP | $311.76 | ↓ -30% |
| Wellcare | Medicare Advantage | $316.44 | ↓ -29% |
| Centers Plan for Healthy Living | Medicare Advantage | $324.23 | ↓ -27% |
| Hamaspik | Medicare Advantage | $327.35 | ↓ -26% |
| Wellcare | MEDICARE ADVANTAGE | $336.70 | ↓ -24% |
| Anthem HealthPlus | CHP | $342.94 | ↓ -23% |
| Aetna | All Products | $370.50 | ↓ -17% |
| Aetna | MEDICARE ADVANTAGE | $370.50 | ↓ -17% |
| Aetna | Medicare Advantage | $370.50 | ↓ -17% |
| Anthem HealthPlus | Essential Plan 1-2 | $374.11 | ↓ -16% |
| Oscar | All Products | $389.70 | ↓ -12% |
| Fidelis | QHC | $415.42 | ↓ -7% |
| Elderplan | MAP_Medicare Advantage_MLTC | $422.61 | ↓ -5% |
| VNSNY | Medicare Advantage | $422.61 | ↓ -5% |
| ANTHEM | MEDICARE ADVANTAGE | $422.61 | ↓ -5% |
| VACCN | All Products | $422.61 | ↓ -5% |
| VNSNY | Medicare SNP | $422.61 | ↓ -5% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $439.52 | ↓ -1% |
| Fidelis | MAP | $448.93 | ↑ +1% |
| Anthem HealthPlus | Exchange | $467.89 | ↑ +5% |
| EMBLEM | MEDICARE ADVANTAGE | $528.27 | ↑ +19% |
| Affinity | Essential Plan 1-4_200-250 | $561.17 | ↑ +26% |
| Fidelis | Essential Plan 1-4_200-250 | $561.17 | ↑ +26% |
| MetroPlus | HARP | $600.00 | ↑ +35% |
| Fidelis | EXCHANGE | $600.11 | ↑ +35% |
| OXFORD | Freedom | $641.12 | ↑ +44% |
| UNITED | ALL PRODUCTS | $641.12 | ↑ +44% |
| OXFORD | Liberty | $641.12 | ↑ +44% |
| UNITED | EXCHANGE | $641.12 | ↑ +44% |
| ANTHEM | Small Group EPO_PPO | $749.94 | ↑ +69% |
| ANTHEM | Blue Access Small Group | $749.94 | ↑ +69% |
| ANTHEM | Blue Access Large Group | $772.33 | ↑ +74% |
| Local 1199 | All Products | $798.00 | ↑ +79% |
| MetroPlus | Managed Medicaid | $810.15 | ↑ +82% |
| UNITED | HARP | $810.15 | ↑ +82% |
| MetroPlus | CHP | $810.15 | ↑ +82% |
| Senior Whole Health | MLTC | $810.15 | ↑ +82% |
| UNITED | Managed Medicaid | $810.15 | ↑ +82% |
| MetroPlus | Goldcare 1 & 2 | $810.15 | ↑ +82% |
| MetroPlus | Gold | $810.15 | ↑ +82% |
| MetroPlus | SNP | $810.15 | ↑ +82% |
| Carelon | Managed Medicaid_HARP_CHP | $810.15 | ↑ +82% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $810.15 | ↑ +82% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $810.15 | ↑ +82% |
| Anthem HealthPlus | EXCHANGE | $810.15 | ↑ +82% |
| Senior Whole Health | MAP | $810.15 | ↑ +82% |
| Amidacare | Managed Medicaid | $810.15 | ↑ +82% |
| Fidelis | HARP_Managed Medicaid | $810.15 | ↑ +82% |
| VNSNY | Medicaid SNP | $826.35 | ↑ +86% |
| UNITED BEHAVIORAL HEALTH | HARP | $826.35 | ↑ +86% |
| VNSNY | MAP | $826.35 | ↑ +86% |
| Affinity | HARP_Managed Medicaid | $826.35 | ↑ +86% |
| Carelon (Amida Care) | Managed Medicaid | $826.35 | ↑ +86% |
| UNITED BEHAVIORAL HEALTH | CHP | $826.35 | ↑ +86% |
| ANTHEM | EPO | $833.89 | ↑ +88% |
| ANTHEM | INDEMNITY | $833.89 | ↑ +88% |
| ANTHEM | PPO | $833.89 | ↑ +88% |
| ANTHEM | HMO | $833.89 | ↑ +88% |
| UNITED | Essential Plan 1-4_200-250 | $866.86 | ↑ +95% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $891.17 | ↑ +100% |
| Healthfirst | EXCHANGE | $1,012.69 | ↑ +128% |
| EMBLEM | Essential Plan 3-4 | $1,012.69 | ↑ +128% |
| EMBLEM | Essential Plan 1-2 | $1,093.70 | ↑ +146% |
| Aetna | ALL PRODUCTS | $1,131.00 | ↑ +154% |
| CIGNA | ALL PRODUCTS | $1,285.00 | ↑ +189% |
| Carelon | GHI BMP | $1,438.11 | ↑ +223% |
| Carelon | MAP_Medicare Advantage | $1,438.11 | ↑ +223% |
| Carelon | Commercial_Essential Plans | $1,438.11 | ↑ +223% |
| MAGNACARE | PPO Non-FPP | $1,659.35 | ↑ +273% |
| MAGNACARE | Direct Plus Non-FPP | $1,659.35 | ↑ +273% |
| Affinity | Essential Plan 1-2 | $1,663.29 | ↑ +274% |
| Affinity | Essential Plan 200-250 | $1,663.29 | ↑ +274% |
| Affinity | Essential Plan 3-4 | $1,663.29 | ↑ +274% |
| OSCAR | ALL PRODUCTS | $1,702.00 | ↑ +283% |
| MULTIPLAN | ALL PRODUCTS | $1,769.98 | ↑ +298% |
| Healthfirst | Essential Plan 1-2 | $1,822.84 | ↑ +310% |
| MetroPlus | Essential Plan 200-250 | $1,822.84 | ↑ +310% |
| Healthfirst | Essential Plan 3-4 | $1,822.84 | ↑ +310% |
| MetroPlus | Essential Plan 1-2 | $1,822.84 | ↑ +310% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,822.84 | ↑ +310% |
| Healthfirst | Essential Plan 200-250 | $1,822.84 | ↑ +310% |
| MetroPlus | Essential Plan 3-4 | $1,822.84 | ↑ +310% |
| VillageCare Max | MAP | $1,880.60 | ↑ +323% |
| VillageCare Max | MEDICARE ADVANTAGE | $1,880.60 | ↑ +323% |
| Local 1199 | ALL PRODUCTS | $1,880.60 | ↑ +323% |
| 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) MRI (with contrast) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $444.73 | $153.33 – $830.55 |
| Kings County Hospital Center | Brooklyn | $440.22 | $157.34 – $1,880.60 |
| UPMC Chautauqua | Jamestown | $736.20 | $297.75 – $1,104.30 |
| Woodhull Medical Center | Brooklyn | $444.73 | $157.34 – $798.00 |
| Elmhurst Hospital Center | NY 11373 | not published | $242.34 – $1,702.00 |
| Harlem Hospital Center | New York | not published | $172.37 – $1,285.00 |
| Jacobi Medical Center | Bronx | not published | $177.55 – $1,880.60 |
| Lincoln Medical Center | Bronx | not published | $242.34 – $1,702.00 |