healthcosts.net
Lower Back (Lumbar Spine) X-ray 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.
$441.85
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.
$15.00 with UNITED vs $375.57 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 |
|---|---|---|---|
| UNITED | HARP | $15.00 | ↓ -88% |
| UNITED | Managed Medicaid | $15.00 | ↓ -88% |
| UNITED | Essential Plan 1-4_200-250 | $16.05 | ↓ -87% |
| Aetna | MEDICARE ADVANTAGE | $18.55 | ↓ -85% |
| EMBLEM | Essential Plan 1-2 | $20.45 | ↓ -84% |
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $22.63 | ↓ -82% |
| Healthfirst | HARP | $26.98 | ↓ -79% |
| Healthfirst | Managed Medicaid | $26.98 | ↓ -79% |
| Aetna | All Products | $27.01 | ↓ -79% |
| Aetna | Medicare Advantage | $27.01 | ↓ -79% |
| Healthfirst | MEDICARE ADVANTAGE | $27.99 | ↓ -78% |
| Healthfirst | MAP | $27.99 | ↓ -78% |
| Healthfirst | Medicare Advantage PPO | $27.99 | ↓ -78% |
| Healthfirst | CHP | $30.35 | ↓ -76% |
| Anthem HealthPlus | Exchange | $31.65 | ↓ -75% |
| EMBLEM | HIP_GHI_CHP | $33.72 | ↓ -73% |
| EMBLEM | MEDICARE ADVANTAGE | $33.72 | ↓ -73% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $36.20 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $36.42 | ↓ -71% |
| Affinity | CHP | $39.82 | ↓ -69% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $42.08 | ↓ -67% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $44.35 | ↓ -65% |
| Aetna | ALL PRODUCTS | $44.57 | ↓ -65% |
| Anthem HealthPlus | HARP | $45.25 | ↓ -64% |
| Anthem HealthPlus | MLTC | $45.25 | ↓ -64% |
| Elderplan | MAP | $45.25 | ↓ -64% |
| Anthem HealthPlus | MAP | $45.25 | ↓ -64% |
| Healthfirst | Small Group | $45.25 | ↓ -64% |
| Fidelis | Managed Medicaid | $45.25 | ↓ -64% |
| Elderplan | Medicare Advantage | $45.25 | ↓ -64% |
| Centerlight | PACE | $45.25 | ↓ -64% |
| Fidelis | CHP | $45.25 | ↓ -64% |
| Elderplan | MLTC | $45.25 | ↓ -64% |
| Fidelis | FHP | $45.25 | ↓ -64% |
| Amidacare | Managed Medicaid | $45.25 | ↓ -64% |
| Wellcare | Medicare Advantage | $45.93 | ↓ -64% |
| Centers Plan for Healthy Living | Medicare Advantage | $47.06 | ↓ -63% |
| Hamaspik | Medicare Advantage | $47.51 | ↓ -63% |
| Local 1199 | All Products | $48.00 | ↓ -62% |
| Fidelis | MAP | $48.56 | ↓ -62% |
| Anthem HealthPlus | CHP | $49.78 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $50.58 | ↓ -60% |
| Anthem HealthPlus | Essential Plan 1-2 | $54.30 | ↓ -57% |
| Oscar | All Products | $56.56 | ↓ -56% |
| MetroPlus | Essential Plan 200-250 | $57.70 | ↓ -55% |
| MetroPlus | Essential Plan 1-2 | $57.70 | ↓ -55% |
| MetroPlus | Essential Plan 3-4 | $57.70 | ↓ -55% |
| Fidelis | QHC | $60.30 | ↓ -53% |
| OXFORD | Freedom | $67.05 | ↓ -47% |
| UNITED | ALL PRODUCTS | $67.05 | ↓ -47% |
| OXFORD | Liberty | $67.05 | ↓ -47% |
| UNITED | EXCHANGE | $67.05 | ↓ -47% |
| MetroPlus | HARP | $67.53 | ↓ -47% |
| CIGNA | ALL PRODUCTS | $71.04 | ↓ -44% |
| MetroPlus | Managed Medicaid | $71.27 | ↓ -44% |
| MetroPlus | CHP | $71.27 | ↓ -44% |
| Senior Whole Health | MLTC | $71.27 | ↓ -44% |
| MetroPlus | Goldcare 1 & 2 | $71.27 | ↓ -44% |
| MetroPlus | Gold | $71.27 | ↓ -44% |
| MetroPlus | SNP | $71.27 | ↓ -44% |
| Carelon | Managed Medicaid_HARP_CHP | $71.27 | ↓ -44% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $71.27 | ↓ -44% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $71.27 | ↓ -44% |
| Anthem HealthPlus | EXCHANGE | $71.27 | ↓ -44% |
| Senior Whole Health | MAP | $71.27 | ↓ -44% |
| Fidelis | HARP_Managed Medicaid | $71.27 | ↓ -44% |
| VNSNY | Medicaid SNP | $72.70 | ↓ -43% |
| UNITED BEHAVIORAL HEALTH | HARP | $72.70 | ↓ -43% |
| VNSNY | MAP | $72.70 | ↓ -43% |
| Affinity | HARP_Managed Medicaid | $72.70 | ↓ -43% |
| Carelon (Amida Care) | Managed Medicaid | $72.70 | ↓ -43% |
| UNITED BEHAVIORAL HEALTH | CHP | $72.70 | ↓ -43% |
| ANTHEM | Small Group EPO_PPO | $76.70 | ↓ -40% |
| ANTHEM | Blue Access Small Group | $76.70 | ↓ -40% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $78.40 | ↓ -38% |
| ANTHEM | Blue Access Large Group | $78.99 | ↓ -38% |
| Affinity | Essential Plan 1-4_200-250 | $81.45 | ↓ -36% |
| Fidelis | Essential Plan 1-4_200-250 | $81.45 | ↓ -36% |
| ANTHEM | EPO | $85.29 | ↓ -33% |
| ANTHEM | INDEMNITY | $85.29 | ↓ -33% |
| ANTHEM | PPO | $85.29 | ↓ -33% |
| ANTHEM | HMO | $85.29 | ↓ -33% |
| Healthfirst | EXCHANGE | $89.09 | ↓ -30% |
| EMBLEM | Essential Plan 3-4 | $89.09 | ↓ -30% |
| VNSNY | Medicare Advantage | $125.84 | ↓ -1% |
| ANTHEM | MEDICARE ADVANTAGE | $125.84 | ↓ -1% |
| VACCN | All Products | $125.84 | ↓ -1% |
| VNSNY | Medicare SNP | $125.84 | ↓ -1% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $130.87 | ↑ +3% |
| Affinity | Essential Plan 1-2 | $151.94 | ↑ +20% |
| Affinity | Essential Plan 200-250 | $151.94 | ↑ +20% |
| Affinity | Essential Plan 3-4 | $151.94 | ↑ +20% |
| Healthfirst | Essential Plan 1-2 | $160.36 | ↑ +26% |
| Healthfirst | Essential Plan 3-4 | $160.36 | ↑ +26% |
| Anthem HealthPlus | Essential Plan 3-4 | $160.36 | ↑ +26% |
| Healthfirst | Essential Plan 200-250 | $160.36 | ↑ +26% |
| Fidelis | EXCHANGE | $178.69 | ↑ +41% |
| Elderplan | MAP_Medicare Advantage_MLTC | $251.68 | ↑ +98% |
| Carelon | GHI BMP | $287.20 | ↑ +126% |
| Carelon | MAP_Medicare Advantage | $287.20 | ↑ +126% |
| Carelon | Commercial_Essential Plans | $287.20 | ↑ +126% |
| MAGNACARE | PPO Non-FPP | $331.39 | ↑ +161% |
| MAGNACARE | Direct Plus Non-FPP | $331.39 | ↑ +161% |
| MULTIPLAN | ALL PRODUCTS | $353.48 | ↑ +178% |
| VillageCare Max | MAP | $375.57 | ↑ +195% |
| VillageCare Max | MEDICARE ADVANTAGE | $375.57 | ↑ +195% |
| Local 1199 | ALL PRODUCTS | $375.57 | ↑ +195% |
| 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) X-ray at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $127.14 | $15.00 – $353.48 |
| Kings County Hospital Center | Brooklyn | $125.85 | $15.00 – $375.57 |
| UPMC Chautauqua | Jamestown | $158.40 | $40.66 – $325.85 |
| Woodhull Medical Center | Brooklyn | $127.14 | $15.00 – $375.57 |
| Elmhurst Hospital Center | NY 11373 | not published | $15.00 – $279.12 |
| Harlem Hospital Center | New York | not published | $15.00 – $279.12 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Jacobi Medical Center | Bronx | not published | $18.55 – $375.57 |