Optx crnfc sep comp int&/xtr at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$6,048.05
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.
$3,631.00
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.
$753.58 with PB - ANTHEM vs $14,779.26 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 | $753.58 | ↓ -88% |
| PB - AETNA | ALL PRODUCTS | $1,286.67 | ↓ -79% |
| PB - AETNA | MEDICARE ADVANTAGE | $1,286.67 | ↓ -79% |
| PB - LOCAL 1199 | ALL PRODUCTS | $1,336.00 | ↓ -78% |
| Local 1199 | ALL PRODUCTS | $1,336.00 | ↓ -78% |
| Aetna | MEDICARE ADVANTAGE | $1,593.90 | ↓ -74% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $1,815.50 | ↓ -70% |
| PB - CENTERLIGHT | PACE | $1,815.50 | ↓ -70% |
| PB - OSCAR | ALL PRODUCTS | $1,997.05 | ↓ -67% |
| MetroPlus | Essential Plan 3-4 | $2,039.36 | ↓ -66% |
| MetroPlus | Essential Plan 1-2 | $2,039.36 | ↓ -66% |
| MetroPlus | Essential Plan 200-250 | $2,039.36 | ↓ -66% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $2,178.60 | ↓ -64% |
| Fidelis | MAP | $2,295.22 | ↓ -62% |
| PB - AFFINITY | CHP | $2,541.70 | ↓ -58% |
| PB - AFFINITY | ESSENTIAL | $2,541.70 | ↓ -58% |
| Healthfirst | HARP | $3,173.60 | ↓ -48% |
| Healthfirst | CHP | $3,173.60 | ↓ -48% |
| Healthfirst | Managed Medicaid | $3,173.60 | ↓ -48% |
| Fidelis | CHP | $3,823.61 | ↓ -37% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $3,823.61 | ↓ -37% |
| MetroPlus | SNP | $3,823.61 | ↓ -37% |
| MetroPlus | Gold | $3,823.61 | ↓ -37% |
| MetroPlus | Goldcare 1 & 2 | $3,823.61 | ↓ -37% |
| MetroPlus | Managed Medicaid | $3,823.61 | ↓ -37% |
| MetroPlus | HARP | $3,823.61 | ↓ -37% |
| MetroPlus | CHP | $3,823.61 | ↓ -37% |
| UNITED | Managed Medicaid | $3,823.61 | ↓ -37% |
| UNITED | HARP | $3,823.61 | ↓ -37% |
| Anthem HealthPlus | EXCHANGE | $3,823.61 | ↓ -37% |
| Carelon | GHI BMP | $3,823.61 | ↓ -37% |
| Carelon | Managed Medicaid_HARP_CHP | $3,823.61 | ↓ -37% |
| Carelon | Commercial_Essential Plans | $3,823.61 | ↓ -37% |
| Fidelis | HARP_Managed Medicaid | $3,823.61 | ↓ -37% |
| VNSNY | Medicaid SNP | $3,900.08 | ↓ -36% |
| Carelon (Amida Care) | Managed Medicaid | $3,900.08 | ↓ -36% |
| UNITED BEHAVIORAL HEALTH | CHP | $3,900.08 | ↓ -36% |
| VNSNY | MAP | $3,900.08 | ↓ -36% |
| UNITED BEHAVIORAL HEALTH | HARP | $3,900.08 | ↓ -36% |
| UNITED | Essential Plan 1-4_200-250 | $4,091.26 | ↓ -32% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $4,205.97 | ↓ -30% |
| UNITED | CHP | $4,779.51 | ↓ -21% |
| EMBLEM | Essential Plan 3-4 | $4,779.51 | ↓ -21% |
| Emblem | Essential Plan 200-250 | $5,161.87 | ↓ -15% |
| EMBLEM | Essential Plan 1-2 | $5,161.87 | ↓ -15% |
| Healthfirst | EXCHANGE | $6,117.78 | ↑ +1% |
| Healthfirst | Medicare Advantage PPO | $6,133.39 | ↑ +1% |
| Healthfirst | Small Group | $6,232.48 | ↑ +3% |
| Healthfirst | MEDICARE ADVANTAGE | $7,241.84 | ↑ +20% |
| Healthfirst | MAP | $7,241.84 | ↑ +20% |
| Senior Whole Health | MLTC | $7,389.63 | ↑ +22% |
| Centerlight | PACE | $7,389.63 | ↑ +22% |
| Amidacare | Managed Medicaid | $7,389.63 | ↑ +22% |
| UNITED | MEDICARE ADVANTAGE | $7,759.11 | ↑ +28% |
| MetroPlus | MAP | $8,350.28 | ↑ +38% |
| MetroPlus | MEDICARE ADVANTAGE | $8,350.28 | ↑ +38% |
| MetroPlus | EXCHANGE | $8,350.28 | ↑ +38% |
| Healthfirst | Essential Plan 3-4 | $8,603.12 | ↑ +42% |
| Healthfirst | Essential Plan 200-250 | $8,603.12 | ↑ +42% |
| Healthfirst | Essential Plan 1-2 | $8,603.12 | ↑ +42% |
| Anthem HealthPlus | Essential Plan 1-2 | $8,603.12 | ↑ +42% |
| Anthem HealthPlus | Essential Plan 200-250 | $8,603.12 | ↑ +42% |
| Affinity | Essential Plan 3-4 | $8,603.12 | ↑ +42% |
| Anthem HealthPlus | Essential Plan 3-4 | $8,603.12 | ↑ +42% |
| Affinity | Essential Plan 200-250 | $8,603.12 | ↑ +42% |
| Affinity | Essential Plan 1-2 | $8,603.12 | ↑ +42% |
| Fidelis | Essential Plan 1-4_200-250 | $8,603.12 | ↑ +42% |
| VillageCare Max | MEDICARE ADVANTAGE | $11,084.44 | ↑ +83% |
| OSCAR | ALL PRODUCTS | $11,084.44 | ↑ +83% |
| VillageCare Max | MAP | $11,084.44 | ↑ +83% |
| Elderplan | MAP_Medicare Advantage_MLTC | $14,779.26 | ↑ +144% |
| 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 | ESSENTIAL PLAN 1-2 | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
Visitor-reported prices
Comments
Optx crnfc sep comp int&/xtr at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $6,048.05 | $753.58 – $14,779.26 |
| Kings County Hospital Center | Brooklyn | $6,048.05 | $753.58 – $14,779.26 |
| Woodhull Medical Center | Brooklyn | $6,048.05 | $753.58 – $14,779.26 |
| Harlem Hospital Center | New York | not published | $1,336.00 – $14,779.26 |
| Lincoln Medical Center | Bronx | not published | $1,336.00 – $14,779.26 |
| Metropolitan Hospital Center | New York | not published | $1,336.00 – $14,779.26 |
| South Brooklyn Health | Brooklyn | not published | $1,336.00 – $14,779.26 |
| North Central Bronx | Bronx | not published | $1,336.00 – $14,779.26 |