Ot re-evaluation patient/family at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$79.33
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.
$338.42
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.
$31.45 with PB - AETNA vs $421.49 with MetroPlus — 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 - AETNA | MEDICARE ADVANTAGE | $31.45 | ↓ -60% |
| PB - AETNA | ALL PRODUCTS | $31.45 | ↓ -60% |
| Healthfirst | MAP | $64.11 | ↓ -19% |
| Healthfirst | MEDICARE ADVANTAGE | $64.11 | ↓ -19% |
| Healthfirst | Medicare Advantage PPO | $75.70 | ↓ -5% |
| Amidacare | Managed Medicaid | $77.24 | ↓ -3% |
| Senior Whole Health | MLTC | $77.24 | ↓ -3% |
| Centerlight | PACE | $77.24 | ↓ -3% |
| Senior Whole Health | MAP | $79.33 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $79.33 | ↑ +0% |
| VNSNY | Medicare Advantage | $79.33 | ↑ +0% |
| VACCN | All Products | $79.33 | ↑ +0% |
| VNSNY | Medicare SNP | $79.33 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $79.33 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $79.33 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $81.10 | ↑ +2% |
| OXFORD | MEDICARE ADVANTAGE | $83.30 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $85.68 | ↑ +8% |
| MetroPlus | EXCHANGE | $87.28 | ↑ +10% |
| MetroPlus | MAP | $87.28 | ↑ +10% |
| MetroPlus | MEDICARE ADVANTAGE | $87.28 | ↑ +10% |
| PB - CENTERLIGHT | PACE | $97.00 | ↑ +22% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $97.00 | ↑ +22% |
| PB - OSCAR | ALL PRODUCTS | $106.70 | ↑ +35% |
| Fidelis | MAP | $114.24 | ↑ +44% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $116.40 | ↑ +47% |
| PB - AFFINITY | ESSENTIAL | $135.80 | ↑ +71% |
| PB - AFFINITY | CHP | $135.80 | ↑ +71% |
| Elderplan | MAP_Medicare Advantage_MLTC | $154.48 | ↑ +95% |
| Healthfirst | Managed Medicaid | $155.48 | ↑ +96% |
| Healthfirst | HARP | $155.48 | ↑ +96% |
| Healthfirst | CHP | $155.48 | ↑ +96% |
| PB - LOCAL 1199 | ALL PRODUCTS | $164.90 | ↑ +108% |
| OXFORD | Liberty | $169.21 | ↑ +113% |
| MetroPlus | HARP | $187.33 | ↑ +136% |
| UNITED | HARP | $187.33 | ↑ +136% |
| Anthem HealthPlus | EXCHANGE | $187.33 | ↑ +136% |
| UNITED | Managed Medicaid | $187.33 | ↑ +136% |
| MetroPlus | Managed Medicaid | $187.33 | ↑ +136% |
| MetroPlus | Goldcare 1 & 2 | $187.33 | ↑ +136% |
| MetroPlus | Gold | $187.33 | ↑ +136% |
| MetroPlus | SNP | $187.33 | ↑ +136% |
| Carelon | GHI BMP | $187.33 | ↑ +136% |
| Fidelis | HARP_Managed Medicaid | $187.33 | ↑ +136% |
| Carelon | Managed Medicaid_HARP_CHP | $187.33 | ↑ +136% |
| Carelon | Commercial_Essential Plans | $187.33 | ↑ +136% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $187.33 | ↑ +136% |
| Fidelis | CHP | $187.33 | ↑ +136% |
| MetroPlus | CHP | $187.33 | ↑ +136% |
| Carelon (Amida Care) | Managed Medicaid | $191.08 | ↑ +141% |
| UNITED BEHAVIORAL HEALTH | CHP | $191.08 | ↑ +141% |
| VNSNY | Medicaid SNP | $191.08 | ↑ +141% |
| UNITED BEHAVIORAL HEALTH | HARP | $191.08 | ↑ +141% |
| VNSNY | MAP | $191.08 | ↑ +141% |
| UNITED | Essential Plan 1-4_200-250 | $200.44 | ↑ +153% |
| ANTHEM | Small Group EPO_PPO | $200.49 | ↑ +153% |
| ANTHEM | Blue Access Small Group | $200.49 | ↑ +153% |
| Aetna | ALL PRODUCTS | $203.00 | ↑ +156% |
| OXFORD | Freedom | $203.05 | ↑ +156% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $206.06 | ↑ +160% |
| ANTHEM | Blue Access Large Group | $206.92 | ↑ +161% |
| Carelon | MAP_Medicare Advantage | $219.97 | ↑ +177% |
| EMBLEM | HIP_GHI_CHP | $222.00 | ↑ +180% |
| EMBLEM | PPO_Commercial | $222.00 | ↑ +180% |
| ANTHEM | HMO | $223.33 | ↑ +182% |
| ANTHEM | EPO | $223.33 | ↑ +182% |
| ANTHEM | INDEMNITY | $223.33 | ↑ +182% |
| ANTHEM | PPO | $223.33 | ↑ +182% |
| EMBLEM | Essential Plan 3-4 | $234.16 | ↑ +195% |
| UNITED | CHP | $234.16 | ↑ +195% |
| EMBLEM | MEDICARE ADVANTAGE | $237.00 | ↑ +199% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +204% |
| VillageCare Max | MEDICARE ADVANTAGE | $242.25 | ↑ +205% |
| VillageCare Max | MAP | $242.25 | ↑ +205% |
| Emblem | Essential Plan 200-250 | $252.90 | ↑ +219% |
| EMBLEM | Essential Plan 1-2 | $252.90 | ↑ +219% |
| MAGNACARE | PPO Non-FPP | $253.82 | ↑ +220% |
| MAGNACARE | PPO FPP | $253.82 | ↑ +220% |
| MAGNACARE | Direct Plus FPP | $253.82 | ↑ +220% |
| MAGNACARE | Direct Plus Non-FPP | $253.82 | ↑ +220% |
| OSCAR | ALL PRODUCTS | $264.00 | ↑ +233% |
| MULTIPLAN | ALL PRODUCTS | $270.74 | ↑ +241% |
| Local 1199 | ALL PRODUCTS | $287.66 | ↑ +263% |
| Healthfirst | EXCHANGE | $299.73 | ↑ +278% |
| Healthfirst | Small Group | $305.35 | ↑ +285% |
| UNITED | EXCHANGE | $314.00 | ↑ +296% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +336% |
| MetroPlus | Essential Plan 200-250 | $421.49 | ↑ +431% |
| Healthfirst | Essential Plan 3-4 | $421.49 | ↑ +431% |
| Healthfirst | Essential Plan 200-250 | $421.49 | ↑ +431% |
| Healthfirst | Essential Plan 1-2 | $421.49 | ↑ +431% |
| Affinity | Essential Plan 3-4 | $421.49 | ↑ +431% |
| Affinity | Essential Plan 200-250 | $421.49 | ↑ +431% |
| Affinity | Essential Plan 1-2 | $421.49 | ↑ +431% |
| Anthem HealthPlus | Essential Plan 1-2 | $421.49 | ↑ +431% |
| Anthem HealthPlus | Essential Plan 200-250 | $421.49 | ↑ +431% |
| Anthem HealthPlus | Essential Plan 3-4 | $421.49 | ↑ +431% |
| MetroPlus | Essential Plan 3-4 | $421.49 | ↑ +431% |
| Fidelis | Essential Plan 1-4_200-250 | $421.49 | ↑ +431% |
| MetroPlus | Essential Plan 1-2 | $421.49 | ↑ +431% |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - ANTHEM | EXCHANGE | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-2 | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | 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 | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $533.00 | $59.00 – $210.40 |
| Bellevue Hospital Center | NY 10016 | $78.43 | $31.45 – $242.25 |
| Harlem Hospital Center | New York | $79.95 | $64.43 – $242.25 |
| Kings County Hospital Center | Brooklyn | $79.95 | $31.45 – $242.25 |
| Lincoln Medical Center | Bronx | $79.95 | $64.43 – $242.25 |
| Metropolitan Hospital Center | New York | $78.43 | $63.54 – $242.25 |
| UPMC Chautauqua | Jamestown | $67.20 | $28.30 – $108.78 |
| Woodhull Medical Center | Brooklyn | $79.95 | $31.45 – $242.25 |