Pt re-evaluation patient/family at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$76.92
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.
$418.69
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.
$33.56 with PB - AETNA vs $401.27 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 | ALL PRODUCTS | $33.56 | ↓ -56% |
| PB - AETNA | MEDICARE ADVANTAGE | $33.56 | ↓ -56% |
| Healthfirst | MAP | $63.12 | ↓ -18% |
| Healthfirst | MEDICARE ADVANTAGE | $63.12 | ↓ -18% |
| Healthfirst | Medicare Advantage PPO | $74.53 | ↓ -3% |
| Amidacare | Managed Medicaid | $76.05 | ↓ -1% |
| Centerlight | PACE | $76.05 | ↓ -1% |
| Senior Whole Health | MLTC | $76.05 | ↓ -1% |
| VNSNY | Medicare SNP | $76.92 | ↑ +0% |
| Senior Whole Health | MAP | $76.92 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $76.92 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $76.92 | ↑ +0% |
| VACCN | All Products | $76.92 | ↑ +0% |
| VNSNY | Medicare Advantage | $76.92 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $76.92 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $79.85 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $80.77 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $83.07 | ↑ +8% |
| MetroPlus | MAP | $85.94 | ↑ +12% |
| MetroPlus | MEDICARE ADVANTAGE | $85.94 | ↑ +12% |
| MetroPlus | EXCHANGE | $85.94 | ↑ +12% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $95.50 | ↑ +24% |
| PB - CENTERLIGHT | PACE | $95.50 | ↑ +24% |
| PB - OSCAR | ALL PRODUCTS | $105.05 | ↑ +37% |
| Fidelis | MAP | $110.76 | ↑ +44% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $114.60 | ↑ +49% |
| PB - AFFINITY | CHP | $133.70 | ↑ +74% |
| PB - AFFINITY | ESSENTIAL | $133.70 | ↑ +74% |
| Healthfirst | Managed Medicaid | $148.03 | ↑ +92% |
| Healthfirst | CHP | $148.03 | ↑ +92% |
| Healthfirst | HARP | $148.03 | ↑ +92% |
| Elderplan | MAP_Medicare Advantage_MLTC | $152.10 | ↑ +98% |
| PB - LOCAL 1199 | ALL PRODUCTS | $162.35 | ↑ +111% |
| Fidelis | HARP_Managed Medicaid | $178.34 | ↑ +132% |
| UNITED | Managed Medicaid | $178.34 | ↑ +132% |
| UNITED | HARP | $178.34 | ↑ +132% |
| Carelon | Managed Medicaid_HARP_CHP | $178.34 | ↑ +132% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $178.34 | ↑ +132% |
| Fidelis | CHP | $178.34 | ↑ +132% |
| Anthem HealthPlus | EXCHANGE | $178.34 | ↑ +132% |
| MetroPlus | Gold | $178.35 | ↑ +132% |
| Carelon | GHI BMP | $178.35 | ↑ +132% |
| Carelon | Commercial_Essential Plans | $178.35 | ↑ +132% |
| MetroPlus | Goldcare 1 & 2 | $178.35 | ↑ +132% |
| MetroPlus | CHP | $178.35 | ↑ +132% |
| MetroPlus | Managed Medicaid | $178.35 | ↑ +132% |
| MetroPlus | HARP | $178.35 | ↑ +132% |
| MetroPlus | SNP | $178.35 | ↑ +132% |
| UNITED BEHAVIORAL HEALTH | HARP | $181.91 | ↑ +136% |
| VNSNY | MAP | $181.91 | ↑ +136% |
| UNITED BEHAVIORAL HEALTH | CHP | $181.91 | ↑ +136% |
| VNSNY | Medicaid SNP | $181.91 | ↑ +136% |
| Carelon (Amida Care) | Managed Medicaid | $181.91 | ↑ +136% |
| ANTHEM | Small Group EPO_PPO | $183.80 | ↑ +139% |
| ANTHEM | Blue Access Small Group | $183.80 | ↑ +139% |
| ANTHEM | Blue Access Large Group | $189.69 | ↑ +147% |
| UNITED | Essential Plan 1-4_200-250 | $190.82 | ↑ +148% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $196.17 | ↑ +155% |
| Aetna | ALL PRODUCTS | $203.00 | ↑ +164% |
| ANTHEM | PPO | $204.73 | ↑ +166% |
| ANTHEM | INDEMNITY | $204.73 | ↑ +166% |
| ANTHEM | EPO | $204.73 | ↑ +166% |
| ANTHEM | HMO | $204.73 | ↑ +166% |
| EMBLEM | PPO_Commercial | $222.00 | ↑ +189% |
| EMBLEM | HIP_GHI_CHP | $222.00 | ↑ +189% |
| EMBLEM | Essential Plan 3-4 | $222.94 | ↑ +190% |
| UNITED | CHP | $222.94 | ↑ +190% |
| EMBLEM | MEDICARE ADVANTAGE | $237.00 | ↑ +208% |
| Emblem | Essential Plan 200-250 | $240.77 | ↑ +213% |
| EMBLEM | Essential Plan 1-2 | $240.77 | ↑ +213% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +213% |
| VillageCare Max | MEDICARE ADVANTAGE | $242.25 | ↑ +215% |
| VillageCare Max | MAP | $242.25 | ↑ +215% |
| OXFORD | Liberty | $248.00 | ↑ +222% |
| OSCAR | ALL PRODUCTS | $264.00 | ↑ +243% |
| Carelon | MAP_Medicare Advantage | $272.15 | ↑ +254% |
| OXFORD | Freedom | $278.00 | ↑ +261% |
| Healthfirst | EXCHANGE | $285.36 | ↑ +271% |
| Healthfirst | Small Group | $290.71 | ↑ +278% |
| UNITED | EXCHANGE | $314.00 | ↑ +308% |
| MAGNACARE | PPO Non-FPP | $314.02 | ↑ +308% |
| MAGNACARE | PPO FPP | $314.02 | ↑ +308% |
| MAGNACARE | Direct Plus FPP | $314.02 | ↑ +308% |
| MAGNACARE | Direct Plus Non-FPP | $314.02 | ↑ +308% |
| MULTIPLAN | ALL PRODUCTS | $334.95 | ↑ +335% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +350% |
| Local 1199 | ALL PRODUCTS | $355.89 | ↑ +363% |
| Affinity | Essential Plan 3-4 | $401.27 | ↑ +422% |
| Healthfirst | Essential Plan 3-4 | $401.27 | ↑ +422% |
| Healthfirst | Essential Plan 200-250 | $401.27 | ↑ +422% |
| Healthfirst | Essential Plan 1-2 | $401.27 | ↑ +422% |
| Fidelis | Essential Plan 1-4_200-250 | $401.27 | ↑ +422% |
| Affinity | Essential Plan 200-250 | $401.27 | ↑ +422% |
| Affinity | Essential Plan 1-2 | $401.27 | ↑ +422% |
| Anthem HealthPlus | Essential Plan 1-2 | $401.27 | ↑ +422% |
| Anthem HealthPlus | Essential Plan 200-250 | $401.27 | ↑ +422% |
| Anthem HealthPlus | Essential Plan 3-4 | $401.27 | ↑ +422% |
| MetroPlus | Essential Plan 3-4 | $401.27 | ↑ +422% |
| MetroPlus | Essential Plan 200-250 | $401.27 | ↑ +422% |
| MetroPlus | Essential Plan 1-2 | $401.27 | ↑ +422% |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Fidelis | EXCHANGE | 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 | — |
| UNITED BEHAVIORAL HEALTH | 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 | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $587.00 | $63.00 – $200.04 |
| Bellevue Hospital Center | NY 10016 | $76.01 | $33.56 – $242.25 |
| Harlem Hospital Center | New York | $77.39 | $63.45 – $242.25 |
| Kings County Hospital Center | Brooklyn | $77.39 | $33.56 – $242.25 |
| Lincoln Medical Center | Bronx | $77.39 | $63.45 – $242.25 |
| Metropolitan Hospital Center | New York | $76.01 | $62.58 – $242.25 |
| UPMC Chautauqua | Jamestown | $66.00 | $28.30 – $120.85 |
| Woodhull Medical Center | Brooklyn | $77.39 | $33.56 – $242.25 |