Removal of urethra lesion at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$6,015.75
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.
$1,578.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$366.79 with PB - ANTHEM vs $13,386.09 with Elderplan — 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 |
|---|---|---|---|
| PB - ANTHEM | EXCHANGE | $366.79 | ↓ -94% |
| Healthfirst | HARP | $591.15 | ↓ -90% |
| Healthfirst | Managed Medicaid | $591.15 | ↓ -90% |
| PB - LOCAL 1199 | ALL PRODUCTS | $668.00 | ↓ -89% |
| Local 1199 | ALL PRODUCTS | $668.00 | ↓ -89% |
| Aetna | MEDICARE ADVANTAGE | $679.60 | ↓ -89% |
| PB - AETNA | MEDICARE ADVANTAGE | $737.20 | ↓ -88% |
| PB - AETNA | ALL PRODUCTS | $737.20 | ↓ -88% |
| PB - CENTERLIGHT | PACE | $789.00 | ↓ -87% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $789.00 | ↓ -87% |
| MetroPlus | Essential Plan 200-250 | $860.40 | ↓ -86% |
| MetroPlus | Essential Plan 3-4 | $860.40 | ↓ -86% |
| MetroPlus | Essential Plan 1-2 | $860.40 | ↓ -86% |
| PB - OSCAR | ALL PRODUCTS | $867.90 | ↓ -86% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $946.80 | ↓ -84% |
| PB - AFFINITY | ESSENTIAL | $1,104.60 | ↓ -82% |
| PB - AFFINITY | CHP | $1,104.60 | ↓ -82% |
| Aetna | ALL PRODUCTS | $2,297.00 | ↓ -62% |
| Healthfirst | CHP | $2,514.85 | ↓ -58% |
| Amidacare | Managed Medicaid | $2,764.00 | ↓ -54% |
| MetroPlus | HARP | $3,029.94 | ↓ -50% |
| Fidelis | HARP_Managed Medicaid | $3,029.94 | ↓ -50% |
| Fidelis | CHP | $3,029.94 | ↓ -50% |
| Carelon | Commercial_Essential Plans | $3,029.94 | ↓ -50% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $3,029.94 | ↓ -50% |
| MetroPlus | SNP | $3,029.94 | ↓ -50% |
| MetroPlus | Gold | $3,029.94 | ↓ -50% |
| MetroPlus | Goldcare 1 & 2 | $3,029.94 | ↓ -50% |
| MetroPlus | Managed Medicaid | $3,029.94 | ↓ -50% |
| MetroPlus | CHP | $3,029.94 | ↓ -50% |
| UNITED | Managed Medicaid | $3,029.94 | ↓ -50% |
| Carelon | Managed Medicaid_HARP_CHP | $3,029.94 | ↓ -50% |
| Anthem HealthPlus | EXCHANGE | $3,029.94 | ↓ -50% |
| UNITED | HARP | $3,029.94 | ↓ -50% |
| Carelon | GHI BMP | $3,029.94 | ↓ -50% |
| VNSNY | Medicaid SNP | $3,090.54 | ↓ -49% |
| VNSNY | MAP | $3,090.54 | ↓ -49% |
| UNITED BEHAVIORAL HEALTH | CHP | $3,090.54 | ↓ -49% |
| UNITED BEHAVIORAL HEALTH | HARP | $3,090.54 | ↓ -49% |
| Carelon (Amida Care) | Managed Medicaid | $3,090.54 | ↓ -49% |
| UNITED | Essential Plan 1-4_200-250 | $3,242.04 | ↓ -46% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $3,332.93 | ↓ -45% |
| OXFORD | Liberty | $3,492.00 | ↓ -42% |
| UNITED | CHP | $3,787.43 | ↓ -37% |
| EMBLEM | Essential Plan 3-4 | $3,787.43 | ↓ -37% |
| OXFORD | Freedom | $3,961.00 | ↓ -34% |
| EMBLEM | Essential Plan 1-2 | $4,090.42 | ↓ -32% |
| Emblem | Essential Plan 200-250 | $4,090.42 | ↓ -32% |
| ANTHEM | Blue Access Small Group | $4,173.00 | ↓ -31% |
| ANTHEM | Small Group EPO_PPO | $4,173.00 | ↓ -31% |
| ANTHEM | Blue Access Large Group | $4,288.00 | ↓ -29% |
| UNITED | EXCHANGE | $4,438.00 | ↓ -26% |
| ANTHEM | PPO | $4,636.00 | ↓ -23% |
| ANTHEM | INDEMNITY | $4,636.00 | ↓ -23% |
| ANTHEM | EPO | $4,636.00 | ↓ -23% |
| ANTHEM | HMO | $4,636.00 | ↓ -23% |
| Hamaspik | MEDICARE ADVANTAGE | $4,812.60 | ↓ -20% |
| Healthfirst | EXCHANGE | $4,847.90 | ↓ -19% |
| UNITED | ALL PRODUCTS | $4,893.00 | ↓ -19% |
| Healthfirst | Small Group | $4,938.80 | ↓ -18% |
| EMBLEM | HIP_GHI_CHP | $5,014.00 | ↓ -17% |
| EMBLEM | PPO_Commercial | $5,014.00 | ↓ -17% |
| Healthfirst | Medicare Advantage PPO | $5,555.23 | ↓ -8% |
| ANTHEM | MEDICARE ADVANTAGE | $6,015.75 | ↑ +0% |
| Senior Whole Health | MLTC | $6,015.75 | ↑ +0% |
| Senior Whole Health | MAP | $6,015.75 | ↑ +0% |
| VACCN | All Products | $6,015.75 | ↑ +0% |
| Fidelis | MAP | $6,015.75 | ↑ +0% |
| VNSNY | Medicare SNP | $6,015.75 | ↑ +0% |
| VNSNY | Medicare Advantage | $6,015.75 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $6,316.54 | ↑ +5% |
| Healthfirst | MAP | $6,559.18 | ↑ +9% |
| Healthfirst | MEDICARE ADVANTAGE | $6,559.18 | ↑ +9% |
| Centerlight | PACE | $6,693.04 | ↑ +11% |
| Healthfirst | Essential Plan 1-2 | $6,817.37 | ↑ +13% |
| Anthem HealthPlus | Essential Plan 3-4 | $6,817.37 | ↑ +13% |
| Affinity | Essential Plan 3-4 | $6,817.37 | ↑ +13% |
| Affinity | Essential Plan 200-250 | $6,817.37 | ↑ +13% |
| Affinity | Essential Plan 1-2 | $6,817.37 | ↑ +13% |
| Anthem HealthPlus | Essential Plan 1-2 | $6,817.37 | ↑ +13% |
| Healthfirst | Essential Plan 3-4 | $6,817.37 | ↑ +13% |
| Healthfirst | Essential Plan 200-250 | $6,817.37 | ↑ +13% |
| Fidelis | Essential Plan 1-4_200-250 | $6,817.37 | ↑ +13% |
| Anthem HealthPlus | Essential Plan 200-250 | $6,817.37 | ↑ +13% |
| UNITED | MEDICARE ADVANTAGE | $7,027.70 | ↑ +17% |
| MAGNACARE | PPO FPP | $7,218.90 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $7,218.90 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $7,218.90 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $7,218.90 | ↑ +20% |
| MetroPlus | MAP | $7,563.14 | ↑ +26% |
| MetroPlus | MEDICARE ADVANTAGE | $7,563.14 | ↑ +26% |
| MetroPlus | EXCHANGE | $7,563.14 | ↑ +26% |
| Fidelis | EXCHANGE | $8,542.37 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $8,903.31 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $9,023.63 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $10,039.57 | ↑ +67% |
| VillageCare Max | MEDICARE ADVANTAGE | $10,039.57 | ↑ +67% |
| VillageCare Max | MAP | $10,039.57 | ↑ +67% |
| Elderplan | MAP_Medicare Advantage_MLTC | $13,386.09 | ↑ +123% |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-2 | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
Visitor-reported prices
Comments
Removal of urethra lesion at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $6,015.75 | $366.79 – $13,386.09 |
| Harlem Hospital Center | New York | $6,015.75 | $668.00 – $13,386.09 |
| Kings County Hospital Center | Brooklyn | $6,015.75 | $366.79 – $13,386.09 |
| Lincoln Medical Center | Bronx | $6,015.75 | $668.00 – $13,386.09 |
| Metropolitan Hospital Center | New York | $6,015.75 | $668.00 – $13,386.09 |
| Woodhull Medical Center | Brooklyn | $6,015.75 | $366.79 – $13,386.09 |
| South Brooklyn Health | Brooklyn | $6,015.75 | $668.00 – $13,386.09 |
| North Central Bronx | Bronx | $6,015.75 | $668.00 – $13,386.09 |