Removal/replacement ppm generator dual lead system at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$12,384.25
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.
$25,209.42
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.
$162.36 with PB - ANTHEM vs $25,393.00 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 |
|---|---|---|---|
| PB - ANTHEM | EXCHANGE | $162.36 | ↓ -99% |
| Aetna | MEDICARE ADVANTAGE | $394.31 | ↓ -97% |
| PB - LOCAL 1199 | ALL PRODUCTS | $399.00 | ↓ -97% |
| PB - AETNA | ALL PRODUCTS | $407.60 | ↓ -97% |
| PB - AETNA | MEDICARE ADVANTAGE | $407.60 | ↓ -97% |
| PB - CENTERLIGHT | PACE | $455.50 | ↓ -96% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $455.50 | ↓ -96% |
| PB - OSCAR | ALL PRODUCTS | $501.05 | ↓ -96% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $546.60 | ↓ -96% |
| Fidelis | MAP | $567.81 | ↓ -95% |
| PB - AFFINITY | ESSENTIAL | $637.70 | ↓ -95% |
| PB - AFFINITY | CHP | $637.70 | ↓ -95% |
| Aetna | ALL PRODUCTS | $2,626.00 | ↓ -79% |
| Amidacare | Managed Medicaid | $2,764.00 | ↓ -78% |
| OXFORD | Liberty | $3,399.00 | ↓ -73% |
| OXFORD | Freedom | $3,850.00 | ↓ -69% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↓ -62% |
| EMBLEM | HIP_GHI_CHP | $5,014.00 | ↓ -60% |
| EMBLEM | PPO_Commercial | $5,014.00 | ↓ -60% |
| ANTHEM | Small Group EPO_PPO | $5,127.00 | ↓ -59% |
| ANTHEM | Blue Access Small Group | $5,127.00 | ↓ -59% |
| ANTHEM | Blue Access Large Group | $5,269.00 | ↓ -57% |
| ANTHEM | EPO | $5,696.00 | ↓ -54% |
| ANTHEM | INDEMNITY | $5,696.00 | ↓ -54% |
| ANTHEM | PPO | $5,696.00 | ↓ -54% |
| ANTHEM | HMO | $5,696.00 | ↓ -54% |
| Healthfirst | Managed Medicaid | $6,274.78 | ↓ -49% |
| Healthfirst | HARP | $6,274.78 | ↓ -49% |
| Healthfirst | CHP | $6,274.78 | ↓ -49% |
| UNITED | EXCHANGE | $7,001.00 | ↓ -43% |
| Carelon | Commercial_Essential Plans | $7,559.97 | ↓ -39% |
| Carelon | GHI BMP | $7,559.97 | ↓ -39% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $7,559.97 | ↓ -39% |
| MetroPlus | SNP | $7,559.97 | ↓ -39% |
| MetroPlus | Gold | $7,559.97 | ↓ -39% |
| MetroPlus | Goldcare 1 & 2 | $7,559.97 | ↓ -39% |
| MetroPlus | Managed Medicaid | $7,559.97 | ↓ -39% |
| MetroPlus | HARP | $7,559.97 | ↓ -39% |
| MetroPlus | CHP | $7,559.97 | ↓ -39% |
| UNITED | Managed Medicaid | $7,559.97 | ↓ -39% |
| UNITED | HARP | $7,559.97 | ↓ -39% |
| Anthem HealthPlus | EXCHANGE | $7,559.97 | ↓ -39% |
| Fidelis | CHP | $7,559.97 | ↓ -39% |
| Fidelis | HARP_Managed Medicaid | $7,559.97 | ↓ -39% |
| Carelon | Managed Medicaid_HARP_CHP | $7,559.97 | ↓ -39% |
| Carelon (Amida Care) | Managed Medicaid | $7,711.17 | ↓ -38% |
| UNITED BEHAVIORAL HEALTH | CHP | $7,711.17 | ↓ -38% |
| UNITED BEHAVIORAL HEALTH | HARP | $7,711.17 | ↓ -38% |
| VNSNY | Medicaid SNP | $7,711.17 | ↓ -38% |
| VNSNY | MAP | $7,711.17 | ↓ -38% |
| UNITED | ALL PRODUCTS | $7,718.00 | ↓ -38% |
| UNITED | Essential Plan 1-4_200-250 | $8,089.17 | ↓ -35% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $8,315.97 | ↓ -33% |
| EMBLEM | Essential Plan 3-4 | $9,449.96 | ↓ -24% |
| UNITED | CHP | $9,449.96 | ↓ -24% |
| Emblem | Essential Plan 200-250 | $10,205.96 | ↓ -18% |
| EMBLEM | Essential Plan 1-2 | $10,205.96 | ↓ -18% |
| Healthfirst | Medicare Advantage PPO | $10,829.06 | ↓ -13% |
| Healthfirst | MEDICARE ADVANTAGE | $10,829.06 | ↓ -13% |
| Healthfirst | MAP | $10,829.06 | ↓ -13% |
| Healthfirst | EXCHANGE | $12,095.95 | ↓ -2% |
| Healthfirst | Small Group | $12,322.75 | ↓ -0% |
| Senior Whole Health | MLTC | $12,384.25 | ↑ +0% |
| Senior Whole Health | MAP | $12,384.25 | ↑ +0% |
| VACCN | All Products | $12,384.25 | ↑ +0% |
| VNSNY | Medicare Advantage | $12,384.25 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $12,384.25 | ↑ +0% |
| VNSNY | Medicare SNP | $12,384.25 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $13,003.47 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $13,047.06 | ↑ +5% |
| Centerlight | PACE | $13,047.06 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $13,374.99 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $13,699.41 | ↑ +11% |
| MetroPlus | MAP | $14,743.18 | ↑ +19% |
| MetroPlus | EXCHANGE | $14,743.18 | ↑ +19% |
| MetroPlus | MEDICARE ADVANTAGE | $14,743.18 | ↑ +19% |
| EMBLEM | MEDICARE ADVANTAGE | $15,480.32 | ↑ +25% |
| Carelon | MAP_Medicare Advantage | $16,386.12 | ↑ +32% |
| Fidelis | Essential Plan 1-4_200-250 | $17,009.93 | ↑ +37% |
| MetroPlus | Essential Plan 1-2 | $17,009.93 | ↑ +37% |
| MetroPlus | Essential Plan 200-250 | $17,009.93 | ↑ +37% |
| MetroPlus | Essential Plan 3-4 | $17,009.93 | ↑ +37% |
| Affinity | Essential Plan 1-2 | $17,009.93 | ↑ +37% |
| Affinity | Essential Plan 200-250 | $17,009.93 | ↑ +37% |
| Affinity | Essential Plan 3-4 | $17,009.93 | ↑ +37% |
| Healthfirst | Essential Plan 1-2 | $17,009.93 | ↑ +37% |
| Healthfirst | Essential Plan 200-250 | $17,009.93 | ↑ +37% |
| Healthfirst | Essential Plan 3-4 | $17,009.93 | ↑ +37% |
| Anthem HealthPlus | Essential Plan 1-2 | $17,009.93 | ↑ +37% |
| Anthem HealthPlus | Essential Plan 200-250 | $17,009.93 | ↑ +37% |
| Anthem HealthPlus | Essential Plan 3-4 | $17,009.93 | ↑ +37% |
| Fidelis | EXCHANGE | $17,585.64 | ↑ +42% |
| MAGNACARE | PPO Non-FPP | $18,907.07 | ↑ +53% |
| MAGNACARE | Direct Plus FPP | $18,907.07 | ↑ +53% |
| MAGNACARE | PPO FPP | $18,907.07 | ↑ +53% |
| MAGNACARE | Direct Plus Non-FPP | $18,907.07 | ↑ +53% |
| VillageCare Max | MAP | $19,570.59 | ↑ +58% |
| VillageCare Max | MEDICARE ADVANTAGE | $19,570.59 | ↑ +58% |
| MULTIPLAN | ALL PRODUCTS | $20,167.54 | ↑ +63% |
| Local 1199 | ALL PRODUCTS | $25,393.00 | ↑ +105% |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | 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 | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | 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 | — |
Visitor-reported prices
Comments
Removal/replacement ppm generator dual lead system at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $12,384.25 | $162.36 – $19,570.59 |
| Harlem Hospital Center | New York | $12,384.25 | $398.71 – $15,480.32 |
| Kings County Hospital Center | Brooklyn | $12,384.25 | $162.36 – $19,570.59 |
| Lincoln Medical Center | Bronx | $12,384.25 | $413.22 – $15,480.32 |
| Metropolitan Hospital Center | New York | $12,384.25 | $413.22 – $15,480.32 |
| UPMC Chautauqua | Jamestown | $9,066.60 | $295.47 – $13,599.90 |
| Woodhull Medical Center | Brooklyn | $12,384.25 | $162.36 – $19,570.59 |
| South Brooklyn Health | Brooklyn | $12,384.25 | $413.22 – $15,480.32 |