Repair of aortic valve at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
not published by hospital
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.
$5,759.00
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.
$1,266.70 with PB - ANTHEM vs $4,229.70 with Aetna — 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 | $1,266.70 | — |
| Local 1199 | ALL PRODUCTS | $2,208.00 | — |
| PB - LOCAL 1199 | ALL PRODUCTS | $2,208.00 | — |
| Aetna | MEDICARE ADVANTAGE | $2,366.35 | — |
| PB - AETNA | ALL PRODUCTS | $2,430.86 | — |
| PB - AETNA | MEDICARE ADVANTAGE | $2,430.86 | — |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $2,879.50 | — |
| PB - CENTERLIGHT | PACE | $2,879.50 | — |
| MetroPlus | Essential Plan 1-2 | $3,113.18 | — |
| MetroPlus | Essential Plan 200-250 | $3,113.18 | — |
| MetroPlus | Essential Plan 3-4 | $3,113.18 | — |
| PB - OSCAR | ALL PRODUCTS | $3,167.45 | — |
| Fidelis | MAP | $3,407.54 | — |
| PB - WELLCARE | MEDICARE ADVANTAGE | $3,455.40 | — |
| PB - AFFINITY | ESSENTIAL | $4,031.30 | — |
| PB - AFFINITY | CHP | $4,031.30 | — |
| Aetna | ALL PRODUCTS | $4,229.70 | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-2 | not published by hospital | — |
| 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 | CHP | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Repair of aortic valve at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | not published | $1,266.70 – $3,475.18 |
| Harlem Hospital Center | New York | not published | $2,208.00 – $3,475.18 |
| Kings County Hospital Center | Brooklyn | not published | $1,266.70 – $3,612.30 |
| Lincoln Medical Center | Bronx | not published | $2,208.00 – $3,612.30 |
| Metropolitan Hospital Center | New York | not published | $2,208.00 – $3,612.30 |
| Woodhull Medical Center | Brooklyn | not published | $1,266.70 – $3,612.30 |
| South Brooklyn Health | Brooklyn | not published | $2,208.00 – $3,612.30 |
| North Central Bronx | Bronx | not published | $2,208.00 – $3,612.30 |