healthcosts.net
Shoulder MRI (without contrast) at Queens Hospital Center
8268 164th St, Jamaica, NY · NYC Health + Hospitals · · NPI 1801803903
$283.37
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.
$2,523.42
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.
$117.38 with Healthfirst vs $2,144.91 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 |
|---|---|---|---|
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $117.38 | ↓ -59% |
| Healthfirst | HARP | $187.81 | ↓ -34% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $187.81 | ↓ -34% |
| Healthfirst | Managed Medicaid | $187.81 | ↓ -34% |
| Healthfirst | MEDICARE ADVANTAGE | $194.85 | ↓ -31% |
| Healthfirst | MAP | $194.85 | ↓ -31% |
| Healthfirst | Medicare Advantage PPO | $194.85 | ↓ -31% |
| Affinity | CHP | $206.59 | ↓ -27% |
| Healthfirst | CHP | $211.28 | ↓ -25% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $218.33 | ↓ -23% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $230.06 | ↓ -19% |
| Anthem HealthPlus | HARP | $234.76 | ↓ -17% |
| EMBLEM | HIP_GHI_CHP | $234.76 | ↓ -17% |
| Anthem HealthPlus | MLTC | $234.76 | ↓ -17% |
| Elderplan | MAP | $234.76 | ↓ -17% |
| Anthem HealthPlus | MAP | $234.76 | ↓ -17% |
| Healthfirst | Small Group | $234.76 | ↓ -17% |
| Fidelis | Managed Medicaid | $234.76 | ↓ -17% |
| Elderplan | Medicare Advantage | $234.76 | ↓ -17% |
| Centerlight | PACE | $234.76 | ↓ -17% |
| Fidelis | CHP | $234.76 | ↓ -17% |
| Elderplan | MLTC | $234.76 | ↓ -17% |
| Fidelis | FHP | $234.76 | ↓ -17% |
| Wellcare | Medicare Advantage | $238.28 | ↓ -16% |
| Centers Plan for Healthy Living | Medicare Advantage | $244.15 | ↓ -14% |
| Hamaspik | Medicare Advantage | $246.50 | ↓ -13% |
| Wellcare | MEDICARE ADVANTAGE | $253.54 | ↓ -11% |
| Anthem HealthPlus | CHP | $258.24 | ↓ -9% |
| Anthem HealthPlus | Essential Plan 1-2 | $281.71 | ↓ -1% |
| Elderplan | MAP_Medicare Advantage_MLTC | $286.04 | ↑ +1% |
| VNSNY | Medicare Advantage | $286.04 | ↑ +1% |
| ANTHEM | MEDICARE ADVANTAGE | $286.04 | ↑ +1% |
| VACCN | All Products | $286.04 | ↑ +1% |
| VNSNY | Medicare SNP | $286.04 | ↑ +1% |
| Oscar | All Products | $293.45 | ↑ +4% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $297.48 | ↑ +5% |
| Fidelis | QHC | $312.82 | ↑ +10% |
| Fidelis | MAP | $338.05 | ↑ +19% |
| EMBLEM | MEDICARE ADVANTAGE | $357.55 | ↑ +26% |
| Aetna | All Products | $370.50 | ↑ +31% |
| Aetna | MEDICARE ADVANTAGE | $370.50 | ↑ +31% |
| Aetna | Medicare Advantage | $370.50 | ↑ +31% |
| Anthem HealthPlus | Exchange | $396.02 | ↑ +40% |
| Fidelis | EXCHANGE | $406.18 | ↑ +43% |
| Affinity | Essential Plan 1-4_200-250 | $422.57 | ↑ +49% |
| Fidelis | Essential Plan 1-4_200-250 | $422.57 | ↑ +49% |
| MetroPlus | HARP | $500.28 | ↑ +77% |
| OXFORD | Freedom | $522.09 | ↑ +84% |
| UNITED | ALL PRODUCTS | $522.09 | ↑ +84% |
| OXFORD | Liberty | $522.09 | ↑ +84% |
| UNITED | EXCHANGE | $522.09 | ↑ +84% |
| ANTHEM | Small Group EPO_PPO | $546.16 | ↑ +93% |
| ANTHEM | Blue Access Small Group | $546.16 | ↑ +93% |
| MetroPlus | Managed Medicaid | $547.29 | ↑ +93% |
| UNITED | HARP | $547.29 | ↑ +93% |
| MetroPlus | CHP | $547.29 | ↑ +93% |
| Senior Whole Health | MLTC | $547.29 | ↑ +93% |
| UNITED | Managed Medicaid | $547.29 | ↑ +93% |
| MetroPlus | Goldcare 1 & 2 | $547.29 | ↑ +93% |
| MetroPlus | Gold | $547.29 | ↑ +93% |
| MetroPlus | SNP | $547.29 | ↑ +93% |
| Carelon | Managed Medicaid_HARP_CHP | $547.29 | ↑ +93% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $547.29 | ↑ +93% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $547.29 | ↑ +93% |
| Anthem HealthPlus | EXCHANGE | $547.29 | ↑ +93% |
| Senior Whole Health | MAP | $547.29 | ↑ +93% |
| Amidacare | Managed Medicaid | $547.29 | ↑ +93% |
| Fidelis | HARP_Managed Medicaid | $547.29 | ↑ +93% |
| VNSNY | Medicaid SNP | $558.24 | ↑ +97% |
| UNITED BEHAVIORAL HEALTH | HARP | $558.24 | ↑ +97% |
| VNSNY | MAP | $558.24 | ↑ +97% |
| Affinity | HARP_Managed Medicaid | $558.24 | ↑ +97% |
| Carelon (Amida Care) | Managed Medicaid | $558.24 | ↑ +97% |
| UNITED BEHAVIORAL HEALTH | CHP | $558.24 | ↑ +97% |
| ANTHEM | Blue Access Large Group | $562.46 | ↑ +98% |
| UNITED | Essential Plan 1-4_200-250 | $585.60 | ↑ +107% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $602.02 | ↑ +112% |
| ANTHEM | EPO | $607.29 | ↑ +114% |
| ANTHEM | INDEMNITY | $607.29 | ↑ +114% |
| ANTHEM | PPO | $607.29 | ↑ +114% |
| ANTHEM | HMO | $607.29 | ↑ +114% |
| Local 1199 | All Products | $651.00 | ↑ +130% |
| Healthfirst | EXCHANGE | $684.11 | ↑ +141% |
| EMBLEM | Essential Plan 3-4 | $684.11 | ↑ +141% |
| EMBLEM | Essential Plan 1-2 | $738.84 | ↑ +161% |
| Affinity | Essential Plan 1-2 | $1,125.63 | ↑ +297% |
| Affinity | Essential Plan 200-250 | $1,125.63 | ↑ +297% |
| Affinity | Essential Plan 3-4 | $1,125.63 | ↑ +297% |
| Aetna | ALL PRODUCTS | $1,131.00 | ↑ +299% |
| Healthfirst | Essential Plan 1-2 | $1,231.40 | ↑ +335% |
| MetroPlus | Essential Plan 200-250 | $1,231.40 | ↑ +335% |
| Healthfirst | Essential Plan 3-4 | $1,231.40 | ↑ +335% |
| MetroPlus | Essential Plan 1-2 | $1,231.40 | ↑ +335% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,231.40 | ↑ +335% |
| Healthfirst | Essential Plan 200-250 | $1,231.40 | ↑ +335% |
| MetroPlus | Essential Plan 3-4 | $1,231.40 | ↑ +335% |
| CIGNA | ALL PRODUCTS | $1,285.00 | ↑ +353% |
| Carelon | GHI BMP | $1,640.22 | ↑ +479% |
| Carelon | MAP_Medicare Advantage | $1,640.22 | ↑ +479% |
| Carelon | Commercial_Essential Plans | $1,640.22 | ↑ +479% |
| OSCAR | ALL PRODUCTS | $1,702.00 | ↑ +501% |
| MAGNACARE | PPO Non-FPP | $1,892.57 | ↑ +568% |
| MAGNACARE | Direct Plus Non-FPP | $1,892.57 | ↑ +568% |
| MULTIPLAN | ALL PRODUCTS | $2,018.74 | ↑ +612% |
| VillageCare Max | MAP | $2,144.91 | ↑ +657% |
| VillageCare Max | MEDICARE ADVANTAGE | $2,144.91 | ↑ +657% |
| Local 1199 | ALL PRODUCTS | $2,144.91 | ↑ +657% |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| UNITED | CHP | not published by hospital | — |
| United Behavioral Health | Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $283.37 | $0.01 – $2,018.74 |
| Kings County Hospital Center | Brooklyn | $280.50 | $118.42 – $2,144.91 |
| UPMC Chautauqua | Jamestown | $685.80 | $221.48 – $1,028.70 |
| Woodhull Medical Center | Brooklyn | $283.37 | $118.42 – $2,144.91 |
| Elmhurst Hospital Center | NY 11373 | not published | $187.81 – $1,702.00 |
| Harlem Hospital Center | New York | not published | $184.69 – $1,702.00 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Jacobi Medical Center | Bronx | not published | $189.46 – $2,144.91 |