#a/b/c/c/h pnl-candida albicans ab at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$12.01
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.
not published by hospital
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.
$7.52 with Aetna vs $66.83 with Healthfirst — 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 |
|---|---|---|---|
| Aetna | ALL PRODUCTS | $7.52 | ↓ -37% |
| Local 1199 | ALL PRODUCTS | $9.00 | ↓ -25% |
| Hamaspik | MEDICARE ADVANTAGE | $9.61 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $9.97 | ↓ -17% |
| Healthfirst | MEDICARE ADVANTAGE | $11.77 | ↓ -2% |
| Healthfirst | MAP | $11.77 | ↓ -2% |
| VillageCare Max | MEDICARE ADVANTAGE | $12.01 | ↑ +0% |
| VillageCare Max | MAP | $12.01 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $12.01 | ↑ +0% |
| Amidacare | Managed Medicaid | $12.01 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $12.01 | ↑ +0% |
| VACCN | All Products | $12.01 | ↑ +0% |
| VNSNY | Medicare Advantage | $12.01 | ↑ +0% |
| VNSNY | Medicare SNP | $12.01 | ↑ +0% |
| Senior Whole Health | MLTC | $12.01 | ↑ +0% |
| Senior Whole Health | MAP | $12.01 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $12.01 | ↑ +0% |
| Fidelis | MAP | $12.01 | ↑ +0% |
| Centerlight | PACE | $12.01 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $12.61 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $12.61 | ↑ +5% |
| MetroPlus | MEDICARE ADVANTAGE | $13.57 | ↑ +13% |
| MetroPlus | EXCHANGE | $13.57 | ↑ +13% |
| MetroPlus | MAP | $13.57 | ↑ +13% |
| MAGNACARE | PPO Non-FPP | $14.41 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $14.41 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $14.41 | ↑ +20% |
| MAGNACARE | PPO FPP | $14.41 | ↑ +20% |
| MetroPlus | Essential Plan 200-250 | $14.53 | ↑ +21% |
| MetroPlus | Essential Plan 3-4 | $14.53 | ↑ +21% |
| MetroPlus | Essential Plan 1-2 | $14.53 | ↑ +21% |
| OXFORD | Liberty | $17.53 | ↑ +46% |
| UNITED | ALL PRODUCTS | $17.53 | ↑ +46% |
| OXFORD | Freedom | $17.53 | ↑ +46% |
| Wellcare | MEDICARE ADVANTAGE | $17.77 | ↑ +48% |
| OSCAR | ALL PRODUCTS | $18.02 | ↑ +50% |
| Elderplan | MAP_Medicare Advantage_MLTC | $24.02 | ↑ +100% |
| Healthfirst | Managed Medicaid | $24.65 | ↑ +105% |
| Healthfirst | HARP | $24.65 | ↑ +105% |
| Healthfirst | CHP | $24.65 | ↑ +105% |
| UNITED | HARP | $29.70 | ↑ +147% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $29.70 | ↑ +147% |
| MetroPlus | SNP | $29.70 | ↑ +147% |
| MetroPlus | Gold | $29.70 | ↑ +147% |
| MetroPlus | Goldcare 1 & 2 | $29.70 | ↑ +147% |
| MetroPlus | Managed Medicaid | $29.70 | ↑ +147% |
| MetroPlus | HARP | $29.70 | ↑ +147% |
| MetroPlus | CHP | $29.70 | ↑ +147% |
| UNITED | Managed Medicaid | $29.70 | ↑ +147% |
| Fidelis | CHP | $29.70 | ↑ +147% |
| Fidelis | HARP_Managed Medicaid | $29.70 | ↑ +147% |
| Carelon | Commercial_Essential Plans | $29.70 | ↑ +147% |
| Carelon | Managed Medicaid_HARP_CHP | $29.70 | ↑ +147% |
| Carelon | GHI BMP | $29.70 | ↑ +147% |
| Anthem HealthPlus | EXCHANGE | $29.70 | ↑ +147% |
| CIGNA | ALL PRODUCTS | $29.86 | ↑ +149% |
| VNSNY | MAP | $30.29 | ↑ +152% |
| Carelon (Amida Care) | Managed Medicaid | $30.29 | ↑ +152% |
| UNITED BEHAVIORAL HEALTH | CHP | $30.29 | ↑ +152% |
| VNSNY | Medicaid SNP | $30.29 | ↑ +152% |
| UNITED BEHAVIORAL HEALTH | HARP | $30.29 | ↑ +152% |
| UNITED | Essential Plan 1-4_200-250 | $31.78 | ↑ +165% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $32.67 | ↑ +172% |
| UNITED | CHP | $37.13 | ↑ +209% |
| EMBLEM | Essential Plan 3-4 | $37.13 | ↑ +209% |
| Emblem | Essential Plan 200-250 | $40.10 | ↑ +234% |
| EMBLEM | Essential Plan 1-2 | $40.10 | ↑ +234% |
| ANTHEM | Blue Access Small Group | $41.20 | ↑ +243% |
| ANTHEM | Small Group EPO_PPO | $41.20 | ↑ +243% |
| ANTHEM | Blue Access Large Group | $42.39 | ↑ +253% |
| ANTHEM | PPO | $45.79 | ↑ +281% |
| ANTHEM | HMO | $45.79 | ↑ +281% |
| ANTHEM | EPO | $45.79 | ↑ +281% |
| ANTHEM | INDEMNITY | $45.79 | ↑ +281% |
| Healthfirst | EXCHANGE | $47.52 | ↑ +296% |
| Healthfirst | Small Group | $48.41 | ↑ +303% |
| Affinity | Essential Plan 200-250 | $66.83 | ↑ +456% |
| Affinity | Essential Plan 1-2 | $66.83 | ↑ +456% |
| Fidelis | Essential Plan 1-4_200-250 | $66.83 | ↑ +456% |
| Anthem HealthPlus | Essential Plan 1-2 | $66.83 | ↑ +456% |
| Anthem HealthPlus | Essential Plan 200-250 | $66.83 | ↑ +456% |
| Anthem HealthPlus | Essential Plan 3-4 | $66.83 | ↑ +456% |
| Healthfirst | Essential Plan 200-250 | $66.83 | ↑ +456% |
| Healthfirst | Essential Plan 1-2 | $66.83 | ↑ +456% |
| Affinity | Essential Plan 3-4 | $66.83 | ↑ +456% |
| Healthfirst | Essential Plan 3-4 | $66.83 | ↑ +456% |
Visitor-reported prices
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#a/b/c/c/h pnl-candida albicans ab at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $26.00 | $8.41 – $45.58 |
| Bellevue Hospital Center | NY 10016 | $12.01 | $4.32 – $29.86 |
| Harlem Hospital Center | New York | $12.01 | $7.52 – $29.86 |
| Kings County Hospital Center | Brooklyn | $12.01 | $4.32 – $29.86 |
| Lincoln Medical Center | Bronx | $12.01 | $7.52 – $29.86 |
| Metropolitan Hospital Center | New York | $12.01 | $7.52 – $29.86 |
| UPMC Chautauqua | Jamestown | $30.60 | $12.01 – $45.90 |
| Queens Hospital Center | Jamaica | $12.01 | $4.32 – $29.86 |