Application finger splntstatic 29130 at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$152.54
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.
$639.25
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.
$0.01 with CIGNA vs $600.30 with Anthem HealthPlus — 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| Local 1199 | ALL PRODUCTS | $30.00 | ↓ -80% |
| Aetna | MEDICARE ADVANTAGE | $32.22 | ↓ -79% |
| Fidelis | MAP | $46.40 | ↓ -70% |
| ANTHEM | Blue Access Small Group | $94.66 | ↓ -38% |
| ANTHEM | Small Group EPO_PPO | $94.66 | ↓ -38% |
| ANTHEM | Blue Access Large Group | $97.38 | ↓ -36% |
| ANTHEM | EPO | $105.21 | ↓ -31% |
| ANTHEM | PPO | $105.21 | ↓ -31% |
| ANTHEM | INDEMNITY | $105.21 | ↓ -31% |
| ANTHEM | HMO | $105.21 | ↓ -31% |
| Healthfirst | Medicare Advantage PPO | $127.85 | ↓ -16% |
| Healthfirst | MAP | $127.85 | ↓ -16% |
| Healthfirst | MEDICARE ADVANTAGE | $127.85 | ↓ -16% |
| Senior Whole Health | MLTC | $152.54 | ↑ +0% |
| VACCN | All Products | $152.54 | ↑ +0% |
| Senior Whole Health | MAP | $152.54 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $152.54 | ↑ +0% |
| VNSNY | Medicare Advantage | $152.54 | ↑ +0% |
| VNSNY | Medicare SNP | $152.54 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $152.54 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $160.16 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $164.74 | ↑ +8% |
| VillageCare Max | MAP | $166.08 | ↑ +9% |
| VillageCare Max | MEDICARE ADVANTAGE | $166.08 | ↑ +9% |
| Elderplan | MAP_Medicare Advantage_MLTC | $166.08 | ↑ +9% |
| Centerlight | PACE | $166.08 | ↑ +9% |
| Amidacare | Managed Medicaid | $166.08 | ↑ +9% |
| UNITED | MEDICARE ADVANTAGE | $174.39 | ↑ +14% |
| MetroPlus | MAP | $187.67 | ↑ +23% |
| MetroPlus | MEDICARE ADVANTAGE | $187.67 | ↑ +23% |
| MetroPlus | EXCHANGE | $187.67 | ↑ +23% |
| Aetna | ALL PRODUCTS | $203.00 | ↑ +33% |
| Fidelis | EXCHANGE | $216.61 | ↑ +42% |
| Healthfirst | HARP | $221.44 | ↑ +45% |
| Healthfirst | Managed Medicaid | $221.44 | ↑ +45% |
| Healthfirst | CHP | $221.44 | ↑ +45% |
| EMBLEM | PPO_Commercial | $222.00 | ↑ +46% |
| EMBLEM | HIP_GHI_CHP | $222.00 | ↑ +46% |
| EMBLEM | MEDICARE ADVANTAGE | $228.80 | ↑ +50% |
| OXFORD | Liberty | $248.00 | ↑ +63% |
| OSCAR | ALL PRODUCTS | $264.00 | ↑ +73% |
| MetroPlus | CHP | $266.80 | ↑ +75% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $266.80 | ↑ +75% |
| MetroPlus | SNP | $266.80 | ↑ +75% |
| MetroPlus | Gold | $266.80 | ↑ +75% |
| MetroPlus | Goldcare 1 & 2 | $266.80 | ↑ +75% |
| MetroPlus | Managed Medicaid | $266.80 | ↑ +75% |
| MetroPlus | HARP | $266.80 | ↑ +75% |
| UNITED | Managed Medicaid | $266.80 | ↑ +75% |
| UNITED | HARP | $266.80 | ↑ +75% |
| Fidelis | CHP | $266.80 | ↑ +75% |
| Fidelis | HARP_Managed Medicaid | $266.80 | ↑ +75% |
| Carelon | Commercial_Essential Plans | $266.80 | ↑ +75% |
| Carelon | Managed Medicaid_HARP_CHP | $266.80 | ↑ +75% |
| Carelon | GHI BMP | $266.80 | ↑ +75% |
| Anthem HealthPlus | EXCHANGE | $266.80 | ↑ +75% |
| UNITED BEHAVIORAL HEALTH | CHP | $272.14 | ↑ +78% |
| Carelon (Amida Care) | Managed Medicaid | $272.14 | ↑ +78% |
| VNSNY | MAP | $272.14 | ↑ +78% |
| VNSNY | Medicaid SNP | $272.14 | ↑ +78% |
| UNITED BEHAVIORAL HEALTH | HARP | $272.14 | ↑ +78% |
| OXFORD | Freedom | $278.00 | ↑ +82% |
| UNITED | Essential Plan 1-4_200-250 | $285.48 | ↑ +87% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $293.48 | ↑ +92% |
| UNITED | EXCHANGE | $314.00 | ↑ +106% |
| MAGNACARE | PPO Non-FPP | $330.00 | ↑ +116% |
| MAGNACARE | PPO FPP | $330.00 | ↑ +116% |
| MAGNACARE | Direct Plus FPP | $330.00 | ↑ +116% |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | ↑ +116% |
| UNITED | CHP | $333.50 | ↑ +119% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +127% |
| EMBLEM | Essential Plan 3-4 | $400.20 | ↑ +162% |
| Carelon | MAP_Medicare Advantage | $415.51 | ↑ +172% |
| Healthfirst | EXCHANGE | $426.88 | ↑ +180% |
| Emblem | Essential Plan 200-250 | $426.88 | ↑ +180% |
| EMBLEM | Essential Plan 1-2 | $426.88 | ↑ +180% |
| Healthfirst | Small Group | $434.88 | ↑ +185% |
| MULTIPLAN | ALL PRODUCTS | $511.40 | ↑ +235% |
| Fidelis | Essential Plan 1-4_200-250 | $600.30 | ↑ +294% |
| MetroPlus | Essential Plan 200-250 | $600.30 | ↑ +294% |
| Anthem HealthPlus | Essential Plan 200-250 | $600.30 | ↑ +294% |
| MetroPlus | Essential Plan 3-4 | $600.30 | ↑ +294% |
| Healthfirst | Essential Plan 3-4 | $600.30 | ↑ +294% |
| Affinity | Essential Plan 200-250 | $600.30 | ↑ +294% |
| Affinity | Essential Plan 1-2 | $600.30 | ↑ +294% |
| Affinity | Essential Plan 3-4 | $600.30 | ↑ +294% |
| Anthem HealthPlus | Essential Plan 1-2 | $600.30 | ↑ +294% |
| Healthfirst | Essential Plan 1-2 | $600.30 | ↑ +294% |
| Healthfirst | Essential Plan 200-250 | $600.30 | ↑ +294% |
| MetroPlus | Essential Plan 1-2 | $600.30 | ↑ +294% |
| Anthem HealthPlus | Essential Plan 3-4 | $600.30 | ↑ +294% |
| Affinity | CHP | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Application finger splntstatic 29130 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $614.00 | $45.00 – $318.75 |
| Bellevue Hospital Center | NY 10016 | $152.54 | $0.01 – $781.00 |
| Harlem Hospital Center | New York | $152.54 | $0.01 – $781.00 |
| Kings County Hospital Center | Brooklyn | $152.54 | $0.01 – $781.00 |
| Lincoln Medical Center | Bronx | $152.54 | $0.01 – $781.00 |
| Metropolitan Hospital Center | New York | $152.54 | $0.01 – $781.00 |
| UPMC Chautauqua | Jamestown | $70.20 | $24.28 – $162.21 |
| Queens Hospital Center | Jamaica | $152.54 | $0.01 – $781.00 |