Biopsy of tear sac at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$2,760.73
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.
$5,953.45
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.
$279.24 with Aetna vs $5,060.43 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 |
|---|---|---|---|
| Aetna | MEDICARE ADVANTAGE | $279.24 | ↓ -90% |
| Fidelis | MAP | $402.11 | ↓ -85% |
| Healthfirst | Managed Medicaid | $1,184.79 | ↓ -57% |
| Healthfirst | CHP | $1,184.79 | ↓ -57% |
| Healthfirst | HARP | $1,184.79 | ↓ -57% |
| MetroPlus | Gold | $1,427.46 | ↓ -48% |
| MetroPlus | Goldcare 1 & 2 | $1,427.46 | ↓ -48% |
| Fidelis | HARP_Managed Medicaid | $1,427.46 | ↓ -48% |
| MetroPlus | HARP | $1,427.46 | ↓ -48% |
| MetroPlus | Managed Medicaid | $1,427.46 | ↓ -48% |
| Fidelis | CHP | $1,427.46 | ↓ -48% |
| MetroPlus | SNP | $1,427.46 | ↓ -48% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $1,427.46 | ↓ -48% |
| UNITED | HARP | $1,427.46 | ↓ -48% |
| Anthem HealthPlus | EXCHANGE | $1,427.46 | ↓ -48% |
| Carelon | Managed Medicaid_HARP_CHP | $1,427.46 | ↓ -48% |
| UNITED | Managed Medicaid | $1,427.46 | ↓ -48% |
| Carelon | Commercial_Essential Plans | $1,427.46 | ↓ -48% |
| Carelon | GHI BMP | $1,427.46 | ↓ -48% |
| MetroPlus | CHP | $1,427.46 | ↓ -48% |
| UNITED BEHAVIORAL HEALTH | CHP | $1,456.01 | ↓ -47% |
| VNSNY | Medicaid SNP | $1,456.01 | ↓ -47% |
| VNSNY | MAP | $1,456.01 | ↓ -47% |
| UNITED BEHAVIORAL HEALTH | HARP | $1,456.01 | ↓ -47% |
| Carelon (Amida Care) | Managed Medicaid | $1,456.01 | ↓ -47% |
| UNITED | Essential Plan 1-4_200-250 | $1,527.38 | ↓ -45% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $1,570.21 | ↓ -43% |
| Aetna | ALL PRODUCTS | $1,715.00 | ↓ -38% |
| EMBLEM | Essential Plan 3-4 | $1,784.33 | ↓ -35% |
| UNITED | CHP | $1,784.33 | ↓ -35% |
| Emblem | Essential Plan 200-250 | $1,927.07 | ↓ -30% |
| EMBLEM | Essential Plan 1-2 | $1,927.07 | ↓ -30% |
| Healthfirst | EXCHANGE | $2,283.94 | ↓ -17% |
| Healthfirst | Small Group | $2,326.76 | ↓ -16% |
| ANTHEM | Blue Access Small Group | $2,349.00 | ↓ -15% |
| ANTHEM | Small Group EPO_PPO | $2,349.00 | ↓ -15% |
| ANTHEM | Blue Access Large Group | $2,414.00 | ↓ -13% |
| Healthfirst | Medicare Advantage PPO | $2,463.25 | ↓ -11% |
| Healthfirst | MEDICARE ADVANTAGE | $2,463.25 | ↓ -11% |
| Healthfirst | MAP | $2,463.25 | ↓ -11% |
| ANTHEM | HMO | $2,609.00 | ↓ -5% |
| ANTHEM | INDEMNITY | $2,609.00 | ↓ -5% |
| ANTHEM | PPO | $2,609.00 | ↓ -5% |
| ANTHEM | EPO | $2,609.00 | ↓ -5% |
| VACCN | All Products | $2,760.73 | ↑ +0% |
| Senior Whole Health | MLTC | $2,760.73 | ↑ +0% |
| Senior Whole Health | MAP | $2,760.73 | ↑ +0% |
| VNSNY | Medicare Advantage | $2,760.73 | ↑ +0% |
| VNSNY | Medicare SNP | $2,760.73 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $2,760.73 | ↑ +0% |
| Amidacare | Managed Medicaid | $2,764.00 | ↑ +0% |
| OXFORD | Liberty | $2,830.00 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $2,898.77 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $2,967.78 | ↑ +7% |
| VillageCare Max | MAP | $2,967.78 | ↑ +7% |
| Centerlight | PACE | $2,967.78 | ↑ +7% |
| VillageCare Max | MEDICARE ADVANTAGE | $2,967.78 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $2,981.59 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $3,116.17 | ↑ +13% |
| OXFORD | Freedom | $3,205.00 | ↑ +16% |
| MetroPlus | Essential Plan 200-250 | $3,211.79 | ↑ +16% |
| MetroPlus | Essential Plan 3-4 | $3,211.79 | ↑ +16% |
| Healthfirst | Essential Plan 3-4 | $3,211.79 | ↑ +16% |
| Healthfirst | Essential Plan 1-2 | $3,211.79 | ↑ +16% |
| MetroPlus | Essential Plan 1-2 | $3,211.79 | ↑ +16% |
| Anthem HealthPlus | Essential Plan 1-2 | $3,211.79 | ↑ +16% |
| Fidelis | Essential Plan 1-4_200-250 | $3,211.79 | ↑ +16% |
| Healthfirst | Essential Plan 200-250 | $3,211.79 | ↑ +16% |
| Affinity | Essential Plan 1-2 | $3,211.79 | ↑ +16% |
| Anthem HealthPlus | Essential Plan 200-250 | $3,211.79 | ↑ +16% |
| Anthem HealthPlus | Essential Plan 3-4 | $3,211.79 | ↑ +16% |
| Affinity | Essential Plan 3-4 | $3,211.79 | ↑ +16% |
| Affinity | Essential Plan 200-250 | $3,211.79 | ↑ +16% |
| MetroPlus | EXCHANGE | $3,353.59 | ↑ +21% |
| MetroPlus | MAP | $3,353.59 | ↑ +21% |
| MetroPlus | MEDICARE ADVANTAGE | $3,353.59 | ↑ +21% |
| EMBLEM | MEDICARE ADVANTAGE | $3,450.91 | ↑ +25% |
| UNITED | EXCHANGE | $3,594.00 | ↑ +30% |
| Carelon | MAP_Medicare Advantage | $3,869.74 | ↑ +40% |
| Fidelis | EXCHANGE | $3,920.24 | ↑ +42% |
| UNITED | ALL PRODUCTS | $3,963.00 | ↑ +44% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↑ +55% |
| MAGNACARE | Direct Plus FPP | $4,465.09 | ↑ +62% |
| MAGNACARE | PPO Non-FPP | $4,465.09 | ↑ +62% |
| MAGNACARE | PPO FPP | $4,465.09 | ↑ +62% |
| MAGNACARE | Direct Plus Non-FPP | $4,465.09 | ↑ +62% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↑ +69% |
| MULTIPLAN | ALL PRODUCTS | $4,762.76 | ↑ +73% |
| EMBLEM | HIP_GHI_CHP | $5,014.00 | ↑ +82% |
| EMBLEM | PPO_Commercial | $5,014.00 | ↑ +82% |
| Local 1199 | ALL PRODUCTS | $5,060.43 | ↑ +83% |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | 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 | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of tear sac at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $2,760.73 | $140.77 – $4,451.66 |
| Harlem Hospital Center | New York | $2,760.73 | $278.98 – $3,450.91 |
| Kings County Hospital Center | Brooklyn | $2,760.73 | $140.77 – $4,451.66 |
| Lincoln Medical Center | Bronx | $2,760.73 | $285.21 – $3,450.91 |
| Metropolitan Hospital Center | New York | $2,760.73 | $285.21 – $3,450.91 |
| Queens Hospital Center | Jamaica | $2,760.73 | $140.77 – $4,451.66 |
| Woodhull Medical Center | Brooklyn | $2,760.73 | $140.77 – $4,451.66 |
| South Brooklyn Health | Brooklyn | $2,760.73 | $285.21 – $3,450.91 |