Culture of specimen by kit at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$27.07
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.
$11.14 with Aetna vs $83.65 with ANTHEM — 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 | $11.14 | ↓ -59% |
| Local 1199 | ALL PRODUCTS | $12.00 | ↓ -56% |
| OXFORD | Freedom | $12.57 | ↓ -54% |
| UNITED | ALL PRODUCTS | $12.57 | ↓ -54% |
| OXFORD | Liberty | $12.57 | ↓ -54% |
| Hamaspik | MEDICARE ADVANTAGE | $21.66 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $22.47 | ↓ -17% |
| Healthfirst | Managed Medicaid | $23.77 | ↓ -12% |
| Healthfirst | HARP | $23.77 | ↓ -12% |
| Healthfirst | CHP | $23.77 | ↓ -12% |
| Healthfirst | MEDICARE ADVANTAGE | $26.53 | ↓ -2% |
| Healthfirst | MAP | $26.53 | ↓ -2% |
| Amidacare | Managed Medicaid | $27.07 | ↑ +0% |
| Centerlight | PACE | $27.07 | ↑ +0% |
| Senior Whole Health | MLTC | $27.07 | ↑ +0% |
| Senior Whole Health | MAP | $27.07 | ↑ +0% |
| VNSNY | Medicare Advantage | $27.07 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $27.07 | ↑ +0% |
| VNSNY | Medicare SNP | $27.07 | ↑ +0% |
| Fidelis | MAP | $27.07 | ↑ +0% |
| VillageCare Max | MEDICARE ADVANTAGE | $27.07 | ↑ +0% |
| VillageCare Max | MAP | $27.07 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $27.07 | ↑ +0% |
| VACCN | All Products | $27.07 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $27.07 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $28.42 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $28.42 | ↑ +5% |
| UNITED | HARP | $28.63 | ↑ +6% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $28.63 | ↑ +6% |
| UNITED | Managed Medicaid | $28.63 | ↑ +6% |
| Fidelis | CHP | $28.63 | ↑ +6% |
| Fidelis | HARP_Managed Medicaid | $28.63 | ↑ +6% |
| Carelon | Managed Medicaid_HARP_CHP | $28.63 | ↑ +6% |
| Anthem HealthPlus | EXCHANGE | $28.63 | ↑ +6% |
| Carelon | Commercial_Essential Plans | $28.64 | ↑ +6% |
| MetroPlus | SNP | $28.64 | ↑ +6% |
| MetroPlus | CHP | $28.64 | ↑ +6% |
| MetroPlus | HARP | $28.64 | ↑ +6% |
| MetroPlus | Managed Medicaid | $28.64 | ↑ +6% |
| MetroPlus | Goldcare 1 & 2 | $28.64 | ↑ +6% |
| MetroPlus | Gold | $28.64 | ↑ +6% |
| Carelon | GHI BMP | $28.64 | ↑ +6% |
| VNSNY | Medicaid SNP | $29.20 | ↑ +8% |
| VNSNY | MAP | $29.20 | ↑ +8% |
| UNITED BEHAVIORAL HEALTH | CHP | $29.20 | ↑ +8% |
| UNITED BEHAVIORAL HEALTH | HARP | $29.20 | ↑ +8% |
| Carelon (Amida Care) | Managed Medicaid | $29.20 | ↑ +8% |
| MetroPlus | MEDICARE ADVANTAGE | $30.59 | ↑ +13% |
| MetroPlus | MAP | $30.59 | ↑ +13% |
| MetroPlus | EXCHANGE | $30.59 | ↑ +13% |
| UNITED | Essential Plan 1-4_200-250 | $30.63 | ↑ +13% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $31.49 | ↑ +16% |
| MAGNACARE | Direct Plus FPP | $32.48 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $32.48 | ↑ +20% |
| MAGNACARE | PPO FPP | $32.48 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $32.48 | ↑ +20% |
| MetroPlus | Essential Plan 3-4 | $32.76 | ↑ +21% |
| MetroPlus | Essential Plan 200-250 | $32.76 | ↑ +21% |
| MetroPlus | Essential Plan 1-2 | $32.76 | ↑ +21% |
| UNITED | CHP | $35.80 | ↑ +32% |
| EMBLEM | Essential Plan 3-4 | $35.80 | ↑ +32% |
| Emblem | Essential Plan 200-250 | $38.66 | ↑ +43% |
| EMBLEM | Essential Plan 1-2 | $38.66 | ↑ +43% |
| Wellcare | MEDICARE ADVANTAGE | $40.06 | ↑ +48% |
| OSCAR | ALL PRODUCTS | $40.61 | ↑ +50% |
| Healthfirst | EXCHANGE | $45.82 | ↑ +69% |
| Healthfirst | Small Group | $46.68 | ↑ +72% |
| Elderplan | MAP_Medicare Advantage_MLTC | $54.14 | ↑ +100% |
| Anthem HealthPlus | Essential Plan 3-4 | $64.42 | ↑ +138% |
| Affinity | Essential Plan 1-2 | $64.42 | ↑ +138% |
| Fidelis | Essential Plan 1-4_200-250 | $64.42 | ↑ +138% |
| Anthem HealthPlus | Essential Plan 200-250 | $64.42 | ↑ +138% |
| Healthfirst | Essential Plan 3-4 | $64.42 | ↑ +138% |
| Healthfirst | Essential Plan 200-250 | $64.42 | ↑ +138% |
| Healthfirst | Essential Plan 1-2 | $64.42 | ↑ +138% |
| Anthem HealthPlus | Essential Plan 1-2 | $64.42 | ↑ +138% |
| Affinity | Essential Plan 3-4 | $64.42 | ↑ +138% |
| Affinity | Essential Plan 200-250 | $64.42 | ↑ +138% |
| CIGNA | ALL PRODUCTS | $67.80 | ↑ +150% |
| ANTHEM | Small Group EPO_PPO | $75.25 | ↑ +178% |
| ANTHEM | Blue Access Small Group | $75.25 | ↑ +178% |
| ANTHEM | Blue Access Large Group | $77.42 | ↑ +186% |
| ANTHEM | PPO | $83.65 | ↑ +209% |
| ANTHEM | HMO | $83.65 | ↑ +209% |
| ANTHEM | INDEMNITY | $83.65 | ↑ +209% |
| ANTHEM | EPO | $83.65 | ↑ +209% |
Visitor-reported prices
Comments
Culture of specimen by kit at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $27.07 | $6.40 – $67.80 |
| Harlem Hospital Center | New York | $27.07 | $11.14 – $67.80 |
| Kings County Hospital Center | Brooklyn | $27.07 | $6.40 – $67.80 |
| Lincoln Medical Center | Bronx | $27.07 | $11.14 – $67.80 |
| Metropolitan Hospital Center | New York | $27.07 | $11.14 – $67.80 |
| Queens Hospital Center | Jamaica | $27.07 | $6.40 – $67.80 |
| Woodhull Medical Center | Brooklyn | $27.07 | $6.40 – $67.80 |
| South Brooklyn Health | Brooklyn | $27.07 | $11.14 – $67.80 |