Drng of mouth lesion 40801 at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$602.63
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.
$3,735.06
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.
$147.90 with Healthfirst vs $5,014.00 with EMBLEM — 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 | CHP | $147.90 | ↓ -75% |
| Healthfirst | Managed Medicaid | $147.90 | ↓ -75% |
| Healthfirst | HARP | $147.90 | ↓ -75% |
| MetroPlus | HARP | $178.19 | ↓ -70% |
| Carelon | GHI BMP | $178.19 | ↓ -70% |
| Carelon | Managed Medicaid_HARP_CHP | $178.19 | ↓ -70% |
| Carelon | Commercial_Essential Plans | $178.19 | ↓ -70% |
| Fidelis | HARP_Managed Medicaid | $178.19 | ↓ -70% |
| MetroPlus | Gold | $178.19 | ↓ -70% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $178.19 | ↓ -70% |
| Fidelis | CHP | $178.19 | ↓ -70% |
| Anthem HealthPlus | EXCHANGE | $178.19 | ↓ -70% |
| MetroPlus | CHP | $178.19 | ↓ -70% |
| UNITED | Managed Medicaid | $178.19 | ↓ -70% |
| MetroPlus | SNP | $178.19 | ↓ -70% |
| UNITED | HARP | $178.19 | ↓ -70% |
| MetroPlus | Goldcare 1 & 2 | $178.19 | ↓ -70% |
| MetroPlus | Managed Medicaid | $178.19 | ↓ -70% |
| UNITED BEHAVIORAL HEALTH | CHP | $181.75 | ↓ -70% |
| VNSNY | MAP | $181.75 | ↓ -70% |
| VNSNY | Medicaid SNP | $181.75 | ↓ -70% |
| UNITED BEHAVIORAL HEALTH | HARP | $181.75 | ↓ -70% |
| Carelon (Amida Care) | Managed Medicaid | $181.75 | ↓ -70% |
| UNITED | Essential Plan 1-4_200-250 | $190.66 | ↓ -68% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $196.01 | ↓ -67% |
| UNITED | CHP | $222.74 | ↓ -63% |
| EMBLEM | Essential Plan 3-4 | $222.74 | ↓ -63% |
| Aetna | MEDICARE ADVANTAGE | $227.92 | ↓ -62% |
| Emblem | Essential Plan 200-250 | $240.56 | ↓ -60% |
| EMBLEM | Essential Plan 1-2 | $240.56 | ↓ -60% |
| Healthfirst | EXCHANGE | $285.10 | ↓ -53% |
| Healthfirst | Small Group | $290.45 | ↓ -52% |
| Fidelis | MAP | $328.20 | ↓ -46% |
| Anthem HealthPlus | Essential Plan 1-2 | $400.93 | ↓ -33% |
| Fidelis | Essential Plan 1-4_200-250 | $400.93 | ↓ -33% |
| Healthfirst | Essential Plan 3-4 | $400.93 | ↓ -33% |
| MetroPlus | Essential Plan 1-2 | $400.93 | ↓ -33% |
| Affinity | Essential Plan 1-2 | $400.93 | ↓ -33% |
| Affinity | Essential Plan 200-250 | $400.93 | ↓ -33% |
| Anthem HealthPlus | Essential Plan 3-4 | $400.93 | ↓ -33% |
| Healthfirst | Essential Plan 200-250 | $400.93 | ↓ -33% |
| Affinity | Essential Plan 3-4 | $400.93 | ↓ -33% |
| MetroPlus | Essential Plan 200-250 | $400.93 | ↓ -33% |
| Healthfirst | Essential Plan 1-2 | $400.93 | ↓ -33% |
| Anthem HealthPlus | Essential Plan 200-250 | $400.93 | ↓ -33% |
| MetroPlus | Essential Plan 3-4 | $400.93 | ↓ -33% |
| Healthfirst | MAP | $558.79 | ↓ -7% |
| Healthfirst | Medicare Advantage PPO | $558.79 | ↓ -7% |
| Healthfirst | MEDICARE ADVANTAGE | $558.79 | ↓ -7% |
| VNSNY | Medicare SNP | $602.63 | ↑ +0% |
| VACCN | All Products | $602.63 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $602.63 | ↑ +0% |
| Senior Whole Health | MAP | $602.63 | ↑ +0% |
| Senior Whole Health | MLTC | $602.63 | ↑ +0% |
| VNSNY | Medicare Advantage | $602.63 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $632.76 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $650.84 | ↑ +8% |
| Centerlight | PACE | $673.24 | ↑ +12% |
| Elderplan | MAP_Medicare Advantage_MLTC | $673.24 | ↑ +12% |
| VillageCare Max | MAP | $673.24 | ↑ +12% |
| VillageCare Max | MEDICARE ADVANTAGE | $673.24 | ↑ +12% |
| UNITED | MEDICARE ADVANTAGE | $706.90 | ↑ +17% |
| EMBLEM | MEDICARE ADVANTAGE | $753.28 | ↑ +25% |
| MetroPlus | MEDICARE ADVANTAGE | $760.76 | ↑ +26% |
| MetroPlus | EXCHANGE | $760.76 | ↑ +26% |
| MetroPlus | MAP | $760.76 | ↑ +26% |
| Fidelis | EXCHANGE | $855.73 | ↑ +42% |
| ANTHEM | Small Group EPO_PPO | $1,631.00 | ↑ +171% |
| ANTHEM | Blue Access Small Group | $1,631.00 | ↑ +171% |
| ANTHEM | Blue Access Large Group | $1,676.00 | ↑ +178% |
| ANTHEM | HMO | $1,811.00 | ↑ +201% |
| ANTHEM | INDEMNITY | $1,811.00 | ↑ +201% |
| ANTHEM | PPO | $1,811.00 | ↑ +201% |
| ANTHEM | EPO | $1,811.00 | ↑ +201% |
| OXFORD | Liberty | $2,042.00 | ↑ +239% |
| Aetna | ALL PRODUCTS | $2,297.00 | ↑ +281% |
| OXFORD | Freedom | $2,312.00 | ↑ +284% |
| Carelon | MAP_Medicare Advantage | $2,427.79 | ↑ +303% |
| UNITED | EXCHANGE | $2,594.00 | ↑ +330% |
| Amidacare | Managed Medicaid | $2,764.00 | ↑ +359% |
| MAGNACARE | PPO Non-FPP | $2,801.30 | ↑ +365% |
| MAGNACARE | Direct Plus FPP | $2,801.30 | ↑ +365% |
| MAGNACARE | Direct Plus Non-FPP | $2,801.30 | ↑ +365% |
| MAGNACARE | PPO FPP | $2,801.30 | ↑ +365% |
| UNITED | ALL PRODUCTS | $2,860.00 | ↑ +375% |
| MULTIPLAN | ALL PRODUCTS | $2,988.05 | ↑ +396% |
| Local 1199 | ALL PRODUCTS | $3,174.80 | ↑ +427% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↑ +611% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↑ +676% |
| EMBLEM | HIP_GHI_CHP | $5,014.00 | ↑ +732% |
| EMBLEM | PPO_Commercial | $5,014.00 | ↑ +732% |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Drng of mouth lesion 40801 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $1,385.00 | $179.00 – $632.73 |
| Bellevue Hospital Center | NY 10016 | $602.63 | $126.05 – $1,009.85 |
| Harlem Hospital Center | New York | $602.63 | $226.67 – $760.76 |
| Kings County Hospital Center | Brooklyn | $602.63 | $126.05 – $1,009.85 |
| Lincoln Medical Center | Bronx | $602.63 | $232.51 – $760.76 |
| Metropolitan Hospital Center | New York | $602.63 | $232.51 – $760.76 |
| Queens Hospital Center | Jamaica | $602.63 | $126.05 – $1,009.85 |
| Woodhull Medical Center | Brooklyn | $602.63 | $126.05 – $1,009.85 |