healthcosts.net
ER Visit (level 1, minor) at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
not published by hospital
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.
$490.54
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.
$13.34 with Wellcare vs $1,626.00 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 |
|---|---|---|---|
| Wellcare | MEDICARE ADVANTAGE | $13.34 | — |
| Aetna | MEDICARE ADVANTAGE | $15.91 | — |
| MetroPlus | Essential Plan 200-250 | $16.81 | — |
| MetroPlus | Essential Plan 1-2 | $16.81 | — |
| MetroPlus | Essential Plan 3-4 | $16.81 | — |
| UNITED | Managed Medicaid | $41.13 | — |
| UNITED | Essential Plan 1-4_200-250 | $44.01 | — |
| UNITED | HARP | $60.49 | — |
| Healthfirst | Small Group | $98.11 | — |
| Senior Whole Health | MLTC | $102.67 | — |
| Senior Whole Health | MAP | $102.67 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $104.19 | — |
| VNSNY | Medicare Advantage | $104.19 | — |
| ANTHEM | MEDICARE ADVANTAGE | $104.19 | — |
| VACCN | All Products | $104.19 | — |
| VNSNY | Medicare SNP | $104.19 | — |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $108.36 | — |
| Healthfirst | EXCHANGE | $122.64 | — |
| Amidacare | Managed Medicaid | $124.00 | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | $143.45 | — |
| Fidelis | EXCHANGE | $147.95 | — |
| EMBLEM | MEDICARE ADVANTAGE | $156.29 | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | $169.95 | — |
| Healthfirst | MEDICARE ADVANTAGE | $220.50 | — |
| Healthfirst | MAP | $220.50 | — |
| Healthfirst | Medicare Advantage PPO | $220.50 | — |
| Centerlight | PACE | $245.27 | — |
| Healthfirst | CHP | $250.00 | — |
| Healthfirst | HARP | $250.00 | — |
| Healthfirst | Managed Medicaid | $250.00 | — |
| MetroPlus | Managed Medicaid | $265.00 | — |
| MetroPlus | CHP | $265.00 | — |
| MetroPlus | Goldcare 1 & 2 | $265.00 | — |
| MetroPlus | HARP | $265.00 | — |
| MetroPlus | Gold | $265.00 | — |
| MetroPlus | SNP | $265.00 | — |
| EMBLEM | Essential Plan 3-4 | $294.32 | — |
| EMBLEM | Essential Plan 1-2 | $343.38 | — |
| MAGNACARE | PPO FPP | $367.91 | — |
| MAGNACARE | Direct Plus FPP | $367.91 | — |
| MULTIPLAN | ALL PRODUCTS | $392.43 | — |
| Carelon (Amida Care) | Managed Medicaid | $392.43 | — |
| VNSNY | Medicaid SNP | $416.96 | — |
| VillageCare Max | MAP | $416.96 | — |
| VillageCare Max | MEDICARE ADVANTAGE | $416.96 | — |
| VNSNY | MAP | $416.96 | — |
| Fidelis | MAP | $650.00 | — |
| Fidelis | CHP | $650.00 | — |
| Fidelis | HARP_Managed Medicaid | $650.00 | — |
| Carelon | GHI BMP | $758.00 | — |
| Carelon | MAP_Medicare Advantage | $758.00 | — |
| Carelon | Managed Medicaid_HARP_CHP | $758.00 | — |
| Carelon | Commercial_Essential Plans | $758.00 | — |
| OXFORD | Liberty | $781.00 | — |
| Local 1199 | ALL PRODUCTS | $796.00 | — |
| OXFORD | Freedom | $882.00 | — |
| UNITED | EXCHANGE | $944.00 | — |
| EMBLEM | HIP_GHI_CHP | $977.00 | — |
| UNITED | ALL PRODUCTS | $1,093.00 | — |
| Aetna | ALL PRODUCTS | $1,171.00 | — |
| OSCAR | ALL PRODUCTS | $1,396.00 | — |
| ANTHEM | Small Group EPO_PPO | $1,463.00 | — |
| ANTHEM | Blue Access Small Group | $1,463.00 | — |
| CIGNA | ALL PRODUCTS | $1,500.00 | — |
| ANTHEM | Blue Access Large Group | $1,504.00 | — |
| ANTHEM | EPO | $1,626.00 | — |
| ANTHEM | INDEMNITY | $1,626.00 | — |
| ANTHEM | PPO | $1,626.00 | — |
| ANTHEM | HMO | $1,626.00 | — |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | CHP | not published by hospital | — |
| Anthem HealthPlus | EXCHANGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 1-2 | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| UNITED | CHP | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | Essential Plan 3-4 | not published by hospital | — |
| Healthfirst | Essential Plan 200-250 | not published by hospital | — |
| Affinity | Essential Plan 200-250 | not published by hospital | — |
| Affinity | Essential Plan 1-2 | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 3-4 | not published by hospital | — |
| Fidelis | Essential Plan 1-4_200-250 | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| Healthfirst | Essential Plan 3-4 | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | HARP | not published by hospital | — |
| Healthfirst | Essential Plan 1-2 | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $102.67 | $0.01 – $392.43 |
| Kings County Hospital Center | Brooklyn | $101.63 | $0.01 – $416.96 |
| UPMC Chautauqua | Jamestown | $189.60 | $73.42 – $284.40 |
| Queens Hospital Center | Jamaica | $102.67 | $0.01 – $416.96 |
| Woodhull Medical Center | Brooklyn | $102.67 | $0.01 – $416.96 |
| Harlem Hospital Center | New York | not published | $0.01 – $367.97 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |
| Jacobi Medical Center | Bronx | not published | $0.01 – $416.96 |