HIV prep, inj, cabotegravir at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$6.81
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.
$5.45 with Hamaspik vs $6,247.64 with Affinity — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $5.45 | ↓ -20% |
| Fidelis | MAP | $6.81 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $6.81 | ↑ +0% |
| Healthfirst | MAP | $7.00 | ↑ +3% |
| Healthfirst | MEDICARE ADVANTAGE | $7.00 | ↑ +3% |
| Healthfirst | Medicare Advantage PPO | $7.00 | ↑ +3% |
| VACCN | All Products | $7.03 | ↑ +3% |
| ANTHEM | MEDICARE ADVANTAGE | $7.03 | ↑ +3% |
| Fidelis | EXCHANGE | $7.15 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $7.15 | ↑ +5% |
| VillageCare Max | MEDICARE ADVANTAGE | $7.29 | ↑ +7% |
| Senior Whole Health | MLTC | $7.29 | ↑ +7% |
| Local 1199 | ALL PRODUCTS | $7.29 | ↑ +7% |
| VillageCare Max | MAP | $7.29 | ↑ +7% |
| ANTHEM | INDEMNITY | $7.57 | ↑ +11% |
| ANTHEM | Blue Access Large Group | $7.57 | ↑ +11% |
| ANTHEM | Blue Access Small Group | $7.57 | ↑ +11% |
| ANTHEM | EPO | $7.57 | ↑ +11% |
| ANTHEM | HMO | $7.57 | ↑ +11% |
| ANTHEM | PPO | $7.57 | ↑ +11% |
| ANTHEM | Small Group EPO_PPO | $7.57 | ↑ +11% |
| UNITED | MEDICARE ADVANTAGE | $7.65 | ↑ +12% |
| Centerlight | PACE | $7.72 | ↑ +13% |
| Senior Whole Health | MAP | $7.72 | ↑ +13% |
| EMBLEM | HIP_GHI_CHP | $7.72 | ↑ +13% |
| EMBLEM | PPO_Commercial | $7.72 | ↑ +13% |
| MetroPlus | Essential Plan 3-4 | $7.72 | ↑ +13% |
| MetroPlus | Essential Plan 200-250 | $7.72 | ↑ +13% |
| VNSNY | MAP | $7.72 | ↑ +13% |
| MetroPlus | Essential Plan 1-2 | $7.72 | ↑ +13% |
| VNSNY | Medicaid SNP | $7.72 | ↑ +13% |
| Amidacare | Managed Medicaid | $7.72 | ↑ +13% |
| VNSNY | Medicare Advantage | $7.72 | ↑ +13% |
| VNSNY | Medicare SNP | $7.72 | ↑ +13% |
| MetroPlus | EXCHANGE | $8.24 | ↑ +21% |
| MetroPlus | MEDICARE ADVANTAGE | $8.24 | ↑ +21% |
| MetroPlus | MAP | $8.24 | ↑ +21% |
| MAGNACARE | PPO Non-FPP | $8.44 | ↑ +24% |
| MAGNACARE | Direct Plus Non-FPP | $8.44 | ↑ +24% |
| MAGNACARE | PPO FPP | $8.44 | ↑ +24% |
| MAGNACARE | Direct Plus FPP | $8.44 | ↑ +24% |
| OSCAR | ALL PRODUCTS | $8.57 | ↑ +26% |
| Wellcare | MEDICARE ADVANTAGE | $10.08 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $10.55 | ↑ +55% |
| Aetna | ALL PRODUCTS | $11.99 | ↑ +76% |
| CIGNA | ALL PRODUCTS | $13.79 | ↑ +102% |
| Elderplan | MAP_Medicare Advantage_MLTC | $14.58 | ↑ +114% |
| Healthfirst | HARP | $2,304.69 | ↑ +33743% |
| Healthfirst | CHP | $2,304.69 | ↑ +33743% |
| Healthfirst | Managed Medicaid | $2,304.69 | ↑ +33743% |
| UNITED | Managed Medicaid | $2,776.73 | ↑ +40674% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $2,776.73 | ↑ +40674% |
| MetroPlus | CHP | $2,776.73 | ↑ +40674% |
| Fidelis | HARP_Managed Medicaid | $2,776.73 | ↑ +40674% |
| MetroPlus | SNP | $2,776.73 | ↑ +40674% |
| Carelon | Commercial_Essential Plans | $2,776.73 | ↑ +40674% |
| Fidelis | CHP | $2,776.73 | ↑ +40674% |
| UNITED | HARP | $2,776.73 | ↑ +40674% |
| MetroPlus | Gold | $2,776.73 | ↑ +40674% |
| MetroPlus | Goldcare 1 & 2 | $2,776.73 | ↑ +40674% |
| MetroPlus | HARP | $2,776.73 | ↑ +40674% |
| MetroPlus | Managed Medicaid | $2,776.73 | ↑ +40674% |
| Carelon | Managed Medicaid_HARP_CHP | $2,776.73 | ↑ +40674% |
| Anthem HealthPlus | EXCHANGE | $2,776.73 | ↑ +40674% |
| Carelon | GHI BMP | $2,776.73 | ↑ +40674% |
| UNITED BEHAVIORAL HEALTH | HARP | $2,832.26 | ↑ +41490% |
| Carelon (Amida Care) | Managed Medicaid | $2,832.26 | ↑ +41490% |
| UNITED BEHAVIORAL HEALTH | CHP | $2,832.26 | ↑ +41490% |
| UNITED | Essential Plan 1-4_200-250 | $2,971.10 | ↑ +43528% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $3,054.40 | ↑ +44752% |
| UNITED | CHP | $3,470.91 | ↑ +50868% |
| EMBLEM | Essential Plan 3-4 | $3,470.91 | ↑ +50868% |
| EMBLEM | Essential Plan 1-2 | $3,748.59 | ↑ +54945% |
| Emblem | Essential Plan 200-250 | $3,748.59 | ↑ +54945% |
| Healthfirst | EXCHANGE | $4,442.77 | ↑ +65139% |
| Healthfirst | Small Group | $4,526.07 | ↑ +66362% |
| Affinity | Essential Plan 1-2 | $6,247.64 | ↑ +91642% |
| Healthfirst | Essential Plan 3-4 | $6,247.64 | ↑ +91642% |
| Healthfirst | Essential Plan 200-250 | $6,247.64 | ↑ +91642% |
| Healthfirst | Essential Plan 1-2 | $6,247.64 | ↑ +91642% |
| Fidelis | Essential Plan 1-4_200-250 | $6,247.64 | ↑ +91642% |
| Anthem HealthPlus | Essential Plan 3-4 | $6,247.64 | ↑ +91642% |
| Anthem HealthPlus | Essential Plan 200-250 | $6,247.64 | ↑ +91642% |
| Anthem HealthPlus | Essential Plan 1-2 | $6,247.64 | ↑ +91642% |
| Affinity | Essential Plan 3-4 | $6,247.64 | ↑ +91642% |
| Affinity | Essential Plan 200-250 | $6,247.64 | ↑ +91642% |
Visitor-reported prices
Comments
HIV prep, inj, cabotegravir at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $5.11 – $9.95 |
| Rochester General Hospital | Rochester | not published | $6.66 – $8.51 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $6.89 – $7.40 |
| Gouverneur Hospital | Gouverneur | not published | $6.89 – $7.40 |
| Canton-Potsdam Hospital | Potsdam | not published | $7.40 – $7.40 |
| The Unity Hospital of Rochester | Rochester | not published | $6.66 – $7.40 |
| Newark Wayne Community Hospital | Newark | not published | $6.66 – $8.51 |