Inj, adalimumab, 1 mg at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$91.73
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.
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.
$73.38 with Hamaspik vs $529.43 with Anthem HealthPlus — 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 | $73.38 | ↓ -20% |
| VNSNY | Medicare SNP | $91.73 | ↑ +0% |
| VNSNY | Medicare Advantage | $91.73 | ↑ +0% |
| Senior Whole Health | MLTC | $91.73 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $91.73 | ↑ +0% |
| Fidelis | MAP | $91.73 | ↑ +0% |
| Senior Whole Health | MAP | $91.73 | ↑ +0% |
| Local 1199 | ALL PRODUCTS | $91.73 | ↑ +0% |
| VACCN | All Products | $91.73 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $91.73 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $96.32 | ↑ +5% |
| MAGNACARE | PPO FPP | $110.08 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $110.08 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $110.08 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $110.08 | ↑ +20% |
| Fidelis | EXCHANGE | $130.26 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $135.76 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $137.60 | ↑ +50% |
| Healthfirst | CHP | $195.30 | ↑ +113% |
| Healthfirst | HARP | $195.30 | ↑ +113% |
| Healthfirst | Managed Medicaid | $195.30 | ↑ +113% |
| MetroPlus | CHP | $235.30 | ↑ +157% |
| Anthem HealthPlus | EXCHANGE | $235.30 | ↑ +157% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $235.30 | ↑ +157% |
| Carelon | Commercial_Essential Plans | $235.30 | ↑ +157% |
| Carelon | GHI BMP | $235.30 | ↑ +157% |
| Carelon | Managed Medicaid_HARP_CHP | $235.30 | ↑ +157% |
| Fidelis | HARP_Managed Medicaid | $235.30 | ↑ +157% |
| MetroPlus | Gold | $235.30 | ↑ +157% |
| MetroPlus | Goldcare 1 & 2 | $235.30 | ↑ +157% |
| MetroPlus | HARP | $235.30 | ↑ +157% |
| MetroPlus | Managed Medicaid | $235.30 | ↑ +157% |
| MetroPlus | SNP | $235.30 | ↑ +157% |
| UNITED | HARP | $235.30 | ↑ +157% |
| UNITED | Managed Medicaid | $235.30 | ↑ +157% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $235.30 | ↑ +157% |
| UNITED BEHAVIORAL HEALTH | HARP | $240.01 | ↑ +162% |
| UNITED BEHAVIORAL HEALTH | CHP | $240.01 | ↑ +162% |
| Affinity | HARP_Managed Medicaid | $240.01 | ↑ +162% |
| VNSNY | Medicaid SNP | $240.01 | ↑ +162% |
| VNSNY | MAP | $240.01 | ↑ +162% |
| Carelon (Amida Care) | Managed Medicaid | $240.01 | ↑ +162% |
| Affinity | CHP | $247.07 | ↑ +169% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $258.83 | ↑ +182% |
| Anthem HealthPlus | CHP | $258.83 | ↑ +182% |
| Fidelis | CHP | $277.65 | ↑ +203% |
| EMBLEM | Essential Plan 3-4 | $294.13 | ↑ +221% |
| UNITED | CHP | $294.13 | ↑ +221% |
| EMBLEM | HARP_Managed Medicaid | $294.13 | ↑ +221% |
| EMBLEM | Essential Plan 1-2 | $317.66 | ↑ +246% |
| Emblem | Essential Plan 200-250 | $317.66 | ↑ +246% |
| Healthfirst | EXCHANGE | $376.48 | ↑ +310% |
| Healthfirst | Small Group | $383.54 | ↑ +318% |
| UNITED | Essential Plan 1-4_200-250 | $529.43 | ↑ +477% |
| Affinity | Essential Plan 200-250 | $529.43 | ↑ +477% |
| Affinity | Essential Plan 1-2 | $529.43 | ↑ +477% |
| Anthem HealthPlus | Essential Plan 3-4 | $529.43 | ↑ +477% |
| Fidelis | Essential Plan 1-4_200-250 | $529.43 | ↑ +477% |
| Healthfirst | Essential Plan 1-2 | $529.43 | ↑ +477% |
| Healthfirst | Essential Plan 200-250 | $529.43 | ↑ +477% |
| Healthfirst | Essential Plan 3-4 | $529.43 | ↑ +477% |
| Affinity | Essential Plan 3-4 | $529.43 | ↑ +477% |
| MetroPlus | Essential Plan 200-250 | $529.43 | ↑ +477% |
| MetroPlus | Essential Plan 3-4 | $529.43 | ↑ +477% |
| Anthem HealthPlus | Essential Plan 1-2 | $529.43 | ↑ +477% |
| MetroPlus | Essential Plan 1-2 | $529.43 | ↑ +477% |
| Anthem HealthPlus | Essential Plan 200-250 | $529.43 | ↑ +477% |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $11,811.71 | $87.14 – $183.92 |
| NewYork-Presbyterian Queens | Flushing | $11,811.71 | $87.14 – $184.21 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $11,811.71 | $87.14 – $164.66 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $66.65 – $99.98 |
| Rochester General Hospital | Rochester | not published | $91.72 – $91.72 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $91.72 – $91.72 |
| The Unity Hospital of Rochester | Rochester | not published | $91.72 – $91.72 |
| Newark Wayne Community Hospital | Newark | not published | $91.72 – $91.72 |