Inj., ibalizumab-uiyk, 10 mg at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$77.06
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.
$61.65 with Hamaspik vs $15,954.68 with Fidelis — 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 | $61.65 | ↓ -20% |
| Healthfirst | MAP | $76.12 | ↓ -1% |
| Healthfirst | Medicare Advantage PPO | $76.12 | ↓ -1% |
| Healthfirst | MEDICARE ADVANTAGE | $76.12 | ↓ -1% |
| Fidelis | MAP | $77.06 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $77.06 | ↑ +0% |
| Fidelis | EXCHANGE | $77.68 | ↑ +1% |
| ANTHEM | MEDICARE ADVANTAGE | $79.39 | ↑ +3% |
| VACCN | All Products | $79.39 | ↑ +3% |
| Local 1199 | ALL PRODUCTS | $79.51 | ↑ +3% |
| Senior Whole Health | MLTC | $79.51 | ↑ +3% |
| VillageCare Max | MAP | $79.51 | ↑ +3% |
| VillageCare Max | MEDICARE ADVANTAGE | $79.51 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $80.91 | ↑ +5% |
| ANTHEM | EPO | $82.34 | ↑ +7% |
| ANTHEM | Blue Access Large Group | $82.34 | ↑ +7% |
| ANTHEM | Blue Access Small Group | $82.34 | ↑ +7% |
| ANTHEM | HMO | $82.34 | ↑ +7% |
| ANTHEM | INDEMNITY | $82.34 | ↑ +7% |
| ANTHEM | PPO | $82.34 | ↑ +7% |
| ANTHEM | Small Group EPO_PPO | $82.34 | ↑ +7% |
| UNITED | MEDICARE ADVANTAGE | $83.49 | ↑ +8% |
| VNSNY | Medicaid SNP | $83.89 | ↑ +9% |
| VNSNY | Medicare Advantage | $83.89 | ↑ +9% |
| VNSNY | Medicare SNP | $83.89 | ↑ +9% |
| Centerlight | PACE | $83.89 | ↑ +9% |
| VNSNY | MAP | $83.89 | ↑ +9% |
| Senior Whole Health | MAP | $83.89 | ↑ +9% |
| EMBLEM | HIP_GHI_CHP | $83.89 | ↑ +9% |
| EMBLEM | PPO_Commercial | $83.89 | ↑ +9% |
| Amidacare | Managed Medicaid | $83.89 | ↑ +9% |
| MetroPlus | Essential Plan 1-2 | $84.24 | ↑ +9% |
| MetroPlus | Essential Plan 3-4 | $84.24 | ↑ +9% |
| MetroPlus | Essential Plan 200-250 | $84.24 | ↑ +9% |
| MetroPlus | EXCHANGE | $89.85 | ↑ +17% |
| MetroPlus | MEDICARE ADVANTAGE | $89.85 | ↑ +17% |
| MetroPlus | MAP | $89.85 | ↑ +17% |
| OSCAR | ALL PRODUCTS | $93.21 | ↑ +21% |
| MAGNACARE | PPO FPP | $95.27 | ↑ +24% |
| MAGNACARE | PPO Non-FPP | $95.27 | ↑ +24% |
| MAGNACARE | Direct Plus Non-FPP | $95.27 | ↑ +24% |
| MAGNACARE | Direct Plus FPP | $95.27 | ↑ +24% |
| Wellcare | MEDICARE ADVANTAGE | $114.05 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $119.09 | ↑ +55% |
| Aetna | ALL PRODUCTS | $135.93 | ↑ +76% |
| CIGNA | ALL PRODUCTS | $149.91 | ↑ +95% |
| Elderplan | MAP_Medicare Advantage_MLTC | $159.02 | ↑ +106% |
| Healthfirst | HARP | $5,885.51 | ↑ +7538% |
| Healthfirst | Managed Medicaid | $5,885.51 | ↑ +7538% |
| Healthfirst | CHP | $5,885.51 | ↑ +7538% |
| Anthem HealthPlus | EXCHANGE | $7,090.97 | ↑ +9102% |
| UNITED | HARP | $7,090.97 | ↑ +9102% |
| Carelon | Managed Medicaid_HARP_CHP | $7,090.97 | ↑ +9102% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $7,090.97 | ↑ +9102% |
| Fidelis | HARP_Managed Medicaid | $7,090.97 | ↑ +9102% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $7,090.97 | ↑ +9102% |
| UNITED | Managed Medicaid | $7,090.97 | ↑ +9102% |
| MetroPlus | SNP | $7,090.98 | ↑ +9102% |
| MetroPlus | CHP | $7,090.98 | ↑ +9102% |
| MetroPlus | Gold | $7,090.98 | ↑ +9102% |
| MetroPlus | Goldcare 1 & 2 | $7,090.98 | ↑ +9102% |
| MetroPlus | HARP | $7,090.98 | ↑ +9102% |
| MetroPlus | Managed Medicaid | $7,090.98 | ↑ +9102% |
| Carelon | GHI BMP | $7,090.98 | ↑ +9102% |
| Carelon | Commercial_Essential Plans | $7,090.98 | ↑ +9102% |
| UNITED BEHAVIORAL HEALTH | CHP | $7,232.79 | ↑ +9286% |
| UNITED BEHAVIORAL HEALTH | HARP | $7,232.79 | ↑ +9286% |
| Affinity | HARP_Managed Medicaid | $7,232.79 | ↑ +9286% |
| Carelon (Amida Care) | Managed Medicaid | $7,232.79 | ↑ +9286% |
| Affinity | CHP | $7,445.52 | ↑ +9562% |
| Anthem HealthPlus | CHP | $7,800.07 | ↑ +10022% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $7,800.07 | ↑ +10022% |
| Fidelis | CHP | $8,367.34 | ↑ +10758% |
| EMBLEM | HARP_Managed Medicaid | $8,863.73 | ↑ +11402% |
| EMBLEM | Essential Plan 3-4 | $8,863.73 | ↑ +11402% |
| UNITED | CHP | $8,863.73 | ↑ +11402% |
| EMBLEM | Essential Plan 1-2 | $9,572.82 | ↑ +12323% |
| Emblem | Essential Plan 200-250 | $9,572.82 | ↑ +12323% |
| Healthfirst | EXCHANGE | $11,345.57 | ↑ +14623% |
| Healthfirst | Small Group | $11,558.30 | ↑ +14899% |
| Healthfirst | Essential Plan 3-4 | $15,954.68 | ↑ +20604% |
| Healthfirst | Essential Plan 1-2 | $15,954.68 | ↑ +20604% |
| Anthem HealthPlus | Essential Plan 200-250 | $15,954.68 | ↑ +20604% |
| Anthem HealthPlus | Essential Plan 1-2 | $15,954.68 | ↑ +20604% |
| Healthfirst | Essential Plan 200-250 | $15,954.68 | ↑ +20604% |
| Affinity | Essential Plan 3-4 | $15,954.68 | ↑ +20604% |
| Affinity | Essential Plan 200-250 | $15,954.68 | ↑ +20604% |
| Affinity | Essential Plan 1-2 | $15,954.68 | ↑ +20604% |
| Anthem HealthPlus | Essential Plan 3-4 | $15,954.68 | ↑ +20604% |
| UNITED | Essential Plan 1-4_200-250 | $15,954.68 | ↑ +20604% |
| Fidelis | Essential Plan 1-4_200-250 | $15,954.68 | ↑ +20604% |
Visitor-reported prices
Comments
Inj., ibalizumab-uiyk, 10 mg at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $57.68 – $112.33 |
| Rochester General Hospital | Rochester | not published | $72.25 – $147.96 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $76.95 – $80.28 |
| Gouverneur Hospital | Gouverneur | not published | $76.95 – $80.28 |
| Canton-Potsdam Hospital | Potsdam | not published | $80.28 – $80.28 |
| The Unity Hospital of Rochester | Rochester | not published | $72.25 – $80.28 |
| Newark Wayne Community Hospital | Newark | not published | $72.25 – $92.32 |