Inj., perseris, 0.5 mg at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$12.19
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.
$9.75 with Hamaspik vs $1,376.35 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 | $9.75 | ↓ -20% |
| Healthfirst | MEDICARE ADVANTAGE | $11.93 | ↓ -2% |
| Healthfirst | Medicare Advantage PPO | $11.93 | ↓ -2% |
| Healthfirst | MAP | $11.93 | ↓ -2% |
| ANTHEM | MEDICARE ADVANTAGE | $12.14 | ↓ -0% |
| VACCN | All Products | $12.14 | ↓ -0% |
| Fidelis | EXCHANGE | $12.17 | ↓ -0% |
| Fidelis | MAP | $12.19 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $12.19 | ↑ +0% |
| Local 1199 | ALL PRODUCTS | $12.20 | ↑ +0% |
| Senior Whole Health | MLTC | $12.20 | ↑ +0% |
| VillageCare Max | MAP | $12.20 | ↑ +0% |
| VillageCare Max | MEDICARE ADVANTAGE | $12.20 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $12.80 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $12.81 | ↑ +5% |
| ANTHEM | EPO | $12.90 | ↑ +6% |
| ANTHEM | Blue Access Large Group | $12.90 | ↑ +6% |
| ANTHEM | Blue Access Small Group | $12.90 | ↑ +6% |
| ANTHEM | HMO | $12.90 | ↑ +6% |
| ANTHEM | INDEMNITY | $12.90 | ↑ +6% |
| ANTHEM | PPO | $12.90 | ↑ +6% |
| ANTHEM | Small Group EPO_PPO | $12.90 | ↑ +6% |
| VNSNY | Medicare SNP | $13.15 | ↑ +8% |
| Senior Whole Health | MAP | $13.15 | ↑ +8% |
| EMBLEM | HIP_GHI_CHP | $13.15 | ↑ +8% |
| VNSNY | Medicare Advantage | $13.15 | ↑ +8% |
| Centerlight | PACE | $13.15 | ↑ +8% |
| EMBLEM | PPO_Commercial | $13.15 | ↑ +8% |
| VNSNY | MAP | $13.15 | ↑ +8% |
| Amidacare | Managed Medicaid | $13.15 | ↑ +8% |
| VNSNY | Medicaid SNP | $13.15 | ↑ +8% |
| MetroPlus | Essential Plan 200-250 | $13.56 | ↑ +11% |
| MetroPlus | Essential Plan 3-4 | $13.56 | ↑ +11% |
| MetroPlus | Essential Plan 1-2 | $13.56 | ↑ +11% |
| MetroPlus | MEDICARE ADVANTAGE | $13.79 | ↑ +13% |
| MetroPlus | EXCHANGE | $13.79 | ↑ +13% |
| MetroPlus | MAP | $13.79 | ↑ +13% |
| MAGNACARE | PPO FPP | $14.57 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $14.57 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $14.57 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $14.57 | ↑ +20% |
| OSCAR | ALL PRODUCTS | $14.61 | ↑ +20% |
| Wellcare | MEDICARE ADVANTAGE | $18.04 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $18.21 | ↑ +49% |
| Aetna | ALL PRODUCTS | $21.30 | ↑ +75% |
| CIGNA | ALL PRODUCTS | $23.49 | ↑ +93% |
| Elderplan | MAP_Medicare Advantage_MLTC | $24.40 | ↑ +100% |
| Healthfirst | CHP | $507.72 | ↑ +4065% |
| Healthfirst | HARP | $507.72 | ↑ +4065% |
| Healthfirst | Managed Medicaid | $507.72 | ↑ +4065% |
| MetroPlus | SNP | $611.71 | ↑ +4918% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $611.71 | ↑ +4918% |
| Fidelis | HARP_Managed Medicaid | $611.71 | ↑ +4918% |
| MetroPlus | Goldcare 1 & 2 | $611.71 | ↑ +4918% |
| MetroPlus | HARP | $611.71 | ↑ +4918% |
| MetroPlus | Managed Medicaid | $611.71 | ↑ +4918% |
| Carelon | Managed Medicaid_HARP_CHP | $611.71 | ↑ +4918% |
| Carelon | GHI BMP | $611.71 | ↑ +4918% |
| UNITED | Managed Medicaid | $611.71 | ↑ +4918% |
| UNITED | HARP | $611.71 | ↑ +4918% |
| Anthem HealthPlus | EXCHANGE | $611.71 | ↑ +4918% |
| MetroPlus | CHP | $611.71 | ↑ +4918% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $611.71 | ↑ +4918% |
| Carelon | Commercial_Essential Plans | $611.71 | ↑ +4918% |
| MetroPlus | Gold | $611.71 | ↑ +4918% |
| UNITED BEHAVIORAL HEALTH | CHP | $623.94 | ↑ +5018% |
| Affinity | HARP_Managed Medicaid | $623.94 | ↑ +5018% |
| UNITED BEHAVIORAL HEALTH | HARP | $623.94 | ↑ +5018% |
| Carelon (Amida Care) | Managed Medicaid | $623.94 | ↑ +5018% |
| Affinity | CHP | $642.30 | ↑ +5169% |
| Anthem HealthPlus | CHP | $672.88 | ↑ +5420% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $672.88 | ↑ +5420% |
| Fidelis | CHP | $721.82 | ↑ +5821% |
| EMBLEM | HARP_Managed Medicaid | $764.64 | ↑ +6173% |
| EMBLEM | Essential Plan 3-4 | $764.64 | ↑ +6173% |
| UNITED | CHP | $764.64 | ↑ +6173% |
| EMBLEM | Essential Plan 1-2 | $825.81 | ↑ +6674% |
| Emblem | Essential Plan 200-250 | $825.81 | ↑ +6674% |
| Healthfirst | EXCHANGE | $978.74 | ↑ +7929% |
| Healthfirst | Small Group | $997.09 | ↑ +8080% |
| Healthfirst | Essential Plan 3-4 | $1,376.35 | ↑ +11191% |
| Healthfirst | Essential Plan 1-2 | $1,376.35 | ↑ +11191% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,376.35 | ↑ +11191% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,376.35 | ↑ +11191% |
| Healthfirst | Essential Plan 200-250 | $1,376.35 | ↑ +11191% |
| Affinity | Essential Plan 3-4 | $1,376.35 | ↑ +11191% |
| Affinity | Essential Plan 200-250 | $1,376.35 | ↑ +11191% |
| Affinity | Essential Plan 1-2 | $1,376.35 | ↑ +11191% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,376.35 | ↑ +11191% |
| UNITED | Essential Plan 1-4_200-250 | $1,376.35 | ↑ +11191% |
| Fidelis | Essential Plan 1-4_200-250 | $1,376.35 | ↑ +11191% |
Visitor-reported prices
Comments
Inj., perseris, 0.5 mg at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $9,486.47 | $11.53 – $466.75 |
| NewYork-Presbyterian Queens | Flushing | $9,486.47 | $11.53 – $467.04 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $9,486.47 | $11.53 – $376.78 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $8.82 – $17.17 |
| Rochester General Hospital | Rochester | not published | $11.88 – $23.40 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $12.14 – $13.20 |
| Gouverneur Hospital | Gouverneur | not published | $12.15 – $13.20 |
| Canton-Potsdam Hospital | Potsdam | not published | $13.20 – $13.20 |