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Lower Back (Lumbar Spine) MRI (with and without contrast) 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.
$1,342.54
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.
$200.28 with Healthfirst vs $1,790.03 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 |
|---|---|---|---|
| Healthfirst | HARP | $200.28 | — |
| Healthfirst | Managed Medicaid | $200.28 | — |
| Healthfirst | MEDICARE ADVANTAGE | $207.79 | — |
| Healthfirst | MAP | $207.79 | — |
| Healthfirst | Medicare Advantage PPO | $207.79 | — |
| Healthfirst | CHP | $225.32 | — |
| EMBLEM | HIP_GHI_CHP | $250.35 | — |
| Aetna | MEDICARE ADVANTAGE | $259.35 | — |
| Healthfirst | Small Group | $268.51 | — |
| Wellcare | MEDICARE ADVANTAGE | $270.38 | — |
| Fidelis | MAP | $360.50 | — |
| Amidacare | Managed Medicaid | $367.47 | — |
| VNSNY | Medicare Advantage | $422.61 | — |
| ANTHEM | MEDICARE ADVANTAGE | $422.61 | — |
| VACCN | All Products | $422.61 | — |
| VNSNY | Medicare SNP | $422.61 | — |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $439.52 | — |
| Senior Whole Health | MLTC | $444.73 | — |
| Senior Whole Health | MAP | $444.73 | — |
| MetroPlus | Essential Plan 200-250 | $477.77 | — |
| MetroPlus | Essential Plan 1-2 | $477.77 | — |
| MetroPlus | Essential Plan 3-4 | $477.77 | — |
| UNITED | HARP | $500.00 | — |
| UNITED | Managed Medicaid | $500.00 | — |
| UNITED | Essential Plan 1-4_200-250 | $535.00 | — |
| MetroPlus | HARP | $600.00 | — |
| Fidelis | EXCHANGE | $600.11 | — |
| Aetna | ALL PRODUCTS | $611.33 | — |
| OSCAR | ALL PRODUCTS | $633.92 | — |
| EMBLEM | MEDICARE ADVANTAGE | $633.92 | — |
| Centerlight | PACE | $671.27 | — |
| OXFORD | Liberty | $671.27 | — |
| EMBLEM | Essential Plan 1-2 | $681.75 | — |
| MetroPlus | Managed Medicaid | $795.57 | — |
| MetroPlus | CHP | $795.57 | — |
| MetroPlus | Goldcare 1 & 2 | $795.57 | — |
| MetroPlus | Gold | $795.57 | — |
| MetroPlus | SNP | $795.57 | — |
| Carelon | Managed Medicaid_HARP_CHP | $795.57 | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $795.57 | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $795.57 | — |
| Fidelis | CHP | $795.57 | — |
| Anthem HealthPlus | EXCHANGE | $795.57 | — |
| Fidelis | HARP_Managed Medicaid | $795.57 | — |
| OXFORD | Freedom | $805.52 | — |
| UNITED | ALL PRODUCTS | $808.05 | — |
| UNITED | EXCHANGE | $808.05 | — |
| VNSNY | Medicaid SNP | $811.48 | — |
| UNITED BEHAVIORAL HEALTH | HARP | $811.48 | — |
| VNSNY | MAP | $811.48 | — |
| Affinity | HARP_Managed Medicaid | $811.48 | — |
| Carelon (Amida Care) | Managed Medicaid | $811.48 | — |
| UNITED BEHAVIORAL HEALTH | CHP | $811.48 | — |
| Affinity | CHP | $835.35 | — |
| ANTHEM | Small Group EPO_PPO | $843.97 | — |
| ANTHEM | Blue Access Small Group | $843.97 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $845.23 | — |
| ANTHEM | Blue Access Large Group | $866.27 | — |
| Carelon | GHI BMP | $872.65 | — |
| Carelon | MAP_Medicare Advantage | $872.65 | — |
| Carelon | Commercial_Essential Plans | $872.65 | — |
| Anthem HealthPlus | CHP | $875.13 | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $875.13 | — |
| ANTHEM | EPO | $936.33 | — |
| ANTHEM | INDEMNITY | $936.33 | — |
| ANTHEM | PPO | $936.33 | — |
| ANTHEM | HMO | $936.33 | — |
| Healthfirst | EXCHANGE | $994.46 | — |
| EMBLEM | Essential Plan 3-4 | $994.46 | — |
| UNITED | CHP | $994.46 | — |
| MAGNACARE | PPO FPP | $1,006.91 | — |
| MAGNACARE | Direct Plus FPP | $1,006.91 | — |
| MULTIPLAN | ALL PRODUCTS | $1,074.03 | — |
| VillageCare Max | MAP | $1,141.16 | — |
| VillageCare Max | MEDICARE ADVANTAGE | $1,141.16 | — |
| Local 1199 | ALL PRODUCTS | $1,141.16 | — |
| CIGNA | ALL PRODUCTS | $1,285.00 | — |
| Affinity | Essential Plan 1-2 | $1,630.49 | — |
| Affinity | Essential Plan 200-250 | $1,630.49 | — |
| Affinity | Essential Plan 3-4 | $1,630.49 | — |
| Healthfirst | Essential Plan 1-2 | $1,790.03 | — |
| Healthfirst | Essential Plan 3-4 | $1,790.03 | — |
| Fidelis | Essential Plan 1-4_200-250 | $1,790.03 | — |
| Anthem HealthPlus | Essential Plan 3-4 | $1,790.03 | — |
| Healthfirst | Essential Plan 200-250 | $1,790.03 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $1,790.03 | — |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (with and without contrast) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $444.73 | $180.83 – $2,120.29 |
| Kings County Hospital Center | Brooklyn | $440.22 | $185.49 – $2,252.81 |
| UPMC Chautauqua | Jamestown | $975.00 | $351.19 – $1,462.50 |
| Queens Hospital Center | Jamaica | $444.73 | $183.74 – $2,252.81 |
| Woodhull Medical Center | Brooklyn | $444.73 | $185.49 – $2,252.81 |
| Harlem Hospital Center | New York | not published | $195.60 – $1,285.00 |
| Jacobi Medical Center | Bronx | not published | $201.46 – $2,252.81 |
| Lincoln Medical Center | Bronx | not published | $201.46 – $1,285.00 |