Njx interlaminar lmbr/sac at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$1,053.53
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.
$92.46 with Aetna vs $2,208.15 with Elderplan — 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 |
|---|---|---|---|
| Aetna | MEDICARE ADVANTAGE | $92.46 | ↓ -91% |
| Local 1199 | ALL PRODUCTS | $180.00 | ↓ -83% |
| MetroPlus | Essential Plan 3-4 | $197.58 | ↓ -81% |
| MetroPlus | Essential Plan 1-2 | $197.58 | ↓ -81% |
| MetroPlus | Essential Plan 200-250 | $197.58 | ↓ -81% |
| Healthfirst | HARP | $557.98 | ↓ -47% |
| Healthfirst | Managed Medicaid | $557.98 | ↓ -47% |
| Healthfirst | CHP | $557.98 | ↓ -47% |
| UNITED | HARP | $672.26 | ↓ -36% |
| Anthem HealthPlus | EXCHANGE | $672.26 | ↓ -36% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $672.26 | ↓ -36% |
| Fidelis | CHP | $672.26 | ↓ -36% |
| Fidelis | HARP_Managed Medicaid | $672.26 | ↓ -36% |
| Carelon | Managed Medicaid_HARP_CHP | $672.26 | ↓ -36% |
| UNITED | Managed Medicaid | $672.26 | ↓ -36% |
| MetroPlus | Managed Medicaid | $672.27 | ↓ -36% |
| MetroPlus | CHP | $672.27 | ↓ -36% |
| Carelon | Commercial_Essential Plans | $672.27 | ↓ -36% |
| Carelon | GHI BMP | $672.27 | ↓ -36% |
| MetroPlus | SNP | $672.27 | ↓ -36% |
| MetroPlus | Gold | $672.27 | ↓ -36% |
| MetroPlus | Goldcare 1 & 2 | $672.27 | ↓ -36% |
| MetroPlus | HARP | $672.27 | ↓ -36% |
| UNITED BEHAVIORAL HEALTH | CHP | $685.71 | ↓ -35% |
| VNSNY | MAP | $685.71 | ↓ -35% |
| UNITED BEHAVIORAL HEALTH | HARP | $685.71 | ↓ -35% |
| Carelon (Amida Care) | Managed Medicaid | $685.71 | ↓ -35% |
| VNSNY | Medicaid SNP | $685.71 | ↓ -35% |
| UNITED | Essential Plan 1-4_200-250 | $719.32 | ↓ -32% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $739.49 | ↓ -30% |
| UNITED | CHP | $840.34 | ↓ -20% |
| EMBLEM | Essential Plan 3-4 | $840.34 | ↓ -20% |
| Hamaspik | MEDICARE ADVANTAGE | $842.83 | ↓ -20% |
| Emblem | Essential Plan 200-250 | $907.56 | ↓ -14% |
| EMBLEM | Essential Plan 1-2 | $907.56 | ↓ -14% |
| Healthfirst | Medicare Advantage PPO | $916.38 | ↓ -13% |
| VACCN | All Products | $1,053.53 | ↑ +0% |
| Fidelis | MAP | $1,053.53 | ↑ +0% |
| VNSNY | Medicare SNP | $1,053.53 | ↑ +0% |
| Senior Whole Health | MAP | $1,053.53 | ↑ +0% |
| VNSNY | Medicare Advantage | $1,053.53 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $1,053.53 | ↑ +0% |
| Senior Whole Health | MLTC | $1,053.53 | ↑ +0% |
| Healthfirst | EXCHANGE | $1,075.63 | ↑ +2% |
| Healthfirst | MEDICARE ADVANTAGE | $1,081.99 | ↑ +3% |
| Healthfirst | MAP | $1,081.99 | ↑ +3% |
| Healthfirst | Small Group | $1,095.80 | ↑ +4% |
| Centerlight | PACE | $1,104.07 | ↑ +5% |
| Amidacare | Managed Medicaid | $1,104.07 | ↑ +5% |
| VillageCare Max | MEDICARE ADVANTAGE | $1,104.07 | ↑ +5% |
| VillageCare Max | MAP | $1,104.07 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $1,106.21 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $1,159.28 | ↑ +10% |
| MetroPlus | MEDICARE ADVANTAGE | $1,247.60 | ↑ +18% |
| MetroPlus | EXCHANGE | $1,247.60 | ↑ +18% |
| MetroPlus | MAP | $1,247.60 | ↑ +18% |
| MAGNACARE | PPO FPP | $1,264.24 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $1,264.24 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $1,264.24 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $1,264.24 | ↑ +20% |
| Fidelis | EXCHANGE | $1,496.01 | ↑ +42% |
| Healthfirst | Essential Plan 1-2 | $1,512.59 | ↑ +44% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,512.59 | ↑ +44% |
| Healthfirst | Essential Plan 200-250 | $1,512.59 | ↑ +44% |
| Affinity | Essential Plan 200-250 | $1,512.59 | ↑ +44% |
| Affinity | Essential Plan 3-4 | $1,512.59 | ↑ +44% |
| Healthfirst | Essential Plan 3-4 | $1,512.59 | ↑ +44% |
| Fidelis | Essential Plan 1-4_200-250 | $1,512.59 | ↑ +44% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,512.59 | ↑ +44% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,512.59 | ↑ +44% |
| Affinity | Essential Plan 1-2 | $1,512.59 | ↑ +44% |
| Wellcare | MEDICARE ADVANTAGE | $1,559.23 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $1,580.30 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $1,656.11 | ↑ +57% |
| Elderplan | MAP_Medicare Advantage_MLTC | $2,208.15 | ↑ +110% |
Visitor-reported prices
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Njx interlaminar lmbr/sac at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $1,053.53 | $60.53 – $2,208.15 |
| Harlem Hospital Center | New York | $1,053.53 | $92.90 – $2,208.15 |
| Kings County Hospital Center | Brooklyn | $1,053.53 | $60.53 – $2,208.15 |
| Lincoln Medical Center | Bronx | $1,053.53 | $94.89 – $2,208.15 |
| Metropolitan Hospital Center | New York | $1,053.53 | $94.89 – $2,208.15 |
| UPMC Chautauqua | Jamestown | $2,830.80 | $92.92 – $4,246.20 |
| Queens Hospital Center | Jamaica | $1,053.53 | $60.53 – $2,208.15 |
| Woodhull Medical Center | Brooklyn | $1,053.53 | $60.53 – $2,208.15 |