Nusinersen (pf) 12 mg/5 ml intrathecal solution at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$1,231.90
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$985.52 with Hamaspik vs $2,666.90 with Elderplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $985.52 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $1,106.76 | ↓ -10% |
| Local 1199 | ALL PRODUCTS | $1,147.50 | ↓ -7% |
| Aetna | MEDICARE ADVANTAGE | $1,231.90 | ↑ +0% |
| Fidelis | MAP | $1,231.90 | ↑ +0% |
| VNSNY | Medicare SNP | $1,246.94 | ↑ +1% |
| VNSNY | Medicare Advantage | $1,246.94 | ↑ +1% |
| ANTHEM | MEDICARE ADVANTAGE | $1,246.94 | ↑ +1% |
| VACCN | All Products | $1,246.94 | ↑ +1% |
| Senior Whole Health | MAP | $1,246.94 | ↑ +1% |
| Senior Whole Health | MLTC | $1,246.94 | ↑ +1% |
| Aetna | ALL PRODUCTS | $1,274.08 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $1,293.50 | ↑ +5% |
| Healthfirst | MEDICARE ADVANTAGE | $1,306.78 | ↑ +6% |
| Healthfirst | MAP | $1,306.78 | ↑ +6% |
| Amidacare | Managed Medicaid | $1,333.45 | ↑ +8% |
| VillageCare Max | MEDICARE ADVANTAGE | $1,333.45 | ↑ +8% |
| VillageCare Max | MAP | $1,333.45 | ↑ +8% |
| Centerlight | PACE | $1,333.45 | ↑ +8% |
| MetroPlus | Essential Plan 200-250 | $1,370.35 | ↑ +11% |
| MetroPlus | Essential Plan 3-4 | $1,370.35 | ↑ +11% |
| MetroPlus | Essential Plan 1-2 | $1,370.35 | ↑ +11% |
| UNITED | MEDICARE ADVANTAGE | $1,400.12 | ↑ +14% |
| MAGNACARE | PPO Non-FPP | $1,496.33 | ↑ +21% |
| MAGNACARE | Direct Plus FPP | $1,496.33 | ↑ +21% |
| MAGNACARE | Direct Plus Non-FPP | $1,496.33 | ↑ +21% |
| MAGNACARE | PPO FPP | $1,496.33 | ↑ +21% |
| MetroPlus | MEDICARE ADVANTAGE | $1,506.80 | ↑ +22% |
| MetroPlus | MAP | $1,506.80 | ↑ +22% |
| MetroPlus | EXCHANGE | $1,506.80 | ↑ +22% |
| Fidelis | EXCHANGE | $1,749.30 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $1,823.21 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $1,870.41 | ↑ +52% |
| OSCAR | ALL PRODUCTS | $2,000.18 | ↑ +62% |
| Elderplan | MAP_Medicare Advantage_MLTC | $2,666.90 | ↑ +116% |
Visitor-reported prices
Comments
Nusinersen (pf) 12 mg/5 ml intrathecal solution at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $87,500.00 | $1,183.65 – $25,000.00 |
| NewYork-Presbyterian Queens | Flushing | $87,500.00 | $1,147.50 – $25,000.00 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $87,500.00 | $1,147.50 – $25,000.00 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $906.02 – $1,359.16 |
| Rochester General Hospital | Rochester | not published | $1,199.14 – $1,532.24 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $1,136.30 – $1,332.38 |
| Gouverneur Hospital | Gouverneur | not published | $1,136.30 – $1,332.38 |
| Canton-Potsdam Hospital | Potsdam | not published | $1,332.38 – $1,332.38 |