Off/op consltj new/est sf 20 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.
$210.00
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.
$0.01 with CIGNA vs $645.00 with OSCAR — 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | $41.08 | — |
| Healthfirst | MAP | $42.00 | — |
| Healthfirst | MEDICARE ADVANTAGE | $42.00 | — |
| Healthfirst | Small Group | $42.00 | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | $48.67 | — |
| Healthfirst | EXCHANGE | $52.50 | — |
| Aetna | MEDICARE ADVANTAGE | $59.76 | — |
| Fidelis | MAP | $86.05 | — |
| Centerlight | PACE | $105.00 | — |
| MetroPlus | Essential Plan 1-2 | $105.68 | — |
| MetroPlus | Essential Plan 3-4 | $105.68 | — |
| MetroPlus | Essential Plan 200-250 | $105.68 | — |
| EMBLEM | HARP_Managed Medicaid | $126.00 | — |
| Wellcare | MEDICARE ADVANTAGE | $126.00 | — |
| EMBLEM | Essential Plan 3-4 | $126.00 | — |
| Carelon | Managed Medicaid_HARP_CHP | $136.50 | — |
| Carelon | Commercial_Essential Plans | $136.50 | — |
| Carelon | GHI BMP | $136.50 | — |
| Carelon | MAP_Medicare Advantage | $136.50 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $136.50 | — |
| EMBLEM | Essential Plan 1-2 | $147.00 | — |
| Emblem | Essential Plan 200-250 | $147.00 | — |
| EMBLEM | MEDICARE ADVANTAGE | $147.00 | — |
| ANTHEM | HMO | $168.00 | — |
| ANTHEM | Blue Access Large Group | $168.00 | — |
| ANTHEM | Blue Access Small Group | $168.00 | — |
| ANTHEM | EPO | $168.00 | — |
| ANTHEM | INDEMNITY | $168.00 | — |
| ANTHEM | PPO | $168.00 | — |
| ANTHEM | Small Group EPO_PPO | $168.00 | — |
| Carelon (Amida Care) | Managed Medicaid | $168.00 | — |
| MULTIPLAN | ALL PRODUCTS | $168.00 | — |
| VNSNY | MAP | $178.50 | — |
| VillageCare Max | MAP | $178.50 | — |
| VNSNY | Medicaid SNP | $178.50 | — |
| VillageCare Max | MEDICARE ADVANTAGE | $178.50 | — |
| Local 1199 | ALL PRODUCTS | $178.50 | — |
| VNSNY | Medicare SNP | $178.50 | — |
| Amidacare | Managed Medicaid | $178.50 | — |
| VNSNY | Medicare Advantage | $178.50 | — |
| Healthfirst | Medicare Advantage PPO | $225.00 | — |
| Aetna | ALL PRODUCTS | $257.00 | — |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | — |
| MAGNACARE | PPO FPP | $330.00 | — |
| MAGNACARE | PPO Non-FPP | $330.00 | — |
| MAGNACARE | Direct Plus FPP | $330.00 | — |
| EMBLEM | PPO_Commercial | $332.00 | — |
| EMBLEM | HIP_GHI_CHP | $332.00 | — |
| OXFORD | Liberty | $380.00 | — |
| OXFORD | Freedom | $431.00 | — |
| UNITED | EXCHANGE | $480.00 | — |
| UNITED | ALL PRODUCTS | $529.00 | — |
| OSCAR | ALL PRODUCTS | $645.00 | — |
Visitor-reported prices
Comments
Off/op consltj new/est sf 20 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | $36.30 | $46.10 – $215.25 |
| NewYork-Presbyterian Queens | Flushing | $1,014.00 | $422.35 – $442.97 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $715.00 | $428.92 – $428.92 |
| Rochester General Hospital | Rochester | $106.80 | not published |
| Massena Hospital | Massena | $104.20 | $24.71 – $24.71 |
| The Unity Hospital of Rochester | Rochester | $152.48 | not published |
| Newark Wayne Community Hospital | Newark | $106.80 | not published |
| Bellevue Hospital Center | NY 10016 | not published | $0.01 – $645.00 |