Ot evaluation moderate complexity patient/family at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$114.08
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.
$501.28
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.
$93.67 with Healthfirst vs $426.09 with Local 1199 — 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 | MEDICARE ADVANTAGE | $93.67 | ↓ -18% |
| Healthfirst | MAP | $93.67 | ↓ -18% |
| Healthfirst | Medicare Advantage PPO | $110.59 | ↓ -3% |
| Senior Whole Health | MLTC | $112.85 | ↓ -1% |
| Amidacare | Managed Medicaid | $112.85 | ↓ -1% |
| Centerlight | PACE | $112.85 | ↓ -1% |
| VACCN | All Products | $114.08 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $114.08 | ↑ +0% |
| VNSNY | Medicare Advantage | $114.08 | ↑ +0% |
| Senior Whole Health | MAP | $114.08 | ↑ +0% |
| VNSNY | Medicare SNP | $114.08 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $114.08 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $114.08 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $118.49 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $119.78 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $123.21 | ↑ +8% |
| MetroPlus | MAP | $127.52 | ↑ +12% |
| MetroPlus | MEDICARE ADVANTAGE | $127.52 | ↑ +12% |
| MetroPlus | EXCHANGE | $127.52 | ↑ +12% |
| Healthfirst | CHP | $143.38 | ↑ +26% |
| Healthfirst | HARP | $143.38 | ↑ +26% |
| Healthfirst | Managed Medicaid | $143.38 | ↑ +26% |
| Fidelis | MAP | $164.28 | ↑ +44% |
| MetroPlus | HARP | $172.75 | ↑ +51% |
| MetroPlus | CHP | $172.75 | ↑ +51% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $172.75 | ↑ +51% |
| Fidelis | CHP | $172.75 | ↑ +51% |
| Carelon | Managed Medicaid_HARP_CHP | $172.75 | ↑ +51% |
| MetroPlus | SNP | $172.75 | ↑ +51% |
| Carelon | Commercial_Essential Plans | $172.75 | ↑ +51% |
| Anthem HealthPlus | EXCHANGE | $172.75 | ↑ +51% |
| UNITED | Managed Medicaid | $172.75 | ↑ +51% |
| Carelon | GHI BMP | $172.75 | ↑ +51% |
| MetroPlus | Goldcare 1 & 2 | $172.75 | ↑ +51% |
| MetroPlus | Gold | $172.75 | ↑ +51% |
| MetroPlus | Managed Medicaid | $172.75 | ↑ +51% |
| Fidelis | HARP_Managed Medicaid | $172.75 | ↑ +51% |
| UNITED | HARP | $172.75 | ↑ +51% |
| Carelon (Amida Care) | Managed Medicaid | $176.21 | ↑ +54% |
| UNITED BEHAVIORAL HEALTH | CHP | $176.21 | ↑ +54% |
| UNITED BEHAVIORAL HEALTH | HARP | $176.21 | ↑ +54% |
| VNSNY | Medicaid SNP | $176.21 | ↑ +54% |
| VNSNY | MAP | $176.21 | ↑ +54% |
| UNITED | Essential Plan 1-4_200-250 | $184.84 | ↑ +62% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $190.03 | ↑ +67% |
| Aetna | ALL PRODUCTS | $203.00 | ↑ +78% |
| UNITED | CHP | $215.94 | ↑ +89% |
| EMBLEM | Essential Plan 3-4 | $215.94 | ↑ +89% |
| EMBLEM | PPO_Commercial | $222.00 | ↑ +95% |
| EMBLEM | HIP_GHI_CHP | $222.00 | ↑ +95% |
| Elderplan | MAP_Medicare Advantage_MLTC | $225.70 | ↑ +98% |
| EMBLEM | Essential Plan 1-2 | $233.21 | ↑ +104% |
| Emblem | Essential Plan 200-250 | $233.21 | ↑ +104% |
| EMBLEM | MEDICARE ADVANTAGE | $237.00 | ↑ +108% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +111% |
| VillageCare Max | MEDICARE ADVANTAGE | $242.25 | ↑ +112% |
| VillageCare Max | MAP | $242.25 | ↑ +112% |
| OXFORD | Liberty | $250.64 | ↑ +120% |
| OSCAR | ALL PRODUCTS | $264.00 | ↑ +131% |
| Healthfirst | EXCHANGE | $276.40 | ↑ +142% |
| Healthfirst | Small Group | $281.58 | ↑ +147% |
| ANTHEM | Blue Access Small Group | $290.32 | ↑ +154% |
| ANTHEM | Small Group EPO_PPO | $290.32 | ↑ +154% |
| ANTHEM | Blue Access Large Group | $298.67 | ↑ +162% |
| OXFORD | Freedom | $300.77 | ↑ +164% |
| UNITED | EXCHANGE | $314.00 | ↑ +175% |
| ANTHEM | PPO | $322.69 | ↑ +183% |
| ANTHEM | EPO | $322.69 | ↑ +183% |
| ANTHEM | HMO | $322.69 | ↑ +183% |
| ANTHEM | INDEMNITY | $322.69 | ↑ +183% |
| Carelon | MAP_Medicare Advantage | $325.83 | ↑ +186% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +203% |
| MAGNACARE | Direct Plus Non-FPP | $375.96 | ↑ +230% |
| MAGNACARE | PPO FPP | $375.96 | ↑ +230% |
| MAGNACARE | PPO Non-FPP | $375.96 | ↑ +230% |
| MAGNACARE | Direct Plus FPP | $375.96 | ↑ +230% |
| MetroPlus | Essential Plan 1-2 | $388.69 | ↑ +241% |
| Anthem HealthPlus | Essential Plan 1-2 | $388.69 | ↑ +241% |
| Healthfirst | Essential Plan 3-4 | $388.69 | ↑ +241% |
| Affinity | Essential Plan 3-4 | $388.69 | ↑ +241% |
| Anthem HealthPlus | Essential Plan 200-250 | $388.69 | ↑ +241% |
| Fidelis | Essential Plan 1-4_200-250 | $388.69 | ↑ +241% |
| MetroPlus | Essential Plan 3-4 | $388.69 | ↑ +241% |
| MetroPlus | Essential Plan 200-250 | $388.69 | ↑ +241% |
| Anthem HealthPlus | Essential Plan 3-4 | $388.69 | ↑ +241% |
| Affinity | Essential Plan 200-250 | $388.69 | ↑ +241% |
| Healthfirst | Essential Plan 1-2 | $388.69 | ↑ +241% |
| Affinity | Essential Plan 1-2 | $388.69 | ↑ +241% |
| Healthfirst | Essential Plan 200-250 | $388.69 | ↑ +241% |
| MULTIPLAN | ALL PRODUCTS | $401.02 | ↑ +252% |
| Local 1199 | ALL PRODUCTS | $426.09 | ↑ +274% |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $680.00 | $90.00 – $210.40 |
| Bellevue Hospital Center | NY 10016 | $112.90 | $47.55 – $242.25 |
| Harlem Hospital Center | New York | $114.91 | $94.06 – $242.25 |
| Kings County Hospital Center | Brooklyn | $114.91 | $47.55 – $242.25 |
| Lincoln Medical Center | Bronx | $114.91 | $94.06 – $242.25 |
| Metropolitan Hospital Center | New York | $112.90 | $92.89 – $242.25 |
| UPMC Chautauqua | Jamestown | $99.00 | $47.06 – $148.50 |
| Queens Hospital Center | Jamaica | $114.08 | $47.55 – $242.25 |