Ot therapeutic activities direct patient contact each 15 minutes at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$39.60
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.
$267.83
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 $346.00 with UNITED — 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 | ↓ -100% |
| Healthfirst | MAP | $33.04 | ↓ -17% |
| Healthfirst | MEDICARE ADVANTAGE | $33.04 | ↓ -17% |
| ANTHEM | MEDICARE ADVANTAGE | $39.60 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $39.60 | ↑ +0% |
| Senior Whole Health | MLTC | $39.60 | ↑ +0% |
| VNSNY | Medicare SNP | $39.60 | ↑ +0% |
| VNSNY | Medicare Advantage | $39.60 | ↑ +0% |
| Senior Whole Health | MAP | $39.60 | ↑ +0% |
| VACCN | All Products | $39.60 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $39.60 | ↑ +0% |
| VillageCare Max | MEDICARE ADVANTAGE | $39.81 | ↑ +1% |
| Amidacare | Managed Medicaid | $39.81 | ↑ +1% |
| Centerlight | PACE | $39.81 | ↑ +1% |
| Elderplan | MAP_Medicare Advantage_MLTC | $39.81 | ↑ +1% |
| VillageCare Max | MAP | $39.81 | ↑ +1% |
| OXFORD | MEDICARE ADVANTAGE | $41.58 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $41.80 | ↑ +6% |
| Wellcare | MEDICARE ADVANTAGE | $42.77 | ↑ +8% |
| MetroPlus | MEDICARE ADVANTAGE | $44.99 | ↑ +14% |
| MetroPlus | MAP | $44.99 | ↑ +14% |
| MetroPlus | EXCHANGE | $44.99 | ↑ +14% |
| EMBLEM | MEDICARE ADVANTAGE | $49.50 | ↑ +25% |
| Healthfirst | Medicare Advantage PPO | $53.57 | ↑ +35% |
| Fidelis | MAP | $57.02 | ↑ +44% |
| Healthfirst | HARP | $82.95 | ↑ +109% |
| Healthfirst | Managed Medicaid | $82.95 | ↑ +109% |
| Healthfirst | CHP | $82.95 | ↑ +109% |
| MetroPlus | CHP | $99.94 | ↑ +152% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $99.94 | ↑ +152% |
| MetroPlus | SNP | $99.94 | ↑ +152% |
| MetroPlus | Gold | $99.94 | ↑ +152% |
| MetroPlus | Goldcare 1 & 2 | $99.94 | ↑ +152% |
| MetroPlus | Managed Medicaid | $99.94 | ↑ +152% |
| MetroPlus | HARP | $99.94 | ↑ +152% |
| UNITED | Managed Medicaid | $99.94 | ↑ +152% |
| UNITED | HARP | $99.94 | ↑ +152% |
| Fidelis | CHP | $99.94 | ↑ +152% |
| Fidelis | HARP_Managed Medicaid | $99.94 | ↑ +152% |
| Carelon | Commercial_Essential Plans | $99.94 | ↑ +152% |
| Carelon | Managed Medicaid_HARP_CHP | $99.94 | ↑ +152% |
| Carelon | GHI BMP | $99.94 | ↑ +152% |
| Anthem HealthPlus | EXCHANGE | $99.94 | ↑ +152% |
| UNITED BEHAVIORAL HEALTH | CHP | $101.94 | ↑ +157% |
| UNITED BEHAVIORAL HEALTH | HARP | $101.94 | ↑ +157% |
| VNSNY | MAP | $101.94 | ↑ +157% |
| VNSNY | Medicaid SNP | $101.94 | ↑ +157% |
| Carelon (Amida Care) | Managed Medicaid | $101.94 | ↑ +157% |
| UNITED | Essential Plan 1-4_200-250 | $106.94 | ↑ +170% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $109.93 | ↑ +178% |
| UNITED | CHP | $124.93 | ↑ +215% |
| ANTHEM | Blue Access Small Group | $131.05 | ↑ +231% |
| ANTHEM | Small Group EPO_PPO | $131.05 | ↑ +231% |
| ANTHEM | Blue Access Large Group | $134.82 | ↑ +240% |
| ANTHEM | PPO | $145.66 | ↑ +268% |
| ANTHEM | INDEMNITY | $145.66 | ↑ +268% |
| ANTHEM | HMO | $145.66 | ↑ +268% |
| ANTHEM | EPO | $145.66 | ↑ +268% |
| EMBLEM | Essential Plan 3-4 | $149.91 | ↑ +279% |
| Emblem | Essential Plan 200-250 | $159.90 | ↑ +304% |
| Healthfirst | EXCHANGE | $159.90 | ↑ +304% |
| EMBLEM | Essential Plan 1-2 | $159.90 | ↑ +304% |
| Healthfirst | Small Group | $162.90 | ↑ +311% |
| Carelon | MAP_Medicare Advantage | $174.09 | ↑ +340% |
| MAGNACARE | PPO Non-FPP | $200.87 | ↑ +407% |
| MAGNACARE | PPO FPP | $200.87 | ↑ +407% |
| MAGNACARE | Direct Plus Non-FPP | $200.87 | ↑ +407% |
| MAGNACARE | Direct Plus FPP | $200.87 | ↑ +407% |
| Aetna | ALL PRODUCTS | $203.00 | ↑ +413% |
| MULTIPLAN | ALL PRODUCTS | $214.26 | ↑ +441% |
| EMBLEM | HIP_GHI_CHP | $222.00 | ↑ +461% |
| EMBLEM | PPO_Commercial | $222.00 | ↑ +461% |
| Anthem HealthPlus | Essential Plan 200-250 | $224.87 | ↑ +468% |
| MetroPlus | Essential Plan 3-4 | $224.87 | ↑ +468% |
| Healthfirst | Essential Plan 200-250 | $224.87 | ↑ +468% |
| Healthfirst | Essential Plan 1-2 | $224.87 | ↑ +468% |
| Anthem HealthPlus | Essential Plan 3-4 | $224.87 | ↑ +468% |
| Healthfirst | Essential Plan 3-4 | $224.87 | ↑ +468% |
| MetroPlus | Essential Plan 1-2 | $224.87 | ↑ +468% |
| MetroPlus | Essential Plan 200-250 | $224.87 | ↑ +468% |
| Fidelis | Essential Plan 1-4_200-250 | $224.87 | ↑ +468% |
| Anthem HealthPlus | Essential Plan 1-2 | $224.87 | ↑ +468% |
| Affinity | Essential Plan 3-4 | $224.87 | ↑ +468% |
| Affinity | Essential Plan 1-2 | $224.87 | ↑ +468% |
| Affinity | Essential Plan 200-250 | $224.87 | ↑ +468% |
| Local 1199 | ALL PRODUCTS | $227.66 | ↑ +475% |
| OXFORD | Liberty | $248.00 | ↑ +526% |
| OSCAR | ALL PRODUCTS | $264.00 | ↑ +567% |
| OXFORD | Freedom | $278.00 | ↑ +602% |
| UNITED | EXCHANGE | $314.00 | ↑ +693% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +774% |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $259.00 | $37.62 – $126.51 |
| Bellevue Hospital Center | NY 10016 | $39.45 | $0.01 – $645.00 |
| Harlem Hospital Center | New York | $39.84 | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn | $40.09 | $0.01 – $645.00 |
| Lincoln Medical Center | Bronx | $39.84 | $0.01 – $645.00 |
| Metropolitan Hospital Center | New York | $39.08 | $0.01 – $645.00 |
| UPMC Chautauqua | Jamestown | $96.00 | $16.25 – $144.00 |
| Queens Hospital Center | Jamaica | $39.81 | $0.01 – $645.00 |