Pegunigalsidase alfa-iwxj at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$223.55
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.
$178.84 with Hamaspik vs $6,247.64 with MetroPlus — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $178.84 | ↓ -20% |
| Healthfirst | MEDICARE ADVANTAGE | $218.93 | ↓ -2% |
| Healthfirst | MAP | $218.93 | ↓ -2% |
| Healthfirst | Medicare Advantage PPO | $218.93 | ↓ -2% |
| Fidelis | EXCHANGE | $223.40 | ↓ -0% |
| Aetna | MEDICARE ADVANTAGE | $223.55 | ↑ +0% |
| Fidelis | MAP | $223.55 | ↑ +0% |
| VillageCare Max | MAP | $225.66 | ↑ +1% |
| VillageCare Max | MEDICARE ADVANTAGE | $225.66 | ↑ +1% |
| Senior Whole Health | MLTC | $225.66 | ↑ +1% |
| Local 1199 | ALL PRODUCTS | $225.67 | ↑ +1% |
| ANTHEM | MEDICARE ADVANTAGE | $230.28 | ↑ +3% |
| VACCN | All Products | $230.28 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $234.73 | ↑ +5% |
| ANTHEM | INDEMNITY | $236.80 | ↑ +6% |
| ANTHEM | Blue Access Large Group | $236.80 | ↑ +6% |
| ANTHEM | Blue Access Small Group | $236.80 | ↑ +6% |
| ANTHEM | EPO | $236.80 | ↑ +6% |
| ANTHEM | HMO | $236.80 | ↑ +6% |
| ANTHEM | PPO | $236.80 | ↑ +6% |
| ANTHEM | Small Group EPO_PPO | $236.80 | ↑ +6% |
| UNITED | MEDICARE ADVANTAGE | $236.94 | ↑ +6% |
| Amidacare | Managed Medicaid | $241.27 | ↑ +8% |
| VNSNY | Medicare Advantage | $241.27 | ↑ +8% |
| EMBLEM | HIP_GHI_CHP | $241.27 | ↑ +8% |
| EMBLEM | PPO_Commercial | $241.27 | ↑ +8% |
| Senior Whole Health | MAP | $241.27 | ↑ +8% |
| Centerlight | PACE | $241.27 | ↑ +8% |
| VNSNY | MAP | $241.27 | ↑ +8% |
| VNSNY | Medicaid SNP | $241.27 | ↑ +8% |
| VNSNY | Medicare SNP | $241.27 | ↑ +8% |
| MetroPlus | MEDICARE ADVANTAGE | $255.00 | ↑ +14% |
| MetroPlus | MAP | $255.00 | ↑ +14% |
| MetroPlus | EXCHANGE | $255.00 | ↑ +14% |
| OSCAR | ALL PRODUCTS | $268.08 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $276.34 | ↑ +24% |
| MAGNACARE | PPO FPP | $276.34 | ↑ +24% |
| MAGNACARE | Direct Plus Non-FPP | $276.34 | ↑ +24% |
| MAGNACARE | Direct Plus FPP | $276.34 | ↑ +24% |
| Wellcare | MEDICARE ADVANTAGE | $330.85 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $345.42 | ↑ +55% |
| Aetna | ALL PRODUCTS | $394.86 | ↑ +77% |
| CIGNA | ALL PRODUCTS | $431.16 | ↑ +93% |
| Elderplan | MAP_Medicare Advantage_MLTC | $451.32 | ↑ +102% |
| Healthfirst | CHP | $2,304.69 | ↑ +931% |
| Healthfirst | Managed Medicaid | $2,304.69 | ↑ +931% |
| Healthfirst | HARP | $2,304.69 | ↑ +931% |
| Fidelis | CHP | $2,776.73 | ↑ +1142% |
| Fidelis | HARP_Managed Medicaid | $2,776.73 | ↑ +1142% |
| MetroPlus | CHP | $2,776.73 | ↑ +1142% |
| MetroPlus | Gold | $2,776.73 | ↑ +1142% |
| MetroPlus | Goldcare 1 & 2 | $2,776.73 | ↑ +1142% |
| MetroPlus | HARP | $2,776.73 | ↑ +1142% |
| MetroPlus | Managed Medicaid | $2,776.73 | ↑ +1142% |
| MetroPlus | SNP | $2,776.73 | ↑ +1142% |
| Carelon | Managed Medicaid_HARP_CHP | $2,776.73 | ↑ +1142% |
| UNITED | HARP | $2,776.73 | ↑ +1142% |
| UNITED | Managed Medicaid | $2,776.73 | ↑ +1142% |
| Carelon | GHI BMP | $2,776.73 | ↑ +1142% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $2,776.73 | ↑ +1142% |
| Carelon | Commercial_Essential Plans | $2,776.73 | ↑ +1142% |
| Anthem HealthPlus | EXCHANGE | $2,776.73 | ↑ +1142% |
| Carelon (Amida Care) | Managed Medicaid | $2,832.26 | ↑ +1167% |
| UNITED BEHAVIORAL HEALTH | CHP | $2,832.26 | ↑ +1167% |
| UNITED BEHAVIORAL HEALTH | HARP | $2,832.26 | ↑ +1167% |
| UNITED | Essential Plan 1-4_200-250 | $2,971.10 | ↑ +1229% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $3,054.40 | ↑ +1266% |
| EMBLEM | Essential Plan 3-4 | $3,470.91 | ↑ +1453% |
| UNITED | CHP | $3,470.91 | ↑ +1453% |
| EMBLEM | Essential Plan 1-2 | $3,748.59 | ↑ +1577% |
| Emblem | Essential Plan 200-250 | $3,748.59 | ↑ +1577% |
| Healthfirst | EXCHANGE | $4,442.77 | ↑ +1887% |
| Healthfirst | Small Group | $4,526.07 | ↑ +1925% |
| MetroPlus | Essential Plan 200-250 | $6,247.64 | ↑ +2695% |
| MetroPlus | Essential Plan 3-4 | $6,247.64 | ↑ +2695% |
| Affinity | Essential Plan 3-4 | $6,247.64 | ↑ +2695% |
| Affinity | Essential Plan 200-250 | $6,247.64 | ↑ +2695% |
| Healthfirst | Essential Plan 3-4 | $6,247.64 | ↑ +2695% |
| Affinity | Essential Plan 1-2 | $6,247.64 | ↑ +2695% |
| Anthem HealthPlus | Essential Plan 3-4 | $6,247.64 | ↑ +2695% |
| Healthfirst | Essential Plan 1-2 | $6,247.64 | ↑ +2695% |
| Anthem HealthPlus | Essential Plan 200-250 | $6,247.64 | ↑ +2695% |
| Fidelis | Essential Plan 1-4_200-250 | $6,247.64 | ↑ +2695% |
| Healthfirst | Essential Plan 200-250 | $6,247.64 | ↑ +2695% |
| Anthem HealthPlus | Essential Plan 1-2 | $6,247.64 | ↑ +2695% |
| MetroPlus | Essential Plan 1-2 | $6,247.64 | ↑ +2695% |
Visitor-reported prices
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Pegunigalsidase alfa-iwxj at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $223.55 | $178.84 – $451.32 |
| Harlem Hospital Center | New York | $223.55 | $178.84 – $451.32 |
| Kings County Hospital Center | Brooklyn | $223.55 | $178.84 – $451.32 |
| Lincoln Medical Center | Bronx | $223.55 | $178.84 – $451.32 |
| Metropolitan Hospital Center | New York | $223.55 | $178.84 – $451.32 |
| Queens Hospital Center | Jamaica | $223.55 | $178.84 – $451.32 |
| Woodhull Medical Center | Brooklyn | $223.55 | $178.84 – $451.32 |
| South Brooklyn Health | Brooklyn | $223.55 | $178.84 – $451.32 |