Peri-proc device eval icd 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.
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.
$18.00 with Local 1199 vs $256.93 with Healthfirst — 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 |
|---|---|---|---|
| Local 1199 | ALL PRODUCTS | $18.00 | — |
| ANTHEM | Small Group EPO_PPO | $50.04 | — |
| ANTHEM | Blue Access Small Group | $50.04 | — |
| ANTHEM | Blue Access Large Group | $51.48 | — |
| ANTHEM | HMO | $55.62 | — |
| ANTHEM | INDEMNITY | $55.62 | — |
| ANTHEM | PPO | $55.62 | — |
| ANTHEM | EPO | $55.62 | — |
| Aetna | MEDICARE ADVANTAGE | $57.81 | — |
| MetroPlus | Essential Plan 200-250 | $75.96 | — |
| MetroPlus | Essential Plan 1-2 | $75.96 | — |
| MetroPlus | Essential Plan 3-4 | $75.96 | — |
| Fidelis | MAP | $83.25 | — |
| Healthfirst | Managed Medicaid | $94.78 | — |
| Healthfirst | HARP | $94.78 | — |
| Healthfirst | CHP | $94.78 | — |
| Aetna | ALL PRODUCTS | $110.42 | — |
| MetroPlus | Gold | $114.19 | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $114.19 | — |
| MetroPlus | SNP | $114.19 | — |
| MetroPlus | Goldcare 1 & 2 | $114.19 | — |
| MetroPlus | Managed Medicaid | $114.19 | — |
| MetroPlus | HARP | $114.19 | — |
| MetroPlus | CHP | $114.19 | — |
| UNITED | Managed Medicaid | $114.19 | — |
| UNITED | HARP | $114.19 | — |
| Fidelis | CHP | $114.19 | — |
| Fidelis | HARP_Managed Medicaid | $114.19 | — |
| Carelon | Commercial_Essential Plans | $114.19 | — |
| Carelon | Managed Medicaid_HARP_CHP | $114.19 | — |
| Carelon | GHI BMP | $114.19 | — |
| Anthem HealthPlus | EXCHANGE | $114.19 | — |
| UNITED BEHAVIORAL HEALTH | CHP | $116.47 | — |
| VNSNY | MAP | $116.47 | — |
| Carelon (Amida Care) | Managed Medicaid | $116.47 | — |
| UNITED BEHAVIORAL HEALTH | HARP | $116.47 | — |
| VNSNY | Medicaid SNP | $116.47 | — |
| UNITED | Essential Plan 1-4_200-250 | $122.18 | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $125.61 | — |
| EMBLEM | Essential Plan 3-4 | $142.74 | — |
| UNITED | CHP | $142.74 | — |
| EMBLEM | Essential Plan 1-2 | $154.16 | — |
| Emblem | Essential Plan 200-250 | $154.16 | — |
| Healthfirst | EXCHANGE | $182.70 | — |
| Healthfirst | Small Group | $186.13 | — |
| Anthem HealthPlus | Essential Plan 200-250 | $256.93 | — |
| Affinity | Essential Plan 200-250 | $256.93 | — |
| Affinity | Essential Plan 1-2 | $256.93 | — |
| Fidelis | Essential Plan 1-4_200-250 | $256.93 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $256.93 | — |
| Affinity | Essential Plan 3-4 | $256.93 | — |
| Anthem HealthPlus | Essential Plan 3-4 | $256.93 | — |
| Healthfirst | Essential Plan 200-250 | $256.93 | — |
| Healthfirst | Essential Plan 1-2 | $256.93 | — |
| Healthfirst | Essential Plan 3-4 | $256.93 | — |
Visitor-reported prices
Comments
Peri-proc device eval icd at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $221.00 | $18.00 – $286.65 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $221.00 | $123.90 – $1,618.82 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $221.00 | $18.00 – $279.73 |
| Bellevue Hospital Center | NY 10016 | not published | $18.00 – $81.98 |
| Harlem Hospital Center | New York | not published | $18.00 – $81.98 |
| Kings County Hospital Center | Brooklyn | not published | $18.00 – $83.91 |
| Lincoln Medical Center | Bronx | not published | $18.00 – $83.91 |
| Metropolitan Hospital Center | New York | not published | $18.00 – $83.91 |