Ph1 assmt&mgmt nqhp 11-20 at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$24.35
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.
$71.61
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 | ↓ -100% |
| Healthfirst | Small Group | $14.32 | ↓ -41% |
| Healthfirst | EXCHANGE | $17.90 | ↓ -26% |
| Healthfirst | MEDICARE ADVANTAGE | $18.17 | ↓ -25% |
| Healthfirst | MAP | $18.17 | ↓ -25% |
| Senior Whole Health | MLTC | $21.89 | ↓ -10% |
| Centerlight | PACE | $21.89 | ↓ -10% |
| Elderplan | MAP_Medicare Advantage_MLTC | $21.89 | ↓ -10% |
| VillageCare Max | MAP | $21.89 | ↓ -10% |
| Amidacare | Managed Medicaid | $21.89 | ↓ -10% |
| VillageCare Max | MEDICARE ADVANTAGE | $21.89 | ↓ -10% |
| UNITED | MEDICARE ADVANTAGE | $22.98 | ↓ -6% |
| Hamaspik | MEDICARE ADVANTAGE | $24.35 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $24.35 | ↑ +0% |
| VNSNY | Medicare SNP | $24.35 | ↑ +0% |
| VNSNY | Medicare Advantage | $24.35 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $24.35 | ↑ +0% |
| VACCN | All Products | $24.35 | ↑ +0% |
| Senior Whole Health | MAP | $24.35 | ↑ +0% |
| MetroPlus | EXCHANGE | $24.74 | ↑ +2% |
| MetroPlus | MAP | $24.74 | ↑ +2% |
| MetroPlus | MEDICARE ADVANTAGE | $24.74 | ↑ +2% |
| OXFORD | MEDICARE ADVANTAGE | $25.57 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $26.30 | ↑ +8% |
| EMBLEM | MEDICARE ADVANTAGE | $30.44 | ↑ +25% |
| MetroPlus | Essential Plan 1-2 | $32.49 | ↑ +33% |
| MetroPlus | Essential Plan 200-250 | $32.49 | ↑ +33% |
| MetroPlus | Essential Plan 3-4 | $32.49 | ↑ +33% |
| Fidelis | MAP | $35.06 | ↑ +44% |
| EMBLEM | HARP_Managed Medicaid | $42.97 | ↑ +76% |
| EMBLEM | Essential Plan 3-4 | $42.97 | ↑ +76% |
| Carelon | Managed Medicaid_HARP_CHP | $46.55 | ↑ +91% |
| Carelon | Commercial_Essential Plans | $46.55 | ↑ +91% |
| Carelon | MAP_Medicare Advantage | $46.55 | ↑ +91% |
| Carelon | GHI BMP | $46.55 | ↑ +91% |
| EMBLEM | Essential Plan 1-2 | $50.13 | ↑ +106% |
| Emblem | Essential Plan 200-250 | $50.13 | ↑ +106% |
| ANTHEM | PPO | $57.29 | ↑ +135% |
| ANTHEM | Blue Access Small Group | $57.29 | ↑ +135% |
| ANTHEM | Blue Access Large Group | $57.29 | ↑ +135% |
| Carelon (Amida Care) | Managed Medicaid | $57.29 | ↑ +135% |
| MULTIPLAN | ALL PRODUCTS | $57.29 | ↑ +135% |
| ANTHEM | EPO | $57.29 | ↑ +135% |
| ANTHEM | HMO | $57.29 | ↑ +135% |
| ANTHEM | Small Group EPO_PPO | $57.29 | ↑ +135% |
| ANTHEM | INDEMNITY | $57.29 | ↑ +135% |
| Local 1199 | ALL PRODUCTS | $60.87 | ↑ +150% |
| VNSNY | MAP | $60.87 | ↑ +150% |
| VNSNY | Medicaid SNP | $60.87 | ↑ +150% |
| Healthfirst | Medicare Advantage PPO | $225.00 | ↑ +824% |
| Aetna | ALL PRODUCTS | $257.00 | ↑ +955% |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | ↑ +1255% |
| MAGNACARE | Direct Plus FPP | $330.00 | ↑ +1255% |
| MAGNACARE | PPO Non-FPP | $330.00 | ↑ +1255% |
| MAGNACARE | PPO FPP | $330.00 | ↑ +1255% |
| EMBLEM | HIP_GHI_CHP | $332.00 | ↑ +1263% |
| EMBLEM | PPO_Commercial | $332.00 | ↑ +1263% |
| OXFORD | Liberty | $380.00 | ↑ +1461% |
| OXFORD | Freedom | $431.00 | ↑ +1670% |
| UNITED | EXCHANGE | $480.00 | ↑ +1871% |
| UNITED | ALL PRODUCTS | $529.00 | ↑ +2072% |
| OSCAR | ALL PRODUCTS | $645.00 | ↑ +2549% |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 11-20 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | $14.08 | $18.32 – $35.59 |
| Bellevue Hospital Center | NY 10016 | $24.33 | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn | $24.67 | $0.01 – $645.00 |
| Lincoln Medical Center | Bronx | $24.67 | $0.01 – $645.00 |
| Metropolitan Hospital Center | New York | $24.33 | $0.01 – $645.00 |
| Queens Hospital Center | Jamaica | $24.35 | $0.01 – $645.00 |
| Woodhull Medical Center | Brooklyn | $24.67 | $0.01 – $645.00 |
| South Brooklyn Health | Brooklyn | $24.67 | $0.01 – $645.00 |