Pt application of modality >=1 area electrical stimulation each 15 minutes at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$16.04
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.
$124.75
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.
$12.83 with Hamaspik 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $12.83 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $13.67 | ↓ -15% |
| ANTHEM | MEDICARE ADVANTAGE | $16.04 | ↑ +0% |
| Fidelis | MAP | $16.04 | ↑ +0% |
| EMBLEM | PPO_Commercial | $16.04 | ↑ +0% |
| Senior Whole Health | MLTC | $16.04 | ↑ +0% |
| VNSNY | Medicare SNP | $16.04 | ↑ +0% |
| EMBLEM | HIP_GHI_CHP | $16.04 | ↑ +0% |
| VACCN | All Products | $16.04 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $16.04 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $16.04 | ↑ +0% |
| Senior Whole Health | MAP | $16.04 | ↑ +0% |
| VNSNY | Medicare Advantage | $16.04 | ↑ +0% |
| Healthfirst | MAP | $16.14 | ↑ +1% |
| Healthfirst | MEDICARE ADVANTAGE | $16.14 | ↑ +1% |
| Amidacare | Managed Medicaid | $16.47 | ↑ +3% |
| Centerlight | PACE | $16.47 | ↑ +3% |
| VillageCare Max | MEDICARE ADVANTAGE | $16.47 | ↑ +3% |
| VillageCare Max | MAP | $16.47 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $16.84 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $17.29 | ↑ +8% |
| MetroPlus | MAP | $18.61 | ↑ +16% |
| MetroPlus | MEDICARE ADVANTAGE | $18.61 | ↑ +16% |
| MetroPlus | EXCHANGE | $18.61 | ↑ +16% |
| MAGNACARE | PPO FPP | $19.25 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $19.25 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $19.25 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $19.25 | ↑ +20% |
| MetroPlus | Essential Plan 1-2 | $19.88 | ↑ +24% |
| MetroPlus | Essential Plan 200-250 | $19.88 | ↑ +24% |
| MetroPlus | Essential Plan 3-4 | $19.88 | ↑ +24% |
| Wellcare | MEDICARE ADVANTAGE | $23.74 | ↑ +48% |
| OSCAR | ALL PRODUCTS | $24.71 | ↑ +54% |
| Aetna | ALL PRODUCTS | $30.64 | ↑ +91% |
| Elderplan | MAP_Medicare Advantage_MLTC | $32.94 | ↑ +105% |
| Healthfirst | Managed Medicaid | $37.73 | ↑ +135% |
| Healthfirst | HARP | $37.73 | ↑ +135% |
| Healthfirst | CHP | $37.73 | ↑ +135% |
| Fidelis | HARP_Managed Medicaid | $45.45 | ↑ +183% |
| Anthem HealthPlus | EXCHANGE | $45.45 | ↑ +183% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $45.45 | ↑ +183% |
| UNITED | Managed Medicaid | $45.45 | ↑ +183% |
| UNITED | HARP | $45.45 | ↑ +183% |
| Carelon | Managed Medicaid_HARP_CHP | $45.45 | ↑ +183% |
| Fidelis | CHP | $45.45 | ↑ +183% |
| Carelon | Commercial_Essential Plans | $45.46 | ↑ +183% |
| MetroPlus | CHP | $45.46 | ↑ +183% |
| MetroPlus | HARP | $45.46 | ↑ +183% |
| MetroPlus | Managed Medicaid | $45.46 | ↑ +183% |
| MetroPlus | Goldcare 1 & 2 | $45.46 | ↑ +183% |
| MetroPlus | Gold | $45.46 | ↑ +183% |
| MetroPlus | SNP | $45.46 | ↑ +183% |
| Carelon | GHI BMP | $45.46 | ↑ +183% |
| VNSNY | Medicaid SNP | $46.36 | ↑ +189% |
| Carelon (Amida Care) | Managed Medicaid | $46.36 | ↑ +189% |
| VNSNY | MAP | $46.36 | ↑ +189% |
| UNITED BEHAVIORAL HEALTH | CHP | $46.36 | ↑ +189% |
| UNITED BEHAVIORAL HEALTH | HARP | $46.36 | ↑ +189% |
| UNITED | Essential Plan 1-4_200-250 | $48.63 | ↑ +203% |
| ANTHEM | Small Group EPO_PPO | $49.21 | ↑ +207% |
| ANTHEM | Blue Access Small Group | $49.21 | ↑ +207% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $50.00 | ↑ +212% |
| ANTHEM | Blue Access Large Group | $50.62 | ↑ +216% |
| ANTHEM | HMO | $54.69 | ↑ +241% |
| ANTHEM | INDEMNITY | $54.69 | ↑ +241% |
| ANTHEM | EPO | $54.69 | ↑ +241% |
| ANTHEM | PPO | $54.69 | ↑ +241% |
| UNITED | CHP | $56.83 | ↑ +254% |
| EMBLEM | Essential Plan 3-4 | $56.83 | ↑ +254% |
| Emblem | Essential Plan 200-250 | $61.37 | ↑ +283% |
| EMBLEM | Essential Plan 1-2 | $61.37 | ↑ +283% |
| Healthfirst | EXCHANGE | $72.74 | ↑ +353% |
| Healthfirst | Small Group | $74.10 | ↑ +362% |
| Carelon | MAP_Medicare Advantage | $81.09 | ↑ +406% |
| MULTIPLAN | ALL PRODUCTS | $99.80 | ↑ +522% |
| Affinity | Essential Plan 1-2 | $102.26 | ↑ +538% |
| Healthfirst | Essential Plan 3-4 | $102.26 | ↑ +538% |
| Healthfirst | Essential Plan 200-250 | $102.26 | ↑ +538% |
| Fidelis | Essential Plan 1-4_200-250 | $102.26 | ↑ +538% |
| Healthfirst | Essential Plan 1-2 | $102.26 | ↑ +538% |
| Affinity | Essential Plan 3-4 | $102.26 | ↑ +538% |
| Affinity | Essential Plan 200-250 | $102.26 | ↑ +538% |
| Anthem HealthPlus | Essential Plan 1-2 | $102.26 | ↑ +538% |
| Anthem HealthPlus | Essential Plan 200-250 | $102.26 | ↑ +538% |
| Anthem HealthPlus | Essential Plan 3-4 | $102.26 | ↑ +538% |
| Local 1199 | ALL PRODUCTS | $106.04 | ↑ +561% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +1402% |
| OXFORD | Liberty | $248.00 | ↑ +1446% |
| OXFORD | Freedom | $278.00 | ↑ +1633% |
| UNITED | EXCHANGE | $314.00 | ↑ +1858% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +2057% |
| Fidelis | EXCHANGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Pt application of modality >=1 area electrical stimulation each 15 minutes at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $215.00 | $15.24 – $63.73 |
| Bellevue Hospital Center | NY 10016 | $16.40 | $11.53 – $32.80 |
| Harlem Hospital Center | New York | $16.22 | $12.98 – $33.30 |
| Kings County Hospital Center | Brooklyn | $16.65 | $11.53 – $33.30 |
| Lincoln Medical Center | Bronx | $16.22 | $12.98 – $33.30 |
| Metropolitan Hospital Center | New York | $15.94 | $12.75 – $32.80 |
| Queens Hospital Center | Jamaica | $16.47 | $11.53 – $32.94 |
| Woodhull Medical Center | Brooklyn | $16.65 | $11.53 – $33.30 |