Pt init/spiromet rec/review/interp 94016 at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$25.82
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.
$306.21
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.
$22.73 with Healthfirst vs $260.28 with Local 1199 — 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 |
|---|---|---|---|
| Healthfirst | MAP | $22.73 | ↓ -12% |
| Healthfirst | MEDICARE ADVANTAGE | $22.73 | ↓ -12% |
| Hamaspik | MEDICARE ADVANTAGE | $25.82 | ↑ +0% |
| VNSNY | Medicare Advantage | $25.82 | ↑ +0% |
| Senior Whole Health | MAP | $25.82 | ↑ +0% |
| EMBLEM | HIP_GHI_CHP | $25.82 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $25.82 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $25.82 | ↑ +0% |
| VNSNY | Medicare SNP | $25.82 | ↑ +0% |
| VACCN | All Products | $25.82 | ↑ +0% |
| EMBLEM | PPO_Commercial | $25.82 | ↑ +0% |
| Senior Whole Health | MLTC | $25.82 | ↑ +0% |
| Healthfirst | Medicare Advantage PPO | $26.83 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $27.11 | ↑ +5% |
| Amidacare | Managed Medicaid | $27.38 | ↑ +6% |
| Elderplan | MAP_Medicare Advantage_MLTC | $27.38 | ↑ +6% |
| VillageCare Max | MEDICARE ADVANTAGE | $27.38 | ↑ +6% |
| Centerlight | PACE | $27.38 | ↑ +6% |
| VillageCare Max | MAP | $27.38 | ↑ +6% |
| Wellcare | MEDICARE ADVANTAGE | $27.89 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $28.75 | ↑ +11% |
| MetroPlus | MAP | $30.94 | ↑ +20% |
| MetroPlus | MEDICARE ADVANTAGE | $30.94 | ↑ +20% |
| MetroPlus | EXCHANGE | $30.94 | ↑ +20% |
| EMBLEM | MEDICARE ADVANTAGE | $32.28 | ↑ +25% |
| Fidelis | MAP | $37.18 | ↑ +44% |
| Aetna | ALL PRODUCTS | $37.53 | ↑ +45% |
| OSCAR | ALL PRODUCTS | $41.07 | ↑ +59% |
| ANTHEM | Blue Access Small Group | $79.23 | ↑ +207% |
| ANTHEM | Small Group EPO_PPO | $79.23 | ↑ +207% |
| ANTHEM | Blue Access Large Group | $81.51 | ↑ +216% |
| Healthfirst | Managed Medicaid | $85.61 | ↑ +232% |
| Healthfirst | HARP | $85.61 | ↑ +232% |
| Healthfirst | CHP | $85.61 | ↑ +232% |
| OXFORD | Liberty | $88.00 | ↑ +241% |
| ANTHEM | INDEMNITY | $88.07 | ↑ +241% |
| ANTHEM | EPO | $88.07 | ↑ +241% |
| ANTHEM | HMO | $88.07 | ↑ +241% |
| ANTHEM | PPO | $88.07 | ↑ +241% |
| OXFORD | Freedom | $102.00 | ↑ +295% |
| Anthem HealthPlus | EXCHANGE | $103.13 | ↑ +299% |
| Carelon | Managed Medicaid_HARP_CHP | $103.13 | ↑ +299% |
| Fidelis | CHP | $103.13 | ↑ +299% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $103.13 | ↑ +299% |
| UNITED | HARP | $103.13 | ↑ +299% |
| UNITED | Managed Medicaid | $103.13 | ↑ +299% |
| Fidelis | HARP_Managed Medicaid | $103.13 | ↑ +299% |
| MetroPlus | Goldcare 1 & 2 | $103.14 | ↑ +299% |
| MetroPlus | HARP | $103.14 | ↑ +299% |
| Carelon | Commercial_Essential Plans | $103.14 | ↑ +299% |
| MetroPlus | SNP | $103.14 | ↑ +299% |
| Carelon | GHI BMP | $103.14 | ↑ +299% |
| MetroPlus | CHP | $103.14 | ↑ +299% |
| MetroPlus | Managed Medicaid | $103.14 | ↑ +299% |
| MetroPlus | Gold | $103.14 | ↑ +299% |
| UNITED BEHAVIORAL HEALTH | CHP | $105.19 | ↑ +307% |
| UNITED BEHAVIORAL HEALTH | HARP | $105.19 | ↑ +307% |
| Carelon (Amida Care) | Managed Medicaid | $105.19 | ↑ +307% |
| VNSNY | Medicaid SNP | $105.19 | ↑ +307% |
| VNSNY | MAP | $105.19 | ↑ +307% |
| UNITED | Essential Plan 1-4_200-250 | $110.35 | ↑ +327% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $113.44 | ↑ +339% |
| UNITED | EXCHANGE | $115.00 | ↑ +345% |
| UNITED | ALL PRODUCTS | $128.00 | ↑ +396% |
| EMBLEM | Essential Plan 3-4 | $128.93 | ↑ +399% |
| UNITED | CHP | $128.93 | ↑ +399% |
| EMBLEM | Essential Plan 1-2 | $139.24 | ↑ +439% |
| Emblem | Essential Plan 200-250 | $139.24 | ↑ +439% |
| Healthfirst | EXCHANGE | $165.02 | ↑ +539% |
| Healthfirst | Small Group | $168.12 | ↑ +551% |
| Carelon | MAP_Medicare Advantage | $199.04 | ↑ +671% |
| MAGNACARE | Direct Plus FPP | $229.66 | ↑ +789% |
| MAGNACARE | Direct Plus Non-FPP | $229.66 | ↑ +789% |
| CIGNA | ALL PRODUCTS | $229.66 | ↑ +789% |
| MAGNACARE | PPO FPP | $229.66 | ↑ +789% |
| MAGNACARE | PPO Non-FPP | $229.66 | ↑ +789% |
| Anthem HealthPlus | Essential Plan 3-4 | $232.04 | ↑ +799% |
| Fidelis | Essential Plan 1-4_200-250 | $232.04 | ↑ +799% |
| Healthfirst | Essential Plan 1-2 | $232.04 | ↑ +799% |
| Healthfirst | Essential Plan 200-250 | $232.04 | ↑ +799% |
| Healthfirst | Essential Plan 3-4 | $232.04 | ↑ +799% |
| MetroPlus | Essential Plan 1-2 | $232.04 | ↑ +799% |
| MetroPlus | Essential Plan 200-250 | $232.04 | ↑ +799% |
| MetroPlus | Essential Plan 3-4 | $232.04 | ↑ +799% |
| Anthem HealthPlus | Essential Plan 200-250 | $232.04 | ↑ +799% |
| Anthem HealthPlus | Essential Plan 1-2 | $232.04 | ↑ +799% |
| Affinity | Essential Plan 3-4 | $232.04 | ↑ +799% |
| Affinity | Essential Plan 200-250 | $232.04 | ↑ +799% |
| Affinity | Essential Plan 1-2 | $232.04 | ↑ +799% |
| MULTIPLAN | ALL PRODUCTS | $244.97 | ↑ +849% |
| Local 1199 | ALL PRODUCTS | $260.28 | ↑ +908% |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | 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 init/spiromet rec/review/interp 94016 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $27.33 | $14.95 – $41.00 |
| Harlem Hospital Center | New York | $26.14 | $23.00 – $41.57 |
| Kings County Hospital Center | Brooklyn | $27.71 | $14.95 – $41.57 |
| Lincoln Medical Center | Bronx | $26.14 | $23.00 – $41.57 |
| Metropolitan Hospital Center | New York | $25.77 | $22.68 – $41.00 |
| Queens Hospital Center | Jamaica | $27.38 | $14.95 – $41.07 |
| Woodhull Medical Center | Brooklyn | $27.71 | $14.95 – $41.57 |
| South Brooklyn Health | Brooklyn | $26.14 | $23.00 – $41.57 |