Rmvl pm gen w/rplc pm gen sgl lead sys at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$9,793.46
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$376.59 with Aetna vs $20,660.07 with Elderplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | MEDICARE ADVANTAGE | $376.59 | ↓ -96% |
| Local 1199 | ALL PRODUCTS | $383.00 | ↓ -96% |
| MetroPlus | Essential Plan 3-4 | $492.56 | ↓ -95% |
| MetroPlus | Essential Plan 1-2 | $492.56 | ↓ -95% |
| MetroPlus | Essential Plan 200-250 | $492.56 | ↓ -95% |
| Healthfirst | CHP | $6,262.67 | ↓ -36% |
| Carelon | Managed Medicaid_HARP_CHP | $7,545.39 | ↓ -23% |
| UNITED | Managed Medicaid | $7,545.39 | ↓ -23% |
| UNITED | HARP | $7,545.39 | ↓ -23% |
| MetroPlus | Gold | $7,545.39 | ↓ -23% |
| MetroPlus | CHP | $7,545.39 | ↓ -23% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $7,545.39 | ↓ -23% |
| Anthem HealthPlus | EXCHANGE | $7,545.39 | ↓ -23% |
| Carelon | Commercial_Essential Plans | $7,545.39 | ↓ -23% |
| Carelon | GHI BMP | $7,545.39 | ↓ -23% |
| Fidelis | CHP | $7,545.39 | ↓ -23% |
| MetroPlus | SNP | $7,545.39 | ↓ -23% |
| MetroPlus | Managed Medicaid | $7,545.39 | ↓ -23% |
| Fidelis | HARP_Managed Medicaid | $7,545.39 | ↓ -23% |
| MetroPlus | HARP | $7,545.39 | ↓ -23% |
| MetroPlus | Goldcare 1 & 2 | $7,545.39 | ↓ -23% |
| UNITED BEHAVIORAL HEALTH | HARP | $7,696.30 | ↓ -21% |
| VNSNY | Medicaid SNP | $7,696.30 | ↓ -21% |
| Carelon (Amida Care) | Managed Medicaid | $7,696.30 | ↓ -21% |
| UNITED BEHAVIORAL HEALTH | CHP | $7,696.30 | ↓ -21% |
| VNSNY | MAP | $7,696.30 | ↓ -21% |
| Hamaspik | MEDICARE ADVANTAGE | $7,834.77 | ↓ -20% |
| UNITED | Essential Plan 1-4_200-250 | $8,073.57 | ↓ -18% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $8,299.93 | ↓ -15% |
| Healthfirst | Medicare Advantage PPO | $8,573.93 | ↓ -12% |
| EMBLEM | Essential Plan 3-4 | $9,431.74 | ↓ -4% |
| UNITED | CHP | $9,431.74 | ↓ -4% |
| Senior Whole Health | MAP | $9,793.46 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $9,793.46 | ↑ +0% |
| Fidelis | MAP | $9,793.46 | ↑ +0% |
| Senior Whole Health | MLTC | $9,793.46 | ↑ +0% |
| VACCN | All Products | $9,793.46 | ↑ +0% |
| VNSNY | Medicare Advantage | $9,793.46 | ↑ +0% |
| VNSNY | Medicare SNP | $9,793.46 | ↑ +0% |
| Healthfirst | MEDICARE ADVANTAGE | $10,123.44 | ↑ +3% |
| Healthfirst | MAP | $10,123.44 | ↑ +3% |
| Emblem | Essential Plan 200-250 | $10,186.28 | ↑ +4% |
| EMBLEM | Essential Plan 1-2 | $10,186.28 | ↑ +4% |
| OXFORD | MEDICARE ADVANTAGE | $10,283.14 | ↑ +5% |
| Centerlight | PACE | $10,330.04 | ↑ +5% |
| VillageCare Max | MEDICARE ADVANTAGE | $10,330.04 | ↑ +5% |
| VillageCare Max | MAP | $10,330.04 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $10,846.54 | ↑ +11% |
| MetroPlus | EXCHANGE | $11,672.94 | ↑ +19% |
| MetroPlus | MAP | $11,672.94 | ↑ +19% |
| MetroPlus | MEDICARE ADVANTAGE | $11,672.94 | ↑ +19% |
| MAGNACARE | PPO Non-FPP | $11,752.16 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $11,752.16 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $11,752.16 | ↑ +20% |
| MAGNACARE | PPO FPP | $11,752.16 | ↑ +20% |
| Healthfirst | EXCHANGE | $12,072.62 | ↑ +23% |
| Healthfirst | Small Group | $12,298.99 | ↑ +26% |
| Fidelis | EXCHANGE | $13,906.71 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $14,494.33 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $14,690.20 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $15,495.05 | ↑ +58% |
| Affinity | Essential Plan 3-4 | $16,977.13 | ↑ +73% |
| Healthfirst | Essential Plan 3-4 | $16,977.13 | ↑ +73% |
| Affinity | Essential Plan 200-250 | $16,977.13 | ↑ +73% |
| Affinity | Essential Plan 1-2 | $16,977.13 | ↑ +73% |
| Healthfirst | Essential Plan 1-2 | $16,977.13 | ↑ +73% |
| Healthfirst | Essential Plan 200-250 | $16,977.13 | ↑ +73% |
| Anthem HealthPlus | Essential Plan 3-4 | $16,977.13 | ↑ +73% |
| Anthem HealthPlus | Essential Plan 200-250 | $16,977.13 | ↑ +73% |
| Anthem HealthPlus | Essential Plan 1-2 | $16,977.13 | ↑ +73% |
| Fidelis | Essential Plan 1-4_200-250 | $16,977.13 | ↑ +73% |
| Elderplan | MAP_Medicare Advantage_MLTC | $20,660.07 | ↑ +111% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen sgl lead sys at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $9,793.46 | $155.71 – $20,660.07 |
| Harlem Hospital Center | New York | $9,793.46 | $380.60 – $20,660.07 |
| Kings County Hospital Center | Brooklyn | $9,793.46 | $155.71 – $20,660.07 |
| Lincoln Medical Center | Bronx | $9,793.46 | $383.00 – $20,660.07 |
| Metropolitan Hospital Center | New York | $9,793.46 | $383.00 – $20,660.07 |
| UPMC Chautauqua | Jamestown | $7,300.80 | $282.39 – $10,951.20 |
| Queens Hospital Center | Jamaica | $9,793.46 | $155.71 – $20,660.07 |
| Woodhull Medical Center | Brooklyn | $9,793.46 | $155.71 – $20,660.07 |