St analysis behavior qualitative voice/resonance at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$119.92
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.
$323.68
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.
$64.74 with Healthfirst vs $358.36 with Affinity — 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 | MEDICARE ADVANTAGE | $64.74 | ↓ -46% |
| Healthfirst | MAP | $64.74 | ↓ -46% |
| Healthfirst | Medicare Advantage PPO | $64.74 | ↓ -46% |
| Senior Whole Health | MLTC | $119.92 | ↑ +0% |
| Senior Whole Health | MAP | $119.92 | ↑ +0% |
| VNSNY | Medicare SNP | $119.92 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $119.92 | ↑ +0% |
| VACCN | All Products | $119.92 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $119.92 | ↑ +0% |
| VNSNY | Medicare Advantage | $119.92 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $119.92 | ↑ +0% |
| Amidacare | Managed Medicaid | $122.19 | ↑ +2% |
| Centerlight | PACE | $122.19 | ↑ +2% |
| OXFORD | MEDICARE ADVANTAGE | $125.92 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $128.30 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $129.51 | ↑ +8% |
| Healthfirst | Managed Medicaid | $132.19 | ↑ +10% |
| Healthfirst | CHP | $132.19 | ↑ +10% |
| Healthfirst | HARP | $132.19 | ↑ +10% |
| MetroPlus | EXCHANGE | $138.07 | ↑ +15% |
| MetroPlus | MEDICARE ADVANTAGE | $138.07 | ↑ +15% |
| MetroPlus | MAP | $138.07 | ↑ +15% |
| MetroPlus | CHP | $159.27 | ↑ +33% |
| Fidelis | CHP | $159.27 | ↑ +33% |
| Carelon | GHI BMP | $159.27 | ↑ +33% |
| UNITED | Managed Medicaid | $159.27 | ↑ +33% |
| Carelon | Managed Medicaid_HARP_CHP | $159.27 | ↑ +33% |
| Carelon | Commercial_Essential Plans | $159.27 | ↑ +33% |
| MetroPlus | SNP | $159.27 | ↑ +33% |
| MetroPlus | Gold | $159.27 | ↑ +33% |
| MetroPlus | Goldcare 1 & 2 | $159.27 | ↑ +33% |
| MetroPlus | Managed Medicaid | $159.27 | ↑ +33% |
| Fidelis | HARP_Managed Medicaid | $159.27 | ↑ +33% |
| MetroPlus | HARP | $159.27 | ↑ +33% |
| UNITED | HARP | $159.27 | ↑ +33% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $159.27 | ↑ +33% |
| Anthem HealthPlus | EXCHANGE | $159.27 | ↑ +33% |
| UNITED BEHAVIORAL HEALTH | HARP | $162.46 | ↑ +35% |
| UNITED BEHAVIORAL HEALTH | CHP | $162.46 | ↑ +35% |
| VNSNY | MAP | $162.46 | ↑ +35% |
| VNSNY | Medicaid SNP | $162.46 | ↑ +35% |
| Carelon (Amida Care) | Managed Medicaid | $162.46 | ↑ +35% |
| UNITED | Essential Plan 1-4_200-250 | $170.42 | ↑ +42% |
| Fidelis | MAP | $172.68 | ↑ +44% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $175.20 | ↑ +46% |
| UNITED | CHP | $199.09 | ↑ +66% |
| EMBLEM | Essential Plan 3-4 | $199.09 | ↑ +66% |
| Aetna | ALL PRODUCTS | $203.00 | ↑ +69% |
| Carelon | MAP_Medicare Advantage | $210.39 | ↑ +75% |
| Elderplan | MAP_Medicare Advantage_MLTC | $210.39 | ↑ +75% |
| Emblem | Essential Plan 200-250 | $215.01 | ↑ +79% |
| EMBLEM | Essential Plan 1-2 | $215.01 | ↑ +79% |
| EMBLEM | HIP_GHI_CHP | $222.00 | ↑ +85% |
| EMBLEM | PPO_Commercial | $222.00 | ↑ +85% |
| EMBLEM | MEDICARE ADVANTAGE | $237.00 | ↑ +98% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +101% |
| VillageCare Max | MAP | $242.25 | ↑ +102% |
| VillageCare Max | MEDICARE ADVANTAGE | $242.25 | ↑ +102% |
| MAGNACARE | PPO Non-FPP | $242.76 | ↑ +102% |
| MAGNACARE | Direct Plus Non-FPP | $242.76 | ↑ +102% |
| MAGNACARE | PPO FPP | $242.76 | ↑ +102% |
| MAGNACARE | Direct Plus FPP | $242.76 | ↑ +102% |
| OXFORD | Liberty | $248.00 | ↑ +107% |
| Healthfirst | EXCHANGE | $254.83 | ↑ +113% |
| ANTHEM | HMO | $258.94 | ↑ +116% |
| ANTHEM | Blue Access Small Group | $258.94 | ↑ +116% |
| MULTIPLAN | ALL PRODUCTS | $258.94 | ↑ +116% |
| ANTHEM | PPO | $258.94 | ↑ +116% |
| ANTHEM | INDEMNITY | $258.94 | ↑ +116% |
| ANTHEM | Small Group EPO_PPO | $258.94 | ↑ +116% |
| ANTHEM | Blue Access Large Group | $258.94 | ↑ +116% |
| ANTHEM | EPO | $258.94 | ↑ +116% |
| Healthfirst | Small Group | $259.61 | ↑ +116% |
| OSCAR | ALL PRODUCTS | $264.00 | ↑ +120% |
| Local 1199 | ALL PRODUCTS | $275.13 | ↑ +129% |
| OXFORD | Freedom | $278.00 | ↑ +132% |
| UNITED | EXCHANGE | $314.00 | ↑ +162% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +189% |
| Healthfirst | Essential Plan 3-4 | $358.36 | ↑ +199% |
| Affinity | Essential Plan 3-4 | $358.36 | ↑ +199% |
| MetroPlus | Essential Plan 1-2 | $358.36 | ↑ +199% |
| MetroPlus | Essential Plan 3-4 | $358.36 | ↑ +199% |
| Fidelis | Essential Plan 1-4_200-250 | $358.36 | ↑ +199% |
| Healthfirst | Essential Plan 200-250 | $358.36 | ↑ +199% |
| Affinity | Essential Plan 200-250 | $358.36 | ↑ +199% |
| Healthfirst | Essential Plan 1-2 | $358.36 | ↑ +199% |
| Anthem HealthPlus | Essential Plan 1-2 | $358.36 | ↑ +199% |
| Anthem HealthPlus | Essential Plan 200-250 | $358.36 | ↑ +199% |
| Anthem HealthPlus | Essential Plan 3-4 | $358.36 | ↑ +199% |
| MetroPlus | Essential Plan 200-250 | $358.36 | ↑ +199% |
| Affinity | Essential Plan 1-2 | $358.36 | ↑ +199% |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Fidelis | 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 | — |
| Affinity | CHP | not published by hospital | — |
Visitor-reported prices
Comments
St analysis behavior qualitative voice/resonance at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $1,136.00 | $108.00 – $194.87 |
| Bellevue Hospital Center | NY 10016 | $121.44 | $60.03 – $242.88 |
| Harlem Hospital Center | New York | $120.86 | $102.02 – $245.82 |
| Kings County Hospital Center | Brooklyn | $122.91 | $60.03 – $245.82 |
| Lincoln Medical Center | Bronx | $120.86 | $102.02 – $245.82 |
| Metropolitan Hospital Center | New York | $118.98 | $100.80 – $242.88 |
| UPMC Chautauqua | Jamestown | $243.00 | $76.81 – $364.50 |
| Queens Hospital Center | Jamaica | $122.19 | $60.03 – $244.38 |