Stent/athrectomy/fem/pop/unilat 37227 at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$21,249.26
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.
$37,362.02
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.
$772.66 with Aetna vs $31,757.72 with VillageCare Max — 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 | $772.66 | ↓ -96% |
| Fidelis | MAP | $1,112.63 | ↓ -95% |
| Healthfirst | CHP | $2,638.46 | ↓ -88% |
| Healthfirst | Managed Medicaid | $2,638.46 | ↓ -88% |
| Healthfirst | HARP | $2,638.46 | ↓ -88% |
| Amidacare | Managed Medicaid | $2,764.00 | ↓ -87% |
| UNITED | Managed Medicaid | $3,178.86 | ↓ -85% |
| Anthem HealthPlus | EXCHANGE | $3,178.86 | ↓ -85% |
| Carelon | Managed Medicaid_HARP_CHP | $3,178.86 | ↓ -85% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $3,178.86 | ↓ -85% |
| Fidelis | HARP_Managed Medicaid | $3,178.86 | ↓ -85% |
| Fidelis | CHP | $3,178.86 | ↓ -85% |
| UNITED | HARP | $3,178.86 | ↓ -85% |
| Carelon | GHI BMP | $3,178.87 | ↓ -85% |
| MetroPlus | SNP | $3,178.87 | ↓ -85% |
| MetroPlus | HARP | $3,178.87 | ↓ -85% |
| MetroPlus | CHP | $3,178.87 | ↓ -85% |
| Carelon | Commercial_Essential Plans | $3,178.87 | ↓ -85% |
| MetroPlus | Gold | $3,178.87 | ↓ -85% |
| MetroPlus | Goldcare 1 & 2 | $3,178.87 | ↓ -85% |
| MetroPlus | Managed Medicaid | $3,178.87 | ↓ -85% |
| UNITED BEHAVIORAL HEALTH | HARP | $3,242.44 | ↓ -85% |
| VNSNY | MAP | $3,242.44 | ↓ -85% |
| Carelon (Amida Care) | Managed Medicaid | $3,242.44 | ↓ -85% |
| VNSNY | Medicaid SNP | $3,242.44 | ↓ -85% |
| UNITED BEHAVIORAL HEALTH | CHP | $3,242.44 | ↓ -85% |
| Aetna | ALL PRODUCTS | $3,245.00 | ↓ -85% |
| OXFORD | Liberty | $3,399.00 | ↓ -84% |
| UNITED | Essential Plan 1-4_200-250 | $3,401.38 | ↓ -84% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $3,496.75 | ↓ -84% |
| OXFORD | Freedom | $3,850.00 | ↓ -82% |
| UNITED | CHP | $3,973.59 | ↓ -81% |
| EMBLEM | Essential Plan 3-4 | $3,973.59 | ↓ -81% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↓ -80% |
| EMBLEM | Essential Plan 1-2 | $4,291.47 | ↓ -80% |
| Emblem | Essential Plan 200-250 | $4,291.47 | ↓ -80% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↓ -78% |
| EMBLEM | PPO_Commercial | $5,014.00 | ↓ -76% |
| EMBLEM | HIP_GHI_CHP | $5,014.00 | ↓ -76% |
| Healthfirst | EXCHANGE | $5,086.19 | ↓ -76% |
| Healthfirst | Small Group | $5,181.56 | ↓ -76% |
| ANTHEM | Small Group EPO_PPO | $5,285.00 | ↓ -75% |
| ANTHEM | Blue Access Small Group | $5,285.00 | ↓ -75% |
| ANTHEM | Blue Access Large Group | $5,432.00 | ↓ -74% |
| ANTHEM | HMO | $5,872.00 | ↓ -72% |
| ANTHEM | EPO | $5,872.00 | ↓ -72% |
| ANTHEM | INDEMNITY | $5,872.00 | ↓ -72% |
| ANTHEM | PPO | $5,872.00 | ↓ -72% |
| Fidelis | Essential Plan 1-4_200-250 | $7,152.44 | ↓ -66% |
| Affinity | Essential Plan 1-2 | $7,152.44 | ↓ -66% |
| Affinity | Essential Plan 200-250 | $7,152.44 | ↓ -66% |
| Anthem HealthPlus | Essential Plan 200-250 | $7,152.44 | ↓ -66% |
| Anthem HealthPlus | Essential Plan 1-2 | $7,152.44 | ↓ -66% |
| Affinity | Essential Plan 3-4 | $7,152.44 | ↓ -66% |
| Anthem HealthPlus | Essential Plan 3-4 | $7,152.44 | ↓ -66% |
| MetroPlus | Essential Plan 3-4 | $7,152.44 | ↓ -66% |
| Healthfirst | Essential Plan 1-2 | $7,152.44 | ↓ -66% |
| Healthfirst | Essential Plan 200-250 | $7,152.44 | ↓ -66% |
| MetroPlus | Essential Plan 200-250 | $7,152.44 | ↓ -66% |
| Healthfirst | Essential Plan 3-4 | $7,152.44 | ↓ -66% |
| MetroPlus | Essential Plan 1-2 | $7,152.44 | ↓ -66% |
| Healthfirst | MEDICARE ADVANTAGE | $7,472.40 | ↓ -65% |
| Healthfirst | Medicare Advantage PPO | $7,472.40 | ↓ -65% |
| Healthfirst | MAP | $7,472.40 | ↓ -65% |
| UNITED | EXCHANGE | $16,101.00 | ↓ -24% |
| UNITED | ALL PRODUCTS | $17,751.00 | ↓ -16% |
| Centerlight | PACE | $18,681.01 | ↓ -12% |
| VNSNY | Medicare SNP | $21,249.26 | ↑ +0% |
| VACCN | All Products | $21,249.26 | ↑ +0% |
| VNSNY | Medicare Advantage | $21,249.26 | ↑ +0% |
| Senior Whole Health | MAP | $21,249.26 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $21,249.26 | ↑ +0% |
| Senior Whole Health | MLTC | $21,249.26 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $22,311.73 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $22,949.21 | ↑ +8% |
| Elderplan | MAP_Medicare Advantage_MLTC | $24,285.31 | ↑ +14% |
| Carelon | MAP_Medicare Advantage | $24,285.31 | ↑ +14% |
| EMBLEM | MEDICARE ADVANTAGE | $26,561.58 | ↑ +25% |
| MAGNACARE | PPO Non-FPP | $28,021.52 | ↑ +32% |
| MAGNACARE | Direct Plus Non-FPP | $28,021.52 | ↑ +32% |
| MAGNACARE | Direct Plus FPP | $28,021.52 | ↑ +32% |
| MAGNACARE | PPO FPP | $28,021.52 | ↑ +32% |
| MULTIPLAN | ALL PRODUCTS | $29,889.62 | ↑ +41% |
| Fidelis | EXCHANGE | $30,173.95 | ↑ +42% |
| Local 1199 | ALL PRODUCTS | $31,757.72 | ↑ +49% |
| VillageCare Max | MEDICARE ADVANTAGE | $31,757.72 | ↑ +49% |
| VillageCare Max | MAP | $31,757.72 | ↑ +49% |
| Affinity | CHP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Stent/athrectomy/fem/pop/unilat 37227 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $21,249.26 | $788.38 – $26,561.58 |
| Harlem Hospital Center | New York | $21,249.26 | $788.38 – $26,561.58 |
| Kings County Hospital Center | Brooklyn | $21,249.26 | $817.39 – $26,561.58 |
| Lincoln Medical Center | Bronx | $21,249.26 | $817.39 – $26,561.58 |
| Metropolitan Hospital Center | New York | $21,249.26 | $817.39 – $26,561.58 |
| UPMC Chautauqua | Jamestown | $12,528.60 | $590.05 – $22,598.08 |
| Queens Hospital Center | Jamaica | $21,249.26 | $772.66 – $26,561.58 |
| Woodhull Medical Center | Brooklyn | $21,249.26 | $817.39 – $26,561.58 |