healthcosts.net
Total Knee Replacement at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
not published by hospital
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.
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.
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The hospital's undiscounted list price — almost no one pays this.
$957.11 with UNITED vs $30,452.16 with Elderplan — 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 |
|---|---|---|---|
| UNITED | Managed Medicaid | $957.11 | — |
| UNITED | Essential Plan 1-4_200-250 | $1,024.11 | — |
| Healthfirst | HARP | $1,163.86 | — |
| Healthfirst | Managed Medicaid | $1,163.86 | — |
| Healthfirst | CHP | $1,309.34 | — |
| UNITED | HARP | $1,407.52 | — |
| EMBLEM | HIP_GHI_CHP | $1,454.82 | — |
| Amidacare | Managed Medicaid | $1,454.82 | — |
| Wellcare | MEDICARE ADVANTAGE | $1,571.21 | — |
| MetroPlus | Essential Plan 200-250 | $1,869.16 | — |
| MetroPlus | Essential Plan 1-2 | $1,869.16 | — |
| MetroPlus | Essential Plan 3-4 | $1,869.16 | — |
| Fidelis | MAP | $2,094.94 | — |
| MetroPlus | HARP | $3,779.32 | — |
| MetroPlus | Managed Medicaid | $4,155.66 | — |
| MetroPlus | CHP | $4,155.66 | — |
| MetroPlus | Goldcare 1 & 2 | $4,155.66 | — |
| MetroPlus | Gold | $4,155.66 | — |
| MetroPlus | SNP | $4,155.66 | — |
| Carelon | Managed Medicaid_HARP_CHP | $4,155.66 | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $4,155.66 | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $4,155.66 | — |
| Fidelis | CHP | $4,155.66 | — |
| Anthem HealthPlus | EXCHANGE | $4,155.66 | — |
| Fidelis | HARP_Managed Medicaid | $4,155.66 | — |
| VNSNY | Medicaid SNP | $4,238.77 | — |
| UNITED BEHAVIORAL HEALTH | HARP | $4,238.77 | — |
| VNSNY | MAP | $4,238.77 | — |
| Affinity | HARP_Managed Medicaid | $4,238.77 | — |
| Carelon (Amida Care) | Managed Medicaid | $4,238.77 | — |
| UNITED BEHAVIORAL HEALTH | CHP | $4,238.77 | — |
| Affinity | CHP | $4,363.44 | — |
| Anthem HealthPlus | CHP | $4,571.23 | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $4,571.23 | — |
| Healthfirst | EXCHANGE | $5,194.58 | — |
| EMBLEM | Essential Plan 3-4 | $5,194.58 | — |
| UNITED | CHP | $5,194.58 | — |
| ANTHEM | EPO | $5,342.00 | — |
| ANTHEM | INDEMNITY | $5,342.00 | — |
| ANTHEM | PPO | $5,342.00 | — |
| ANTHEM | HMO | $5,342.00 | — |
| EMBLEM | Essential Plan 1-2 | $5,610.14 | — |
| Healthfirst | Small Group | $5,718.88 | — |
| Healthfirst | MEDICARE ADVANTAGE | $7,682.15 | — |
| Healthfirst | MAP | $7,682.15 | — |
| Healthfirst | Medicare Advantage PPO | $7,682.15 | — |
| Affinity | Essential Plan 1-2 | $8,503.47 | — |
| Affinity | Essential Plan 200-250 | $8,503.47 | — |
| Affinity | Essential Plan 3-4 | $8,503.47 | — |
| Healthfirst | Essential Plan 1-2 | $9,350.24 | — |
| Healthfirst | Essential Plan 3-4 | $9,350.24 | — |
| Fidelis | Essential Plan 1-4_200-250 | $9,350.24 | — |
| Anthem HealthPlus | Essential Plan 3-4 | $9,350.24 | — |
| Healthfirst | Essential Plan 200-250 | $9,350.24 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $9,350.24 | — |
| Senior Whole Health | MLTC | $15,219.83 | — |
| Senior Whole Health | MAP | $15,219.83 | — |
| VNSNY | Medicare Advantage | $15,226.08 | — |
| ANTHEM | MEDICARE ADVANTAGE | $15,226.08 | — |
| Aetna | MEDICARE ADVANTAGE | $15,226.08 | — |
| VACCN | All Products | $15,226.08 | — |
| VNSNY | Medicare SNP | $15,226.08 | — |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $15,835.12 | — |
| Fidelis | EXCHANGE | $21,621.03 | — |
| OSCAR | ALL PRODUCTS | $22,839.12 | — |
| EMBLEM | MEDICARE ADVANTAGE | $22,839.12 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $30,452.16 | — |
Visitor-reported prices
Comments
Total Knee Replacement at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $15,219.83 | $732.73 – $22,839.12 |
| Kings County Hospital Center | Brooklyn | $15,065.59 | $757.55 – $22,839.12 |
| Queens Hospital Center | Jamaica | $15,219.83 | $727.41 – $22,839.12 |
| Woodhull Medical Center | Brooklyn | $15,219.83 | $757.55 – $22,839.12 |
| Harlem Hospital Center | New York | not published | $957.11 – $30,452.16 |
| Jacobi Medical Center | Bronx | not published | $957.11 – $30,452.16 |
| Lincoln Medical Center | Bronx | not published | $1,200.00 – $64,252.00 |
| Metropolitan Hospital Center | New York | not published | $957.11 – $30,452.16 |