Ustekinumab 45 mg/0.5 ml subcutaneous solution at Elmhurst Hospital Center
7901 Broadway Elmhurst, NY 11373, NY · NYC Health + Hospitals · · NPI 1063426377
$159.91
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.
$127.93 with Hamaspik vs $24,468.35 with UNITED — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $127.93 | ↓ -20% |
| Local 1199 | ALL PRODUCTS | $155.88 | ↓ -3% |
| VNSNY | Medicare Advantage | $157.68 | ↓ -1% |
| VACCN | All Products | $157.68 | ↓ -1% |
| Senior Whole Health | MLTC | $157.68 | ↓ -1% |
| ANTHEM | MEDICARE ADVANTAGE | $157.68 | ↓ -1% |
| VNSNY | Medicare SNP | $157.68 | ↓ -1% |
| Senior Whole Health | MAP | $157.68 | ↓ -1% |
| Aetna | MEDICARE ADVANTAGE | $159.91 | ↑ +0% |
| Fidelis | MAP | $159.91 | ↑ +0% |
| Healthfirst | Essential Plan 3-4 | $163.47 | ↑ +2% |
| Healthfirst | Essential Plan 1-2 | $163.47 | ↑ +2% |
| Healthfirst | Essential Plan 200-250 | $163.47 | ↑ +2% |
| OXFORD | MEDICARE ADVANTAGE | $167.91 | ↑ +5% |
| MetroPlus | Essential Plan 1-2 | $187.55 | ↑ +17% |
| MetroPlus | Essential Plan 3-4 | $187.55 | ↑ +17% |
| MetroPlus | Essential Plan 200-250 | $187.55 | ↑ +17% |
| MAGNACARE | PPO Non-FPP | $189.22 | ↑ +18% |
| MAGNACARE | Direct Plus Non-FPP | $189.22 | ↑ +18% |
| MAGNACARE | Direct Plus FPP | $189.22 | ↑ +18% |
| MAGNACARE | PPO FPP | $189.22 | ↑ +18% |
| Healthfirst | EXCHANGE | $204.34 | ↑ +28% |
| Fidelis | EXCHANGE | $227.07 | ↑ +42% |
| EMBLEM | MEDICARE ADVANTAGE | $236.52 | ↑ +48% |
| Wellcare | MEDICARE ADVANTAGE | $236.67 | ↑ +48% |
| Aetna | ALL PRODUCTS | $348.66 | ↑ +118% |
| Healthfirst | HARP | $9,026.11 | ↑ +5544% |
| Healthfirst | CHP | $9,026.11 | ↑ +5544% |
| Healthfirst | Managed Medicaid | $9,026.11 | ↑ +5544% |
| Fidelis | HARP_Managed Medicaid | $10,874.82 | ↑ +6701% |
| Anthem HealthPlus | EXCHANGE | $10,874.82 | ↑ +6701% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $10,874.82 | ↑ +6701% |
| Carelon | Managed Medicaid_HARP_CHP | $10,874.82 | ↑ +6701% |
| UNITED | HARP | $10,874.82 | ↑ +6701% |
| UNITED | Managed Medicaid | $10,874.82 | ↑ +6701% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $10,874.82 | ↑ +6701% |
| MetroPlus | Managed Medicaid | $10,874.83 | ↑ +6701% |
| MetroPlus | CHP | $10,874.83 | ↑ +6701% |
| Carelon | Commercial_Essential Plans | $10,874.83 | ↑ +6701% |
| MetroPlus | Gold | $10,874.83 | ↑ +6701% |
| MetroPlus | Goldcare 1 & 2 | $10,874.83 | ↑ +6701% |
| MetroPlus | HARP | $10,874.83 | ↑ +6701% |
| MetroPlus | SNP | $10,874.83 | ↑ +6701% |
| Carelon | GHI BMP | $10,874.83 | ↑ +6701% |
| Affinity | HARP_Managed Medicaid | $11,092.32 | ↑ +6837% |
| UNITED BEHAVIORAL HEALTH | CHP | $11,092.32 | ↑ +6837% |
| VNSNY | Medicaid SNP | $11,092.32 | ↑ +6837% |
| Carelon (Amida Care) | Managed Medicaid | $11,092.32 | ↑ +6837% |
| UNITED BEHAVIORAL HEALTH | HARP | $11,092.32 | ↑ +6837% |
| VNSNY | MAP | $11,092.32 | ↑ +6837% |
| Affinity | CHP | $11,418.56 | ↑ +7041% |
| Anthem HealthPlus | CHP | $11,962.30 | ↑ +7381% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $11,962.30 | ↑ +7381% |
| Fidelis | CHP | $12,832.29 | ↑ +7925% |
| EMBLEM | HARP_Managed Medicaid | $13,593.54 | ↑ +8401% |
| EMBLEM | Essential Plan 3-4 | $13,593.54 | ↑ +8401% |
| UNITED | CHP | $13,593.54 | ↑ +8401% |
| Emblem | Essential Plan 200-250 | $14,681.02 | ↑ +9081% |
| EMBLEM | Essential Plan 1-2 | $14,681.02 | ↑ +9081% |
| Healthfirst | Small Group | $17,725.97 | ↑ +10985% |
| Anthem HealthPlus | Essential Plan 1-2 | $24,468.35 | ↑ +15201% |
| Anthem HealthPlus | Essential Plan 200-250 | $24,468.35 | ↑ +15201% |
| Affinity | Essential Plan 1-2 | $24,468.35 | ↑ +15201% |
| Anthem HealthPlus | Essential Plan 3-4 | $24,468.35 | ↑ +15201% |
| Fidelis | Essential Plan 1-4_200-250 | $24,468.35 | ↑ +15201% |
| Affinity | Essential Plan 3-4 | $24,468.35 | ↑ +15201% |
| Affinity | Essential Plan 200-250 | $24,468.35 | ↑ +15201% |
| UNITED | Essential Plan 1-4_200-250 | $24,468.35 | ↑ +15201% |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $97,450.01 | $149.80 – $8,178.26 |
| NewYork-Presbyterian Queens | Flushing | $97,450.01 | $149.80 – $8,178.55 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $97,450.01 | $149.80 – $6,160.41 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $82.60 – $171.87 |
| Gouverneur Hospital | Gouverneur | not published | $310.95 – $339.96 |
| Canton-Potsdam Hospital | Potsdam | not published | $339.96 – $339.96 |