5' nucleotidase - sendout at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$11.15
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.
$40.90
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.
$1.00 with UNITED vs $110.00 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 |
|---|---|---|---|
| UNITED | EXCHANGE | $1.00 | ↓ -91% |
| PB - AETNA | ALL PRODUCTS | $8.28 | ↓ -26% |
| PB - AETNA | MEDICARE ADVANTAGE | $8.28 | ↓ -26% |
| Healthfirst | MAP | $10.93 | ↓ -2% |
| Healthfirst | Medicare Advantage PPO | $10.93 | ↓ -2% |
| Healthfirst | MEDICARE ADVANTAGE | $10.93 | ↓ -2% |
| Amidacare | Managed Medicaid | $11.15 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $11.15 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $11.15 | ↑ +0% |
| VACCN | All Products | $11.15 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $11.15 | ↑ +0% |
| Centerlight | PACE | $11.15 | ↑ +0% |
| Senior Whole Health | MLTC | $11.15 | ↑ +0% |
| Senior Whole Health | MAP | $11.15 | ↑ +0% |
| VNSNY | Medicare SNP | $11.15 | ↑ +0% |
| Fidelis | MAP | $11.15 | ↑ +0% |
| Elderplan | MAP_Medicare Advantage_MLTC | $11.15 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $11.15 | ↑ +0% |
| VNSNY | Medicare Advantage | $11.15 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $11.71 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $11.71 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $12.04 | ↑ +8% |
| MetroPlus | EXCHANGE | $12.60 | ↑ +13% |
| MetroPlus | MEDICARE ADVANTAGE | $12.60 | ↑ +13% |
| MetroPlus | MAP | $12.60 | ↑ +13% |
| MAGNACARE | PPO FPP | $13.38 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $13.38 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $13.38 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $13.38 | ↑ +20% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $14.00 | ↑ +26% |
| PB - CENTERLIGHT | PACE | $14.00 | ↑ +26% |
| Aetna | ALL PRODUCTS | $14.41 | ↑ +29% |
| PB - OSCAR | ALL PRODUCTS | $15.40 | ↑ +38% |
| PB - LOCAL 1199 | ALL PRODUCTS | $16.00 | ↑ +43% |
| OXFORD | Freedom | $16.29 | ↑ +46% |
| OXFORD | Liberty | $16.29 | ↑ +46% |
| UNITED | ALL PRODUCTS | $16.29 | ↑ +46% |
| VillageCare Max | MAP | $16.73 | ↑ +50% |
| VillageCare Max | MEDICARE ADVANTAGE | $16.73 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $16.73 | ↑ +50% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $16.80 | ↑ +51% |
| PB - AFFINITY | ESSENTIAL | $19.60 | ↑ +76% |
| PB - AFFINITY | CHP | $19.60 | ↑ +76% |
| Carelon | MAP_Medicare Advantage | $26.59 | ↑ +138% |
| CIGNA | ALL PRODUCTS | $27.44 | ↑ +146% |
| PB - CIGNA | ALL PRODUCTS | $27.44 | ↑ +146% |
| MULTIPLAN | ALL PRODUCTS | $32.72 | ↑ +193% |
| EMBLEM | PPO_Commercial | $32.72 | ↑ +193% |
| EMBLEM | HIP_GHI_CHP | $32.72 | ↑ +193% |
| Local 1199 | ALL PRODUCTS | $34.77 | ↑ +212% |
| ANTHEM | Blue Access Small Group | $38.42 | ↑ +245% |
| ANTHEM | Small Group EPO_PPO | $38.42 | ↑ +245% |
| ANTHEM | Blue Access Large Group | $39.66 | ↑ +256% |
| Healthfirst | HARP | $40.59 | ↑ +264% |
| Healthfirst | CHP | $40.59 | ↑ +264% |
| Healthfirst | Managed Medicaid | $40.59 | ↑ +264% |
| ANTHEM | INDEMNITY | $42.82 | ↑ +284% |
| ANTHEM | PPO | $42.82 | ↑ +284% |
| ANTHEM | EPO | $42.82 | ↑ +284% |
| ANTHEM | HMO | $42.82 | ↑ +284% |
| UNITED | HARP | $48.89 | ↑ +338% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $48.89 | ↑ +338% |
| UNITED | Managed Medicaid | $48.89 | ↑ +338% |
| Anthem HealthPlus | EXCHANGE | $48.89 | ↑ +338% |
| Fidelis | CHP | $48.89 | ↑ +338% |
| Fidelis | HARP_Managed Medicaid | $48.89 | ↑ +338% |
| Carelon | Managed Medicaid_HARP_CHP | $48.89 | ↑ +338% |
| MetroPlus | SNP | $48.90 | ↑ +339% |
| MetroPlus | Goldcare 1 & 2 | $48.90 | ↑ +339% |
| MetroPlus | Managed Medicaid | $48.90 | ↑ +339% |
| Carelon | Commercial_Essential Plans | $48.90 | ↑ +339% |
| MetroPlus | Gold | $48.90 | ↑ +339% |
| Carelon | GHI BMP | $48.90 | ↑ +339% |
| MetroPlus | HARP | $48.90 | ↑ +339% |
| MetroPlus | CHP | $48.90 | ↑ +339% |
| VNSNY | MAP | $49.87 | ↑ +347% |
| Carelon (Amida Care) | Managed Medicaid | $49.87 | ↑ +347% |
| UNITED BEHAVIORAL HEALTH | CHP | $49.87 | ↑ +347% |
| UNITED BEHAVIORAL HEALTH | HARP | $49.87 | ↑ +347% |
| VNSNY | Medicaid SNP | $49.87 | ↑ +347% |
| UNITED | Essential Plan 1-4_200-250 | $52.31 | ↑ +369% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $53.78 | ↑ +382% |
| EMBLEM | Essential Plan 3-4 | $61.13 | ↑ +448% |
| UNITED | CHP | $61.13 | ↑ +448% |
| Emblem | Essential Plan 200-250 | $66.02 | ↑ +492% |
| EMBLEM | Essential Plan 1-2 | $66.02 | ↑ +492% |
| Healthfirst | EXCHANGE | $78.24 | ↑ +602% |
| Healthfirst | Small Group | $79.71 | ↑ +615% |
| MetroPlus | Essential Plan 1-2 | $110.00 | ↑ +887% |
| MetroPlus | Essential Plan 200-250 | $110.00 | ↑ +887% |
| Healthfirst | Essential Plan 3-4 | $110.00 | ↑ +887% |
| Anthem HealthPlus | Essential Plan 1-2 | $110.00 | ↑ +887% |
| Anthem HealthPlus | Essential Plan 200-250 | $110.00 | ↑ +887% |
| Affinity | Essential Plan 200-250 | $110.00 | ↑ +887% |
| Fidelis | Essential Plan 1-4_200-250 | $110.00 | ↑ +887% |
| Anthem HealthPlus | Essential Plan 3-4 | $110.00 | ↑ +887% |
| MetroPlus | Essential Plan 3-4 | $110.00 | ↑ +887% |
| Healthfirst | Essential Plan 200-250 | $110.00 | ↑ +887% |
| Healthfirst | Essential Plan 1-2 | $110.00 | ↑ +887% |
| Affinity | Essential Plan 1-2 | $110.00 | ↑ +887% |
| Affinity | Essential Plan 3-4 | $110.00 | ↑ +887% |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - ANTHEM | EXCHANGE | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
Visitor-reported prices
Comments
5' nucleotidase - sendout at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $11.15 | $1.00 – $27.44 |
| South Brooklyn Health | Brooklyn | $11.15 | $1.00 – $27.44 |
| NewYork-Presbyterian Queens | Flushing | $18.00 | $7.81 – $46.04 |
| Bellevue Hospital Center | NY 10016 | $11.15 | $1.00 – $27.44 |
| Harlem Hospital Center | New York | $11.15 | $1.00 – $27.44 |
| Lincoln Medical Center | Bronx | $11.15 | $1.00 – $27.44 |
| Metropolitan Hospital Center | New York | $11.15 | $1.00 – $27.44 |
| UPMC Chautauqua | Jamestown | $243.00 | $11.15 – $364.50 |