Adenovirus assay w/optic at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$21.76
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.
$54.00
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.
$6.49 with PB - AETNA vs $106.72 with Healthfirst — 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 |
|---|---|---|---|
| PB - AETNA | MEDICARE ADVANTAGE | $6.49 | ↓ -70% |
| PB - AETNA | ALL PRODUCTS | $6.49 | ↓ -70% |
| Aetna | ALL PRODUCTS | $11.29 | ↓ -48% |
| Hamaspik | MEDICARE ADVANTAGE | $17.41 | ↓ -20% |
| OXFORD | Freedom | $17.52 | ↓ -19% |
| OXFORD | Liberty | $17.52 | ↓ -19% |
| UNITED | ALL PRODUCTS | $17.52 | ↓ -19% |
| Healthfirst | Medicare Advantage PPO | $18.06 | ↓ -17% |
| EMBLEM | Essential Plan 3-4 | $18.31 | ↓ -16% |
| Emblem | Essential Plan 200-250 | $19.77 | ↓ -9% |
| EMBLEM | Essential Plan 1-2 | $19.77 | ↓ -9% |
| Healthfirst | MEDICARE ADVANTAGE | $21.32 | ↓ -2% |
| Healthfirst | MAP | $21.32 | ↓ -2% |
| Fidelis | MAP | $21.76 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $21.76 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $21.76 | ↑ +0% |
| Senior Whole Health | MAP | $21.76 | ↑ +0% |
| VNSNY | Medicare SNP | $21.76 | ↑ +0% |
| VACCN | All Products | $21.76 | ↑ +0% |
| Amidacare | Managed Medicaid | $21.76 | ↑ +0% |
| VNSNY | Medicare Advantage | $21.76 | ↑ +0% |
| EMBLEM | MEDICARE ADVANTAGE | $21.76 | ↑ +0% |
| Senior Whole Health | MLTC | $21.76 | ↑ +0% |
| Centerlight | PACE | $21.76 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $22.85 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $22.85 | ↑ +5% |
| MetroPlus | EXCHANGE | $24.59 | ↑ +13% |
| MetroPlus | MEDICARE ADVANTAGE | $24.59 | ↑ +13% |
| MetroPlus | MAP | $24.59 | ↑ +13% |
| MAGNACARE | Direct Plus FPP | $26.11 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $26.11 | ↑ +20% |
| MAGNACARE | PPO FPP | $26.11 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $26.11 | ↑ +20% |
| MetroPlus | Essential Plan 1-2 | $26.33 | ↑ +21% |
| MetroPlus | Essential Plan 3-4 | $26.33 | ↑ +21% |
| MetroPlus | Essential Plan 200-250 | $26.33 | ↑ +21% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $27.00 | ↑ +24% |
| PB - CENTERLIGHT | PACE | $27.00 | ↑ +24% |
| PB - OSCAR | ALL PRODUCTS | $29.70 | ↑ +36% |
| Wellcare | MEDICARE ADVANTAGE | $32.20 | ↑ +48% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $32.40 | ↑ +49% |
| VillageCare Max | MEDICARE ADVANTAGE | $32.64 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $32.64 | ↑ +50% |
| VillageCare Max | MAP | $32.64 | ↑ +50% |
| PB - AFFINITY | ESSENTIAL | $37.80 | ↑ +74% |
| PB - AFFINITY | CHP | $37.80 | ↑ +74% |
| Healthfirst | Managed Medicaid | $39.38 | ↑ +81% |
| Healthfirst | CHP | $39.38 | ↑ +81% |
| Healthfirst | HARP | $39.38 | ↑ +81% |
| Elderplan | MAP_Medicare Advantage_MLTC | $43.52 | ↑ +100% |
| PB - LOCAL 1199 | ALL PRODUCTS | $45.90 | ↑ +111% |
| Anthem HealthPlus | EXCHANGE | $47.43 | ↑ +118% |
| Fidelis | HARP_Managed Medicaid | $47.43 | ↑ +118% |
| Fidelis | CHP | $47.43 | ↑ +118% |
| Carelon | Managed Medicaid_HARP_CHP | $47.43 | ↑ +118% |
| UNITED | HARP | $47.43 | ↑ +118% |
| UNITED | Managed Medicaid | $47.43 | ↑ +118% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $47.43 | ↑ +118% |
| MetroPlus | Gold | $47.44 | ↑ +118% |
| MetroPlus | CHP | $47.44 | ↑ +118% |
| MetroPlus | SNP | $47.44 | ↑ +118% |
| MetroPlus | Managed Medicaid | $47.44 | ↑ +118% |
| Carelon | GHI BMP | $47.44 | ↑ +118% |
| Carelon | Commercial_Essential Plans | $47.44 | ↑ +118% |
| MetroPlus | HARP | $47.44 | ↑ +118% |
| MetroPlus | Goldcare 1 & 2 | $47.44 | ↑ +118% |
| UNITED BEHAVIORAL HEALTH | CHP | $48.38 | ↑ +122% |
| VNSNY | Medicaid SNP | $48.38 | ↑ +122% |
| VNSNY | MAP | $48.38 | ↑ +122% |
| UNITED BEHAVIORAL HEALTH | HARP | $48.38 | ↑ +122% |
| Carelon (Amida Care) | Managed Medicaid | $48.38 | ↑ +122% |
| UNITED | Essential Plan 1-4_200-250 | $50.75 | ↑ +133% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $52.17 | ↑ +140% |
| PB - CIGNA | ALL PRODUCTS | $54.08 | ↑ +149% |
| CIGNA | ALL PRODUCTS | $54.08 | ↑ +149% |
| UNITED | CHP | $59.30 | ↑ +173% |
| ANTHEM | Small Group EPO_PPO | $60.71 | ↑ +179% |
| ANTHEM | Blue Access Small Group | $60.71 | ↑ +179% |
| ANTHEM | Blue Access Large Group | $62.67 | ↑ +188% |
| ANTHEM | EPO | $67.67 | ↑ +211% |
| ANTHEM | INDEMNITY | $67.67 | ↑ +211% |
| ANTHEM | HMO | $67.67 | ↑ +211% |
| ANTHEM | PPO | $67.67 | ↑ +211% |
| Healthfirst | EXCHANGE | $75.90 | ↑ +249% |
| Healthfirst | Small Group | $77.33 | ↑ +255% |
| Anthem HealthPlus | Essential Plan 200-250 | $106.72 | ↑ +390% |
| Healthfirst | Essential Plan 1-2 | $106.72 | ↑ +390% |
| Anthem HealthPlus | Essential Plan 1-2 | $106.72 | ↑ +390% |
| Affinity | Essential Plan 3-4 | $106.72 | ↑ +390% |
| Healthfirst | Essential Plan 3-4 | $106.72 | ↑ +390% |
| Affinity | Essential Plan 1-2 | $106.72 | ↑ +390% |
| Anthem HealthPlus | Essential Plan 3-4 | $106.72 | ↑ +390% |
| Fidelis | Essential Plan 1-4_200-250 | $106.72 | ↑ +390% |
| Affinity | Essential Plan 200-250 | $106.72 | ↑ +390% |
| Healthfirst | Essential Plan 200-250 | $106.72 | ↑ +390% |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | EXCHANGE | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Adenovirus assay w/optic at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $21.76 | $6.49 – $54.08 |
| South Brooklyn Health | Brooklyn | $21.76 | $11.29 – $54.08 |
| Bellevue Hospital Center | NY 10016 | $21.76 | $6.49 – $54.08 |
| Harlem Hospital Center | New York | $21.76 | $11.29 – $54.08 |
| Lincoln Medical Center | Bronx | $21.76 | $11.29 – $54.08 |
| Metropolitan Hospital Center | New York | $21.76 | $11.29 – $54.08 |
| Queens Hospital Center | Jamaica | $21.76 | $6.49 – $54.08 |
| North Central Bronx | Bronx | $21.76 | $8.44 – $54.08 |