Biopsy skin incisional single lesion at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$755.08
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.
$1,365.90
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.
$40.21 with PB - ANTHEM vs $4,677.00 with OSCAR — 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 - ANTHEM | EXCHANGE | $40.21 | ↓ -95% |
| PB - AETNA | ALL PRODUCTS | $52.22 | ↓ -93% |
| Aetna | MEDICARE ADVANTAGE | $64.18 | ↓ -92% |
| EMBLEM | PPO_Commercial | $64.18 | ↓ -92% |
| EMBLEM | HIP_GHI_CHP | $64.18 | ↓ -92% |
| PB - CENTERLIGHT | PACE | $67.50 | ↓ -91% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $67.50 | ↓ -91% |
| PB - OSCAR | ALL PRODUCTS | $74.25 | ↓ -90% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $81.00 | ↓ -89% |
| Fidelis | MAP | $92.42 | ↓ -88% |
| PB - AFFINITY | ESSENTIAL | $94.50 | ↓ -87% |
| PB - AFFINITY | CHP | $94.50 | ↓ -87% |
| PB - LOCAL 1199 | ALL PRODUCTS | $114.75 | ↓ -85% |
| PB - AETNA | MEDICARE ADVANTAGE | $130.45 | ↓ -83% |
| Local 1199 | ALL PRODUCTS | $441.00 | ↓ -42% |
| Healthfirst | HARP | $647.81 | ↓ -14% |
| Healthfirst | Managed Medicaid | $647.81 | ↓ -14% |
| Healthfirst | CHP | $647.81 | ↓ -14% |
| ANTHEM | MEDICARE ADVANTAGE | $724.37 | ↓ -4% |
| VNSNY | Medicare SNP | $724.37 | ↓ -4% |
| VNSNY | Medicare Advantage | $724.37 | ↓ -4% |
| Senior Whole Health | MLTC | $724.37 | ↓ -4% |
| Senior Whole Health | MAP | $724.37 | ↓ -4% |
| VACCN | All Products | $724.37 | ↓ -4% |
| OXFORD | MEDICARE ADVANTAGE | $760.59 | ↑ +1% |
| Healthfirst | Medicare Advantage PPO | $765.73 | ↑ +1% |
| Healthfirst | MAP | $765.73 | ↑ +1% |
| Healthfirst | MEDICARE ADVANTAGE | $765.73 | ↑ +1% |
| MetroPlus | Goldcare 1 & 2 | $780.49 | ↑ +3% |
| Fidelis | CHP | $780.49 | ↑ +3% |
| Anthem HealthPlus | EXCHANGE | $780.49 | ↑ +3% |
| MetroPlus | CHP | $780.49 | ↑ +3% |
| Fidelis | HARP_Managed Medicaid | $780.49 | ↑ +3% |
| UNITED | Managed Medicaid | $780.49 | ↑ +3% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $780.49 | ↑ +3% |
| MetroPlus | SNP | $780.49 | ↑ +3% |
| UNITED | HARP | $780.49 | ↑ +3% |
| MetroPlus | Gold | $780.49 | ↑ +3% |
| MetroPlus | HARP | $780.49 | ↑ +3% |
| Carelon | Commercial_Essential Plans | $780.49 | ↑ +3% |
| Carelon | Managed Medicaid_HARP_CHP | $780.49 | ↑ +3% |
| MetroPlus | Managed Medicaid | $780.49 | ↑ +3% |
| Carelon | GHI BMP | $780.49 | ↑ +3% |
| Wellcare | MEDICARE ADVANTAGE | $782.32 | ↑ +4% |
| VNSNY | Medicaid SNP | $796.10 | ↑ +5% |
| VNSNY | MAP | $796.10 | ↑ +5% |
| UNITED BEHAVIORAL HEALTH | CHP | $796.10 | ↑ +5% |
| UNITED BEHAVIORAL HEALTH | HARP | $796.10 | ↑ +5% |
| Carelon (Amida Care) | Managed Medicaid | $796.10 | ↑ +5% |
| UNITED | Essential Plan 1-4_200-250 | $835.12 | ↑ +11% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $858.54 | ↑ +14% |
| Carelon | MAP_Medicare Advantage | $887.84 | ↑ +18% |
| EMBLEM | MEDICARE ADVANTAGE | $905.46 | ↑ +20% |
| Elderplan | MAP_Medicare Advantage_MLTC | $922.57 | ↑ +22% |
| Centerlight | PACE | $922.57 | ↑ +22% |
| Amidacare | Managed Medicaid | $922.57 | ↑ +22% |
| UNITED | MEDICARE ADVANTAGE | $968.70 | ↑ +28% |
| UNITED | CHP | $975.61 | ↑ +29% |
| EMBLEM | Essential Plan 3-4 | $975.61 | ↑ +29% |
| MAGNACARE | Direct Plus FPP | $1,024.43 | ↑ +36% |
| MAGNACARE | Direct Plus Non-FPP | $1,024.43 | ↑ +36% |
| MAGNACARE | PPO Non-FPP | $1,024.43 | ↑ +36% |
| MAGNACARE | PPO FPP | $1,024.43 | ↑ +36% |
| Fidelis | EXCHANGE | $1,028.61 | ↑ +36% |
| MetroPlus | EXCHANGE | $1,042.51 | ↑ +38% |
| MetroPlus | MEDICARE ADVANTAGE | $1,042.51 | ↑ +38% |
| MetroPlus | MAP | $1,042.51 | ↑ +38% |
| EMBLEM | Essential Plan 1-2 | $1,053.66 | ↑ +40% |
| Emblem | Essential Plan 200-250 | $1,053.66 | ↑ +40% |
| UNITED | ALL PRODUCTS | $1,092.72 | ↑ +45% |
| MULTIPLAN | ALL PRODUCTS | $1,092.72 | ↑ +45% |
| UNITED | EXCHANGE | $1,092.72 | ↑ +45% |
| Healthfirst | EXCHANGE | $1,248.78 | ↑ +65% |
| Healthfirst | Small Group | $1,272.20 | ↑ +68% |
| VillageCare Max | MAP | $1,383.86 | ↑ +83% |
| VillageCare Max | MEDICARE ADVANTAGE | $1,383.86 | ↑ +83% |
| ANTHEM | Small Group EPO_PPO | $1,643.00 | ↑ +118% |
| ANTHEM | Blue Access Small Group | $1,643.00 | ↑ +118% |
| ANTHEM | Blue Access Large Group | $1,689.00 | ↑ +124% |
| Aetna | ALL PRODUCTS | $1,715.00 | ↑ +127% |
| Affinity | Essential Plan 1-2 | $1,756.10 | ↑ +133% |
| Fidelis | Essential Plan 1-4_200-250 | $1,756.10 | ↑ +133% |
| Healthfirst | Essential Plan 200-250 | $1,756.10 | ↑ +133% |
| Healthfirst | Essential Plan 1-2 | $1,756.10 | ↑ +133% |
| Affinity | Essential Plan 3-4 | $1,756.10 | ↑ +133% |
| Affinity | Essential Plan 200-250 | $1,756.10 | ↑ +133% |
| Healthfirst | Essential Plan 3-4 | $1,756.10 | ↑ +133% |
| MetroPlus | Essential Plan 3-4 | $1,756.10 | ↑ +133% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,756.10 | ↑ +133% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,756.10 | ↑ +133% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,756.10 | ↑ +133% |
| MetroPlus | Essential Plan 200-250 | $1,756.10 | ↑ +133% |
| MetroPlus | Essential Plan 1-2 | $1,756.10 | ↑ +133% |
| ANTHEM | INDEMNITY | $1,826.00 | ↑ +142% |
| ANTHEM | PPO | $1,826.00 | ↑ +142% |
| ANTHEM | EPO | $1,826.00 | ↑ +142% |
| ANTHEM | HMO | $1,826.00 | ↑ +142% |
| OXFORD | Liberty | $3,399.00 | ↑ +350% |
| OXFORD | Freedom | $3,850.00 | ↑ +410% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↑ +467% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↑ +519% |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $755.08 | $40.21 – $1,383.86 |
| South Brooklyn Health | Brooklyn | $724.37 | $64.18 – $1,042.51 |
| NewYork-Presbyterian Queens | Flushing | $1,526.00 | $179.00 – $888.92 |
| Bellevue Hospital Center | NY 10016 | $755.08 | $40.21 – $1,383.86 |
| Harlem Hospital Center | New York | $724.37 | $62.50 – $1,042.51 |
| Lincoln Medical Center | Bronx | $724.37 | $64.18 – $1,042.51 |
| Metropolitan Hospital Center | New York | $724.37 | $64.18 – $1,042.51 |
| UPMC Chautauqua | Jamestown | $498.00 | $47.31 – $2,904.64 |