healthcosts.net
Colonoscopy (with polyp removal) at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$1,350.83
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.
$4,446.54
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.
$142.22 with Healthfirst vs $4,821.00 with EMBLEM — 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 |
|---|---|---|---|
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $142.22 | ↓ -89% |
| Healthfirst | CHP | $227.54 | ↓ -83% |
| Healthfirst | HARP | $227.54 | ↓ -83% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $227.54 | ↓ -83% |
| Healthfirst | Managed Medicaid | $227.54 | ↓ -83% |
| Affinity | CHP | $250.30 | ↓ -81% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $264.52 | ↓ -80% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $278.74 | ↓ -79% |
| Anthem HealthPlus | HARP | $284.43 | ↓ -79% |
| Anthem HealthPlus | MLTC | $284.43 | ↓ -79% |
| Elderplan | MAP | $284.43 | ↓ -79% |
| Anthem HealthPlus | MAP | $284.43 | ↓ -79% |
| Healthfirst | Small Group | $284.43 | ↓ -79% |
| Fidelis | Managed Medicaid | $284.43 | ↓ -79% |
| Elderplan | Medicare Advantage | $284.43 | ↓ -79% |
| Centerlight | PACE | $284.43 | ↓ -79% |
| Healthfirst | Medicare Advantage PPO | $284.43 | ↓ -79% |
| Fidelis | CHP | $284.43 | ↓ -79% |
| Elderplan | MLTC | $284.43 | ↓ -79% |
| Fidelis | FHP | $284.43 | ↓ -79% |
| Wellcare | Medicare Advantage | $288.70 | ↓ -79% |
| Centers Plan for Healthy Living | Medicare Advantage | $295.81 | ↓ -78% |
| Hamaspik | Medicare Advantage | $298.65 | ↓ -78% |
| Aetna | MEDICARE ADVANTAGE | $303.51 | ↓ -78% |
| Wellcare | MEDICARE ADVANTAGE | $307.18 | ↓ -77% |
| Anthem HealthPlus | CHP | $312.87 | ↓ -77% |
| Healthfirst | Medicare Advantage | $318.85 | ↓ -76% |
| Local 1199 | All Products | $325.00 | ↓ -76% |
| Anthem HealthPlus | Essential Plan 1-2 | $341.32 | ↓ -75% |
| Oscar | All Products | $355.54 | ↓ -74% |
| Fidelis | QHC | $379.00 | ↓ -72% |
| Fidelis | MAP | $409.58 | ↓ -70% |
| Affinity | Essential Plan 1-4_200-250 | $511.97 | ↓ -62% |
| Fidelis | Essential Plan 1-4_200-250 | $511.97 | ↓ -62% |
| Healthfirst | MEDICARE ADVANTAGE | $525.36 | ↓ -61% |
| Healthfirst | MAP | $525.36 | ↓ -61% |
| Aetna | All Products | $559.36 | ↓ -59% |
| Aetna | Medicare Advantage | $559.36 | ↓ -59% |
| MetroPlus | HARP | $867.90 | ↓ -36% |
| MetroPlus | Managed Medicaid | $951.25 | ↓ -30% |
| UNITED | HARP | $951.25 | ↓ -30% |
| MetroPlus | CHP | $951.25 | ↓ -30% |
| Senior Whole Health | MLTC | $951.25 | ↓ -30% |
| UNITED | Managed Medicaid | $951.25 | ↓ -30% |
| MetroPlus | Goldcare 1 & 2 | $951.25 | ↓ -30% |
| MetroPlus | Gold | $951.25 | ↓ -30% |
| MetroPlus | SNP | $951.25 | ↓ -30% |
| Carelon | Managed Medicaid_HARP_CHP | $951.25 | ↓ -30% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $951.25 | ↓ -30% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $951.25 | ↓ -30% |
| Anthem HealthPlus | EXCHANGE | $951.25 | ↓ -30% |
| Senior Whole Health | MAP | $951.25 | ↓ -30% |
| Amidacare | Managed Medicaid | $951.25 | ↓ -30% |
| Fidelis | HARP_Managed Medicaid | $951.25 | ↓ -30% |
| VNSNY | Medicaid SNP | $970.28 | ↓ -28% |
| UNITED BEHAVIORAL HEALTH | HARP | $970.28 | ↓ -28% |
| VNSNY | MAP | $970.28 | ↓ -28% |
| Affinity | HARP_Managed Medicaid | $970.28 | ↓ -28% |
| Carelon (Amida Care) | Managed Medicaid | $970.28 | ↓ -28% |
| UNITED BEHAVIORAL HEALTH | CHP | $970.28 | ↓ -28% |
| UNITED | Essential Plan 1-4_200-250 | $1,017.84 | ↓ -25% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $1,046.38 | ↓ -23% |
| Healthfirst | EXCHANGE | $1,189.06 | ↓ -12% |
| EMBLEM | Essential Plan 3-4 | $1,189.06 | ↓ -12% |
| UNITED | CHP | $1,189.06 | ↓ -12% |
| EMBLEM | Essential Plan 1-2 | $1,284.19 | ↓ -5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $1,395.28 | ↑ +3% |
| VNSNY | Medicare Advantage | $1,395.28 | ↑ +3% |
| ANTHEM | MEDICARE ADVANTAGE | $1,395.28 | ↑ +3% |
| VACCN | All Products | $1,395.28 | ↑ +3% |
| VNSNY | Medicare SNP | $1,395.28 | ↑ +3% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $1,451.09 | ↑ +7% |
| EMBLEM | MEDICARE ADVANTAGE | $1,744.10 | ↑ +29% |
| Affinity | Essential Plan 1-2 | $1,952.78 | ↑ +45% |
| Affinity | Essential Plan 200-250 | $1,952.78 | ↑ +45% |
| Affinity | Essential Plan 3-4 | $1,952.78 | ↑ +45% |
| Fidelis | EXCHANGE | $1,981.30 | ↑ +47% |
| Healthfirst | Essential Plan 1-2 | $2,140.31 | ↑ +58% |
| MetroPlus | Essential Plan 200-250 | $2,140.31 | ↑ +58% |
| Healthfirst | Essential Plan 3-4 | $2,140.31 | ↑ +58% |
| MetroPlus | Essential Plan 1-2 | $2,140.31 | ↑ +58% |
| Anthem HealthPlus | Essential Plan 3-4 | $2,140.31 | ↑ +58% |
| Healthfirst | Essential Plan 200-250 | $2,140.31 | ↑ +58% |
| MetroPlus | Essential Plan 3-4 | $2,140.31 | ↑ +58% |
| Aetna | ALL PRODUCTS | $2,177.00 | ↑ +61% |
| ANTHEM | Small Group EPO_PPO | $2,255.00 | ↑ +67% |
| ANTHEM | Blue Access Small Group | $2,255.00 | ↑ +67% |
| ANTHEM | Blue Access Large Group | $2,317.00 | ↑ +72% |
| Local 1199 | ALL PRODUCTS | $2,334.00 | ↑ +73% |
| OXFORD | Liberty | $2,337.00 | ↑ +73% |
| ANTHEM | EPO | $2,505.00 | ↑ +85% |
| ANTHEM | INDEMNITY | $2,505.00 | ↑ +85% |
| ANTHEM | PPO | $2,505.00 | ↑ +85% |
| ANTHEM | HMO | $2,505.00 | ↑ +85% |
| OXFORD | Freedom | $2,648.00 | ↑ +96% |
| UNITED | EXCHANGE | $2,829.00 | ↑ +109% |
| Carelon | GHI BMP | $2,890.25 | ↑ +114% |
| Carelon | MAP_Medicare Advantage | $2,890.25 | ↑ +114% |
| Carelon | Commercial_Essential Plans | $2,890.25 | ↑ +114% |
| UNITED | ALL PRODUCTS | $3,275.00 | ↑ +142% |
| MAGNACARE | PPO Non-FPP | $3,334.91 | ↑ +147% |
| MAGNACARE | Direct Plus Non-FPP | $3,334.91 | ↑ +147% |
| MULTIPLAN | ALL PRODUCTS | $3,557.23 | ↑ +163% |
| VillageCare Max | MAP | $3,779.56 | ↑ +180% |
| VillageCare Max | MEDICARE ADVANTAGE | $3,779.56 | ↑ +180% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↑ +217% |
| OSCAR | ALL PRODUCTS | $4,454.00 | ↑ +230% |
| EMBLEM | HIP_GHI_CHP | $4,821.00 | ↑ +257% |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| United Behavioral Health | Exchange | not published by hospital | — |
| Anthem HealthPlus | Exchange | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| United Behavioral Health | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy (with polyp removal) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $1,364.66 | $142.22 – $3,622.08 |
| South Brooklyn Health | Brooklyn | not published | $220.50 – $2,876.08 |
| Bellevue Hospital Center | NY 10016 | $1,364.66 | $0.01 – $4,454.00 |
| UPMC Chautauqua | Jamestown | $1,004.40 | $212.11 – $1,506.60 |
| Queens Hospital Center | Jamaica | $1,364.66 | $137.96 – $3,622.08 |
| Elmhurst Hospital Center | NY 11373 | not published | $220.73 – $4,454.00 |
| Harlem Hospital Center | New York | not published | $221.75 – $4,454.00 |
| Henry J. Carter Specialty Hospital | New York | not published | not published |