Ghs simple repair 7.6 - 12.5 cm - 12004 at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$235.13
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.
$1,429.07
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.
$62.55 with PB - AETNA vs $1,707.00 with ANTHEM — 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 | ALL PRODUCTS | $62.55 | ↓ -73% |
| PB - ANTHEM | EXCHANGE | $75.46 | ↓ -68% |
| EMBLEM | PPO_Commercial | $85.16 | ↓ -64% |
| EMBLEM | HIP_GHI_CHP | $85.16 | ↓ -64% |
| Aetna | MEDICARE ADVANTAGE | $85.16 | ↓ -64% |
| PB - AETNA | MEDICARE ADVANTAGE | $109.26 | ↓ -54% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $109.50 | ↓ -53% |
| PB - CENTERLIGHT | PACE | $109.50 | ↓ -53% |
| PB - OSCAR | ALL PRODUCTS | $120.45 | ↓ -49% |
| Fidelis | MAP | $122.63 | ↓ -48% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $131.40 | ↓ -44% |
| PB - LOCAL 1199 | ALL PRODUCTS | $143.00 | ↓ -39% |
| PB - AFFINITY | ESSENTIAL | $153.30 | ↓ -35% |
| PB - AFFINITY | CHP | $153.30 | ↓ -35% |
| Healthfirst | MEDICARE ADVANTAGE | $207.87 | ↓ -12% |
| Healthfirst | MAP | $207.87 | ↓ -12% |
| Healthfirst | Medicare Advantage PPO | $207.87 | ↓ -12% |
| Hamaspik | MEDICARE ADVANTAGE | $235.13 | ↑ +0% |
| Senior Whole Health | MLTC | $235.13 | ↑ +0% |
| Senior Whole Health | MAP | $235.13 | ↑ +0% |
| VNSNY | Medicare Advantage | $235.13 | ↑ +0% |
| VNSNY | Medicare SNP | $235.13 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $235.13 | ↑ +0% |
| VACCN | All Products | $235.13 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $246.89 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $250.45 | ↑ +7% |
| Centerlight | PACE | $250.45 | ↑ +7% |
| Amidacare | Managed Medicaid | $250.45 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $253.94 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $262.97 | ↑ +12% |
| MetroPlus | MEDICARE ADVANTAGE | $283.01 | ↑ +20% |
| MetroPlus | MAP | $283.01 | ↑ +20% |
| MetroPlus | EXCHANGE | $283.01 | ↑ +20% |
| EMBLEM | MEDICARE ADVANTAGE | $293.92 | ↑ +25% |
| Fidelis | EXCHANGE | $333.88 | ↑ +42% |
| VillageCare Max | MEDICARE ADVANTAGE | $375.67 | ↑ +60% |
| VillageCare Max | MAP | $375.67 | ↑ +60% |
| Local 1199 | ALL PRODUCTS | $441.00 | ↑ +88% |
| Healthfirst | Managed Medicaid | $478.99 | ↑ +104% |
| Healthfirst | CHP | $478.99 | ↑ +104% |
| Healthfirst | HARP | $478.99 | ↑ +104% |
| MetroPlus | HARP | $577.10 | ↑ +145% |
| UNITED | HARP | $577.10 | ↑ +145% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $577.10 | ↑ +145% |
| UNITED | Managed Medicaid | $577.10 | ↑ +145% |
| MetroPlus | SNP | $577.10 | ↑ +145% |
| Anthem HealthPlus | EXCHANGE | $577.10 | ↑ +145% |
| MetroPlus | Gold | $577.10 | ↑ +145% |
| MetroPlus | Goldcare 1 & 2 | $577.10 | ↑ +145% |
| MetroPlus | Managed Medicaid | $577.10 | ↑ +145% |
| Carelon | GHI BMP | $577.10 | ↑ +145% |
| Carelon | Managed Medicaid_HARP_CHP | $577.10 | ↑ +145% |
| Carelon | Commercial_Essential Plans | $577.10 | ↑ +145% |
| Fidelis | CHP | $577.10 | ↑ +145% |
| Fidelis | HARP_Managed Medicaid | $577.10 | ↑ +145% |
| MetroPlus | CHP | $577.10 | ↑ +145% |
| UNITED BEHAVIORAL HEALTH | HARP | $588.64 | ↑ +150% |
| VNSNY | MAP | $588.64 | ↑ +150% |
| VNSNY | Medicaid SNP | $588.64 | ↑ +150% |
| Carelon (Amida Care) | Managed Medicaid | $588.64 | ↑ +150% |
| UNITED BEHAVIORAL HEALTH | CHP | $588.64 | ↑ +150% |
| UNITED | Essential Plan 1-4_200-250 | $617.50 | ↑ +163% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $634.81 | ↑ +170% |
| UNITED | CHP | $721.38 | ↑ +207% |
| EMBLEM | Essential Plan 3-4 | $721.38 | ↑ +207% |
| Emblem | Essential Plan 200-250 | $779.09 | ↑ +231% |
| EMBLEM | Essential Plan 1-2 | $779.09 | ↑ +231% |
| Carelon | MAP_Medicare Advantage | $781.00 | ↑ +232% |
| OXFORD | Liberty | $820.00 | ↑ +249% |
| Healthfirst | EXCHANGE | $923.36 | ↑ +293% |
| OXFORD | Freedom | $926.00 | ↑ +294% |
| Healthfirst | Small Group | $940.67 | ↑ +300% |
| UNITED | EXCHANGE | $1,040.00 | ↑ +342% |
| MAGNACARE | PPO FPP | $1,071.80 | ↑ +356% |
| MAGNACARE | Direct Plus FPP | $1,071.80 | ↑ +356% |
| MAGNACARE | Direct Plus Non-FPP | $1,071.80 | ↑ +356% |
| MAGNACARE | PPO Non-FPP | $1,071.80 | ↑ +356% |
| MULTIPLAN | ALL PRODUCTS | $1,143.26 | ↑ +386% |
| UNITED | ALL PRODUCTS | $1,147.00 | ↑ +388% |
| Aetna | ALL PRODUCTS | $1,235.00 | ↑ +425% |
| MetroPlus | Essential Plan 200-250 | $1,298.48 | ↑ +452% |
| Healthfirst | Essential Plan 1-2 | $1,298.48 | ↑ +452% |
| MetroPlus | Essential Plan 3-4 | $1,298.48 | ↑ +452% |
| Healthfirst | Essential Plan 3-4 | $1,298.48 | ↑ +452% |
| MetroPlus | Essential Plan 1-2 | $1,298.48 | ↑ +452% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,298.48 | ↑ +452% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,298.48 | ↑ +452% |
| Healthfirst | Essential Plan 200-250 | $1,298.48 | ↑ +452% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,298.48 | ↑ +452% |
| Fidelis | Essential Plan 1-4_200-250 | $1,298.48 | ↑ +452% |
| Affinity | Essential Plan 3-4 | $1,298.48 | ↑ +452% |
| Affinity | Essential Plan 200-250 | $1,298.48 | ↑ +452% |
| Affinity | Essential Plan 1-2 | $1,298.48 | ↑ +452% |
| OSCAR | ALL PRODUCTS | $1,466.00 | ↑ +523% |
| CIGNA | ALL PRODUCTS | $1,500.00 | ↑ +538% |
| ANTHEM | Blue Access Small Group | $1,536.00 | ↑ +553% |
| ANTHEM | Small Group EPO_PPO | $1,536.00 | ↑ +553% |
| ANTHEM | Blue Access Large Group | $1,579.00 | ↑ +572% |
| ANTHEM | EPO | $1,707.00 | ↑ +626% |
| ANTHEM | INDEMNITY | $1,707.00 | ↑ +626% |
| ANTHEM | PPO | $1,707.00 | ↑ +626% |
| ANTHEM | HMO | $1,707.00 | ↑ +626% |
| Affinity | CHP | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $235.13 | $75.46 – $781.00 |
| South Brooklyn Health | Brooklyn | $235.13 | $85.16 – $781.00 |
| NewYork-Presbyterian Queens | Flushing | $1,000.00 | $143.00 – $654.59 |
| Bellevue Hospital Center | NY 10016 | $235.13 | $62.55 – $781.00 |
| Harlem Hospital Center | New York | $235.13 | $82.33 – $781.00 |
| Lincoln Medical Center | Bronx | $235.13 | $85.16 – $781.00 |
| Metropolitan Hospital Center | New York | $235.13 | $85.16 – $781.00 |
| UPMC Chautauqua | Jamestown | $100.20 | $60.62 – $2,904.64 |