Incis 1 vertebral seg lumbar at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$7,413.38
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.
$5,285.94
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.
$0.01 with CIGNA vs $13,586.72 with VillageCare Max — 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| Healthfirst | Medicare Advantage PPO | $225.00 | ↓ -97% |
| Aetna | ALL PRODUCTS | $257.00 | ↓ -97% |
| MAGNACARE | PPO Non-FPP | $330.00 | ↓ -96% |
| MAGNACARE | Direct Plus FPP | $330.00 | ↓ -96% |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | ↓ -96% |
| MAGNACARE | PPO FPP | $330.00 | ↓ -96% |
| EMBLEM | HIP_GHI_CHP | $332.00 | ↓ -96% |
| EMBLEM | PPO_Commercial | $332.00 | ↓ -96% |
| OXFORD | Liberty | $380.00 | ↓ -95% |
| OXFORD | Freedom | $431.00 | ↓ -94% |
| UNITED | EXCHANGE | $480.00 | ↓ -94% |
| UNITED | ALL PRODUCTS | $529.00 | ↓ -93% |
| OSCAR | ALL PRODUCTS | $645.00 | ↓ -91% |
| PB - ANTHEM | EXCHANGE | $844.63 | ↓ -89% |
| PB - AETNA | ALL PRODUCTS | $1,570.07 | ↓ -79% |
| PB - AETNA | MEDICARE ADVANTAGE | $1,570.07 | ↓ -79% |
| Local 1199 | ALL PRODUCTS | $1,602.00 | ↓ -78% |
| PB - LOCAL 1199 | ALL PRODUCTS | $1,602.00 | ↓ -78% |
| Aetna | MEDICARE ADVANTAGE | $1,845.73 | ↓ -75% |
| PB - CENTERLIGHT | PACE | $2,222.50 | ↓ -70% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $2,222.50 | ↓ -70% |
| PB - OSCAR | ALL PRODUCTS | $2,444.75 | ↓ -67% |
| Fidelis | MAP | $2,657.85 | ↓ -64% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $2,667.00 | ↓ -64% |
| PB - AFFINITY | ESSENTIAL | $3,111.50 | ↓ -58% |
| PB - AFFINITY | CHP | $3,111.50 | ↓ -58% |
| Wellcare | MEDICARE ADVANTAGE | $3,171.56 | ↓ -57% |
| Healthfirst | CHP | $3,202.59 | ↓ -57% |
| Healthfirst | Managed Medicaid | $3,202.59 | ↓ -57% |
| Healthfirst | HARP | $3,202.59 | ↓ -57% |
| Carelon | MAP_Medicare Advantage | $3,435.86 | ↓ -54% |
| EMBLEM | MEDICARE ADVANTAGE | $3,700.16 | ↓ -50% |
| MetroPlus | CHP | $3,858.54 | ↓ -48% |
| Anthem HealthPlus | EXCHANGE | $3,858.54 | ↓ -48% |
| Carelon | Commercial_Essential Plans | $3,858.54 | ↓ -48% |
| Carelon | GHI BMP | $3,858.54 | ↓ -48% |
| Carelon | Managed Medicaid_HARP_CHP | $3,858.54 | ↓ -48% |
| Fidelis | CHP | $3,858.54 | ↓ -48% |
| Fidelis | HARP_Managed Medicaid | $3,858.54 | ↓ -48% |
| MetroPlus | Gold | $3,858.54 | ↓ -48% |
| MetroPlus | Goldcare 1 & 2 | $3,858.54 | ↓ -48% |
| MetroPlus | HARP | $3,858.54 | ↓ -48% |
| MetroPlus | Managed Medicaid | $3,858.54 | ↓ -48% |
| MetroPlus | SNP | $3,858.54 | ↓ -48% |
| UNITED | HARP | $3,858.54 | ↓ -48% |
| UNITED | Managed Medicaid | $3,858.54 | ↓ -48% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $3,858.54 | ↓ -48% |
| UNITED BEHAVIORAL HEALTH | CHP | $3,935.71 | ↓ -47% |
| Carelon (Amida Care) | Managed Medicaid | $3,935.71 | ↓ -47% |
| VNSNY | MAP | $3,935.71 | ↓ -47% |
| UNITED BEHAVIORAL HEALTH | HARP | $3,935.71 | ↓ -47% |
| VNSNY | Medicaid SNP | $3,935.71 | ↓ -47% |
| UNITED | Essential Plan 1-4_200-250 | $4,128.64 | ↓ -44% |
| MULTIPLAN | ALL PRODUCTS | $4,228.75 | ↓ -43% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $4,244.39 | ↓ -43% |
| VNSNY | Medicare Advantage | $4,493.05 | ↓ -39% |
| VNSNY | Medicare SNP | $4,493.05 | ↓ -39% |
| UNITED | CHP | $4,823.18 | ↓ -35% |
| ANTHEM | Small Group EPO_PPO | $5,096.91 | ↓ -31% |
| ANTHEM | Blue Access Small Group | $5,096.91 | ↓ -31% |
| ANTHEM | Blue Access Large Group | $5,261.33 | ↓ -29% |
| Healthfirst | MAP | $5,285.94 | ↓ -29% |
| Healthfirst | MEDICARE ADVANTAGE | $5,285.94 | ↓ -29% |
| ANTHEM | HMO | $5,681.50 | ↓ -23% |
| ANTHEM | PPO | $5,681.50 | ↓ -23% |
| ANTHEM | EPO | $5,681.50 | ↓ -23% |
| ANTHEM | INDEMNITY | $5,681.50 | ↓ -23% |
| EMBLEM | Essential Plan 3-4 | $5,787.81 | ↓ -22% |
| Emblem | Essential Plan 200-250 | $6,173.66 | ↓ -17% |
| EMBLEM | Essential Plan 1-2 | $6,173.66 | ↓ -17% |
| Healthfirst | EXCHANGE | $6,173.66 | ↓ -17% |
| Healthfirst | Small Group | $6,289.42 | ↓ -15% |
| Healthfirst | Essential Plan 1-2 | $8,681.72 | ↑ +17% |
| Affinity | Essential Plan 200-250 | $8,681.72 | ↑ +17% |
| Anthem HealthPlus | Essential Plan 3-4 | $8,681.72 | ↑ +17% |
| Anthem HealthPlus | Essential Plan 200-250 | $8,681.72 | ↑ +17% |
| MetroPlus | Essential Plan 1-2 | $8,681.72 | ↑ +17% |
| MetroPlus | Essential Plan 200-250 | $8,681.72 | ↑ +17% |
| MetroPlus | Essential Plan 3-4 | $8,681.72 | ↑ +17% |
| Anthem HealthPlus | Essential Plan 1-2 | $8,681.72 | ↑ +17% |
| Healthfirst | Essential Plan 3-4 | $8,681.72 | ↑ +17% |
| Healthfirst | Essential Plan 200-250 | $8,681.72 | ↑ +17% |
| Fidelis | Essential Plan 1-4_200-250 | $8,681.72 | ↑ +17% |
| Affinity | Essential Plan 1-2 | $8,681.72 | ↑ +17% |
| Affinity | Essential Plan 3-4 | $8,681.72 | ↑ +17% |
| Elderplan | MAP_Medicare Advantage_MLTC | $9,057.82 | ↑ +22% |
| Senior Whole Health | MLTC | $9,057.82 | ↑ +22% |
| Amidacare | Managed Medicaid | $9,057.82 | ↑ +22% |
| Centerlight | PACE | $9,057.82 | ↑ +22% |
| UNITED | MEDICARE ADVANTAGE | $9,510.71 | ↑ +28% |
| MetroPlus | EXCHANGE | $10,235.33 | ↑ +38% |
| MetroPlus | MAP | $10,235.33 | ↑ +38% |
| MetroPlus | MEDICARE ADVANTAGE | $10,235.33 | ↑ +38% |
| VillageCare Max | MAP | $13,586.72 | ↑ +83% |
| VillageCare Max | MEDICARE ADVANTAGE | $13,586.72 | ↑ +83% |
| Senior Whole Health | MAP | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| VACCN | All Products | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
Visitor-reported prices
Comments
Incis 1 vertebral seg lumbar at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $7,413.38 | $0.01 – $13,586.72 |
| South Brooklyn Health | Brooklyn | not published | $0.01 – $10,235.33 |
| Bellevue Hospital Center | NY 10016 | $7,413.38 | $0.01 – $13,586.72 |
| Queens Hospital Center | Jamaica | $7,413.38 | $0.01 – $13,586.72 |
| Harlem Hospital Center | New York | not published | $0.01 – $10,235.33 |
| Lincoln Medical Center | Bronx | not published | $0.01 – $10,235.33 |
| Metropolitan Hospital Center | New York | not published | $0.01 – $10,235.33 |
| North Central Bronx | Bronx | not published | $0.01 – $13,586.72 |