Inj, pedmark, 100 mg at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$96.08
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.
not published by hospital
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.
$76.86 with Hamaspik vs $15,996.98 with Affinity — 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $76.86 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $80.32 | ↓ -16% |
| Local 1199 | ALL PRODUCTS | $94.08 | ↓ -2% |
| Healthfirst | MEDICARE ADVANTAGE | $94.83 | ↓ -1% |
| Healthfirst | MAP | $94.83 | ↓ -1% |
| VNSNY | Medicare Advantage | $95.14 | ↓ -1% |
| VNSNY | Medicare SNP | $95.14 | ↓ -1% |
| ANTHEM | MEDICARE ADVANTAGE | $95.14 | ↓ -1% |
| VACCN | All Products | $95.14 | ↓ -1% |
| Senior Whole Health | MLTC | $95.14 | ↓ -1% |
| Senior Whole Health | MAP | $95.14 | ↓ -1% |
| Fidelis | MAP | $96.08 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $96.08 | ↑ +0% |
| Amidacare | Managed Medicaid | $96.77 | ↑ +1% |
| Centerlight | PACE | $96.77 | ↑ +1% |
| OXFORD | MEDICARE ADVANTAGE | $100.88 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $101.61 | ↑ +6% |
| MetroPlus | MAP | $109.35 | ↑ +14% |
| MetroPlus | MEDICARE ADVANTAGE | $109.35 | ↑ +14% |
| MetroPlus | EXCHANGE | $109.35 | ↑ +14% |
| MetroPlus | Essential Plan 3-4 | $112.73 | ↑ +17% |
| MetroPlus | Essential Plan 1-2 | $112.73 | ↑ +17% |
| MetroPlus | Essential Plan 200-250 | $112.73 | ↑ +17% |
| MAGNACARE | PPO FPP | $114.17 | ↑ +19% |
| MAGNACARE | PPO Non-FPP | $114.17 | ↑ +19% |
| MAGNACARE | Direct Plus FPP | $114.17 | ↑ +19% |
| MAGNACARE | Direct Plus Non-FPP | $114.17 | ↑ +19% |
| Aetna | ALL PRODUCTS | $131.58 | ↑ +37% |
| Fidelis | EXCHANGE | $136.43 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $142.20 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $142.71 | ↑ +49% |
| VillageCare Max | MEDICARE ADVANTAGE | $145.16 | ↑ +51% |
| VillageCare Max | MAP | $145.16 | ↑ +51% |
| OSCAR | ALL PRODUCTS | $145.16 | ↑ +51% |
| Elderplan | MAP_Medicare Advantage_MLTC | $193.54 | ↑ +101% |
| Healthfirst | CHP | $5,901.12 | ↑ +6042% |
| Healthfirst | HARP | $5,901.12 | ↑ +6042% |
| Healthfirst | Managed Medicaid | $5,901.12 | ↑ +6042% |
| Anthem HealthPlus | EXCHANGE | $7,109.77 | ↑ +7300% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $7,109.77 | ↑ +7300% |
| UNITED | HARP | $7,109.77 | ↑ +7300% |
| UNITED | Managed Medicaid | $7,109.77 | ↑ +7300% |
| Carelon | Managed Medicaid_HARP_CHP | $7,109.77 | ↑ +7300% |
| Fidelis | HARP_Managed Medicaid | $7,109.77 | ↑ +7300% |
| Fidelis | CHP | $7,109.77 | ↑ +7300% |
| Carelon | Commercial_Essential Plans | $7,109.78 | ↑ +7300% |
| MetroPlus | Goldcare 1 & 2 | $7,109.78 | ↑ +7300% |
| MetroPlus | Managed Medicaid | $7,109.78 | ↑ +7300% |
| Carelon | GHI BMP | $7,109.78 | ↑ +7300% |
| MetroPlus | Gold | $7,109.78 | ↑ +7300% |
| MetroPlus | HARP | $7,109.78 | ↑ +7300% |
| MetroPlus | SNP | $7,109.78 | ↑ +7300% |
| MetroPlus | CHP | $7,109.78 | ↑ +7300% |
| UNITED BEHAVIORAL HEALTH | HARP | $7,251.97 | ↑ +7448% |
| Carelon (Amida Care) | Managed Medicaid | $7,251.97 | ↑ +7448% |
| UNITED BEHAVIORAL HEALTH | CHP | $7,251.97 | ↑ +7448% |
| VNSNY | Medicaid SNP | $7,251.97 | ↑ +7448% |
| VNSNY | MAP | $7,251.97 | ↑ +7448% |
| UNITED | Essential Plan 1-4_200-250 | $7,607.45 | ↑ +7818% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $7,820.75 | ↑ +8040% |
| EMBLEM | Essential Plan 3-4 | $8,887.23 | ↑ +9150% |
| UNITED | CHP | $8,887.23 | ↑ +9150% |
| Emblem | Essential Plan 200-250 | $9,598.20 | ↑ +9890% |
| EMBLEM | Essential Plan 1-2 | $9,598.20 | ↑ +9890% |
| Healthfirst | EXCHANGE | $11,375.65 | ↑ +11740% |
| Healthfirst | Small Group | $11,588.94 | ↑ +11962% |
| Healthfirst | Essential Plan 1-2 | $15,996.98 | ↑ +16550% |
| Healthfirst | Essential Plan 200-250 | $15,996.98 | ↑ +16550% |
| Affinity | Essential Plan 1-2 | $15,996.98 | ↑ +16550% |
| Affinity | Essential Plan 3-4 | $15,996.98 | ↑ +16550% |
| Anthem HealthPlus | Essential Plan 3-4 | $15,996.98 | ↑ +16550% |
| Anthem HealthPlus | Essential Plan 1-2 | $15,996.98 | ↑ +16550% |
| Anthem HealthPlus | Essential Plan 200-250 | $15,996.98 | ↑ +16550% |
| Healthfirst | Essential Plan 3-4 | $15,996.98 | ↑ +16550% |
| Fidelis | Essential Plan 1-4_200-250 | $15,996.98 | ↑ +16550% |
| Affinity | Essential Plan 200-250 | $15,996.98 | ↑ +16550% |
Visitor-reported prices
Comments
Inj, pedmark, 100 mg at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $96.08 | $76.86 – $193.54 |
| South Brooklyn Health | Brooklyn | $96.08 | $76.86 – $193.54 |
| NewYork-Presbyterian Queens | Flushing | $5.79 | $3.54 – $5,335.44 |
| Bellevue Hospital Center | NY 10016 | $96.08 | $76.86 – $193.54 |
| Harlem Hospital Center | New York | $96.08 | $76.86 – $193.54 |
| Lincoln Medical Center | Bronx | $96.08 | $76.86 – $193.54 |
| Metropolitan Hospital Center | New York | $96.08 | $76.86 – $193.54 |
| Queens Hospital Center | Jamaica | $96.08 | $76.86 – $193.54 |