Insert self-contd prosthesis at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$23,819.33
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.
$1,812.00
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.
$400.42 with PB - ANTHEM vs $51,744.17 with Elderplan — 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 | $400.42 | ↓ -98% |
| PB - LOCAL 1199 | ALL PRODUCTS | $726.00 | ↓ -97% |
| Local 1199 | ALL PRODUCTS | $726.00 | ↓ -97% |
| Aetna | MEDICARE ADVANTAGE | $765.92 | ↓ -97% |
| PB - AETNA | MEDICARE ADVANTAGE | $773.97 | ↓ -97% |
| PB - AETNA | ALL PRODUCTS | $773.97 | ↓ -97% |
| PB - CENTERLIGHT | PACE | $906.00 | ↓ -96% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $906.00 | ↓ -96% |
| MetroPlus | Essential Plan 200-250 | $936.55 | ↓ -96% |
| MetroPlus | Essential Plan 1-2 | $936.55 | ↓ -96% |
| MetroPlus | Essential Plan 3-4 | $936.55 | ↓ -96% |
| PB - OSCAR | ALL PRODUCTS | $996.60 | ↓ -96% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $1,087.20 | ↓ -95% |
| PB - AFFINITY | CHP | $1,268.40 | ↓ -95% |
| PB - AFFINITY | ESSENTIAL | $1,268.40 | ↓ -95% |
| Healthfirst | CHP | $5,229.72 | ↓ -78% |
| Fidelis | HARP_Managed Medicaid | $6,300.87 | ↓ -74% |
| Anthem HealthPlus | EXCHANGE | $6,300.87 | ↓ -74% |
| Carelon | Commercial_Essential Plans | $6,300.87 | ↓ -74% |
| Carelon | GHI BMP | $6,300.87 | ↓ -74% |
| Carelon | Managed Medicaid_HARP_CHP | $6,300.87 | ↓ -74% |
| Fidelis | CHP | $6,300.87 | ↓ -74% |
| MetroPlus | CHP | $6,300.87 | ↓ -74% |
| MetroPlus | Gold | $6,300.87 | ↓ -74% |
| MetroPlus | Goldcare 1 & 2 | $6,300.87 | ↓ -74% |
| MetroPlus | HARP | $6,300.87 | ↓ -74% |
| MetroPlus | Managed Medicaid | $6,300.87 | ↓ -74% |
| MetroPlus | SNP | $6,300.87 | ↓ -74% |
| UNITED | HARP | $6,300.87 | ↓ -74% |
| UNITED | Managed Medicaid | $6,300.87 | ↓ -74% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $6,300.87 | ↓ -74% |
| Carelon (Amida Care) | Managed Medicaid | $6,426.89 | ↓ -73% |
| UNITED BEHAVIORAL HEALTH | HARP | $6,426.89 | ↓ -73% |
| UNITED BEHAVIORAL HEALTH | CHP | $6,426.89 | ↓ -73% |
| VNSNY | MAP | $6,426.89 | ↓ -73% |
| VNSNY | Medicaid SNP | $6,426.89 | ↓ -73% |
| UNITED | Essential Plan 1-4_200-250 | $6,741.93 | ↓ -72% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $6,930.96 | ↓ -71% |
| UNITED | CHP | $7,876.09 | ↓ -67% |
| EMBLEM | Essential Plan 3-4 | $7,876.09 | ↓ -67% |
| EMBLEM | Essential Plan 1-2 | $8,506.17 | ↓ -64% |
| Emblem | Essential Plan 200-250 | $8,506.17 | ↓ -64% |
| Healthfirst | EXCHANGE | $10,081.39 | ↓ -58% |
| Healthfirst | Small Group | $10,270.42 | ↓ -57% |
| Anthem HealthPlus | Essential Plan 200-250 | $14,176.96 | ↓ -40% |
| Healthfirst | Essential Plan 3-4 | $14,176.96 | ↓ -40% |
| Healthfirst | Essential Plan 1-2 | $14,176.96 | ↓ -40% |
| Fidelis | Essential Plan 1-4_200-250 | $14,176.96 | ↓ -40% |
| Affinity | Essential Plan 200-250 | $14,176.96 | ↓ -40% |
| Affinity | Essential Plan 3-4 | $14,176.96 | ↓ -40% |
| Anthem HealthPlus | Essential Plan 1-2 | $14,176.96 | ↓ -40% |
| Anthem HealthPlus | Essential Plan 3-4 | $14,176.96 | ↓ -40% |
| Affinity | Essential Plan 1-2 | $14,176.96 | ↓ -40% |
| Healthfirst | Essential Plan 200-250 | $14,176.96 | ↓ -40% |
| Hamaspik | MEDICARE ADVANTAGE | $19,055.47 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $21,473.83 | ↓ -10% |
| VNSNY | Medicare Advantage | $23,819.33 | ↑ +0% |
| VACCN | All Products | $23,819.33 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $23,819.33 | ↑ +0% |
| Senior Whole Health | MAP | $23,819.33 | ↑ +0% |
| Senior Whole Health | MLTC | $23,819.33 | ↑ +0% |
| VNSNY | Medicare SNP | $23,819.33 | ↑ +0% |
| Fidelis | MAP | $23,819.33 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $25,010.30 | ↑ +5% |
| Healthfirst | MEDICARE ADVANTAGE | $25,354.65 | ↑ +6% |
| Healthfirst | MAP | $25,354.65 | ↑ +6% |
| Centerlight | PACE | $25,872.09 | ↑ +9% |
| UNITED | MEDICARE ADVANTAGE | $27,165.69 | ↑ +14% |
| MAGNACARE | Direct Plus FPP | $28,583.20 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $28,583.20 | ↑ +20% |
| MAGNACARE | PPO FPP | $28,583.20 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $28,583.20 | ↑ +20% |
| MetroPlus | EXCHANGE | $29,235.46 | ↑ +23% |
| MetroPlus | MEDICARE ADVANTAGE | $29,235.46 | ↑ +23% |
| MetroPlus | MAP | $29,235.46 | ↑ +23% |
| Fidelis | EXCHANGE | $33,823.45 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $35,252.61 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $35,729.00 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $38,808.13 | ↑ +63% |
| VillageCare Max | MEDICARE ADVANTAGE | $38,808.13 | ↑ +63% |
| VillageCare Max | MAP | $38,808.13 | ↑ +63% |
| Elderplan | MAP_Medicare Advantage_MLTC | $51,744.17 | ↑ +117% |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
Visitor-reported prices
Comments
Insert self-contd prosthesis at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $23,819.33 | $400.42 – $51,744.17 |
| South Brooklyn Health | Brooklyn | $23,819.33 | $726.00 – $51,744.17 |
| Bellevue Hospital Center | NY 10016 | $23,819.33 | $400.42 – $51,744.17 |
| Harlem Hospital Center | New York | $23,819.33 | $726.00 – $51,744.17 |
| Lincoln Medical Center | Bronx | $23,819.33 | $726.00 – $51,744.17 |
| Metropolitan Hospital Center | New York | $23,819.33 | $726.00 – $51,744.17 |
| Queens Hospital Center | Jamaica | $23,819.33 | $400.42 – $51,744.17 |
| North Central Bronx | Bronx | $23,819.33 | $726.00 – $51,744.17 |