healthcosts.net
Knee X-ray at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$125.85
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.
$459.05
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.
$21.90 with Aetna vs $1,131.00 with Aetna — 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 |
|---|---|---|---|
| Aetna | MEDICARE ADVANTAGE | $21.90 | ↓ -83% |
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $27.31 | ↓ -78% |
| Aetna | All Products | $30.36 | ↓ -76% |
| Aetna | Medicare Advantage | $30.36 | ↓ -76% |
| Anthem HealthPlus | Exchange | $32.71 | ↓ -74% |
| Healthfirst | HARP | $34.03 | ↓ -73% |
| Healthfirst | Managed Medicaid | $34.03 | ↓ -73% |
| Healthfirst | MEDICARE ADVANTAGE | $35.31 | ↓ -72% |
| Healthfirst | MAP | $35.31 | ↓ -72% |
| Healthfirst | Medicare Advantage PPO | $35.31 | ↓ -72% |
| Healthfirst | CHP | $38.29 | ↓ -70% |
| EMBLEM | HIP_GHI_CHP | $42.54 | ↓ -66% |
| EMBLEM | MEDICARE ADVANTAGE | $42.54 | ↓ -66% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $43.70 | ↓ -65% |
| Wellcare | MEDICARE ADVANTAGE | $45.94 | ↓ -63% |
| Local 1199 | All Products | $46.00 | ↓ -63% |
| Affinity | CHP | $48.07 | ↓ -62% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $50.80 | ↓ -60% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $53.53 | ↓ -57% |
| Anthem HealthPlus | HARP | $54.62 | ↓ -57% |
| Anthem HealthPlus | MLTC | $54.62 | ↓ -57% |
| Elderplan | MAP | $54.62 | ↓ -57% |
| Anthem HealthPlus | MAP | $54.62 | ↓ -57% |
| Healthfirst | Small Group | $54.62 | ↓ -57% |
| Fidelis | Managed Medicaid | $54.62 | ↓ -57% |
| Elderplan | Medicare Advantage | $54.62 | ↓ -57% |
| Centerlight | PACE | $54.62 | ↓ -57% |
| Fidelis | CHP | $54.62 | ↓ -57% |
| Elderplan | MLTC | $54.62 | ↓ -57% |
| Fidelis | FHP | $54.62 | ↓ -57% |
| Wellcare | Medicare Advantage | $55.44 | ↓ -56% |
| Centers Plan for Healthy Living | Medicare Advantage | $56.80 | ↓ -55% |
| Hamaspik | Medicare Advantage | $57.35 | ↓ -54% |
| Anthem HealthPlus | CHP | $60.08 | ↓ -52% |
| Fidelis | MAP | $61.26 | ↓ -51% |
| Healthfirst | Medicare Advantage | $63.74 | ↓ -49% |
| OSCAR | ALL PRODUCTS | $63.81 | ↓ -49% |
| Anthem HealthPlus | Essential Plan 1-2 | $65.54 | ↓ -48% |
| OXFORD | Freedom | $67.05 | ↓ -47% |
| UNITED | ALL PRODUCTS | $67.05 | ↓ -47% |
| OXFORD | Liberty | $67.05 | ↓ -47% |
| UNITED | EXCHANGE | $67.05 | ↓ -47% |
| Oscar | All Products | $68.28 | ↓ -46% |
| MetroPlus | HARP | $71.75 | ↓ -43% |
| Fidelis | QHC | $72.78 | ↓ -42% |
| MetroPlus | Managed Medicaid | $75.49 | ↓ -40% |
| UNITED | HARP | $75.49 | ↓ -40% |
| MetroPlus | CHP | $75.49 | ↓ -40% |
| Senior Whole Health | MLTC | $75.49 | ↓ -40% |
| UNITED | Managed Medicaid | $75.49 | ↓ -40% |
| MetroPlus | Goldcare 1 & 2 | $75.49 | ↓ -40% |
| MetroPlus | Gold | $75.49 | ↓ -40% |
| MetroPlus | SNP | $75.49 | ↓ -40% |
| Carelon | Managed Medicaid_HARP_CHP | $75.49 | ↓ -40% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $75.49 | ↓ -40% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $75.49 | ↓ -40% |
| Anthem HealthPlus | EXCHANGE | $75.49 | ↓ -40% |
| Senior Whole Health | MAP | $75.49 | ↓ -40% |
| Amidacare | Managed Medicaid | $75.49 | ↓ -40% |
| Fidelis | HARP_Managed Medicaid | $75.49 | ↓ -40% |
| VNSNY | Medicaid SNP | $77.00 | ↓ -39% |
| UNITED BEHAVIORAL HEALTH | HARP | $77.00 | ↓ -39% |
| VNSNY | MAP | $77.00 | ↓ -39% |
| Affinity | HARP_Managed Medicaid | $77.00 | ↓ -39% |
| Carelon (Amida Care) | Managed Medicaid | $77.00 | ↓ -39% |
| UNITED BEHAVIORAL HEALTH | CHP | $77.00 | ↓ -39% |
| UNITED | Essential Plan 1-4_200-250 | $80.77 | ↓ -36% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $83.04 | ↓ -34% |
| CIGNA | ALL PRODUCTS | $87.91 | ↓ -30% |
| ANTHEM | Small Group EPO_PPO | $90.81 | ↓ -28% |
| ANTHEM | Blue Access Small Group | $90.81 | ↓ -28% |
| ANTHEM | Blue Access Large Group | $93.54 | ↓ -26% |
| Healthfirst | EXCHANGE | $94.36 | ↓ -25% |
| EMBLEM | Essential Plan 3-4 | $94.36 | ↓ -25% |
| UNITED | CHP | $94.36 | ↓ -25% |
| Affinity | Essential Plan 1-4_200-250 | $98.32 | ↓ -22% |
| Fidelis | Essential Plan 1-4_200-250 | $98.32 | ↓ -22% |
| ANTHEM | EPO | $101.05 | ↓ -20% |
| ANTHEM | INDEMNITY | $101.05 | ↓ -20% |
| ANTHEM | PPO | $101.05 | ↓ -20% |
| ANTHEM | HMO | $101.05 | ↓ -20% |
| EMBLEM | Essential Plan 1-2 | $101.91 | ↓ -19% |
| Elderplan | MAP_Medicare Advantage_MLTC | $125.84 | ↓ -0% |
| VNSNY | Medicare Advantage | $125.84 | ↓ -0% |
| ANTHEM | MEDICARE ADVANTAGE | $125.84 | ↓ -0% |
| VACCN | All Products | $125.84 | ↓ -0% |
| VNSNY | Medicare SNP | $125.84 | ↓ -0% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $130.87 | ↑ +4% |
| Affinity | Essential Plan 1-2 | $161.44 | ↑ +28% |
| Affinity | Essential Plan 200-250 | $161.44 | ↑ +28% |
| Affinity | Essential Plan 3-4 | $161.44 | ↑ +28% |
| Healthfirst | Essential Plan 1-2 | $169.85 | ↑ +35% |
| MetroPlus | Essential Plan 200-250 | $169.85 | ↑ +35% |
| Healthfirst | Essential Plan 3-4 | $169.85 | ↑ +35% |
| MetroPlus | Essential Plan 1-2 | $169.85 | ↑ +35% |
| Anthem HealthPlus | Essential Plan 3-4 | $169.85 | ↑ +35% |
| Healthfirst | Essential Plan 200-250 | $169.85 | ↑ +35% |
| MetroPlus | Essential Plan 3-4 | $169.85 | ↑ +35% |
| Fidelis | EXCHANGE | $178.69 | ↑ +42% |
| Carelon | GHI BMP | $298.38 | ↑ +137% |
| Carelon | MAP_Medicare Advantage | $298.38 | ↑ +137% |
| Carelon | Commercial_Essential Plans | $298.38 | ↑ +137% |
| MAGNACARE | PPO Non-FPP | $344.29 | ↑ +174% |
| MAGNACARE | Direct Plus Non-FPP | $344.29 | ↑ +174% |
| MULTIPLAN | ALL PRODUCTS | $367.24 | ↑ +192% |
| VillageCare Max | MAP | $390.19 | ↑ +210% |
| VillageCare Max | MEDICARE ADVANTAGE | $390.19 | ↑ +210% |
| Local 1199 | ALL PRODUCTS | $390.19 | ↑ +210% |
| Aetna | ALL PRODUCTS | $1,131.00 | ↑ +799% |
| 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 | — |
| 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
Knee X-ray at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $127.14 | $21.90 – $390.19 |
| South Brooklyn Health | Brooklyn | not published | $21.90 – $282.54 |
| Bellevue Hospital Center | NY 10016 | $127.14 | $20.00 – $367.24 |
| UPMC Chautauqua | Jamestown | $155.40 | $48.02 – $325.85 |
| Queens Hospital Center | Jamaica | $127.14 | $21.90 – $390.19 |
| Elmhurst Hospital Center | NY 11373 | not published | $21.90 – $282.54 |
| Harlem Hospital Center | New York | not published | $21.90 – $282.54 |
| Jacobi Medical Center | Bronx | not published | $21.90 – $390.19 |