Laparoscopy pyeloplasty at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$12,320.22
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.
$3,222.00
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.
$763.48 with PB - ANTHEM vs $26,538.10 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 | $763.48 | ↓ -94% |
| Local 1199 | ALL PRODUCTS | $1,329.00 | ↓ -89% |
| PB - LOCAL 1199 | ALL PRODUCTS | $1,329.00 | ↓ -89% |
| Aetna | MEDICARE ADVANTAGE | $1,400.15 | ↓ -89% |
| PB - AETNA | ALL PRODUCTS | $1,513.56 | ↓ -88% |
| PB - AETNA | MEDICARE ADVANTAGE | $1,513.56 | ↓ -88% |
| PB - CENTERLIGHT | PACE | $1,611.00 | ↓ -87% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $1,611.00 | ↓ -87% |
| MetroPlus | Essential Plan 200-250 | $1,728.35 | ↓ -86% |
| MetroPlus | Essential Plan 3-4 | $1,728.35 | ↓ -86% |
| MetroPlus | Essential Plan 1-2 | $1,728.35 | ↓ -86% |
| PB - OSCAR | ALL PRODUCTS | $1,772.10 | ↓ -86% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $1,933.20 | ↓ -84% |
| Healthfirst | CHP | $1,956.53 | ↓ -84% |
| PB - AFFINITY | ESSENTIAL | $2,255.40 | ↓ -82% |
| PB - AFFINITY | CHP | $2,255.40 | ↓ -82% |
| Carelon | Commercial_Essential Plans | $2,357.27 | ↓ -81% |
| Fidelis | HARP_Managed Medicaid | $2,357.27 | ↓ -81% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $2,357.27 | ↓ -81% |
| Fidelis | CHP | $2,357.27 | ↓ -81% |
| MetroPlus | SNP | $2,357.27 | ↓ -81% |
| MetroPlus | Gold | $2,357.27 | ↓ -81% |
| MetroPlus | Goldcare 1 & 2 | $2,357.27 | ↓ -81% |
| MetroPlus | Managed Medicaid | $2,357.27 | ↓ -81% |
| MetroPlus | HARP | $2,357.27 | ↓ -81% |
| MetroPlus | CHP | $2,357.27 | ↓ -81% |
| Anthem HealthPlus | EXCHANGE | $2,357.27 | ↓ -81% |
| UNITED | Managed Medicaid | $2,357.27 | ↓ -81% |
| UNITED | HARP | $2,357.27 | ↓ -81% |
| Carelon | GHI BMP | $2,357.27 | ↓ -81% |
| Carelon | Managed Medicaid_HARP_CHP | $2,357.27 | ↓ -81% |
| VNSNY | MAP | $2,404.42 | ↓ -80% |
| Carelon (Amida Care) | Managed Medicaid | $2,404.42 | ↓ -80% |
| VNSNY | Medicaid SNP | $2,404.42 | ↓ -80% |
| UNITED BEHAVIORAL HEALTH | HARP | $2,404.42 | ↓ -80% |
| UNITED BEHAVIORAL HEALTH | CHP | $2,404.42 | ↓ -80% |
| UNITED | Essential Plan 1-4_200-250 | $2,522.28 | ↓ -80% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $2,593.00 | ↓ -79% |
| UNITED | CHP | $2,946.59 | ↓ -76% |
| EMBLEM | Essential Plan 3-4 | $2,946.59 | ↓ -76% |
| Emblem | Essential Plan 200-250 | $3,182.31 | ↓ -74% |
| EMBLEM | Essential Plan 1-2 | $3,182.31 | ↓ -74% |
| Healthfirst | EXCHANGE | $3,771.63 | ↓ -69% |
| Healthfirst | Small Group | $3,842.35 | ↓ -69% |
| Anthem HealthPlus | Essential Plan 1-2 | $5,303.86 | ↓ -57% |
| Affinity | Essential Plan 1-2 | $5,303.86 | ↓ -57% |
| Affinity | Essential Plan 200-250 | $5,303.86 | ↓ -57% |
| Affinity | Essential Plan 3-4 | $5,303.86 | ↓ -57% |
| Healthfirst | Essential Plan 1-2 | $5,303.86 | ↓ -57% |
| Healthfirst | Essential Plan 200-250 | $5,303.86 | ↓ -57% |
| Healthfirst | Essential Plan 3-4 | $5,303.86 | ↓ -57% |
| Fidelis | Essential Plan 1-4_200-250 | $5,303.86 | ↓ -57% |
| Anthem HealthPlus | Essential Plan 200-250 | $5,303.86 | ↓ -57% |
| Anthem HealthPlus | Essential Plan 3-4 | $5,303.86 | ↓ -57% |
| Hamaspik | MEDICARE ADVANTAGE | $9,856.18 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $11,013.31 | ↓ -11% |
| Fidelis | MAP | $12,320.22 | ↑ +0% |
| VACCN | All Products | $12,320.22 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $12,320.22 | ↑ +0% |
| VNSNY | Medicare SNP | $12,320.22 | ↑ +0% |
| VNSNY | Medicare Advantage | $12,320.22 | ↑ +0% |
| Senior Whole Health | MLTC | $12,320.22 | ↑ +0% |
| Senior Whole Health | MAP | $12,320.22 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $12,936.23 | ↑ +5% |
| Healthfirst | MAP | $13,003.67 | ↑ +6% |
| Healthfirst | MEDICARE ADVANTAGE | $13,003.67 | ↑ +6% |
| Centerlight | PACE | $13,269.05 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $13,932.50 | ↑ +13% |
| MAGNACARE | Direct Plus FPP | $14,784.27 | ↑ +20% |
| MAGNACARE | PPO FPP | $14,784.27 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $14,784.27 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $14,784.27 | ↑ +20% |
| MetroPlus | EXCHANGE | $14,994.03 | ↑ +22% |
| MetroPlus | MAP | $14,994.03 | ↑ +22% |
| MetroPlus | MEDICARE ADVANTAGE | $14,994.03 | ↑ +22% |
| Fidelis | EXCHANGE | $17,494.71 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $18,233.93 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $18,480.33 | ↑ +50% |
| VillageCare Max | MEDICARE ADVANTAGE | $19,903.58 | ↑ +62% |
| OSCAR | ALL PRODUCTS | $19,903.58 | ↑ +62% |
| VillageCare Max | MAP | $19,903.58 | ↑ +62% |
| Elderplan | MAP_Medicare Advantage_MLTC | $26,538.10 | ↑ +115% |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | 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 | — |
Visitor-reported prices
Comments
Laparoscopy pyeloplasty at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $12,320.22 | $763.48 – $26,538.10 |
| South Brooklyn Health | Brooklyn | $12,320.22 | $1,329.00 – $26,538.10 |
| Bellevue Hospital Center | NY 10016 | $12,320.22 | $763.48 – $26,538.10 |
| Harlem Hospital Center | New York | $12,320.22 | $1,329.00 – $26,538.10 |
| Lincoln Medical Center | Bronx | $12,320.22 | $1,329.00 – $26,538.10 |
| Metropolitan Hospital Center | New York | $12,320.22 | $1,329.00 – $26,538.10 |
| Queens Hospital Center | Jamaica | $12,320.22 | $763.48 – $26,538.10 |
| North Central Bronx | Bronx | $12,320.22 | $1,329.00 – $26,538.10 |