healthcosts.net
Lower Back (Lumbar Spine) MRI (with and without contrast) at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$440.22
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.
$2,650.36
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.
$185.49 with Healthfirst vs $2,252.81 with Local 1199 — 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 |
|---|---|---|---|
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $185.49 | ↓ -58% |
| Healthfirst | HARP | $201.46 | ↓ -54% |
| Healthfirst | Managed Medicaid | $201.46 | ↓ -54% |
| Healthfirst | MEDICARE ADVANTAGE | $209.02 | ↓ -53% |
| Healthfirst | MAP | $209.02 | ↓ -53% |
| Healthfirst | Medicare Advantage PPO | $209.02 | ↓ -53% |
| Healthfirst | CHP | $226.65 | ↓ -49% |
| EMBLEM | HIP_GHI_CHP | $251.83 | ↓ -43% |
| Aetna | MEDICARE ADVANTAGE | $259.35 | ↓ -41% |
| Wellcare | MEDICARE ADVANTAGE | $271.98 | ↓ -38% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $296.78 | ↓ -33% |
| Affinity | CHP | $326.45 | ↓ -26% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $345.00 | ↓ -22% |
| Fidelis | MAP | $362.64 | ↓ -18% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $363.55 | ↓ -17% |
| Aetna | All Products | $370.50 | ↓ -16% |
| Aetna | Medicare Advantage | $370.50 | ↓ -16% |
| Anthem HealthPlus | HARP | $370.97 | ↓ -16% |
| Anthem HealthPlus | MLTC | $370.97 | ↓ -16% |
| Elderplan | MAP | $370.97 | ↓ -16% |
| Anthem HealthPlus | MAP | $370.97 | ↓ -16% |
| Healthfirst | Small Group | $370.97 | ↓ -16% |
| Fidelis | Managed Medicaid | $370.97 | ↓ -16% |
| Elderplan | Medicare Advantage | $370.97 | ↓ -16% |
| Centerlight | PACE | $370.97 | ↓ -16% |
| Fidelis | CHP | $370.97 | ↓ -16% |
| Elderplan | MLTC | $370.97 | ↓ -16% |
| Fidelis | FHP | $370.97 | ↓ -16% |
| Amidacare | Managed Medicaid | $370.97 | ↓ -16% |
| Wellcare | Medicare Advantage | $376.53 | ↓ -14% |
| Centers Plan for Healthy Living | Medicare Advantage | $385.81 | ↓ -12% |
| Hamaspik | Medicare Advantage | $389.52 | ↓ -12% |
| Anthem HealthPlus | CHP | $408.07 | ↓ -7% |
| VNSNY | Medicare Advantage | $422.61 | ↓ -4% |
| ANTHEM | MEDICARE ADVANTAGE | $422.61 | ↓ -4% |
| VACCN | All Products | $422.61 | ↓ -4% |
| VNSNY | Medicare SNP | $422.61 | ↓ -4% |
| Healthfirst | Medicare Advantage | $433.41 | ↓ -2% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $439.52 | ↓ -0% |
| Anthem HealthPlus | Essential Plan 1-2 | $445.16 | ↑ +1% |
| Oscar | All Products | $463.71 | ↑ +5% |
| MetroPlus | Essential Plan 200-250 | $477.77 | ↑ +9% |
| MetroPlus | Essential Plan 1-2 | $477.77 | ↑ +9% |
| MetroPlus | Essential Plan 3-4 | $477.77 | ↑ +9% |
| Fidelis | QHC | $494.32 | ↑ +12% |
| UNITED | HARP | $500.00 | ↑ +14% |
| UNITED | Managed Medicaid | $500.00 | ↑ +14% |
| UNITED | Essential Plan 1-4_200-250 | $535.00 | ↑ +22% |
| MetroPlus | HARP | $600.00 | ↑ +36% |
| Fidelis | EXCHANGE | $600.11 | ↑ +36% |
| Aetna | ALL PRODUCTS | $611.33 | ↑ +39% |
| Anthem HealthPlus | Exchange | $617.80 | ↑ +40% |
| OSCAR | ALL PRODUCTS | $633.92 | ↑ +44% |
| EMBLEM | MEDICARE ADVANTAGE | $633.92 | ↑ +44% |
| Affinity | Essential Plan 1-4_200-250 | $667.75 | ↑ +52% |
| Fidelis | Essential Plan 1-4_200-250 | $667.75 | ↑ +52% |
| EMBLEM | Essential Plan 1-2 | $681.75 | ↑ +55% |
| OXFORD | Freedom | $808.05 | ↑ +84% |
| UNITED | ALL PRODUCTS | $808.05 | ↑ +84% |
| OXFORD | Liberty | $808.05 | ↑ +84% |
| UNITED | EXCHANGE | $808.05 | ↑ +84% |
| MetroPlus | Managed Medicaid | $814.37 | ↑ +85% |
| MetroPlus | CHP | $814.37 | ↑ +85% |
| Senior Whole Health | MLTC | $814.37 | ↑ +85% |
| MetroPlus | Goldcare 1 & 2 | $814.37 | ↑ +85% |
| MetroPlus | Gold | $814.37 | ↑ +85% |
| MetroPlus | SNP | $814.37 | ↑ +85% |
| Carelon | Managed Medicaid_HARP_CHP | $814.37 | ↑ +85% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $814.37 | ↑ +85% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $814.37 | ↑ +85% |
| Anthem HealthPlus | EXCHANGE | $814.37 | ↑ +85% |
| Senior Whole Health | MAP | $814.37 | ↑ +85% |
| Fidelis | HARP_Managed Medicaid | $814.37 | ↑ +85% |
| VNSNY | Medicaid SNP | $830.66 | ↑ +89% |
| UNITED BEHAVIORAL HEALTH | HARP | $830.66 | ↑ +89% |
| VNSNY | MAP | $830.66 | ↑ +89% |
| Affinity | HARP_Managed Medicaid | $830.66 | ↑ +89% |
| Carelon (Amida Care) | Managed Medicaid | $830.66 | ↑ +89% |
| UNITED BEHAVIORAL HEALTH | CHP | $830.66 | ↑ +89% |
| Elderplan | MAP_Medicare Advantage_MLTC | $845.23 | ↑ +92% |
| ANTHEM | Small Group EPO_PPO | $847.16 | ↑ +92% |
| ANTHEM | Blue Access Small Group | $847.16 | ↑ +92% |
| ANTHEM | Blue Access Large Group | $872.64 | ↑ +98% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $895.81 | ↑ +103% |
| ANTHEM | EPO | $942.70 | ↑ +114% |
| ANTHEM | INDEMNITY | $942.70 | ↑ +114% |
| ANTHEM | PPO | $942.70 | ↑ +114% |
| ANTHEM | HMO | $942.70 | ↑ +114% |
| Healthfirst | EXCHANGE | $1,017.96 | ↑ +131% |
| EMBLEM | Essential Plan 3-4 | $1,017.96 | ↑ +131% |
| UNITED | CHP | $1,017.96 | ↑ +131% |
| CIGNA | ALL PRODUCTS | $1,285.00 | ↑ +192% |
| Local 1199 | All Products | $1,417.00 | ↑ +222% |
| Affinity | Essential Plan 1-2 | $1,672.79 | ↑ +280% |
| Affinity | Essential Plan 200-250 | $1,672.79 | ↑ +280% |
| Affinity | Essential Plan 3-4 | $1,672.79 | ↑ +280% |
| Carelon | GHI BMP | $1,722.73 | ↑ +291% |
| Carelon | MAP_Medicare Advantage | $1,722.73 | ↑ +291% |
| Carelon | Commercial_Essential Plans | $1,722.73 | ↑ +291% |
| Healthfirst | Essential Plan 1-2 | $1,832.33 | ↑ +316% |
| Healthfirst | Essential Plan 3-4 | $1,832.33 | ↑ +316% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,832.33 | ↑ +316% |
| Healthfirst | Essential Plan 200-250 | $1,832.33 | ↑ +316% |
| MAGNACARE | PPO Non-FPP | $1,987.77 | ↑ +352% |
| MAGNACARE | Direct Plus Non-FPP | $1,987.77 | ↑ +352% |
| MULTIPLAN | ALL PRODUCTS | $2,120.29 | ↑ +382% |
| VillageCare Max | MAP | $2,252.81 | ↑ +412% |
| VillageCare Max | MEDICARE ADVANTAGE | $2,252.81 | ↑ +412% |
| Local 1199 | ALL PRODUCTS | $2,252.81 | ↑ +412% |
| 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
Lower Back (Lumbar Spine) MRI (with and without contrast) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $444.73 | $185.49 – $2,252.81 |
| South Brooklyn Health | Brooklyn | not published | $201.46 – $1,141.16 |
| Bellevue Hospital Center | NY 10016 | $444.73 | $180.83 – $2,120.29 |
| UPMC Chautauqua | Jamestown | $975.00 | $351.19 – $1,462.50 |
| Queens Hospital Center | Jamaica | $444.73 | $183.74 – $2,252.81 |
| Elmhurst Hospital Center | NY 11373 | not published | $200.28 – $1,285.00 |
| Harlem Hospital Center | New York | not published | $195.60 – $1,285.00 |
| Jacobi Medical Center | Bronx | not published | $201.46 – $2,252.81 |