Lumizyme injection at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$201.97
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.
$161.58 with Hamaspik vs $422.24 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 |
|---|---|---|---|
| Hamaspik | MEDICARE ADVANTAGE | $161.58 | ↓ -20% |
| Aetna | MEDICARE ADVANTAGE | $201.97 | ↑ +0% |
| Fidelis | MAP | $201.97 | ↑ +0% |
| Healthfirst | Medicare Advantage PPO | $203.36 | ↑ +1% |
| Healthfirst | MAP | $203.36 | ↑ +1% |
| Healthfirst | MEDICARE ADVANTAGE | $203.36 | ↑ +1% |
| VACCN | All Products | $206.62 | ↑ +2% |
| ANTHEM | MEDICARE ADVANTAGE | $206.62 | ↑ +2% |
| Fidelis | EXCHANGE | $207.51 | ↑ +3% |
| Senior Whole Health | MLTC | $211.12 | ↑ +5% |
| Local 1199 | ALL PRODUCTS | $211.13 | ↑ +5% |
| OXFORD | MEDICARE ADVANTAGE | $212.07 | ↑ +5% |
| ANTHEM | INDEMNITY | $219.96 | ↑ +9% |
| ANTHEM | PPO | $219.96 | ↑ +9% |
| ANTHEM | HMO | $219.96 | ↑ +9% |
| ANTHEM | Blue Access Small Group | $219.96 | ↑ +9% |
| ANTHEM | Blue Access Large Group | $219.96 | ↑ +9% |
| ANTHEM | Small Group EPO_PPO | $219.96 | ↑ +9% |
| ANTHEM | EPO | $219.96 | ↑ +9% |
| UNITED | MEDICARE ADVANTAGE | $221.68 | ↑ +10% |
| EMBLEM | PPO_Commercial | $224.11 | ↑ +11% |
| Senior Whole Health | MAP | $224.11 | ↑ +11% |
| Centerlight | PACE | $224.11 | ↑ +11% |
| Amidacare | Managed Medicaid | $224.11 | ↑ +11% |
| VNSNY | Medicare SNP | $224.11 | ↑ +11% |
| VNSNY | Medicaid SNP | $224.11 | ↑ +11% |
| VNSNY | Medicare Advantage | $224.11 | ↑ +11% |
| VNSNY | MAP | $224.11 | ↑ +11% |
| EMBLEM | HIP_GHI_CHP | $224.11 | ↑ +11% |
| MetroPlus | Essential Plan 1-2 | $228.02 | ↑ +13% |
| MetroPlus | Essential Plan 3-4 | $228.02 | ↑ +13% |
| MetroPlus | Essential Plan 200-250 | $228.02 | ↑ +13% |
| MetroPlus | MAP | $238.57 | ↑ +18% |
| MetroPlus | EXCHANGE | $238.57 | ↑ +18% |
| MetroPlus | MEDICARE ADVANTAGE | $238.57 | ↑ +18% |
| MAGNACARE | Direct Plus FPP | $247.94 | ↑ +23% |
| MAGNACARE | PPO FPP | $247.94 | ↑ +23% |
| MAGNACARE | PPO Non-FPP | $247.94 | ↑ +23% |
| MAGNACARE | Direct Plus Non-FPP | $247.94 | ↑ +23% |
| OSCAR | ALL PRODUCTS | $249.01 | ↑ +23% |
| VillageCare Max | MEDICARE ADVANTAGE | $249.01 | ↑ +23% |
| Wellcare | MEDICARE ADVANTAGE | $298.92 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $309.93 | ↑ +53% |
| VillageCare Max | MAP | $316.68 | ↑ +57% |
| Aetna | ALL PRODUCTS | $350.73 | ↑ +74% |
| CIGNA | ALL PRODUCTS | $400.50 | ↑ +98% |
| Elderplan | MAP_Medicare Advantage_MLTC | $422.24 | ↑ +109% |
Visitor-reported prices
Comments
Lumizyme injection at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $201.97 | $161.58 – $422.24 |
| South Brooklyn Health | Brooklyn | $201.97 | $161.58 – $422.24 |
| NewYork-Presbyterian Queens | Flushing | $3,375.51 | $196.29 – $964.43 |
| Bellevue Hospital Center | NY 10016 | $201.97 | $161.58 – $422.24 |
| Harlem Hospital Center | New York | $201.97 | $161.58 – $422.24 |
| Lincoln Medical Center | Bronx | $201.97 | $161.58 – $422.24 |
| Metropolitan Hospital Center | New York | $201.97 | $161.58 – $422.24 |
| Queens Hospital Center | Jamaica | $201.97 | $161.58 – $422.24 |