healthcosts.net
Lung Function Test (Spirometry) at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$178.81
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.
$613.20
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.
$15.00 with UNITED vs $521.22 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 |
|---|---|---|---|
| UNITED | HARP | $15.00 | ↓ -92% |
| UNITED | Managed Medicaid | $15.00 | ↓ -92% |
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | $15.78 | ↓ -91% |
| UNITED | Essential Plan 1-4_200-250 | $16.05 | ↓ -91% |
| Healthfirst | CHP | $18.19 | ↓ -90% |
| Healthfirst | HARP | $18.19 | ↓ -90% |
| Healthfirst | Managed Medicaid | $18.19 | ↓ -90% |
| Healthfirst | MEDICARE ADVANTAGE | $18.87 | ↓ -89% |
| Healthfirst | MAP | $18.87 | ↓ -89% |
| Healthfirst | Medicare Advantage PPO | $18.87 | ↓ -89% |
| EMBLEM | Essential Plan 1-2 | $20.45 | ↓ -89% |
| EMBLEM | HIP_GHI_CHP | $22.74 | ↓ -87% |
| Wellcare | MEDICARE ADVANTAGE | $24.56 | ↓ -86% |
| Aetna | MEDICARE ADVANTAGE | $24.95 | ↓ -86% |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | $25.24 | ↓ -86% |
| Affinity | CHP | $27.76 | ↓ -84% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | $29.34 | ↓ -84% |
| Healthfirst | MAP_Medicare Advantage Primary Services | $30.92 | ↓ -83% |
| Anthem HealthPlus | HARP | $31.55 | ↓ -82% |
| Anthem HealthPlus | MLTC | $31.55 | ↓ -82% |
| Elderplan | MAP | $31.55 | ↓ -82% |
| Anthem HealthPlus | MAP | $31.55 | ↓ -82% |
| Healthfirst | Small Group | $31.55 | ↓ -82% |
| Fidelis | Managed Medicaid | $31.55 | ↓ -82% |
| Elderplan | Medicare Advantage | $31.55 | ↓ -82% |
| Centerlight | PACE | $31.55 | ↓ -82% |
| Fidelis | CHP | $31.55 | ↓ -82% |
| Elderplan | MLTC | $31.55 | ↓ -82% |
| Fidelis | FHP | $31.55 | ↓ -82% |
| Amidacare | Managed Medicaid | $31.55 | ↓ -82% |
| Wellcare | Medicare Advantage | $32.02 | ↓ -82% |
| Aetna | All Products | $32.21 | ↓ -82% |
| Aetna | Medicare Advantage | $32.21 | ↓ -82% |
| Fidelis | MAP | $32.75 | ↓ -82% |
| Centers Plan for Healthy Living | Medicare Advantage | $32.81 | ↓ -82% |
| Hamaspik | Medicare Advantage | $33.13 | ↓ -81% |
| OSCAR | ALL PRODUCTS | $34.11 | ↓ -81% |
| Anthem HealthPlus | CHP | $34.71 | ↓ -81% |
| Healthfirst | Medicare Advantage | $36.09 | ↓ -80% |
| Anthem HealthPlus | Essential Plan 1-2 | $37.86 | ↓ -79% |
| MetroPlus | Essential Plan 200-250 | $38.52 | ↓ -78% |
| MetroPlus | Essential Plan 1-2 | $38.52 | ↓ -78% |
| MetroPlus | Essential Plan 3-4 | $38.52 | ↓ -78% |
| Oscar | All Products | $39.44 | ↓ -78% |
| Aetna | ALL PRODUCTS | $39.80 | ↓ -78% |
| Fidelis | QHC | $42.04 | ↓ -76% |
| Local 1199 | All Products | $49.00 | ↓ -73% |
| Affinity | Essential Plan 1-4_200-250 | $56.79 | ↓ -68% |
| Fidelis | Essential Plan 1-4_200-250 | $56.79 | ↓ -68% |
| OXFORD | Liberty | $84.00 | ↓ -53% |
| ANTHEM | Small Group EPO_PPO | $88.55 | ↓ -50% |
| ANTHEM | Blue Access Small Group | $88.55 | ↓ -50% |
| ANTHEM | Blue Access Large Group | $91.21 | ↓ -49% |
| OXFORD | Freedom | $97.00 | ↓ -46% |
| ANTHEM | EPO | $98.54 | ↓ -45% |
| ANTHEM | INDEMNITY | $98.54 | ↓ -45% |
| ANTHEM | PPO | $98.54 | ↓ -45% |
| ANTHEM | HMO | $98.54 | ↓ -45% |
| UNITED | EXCHANGE | $105.00 | ↓ -41% |
| MetroPlus | HARP | $113.97 | ↓ -36% |
| MetroPlus | Managed Medicaid | $121.93 | ↓ -32% |
| MetroPlus | CHP | $121.93 | ↓ -32% |
| Senior Whole Health | MLTC | $121.93 | ↓ -32% |
| MetroPlus | Goldcare 1 & 2 | $121.93 | ↓ -32% |
| MetroPlus | Gold | $121.93 | ↓ -32% |
| MetroPlus | SNP | $121.93 | ↓ -32% |
| Carelon | Managed Medicaid_HARP_CHP | $121.93 | ↓ -32% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $121.93 | ↓ -32% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $121.93 | ↓ -32% |
| Anthem HealthPlus | EXCHANGE | $121.93 | ↓ -32% |
| Senior Whole Health | MAP | $121.93 | ↓ -32% |
| Fidelis | HARP_Managed Medicaid | $121.93 | ↓ -32% |
| UNITED | ALL PRODUCTS | $122.00 | ↓ -32% |
| VNSNY | Medicaid SNP | $124.37 | ↓ -30% |
| UNITED BEHAVIORAL HEALTH | HARP | $124.37 | ↓ -30% |
| VNSNY | MAP | $124.37 | ↓ -30% |
| Affinity | HARP_Managed Medicaid | $124.37 | ↓ -30% |
| Carelon (Amida Care) | Managed Medicaid | $124.37 | ↓ -30% |
| UNITED BEHAVIORAL HEALTH | CHP | $124.37 | ↓ -30% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $134.12 | ↓ -25% |
| Healthfirst | EXCHANGE | $152.41 | ↓ -15% |
| EMBLEM | Essential Plan 3-4 | $152.41 | ↓ -15% |
| UNITED | CHP | $152.41 | ↓ -15% |
| VNSNY | Medicare Advantage | $185.15 | ↑ +4% |
| ANTHEM | MEDICARE ADVANTAGE | $185.15 | ↑ +4% |
| VACCN | All Products | $185.15 | ↑ +4% |
| VNSNY | Medicare SNP | $185.15 | ↑ +4% |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $192.55 | ↑ +8% |
| Affinity | Essential Plan 1-2 | $256.43 | ↑ +43% |
| Affinity | Essential Plan 200-250 | $256.43 | ↑ +43% |
| Affinity | Essential Plan 3-4 | $256.43 | ↑ +43% |
| Fidelis | EXCHANGE | $262.91 | ↑ +47% |
| Healthfirst | Essential Plan 1-2 | $274.34 | ↑ +53% |
| Healthfirst | Essential Plan 3-4 | $274.34 | ↑ +53% |
| Anthem HealthPlus | Essential Plan 3-4 | $274.34 | ↑ +53% |
| Healthfirst | Essential Plan 200-250 | $274.34 | ↑ +53% |
| EMBLEM | MEDICARE ADVANTAGE | $277.72 | ↑ +55% |
| Elderplan | MAP_Medicare Advantage_MLTC | $370.30 | ↑ +107% |
| Carelon | GHI BMP | $398.58 | ↑ +123% |
| Carelon | MAP_Medicare Advantage | $398.58 | ↑ +123% |
| Carelon | Commercial_Essential Plans | $398.58 | ↑ +123% |
| MAGNACARE | PPO Non-FPP | $459.90 | ↑ +157% |
| CIGNA | ALL PRODUCTS | $459.90 | ↑ +157% |
| MAGNACARE | Direct Plus Non-FPP | $459.90 | ↑ +157% |
| MULTIPLAN | ALL PRODUCTS | $490.56 | ↑ +174% |
| VillageCare Max | MAP | $521.22 | ↑ +191% |
| VillageCare Max | MEDICARE ADVANTAGE | $521.22 | ↑ +191% |
| Local 1199 | ALL PRODUCTS | $521.22 | ↑ +191% |
| 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 | — |
| Anthem HealthPlus | 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
Lung Function Test (Spirometry) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $180.64 | $7.04 – $521.22 |
| South Brooklyn Health | Brooklyn | not published | $7.04 – $429.91 |
| Bellevue Hospital Center | NY 10016 | $180.64 | $0.01 – $490.56 |
| UPMC Chautauqua | Jamestown | $150.60 | $18.75 – $479.44 |
| Queens Hospital Center | Jamaica | $180.64 | $15.00 – $521.22 |
| Elmhurst Hospital Center | NY 11373 | not published | $15.00 – $429.91 |
| Harlem Hospital Center | New York | not published | $17.62 – $429.91 |
| Jacobi Medical Center | Bronx | not published | $18.19 – $521.22 |