healthcosts.net
Lymphocyte culture mixed at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$36.56
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.
$91.00
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.
$31.08 with Anthem HealthPlus vs $202.64 with Fidelis — 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 |
|---|---|---|---|
| Anthem HealthPlus | MAP | $31.08 | ↓ -15% |
| Anthem HealthPlus | MLTC | $31.08 | ↓ -15% |
| Anthem HealthPlus | HARP | $31.08 | ↓ -15% |
| Fidelis | MAP | $36.56 | ↑ +0% |
| Amidacare | Managed Medicaid | $36.56 | ↑ +0% |
| Elderplan | MLTC | $36.56 | ↑ +0% |
| Elderplan | Medicare Advantage | $36.56 | ↑ +0% |
| Elderplan | MAP_Medicare Advantage_MLTC | $36.56 | ↑ +0% |
| Elderplan | MAP | $36.56 | ↑ +0% |
| Anthem HealthPlus | CHP | $36.56 | ↑ +0% |
| Anthem HealthPlus | Essential Plan 1-2 | $36.56 | ↑ +0% |
| Centers Plan for Healthy Living | Medicare Advantage | $38.02 | ↑ +4% |
| Aetna | Medicare Advantage | $41.92 | ↑ +15% |
| Aetna | All Products | $41.92 | ↑ +15% |
| Aetna | MEDICARE ADVANTAGE | $41.92 | ↑ +15% |
| VillageCare Max | MEDICARE ADVANTAGE | $43.87 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $43.87 | ↑ +20% |
| VillageCare Max | MAP | $43.87 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $43.87 | ↑ +20% |
| MetroPlus | Essential Plan 3-4 | $44.24 | ↑ +21% |
| MetroPlus | Essential Plan 1-2 | $44.24 | ↑ +21% |
| MetroPlus | Essential Plan 200-250 | $44.24 | ↑ +21% |
| Centerlight | PACE | $45.50 | ↑ +24% |
| Hamaspik | Medicare Advantage | $45.50 | ↑ +24% |
| Oscar | All Products | $50.05 | ↑ +37% |
| UNITED | Managed Medicaid | $52.24 | ↑ +43% |
| Wellcare | Medicare Advantage | $54.60 | ↑ +49% |
| OSCAR | ALL PRODUCTS | $54.84 | ↑ +50% |
| UNITED | Essential Plan 1-4_200-250 | $55.90 | ↑ +53% |
| Affinity | CHP | $63.70 | ↑ +74% |
| Affinity | Essential Plan 1-4_200-250 | $63.70 | ↑ +74% |
| Aetna | ALL PRODUCTS | $69.17 | ↑ +89% |
| UNITED | HARP | $76.83 | ↑ +110% |
| Local 1199 | ALL PRODUCTS | $79.00 | ↑ +116% |
| Local 1199 | All Products | $79.00 | ↑ +116% |
| OXFORD | Freedom | $82.44 | ↑ +125% |
| OXFORD | Liberty | $82.44 | ↑ +125% |
| UNITED | EXCHANGE | $82.44 | ↑ +125% |
| UNITED | ALL PRODUCTS | $82.44 | ↑ +125% |
| MetroPlus | HARP | $84.99 | ↑ +132% |
| CIGNA | ALL PRODUCTS | $89.98 | ↑ +146% |
| Anthem HealthPlus | EXCHANGE | $90.06 | ↑ +146% |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $90.06 | ↑ +146% |
| Carelon | Managed Medicaid_HARP_CHP | $90.06 | ↑ +146% |
| Fidelis | CHP | $90.06 | ↑ +146% |
| Fidelis | HARP_Managed Medicaid | $90.06 | ↑ +146% |
| MetroPlus | CHP | $90.06 | ↑ +146% |
| MetroPlus | Gold | $90.06 | ↑ +146% |
| MetroPlus | Goldcare 1 & 2 | $90.06 | ↑ +146% |
| MetroPlus | Managed Medicaid | $90.06 | ↑ +146% |
| MetroPlus | SNP | $90.06 | ↑ +146% |
| Senior Whole Health | MAP | $90.06 | ↑ +146% |
| Senior Whole Health | MLTC | $90.06 | ↑ +146% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $90.06 | ↑ +146% |
| VNSNY | MAP | $91.86 | ↑ +151% |
| VNSNY | Medicaid SNP | $91.86 | ↑ +151% |
| UNITED BEHAVIORAL HEALTH | HARP | $91.86 | ↑ +151% |
| Carelon (Amida Care) | Managed Medicaid | $91.86 | ↑ +151% |
| UNITED BEHAVIORAL HEALTH | CHP | $91.86 | ↑ +151% |
| Affinity | HARP_Managed Medicaid | $91.86 | ↑ +151% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $99.07 | ↑ +171% |
| Healthfirst | Small Group | $111.11 | ↑ +204% |
| Healthfirst | EXCHANGE | $112.58 | ↑ +208% |
| UNITED | CHP | $112.58 | ↑ +208% |
| EMBLEM | Essential Plan 3-4 | $112.58 | ↑ +208% |
| ANTHEM | Small Group EPO_PPO | $120.07 | ↑ +228% |
| ANTHEM | Blue Access Small Group | $120.07 | ↑ +228% |
| EMBLEM | Essential Plan 1-2 | $121.58 | ↑ +233% |
| ANTHEM | Blue Access Large Group | $123.68 | ↑ +238% |
| ANTHEM | INDEMNITY | $133.61 | ↑ +265% |
| ANTHEM | EPO | $133.61 | ↑ +265% |
| ANTHEM | HMO | $133.61 | ↑ +265% |
| ANTHEM | PPO | $133.61 | ↑ +265% |
| Affinity | Essential Plan 200-250 | $191.23 | ↑ +423% |
| Affinity | Essential Plan 1-2 | $191.23 | ↑ +423% |
| Affinity | Essential Plan 3-4 | $191.23 | ↑ +423% |
| Healthfirst | Essential Plan 3-4 | $202.64 | ↑ +454% |
| Anthem HealthPlus | Essential Plan 3-4 | $202.64 | ↑ +454% |
| Healthfirst | Essential Plan 200-250 | $202.64 | ↑ +454% |
| Healthfirst | Essential Plan 1-2 | $202.64 | ↑ +454% |
| Fidelis | Essential Plan 1-4_200-250 | $202.64 | ↑ +454% |
| Healthfirst | MAP_Medicare Advantage Specialist Services | not published by hospital | — |
| Healthfirst | Medicare Advantage PPO | not published by hospital | — |
| Fidelis | QHC | not published by hospital | — |
| Fidelis | Managed Medicaid | not published by hospital | — |
| Fidelis | FHP | not published by hospital | — |
| Anthem HealthPlus | Exchange | not published by hospital | — |
| United Behavioral Health | All Products | not published by hospital | — |
| United Behavioral Health | Exchange | not published by hospital | — |
| United Behavioral Health | Medicare Advantage | not published by hospital | — |
| Healthfirst | HARP_Managed Medicaid HMO Primary Services | not published by hospital | — |
| Healthfirst | HARP_Managed Medicaid HMO Specialist Services | not published by hospital | — |
| Healthfirst | MAP_Medicare Advantage Primary Services | not published by hospital | — |
| Healthfirst | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Lymphocyte culture mixed at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $36.56 | $31.08 – $120.07 |
| South Brooklyn Health | Brooklyn | not published | $36.56 – $120.07 |
| Bellevue Hospital Center | NY 10016 | $36.56 | $29.25 – $120.52 |
| Queens Hospital Center | Jamaica | $36.56 | $31.08 – $120.98 |
| Elmhurst Hospital Center | NY 11373 | not published | $36.56 – $119.62 |
| Harlem Hospital Center | New York | not published | $36.56 – $120.07 |
| Jacobi Medical Center | Bronx | not published | $36.56 – $120.75 |
| Lincoln Medical Center | Bronx | not published | $36.56 – $120.52 |