New Patient Office Visit (level 5) at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
not published by hospital
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.
$1,218.00
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.
$0.01 with CIGNA vs $1,035.30 with VillageCare Max — 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | — |
| PB - ANTHEM | EXCHANGE | $88.31 | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | $100.77 | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | $100.77 | — |
| PB - UNITED BH | ALL PRODUCTS | $103.82 | — |
| PB - AETNA | ALL PRODUCTS | $113.40 | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | $119.39 | — |
| Carelon | MAP_Medicare Advantage | $122.00 | — |
| Healthfirst | MEDICARE ADVANTAGE | $125.00 | — |
| Healthfirst | MAP | $125.00 | — |
| Healthfirst | Medicare Advantage PPO | $125.00 | — |
| PB - AETNA | MEDICARE ADVANTAGE | $140.00 | — |
| PB - LOCAL 1199 | ALL PRODUCTS | $182.00 | — |
| Aetna | MEDICARE ADVANTAGE | $203.31 | — |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $231.00 | — |
| PB - CENTERLIGHT | PACE | $231.00 | — |
| Healthfirst | Small Group | $243.60 | — |
| PB - OSCAR | ALL PRODUCTS | $254.10 | — |
| Aetna | ALL PRODUCTS | $257.00 | — |
| PB - WELLCARE | MEDICARE ADVANTAGE | $277.20 | — |
| Fidelis | MAP | $292.77 | — |
| Healthfirst | EXCHANGE | $304.50 | — |
| MetroPlus | Essential Plan 1-2 | $307.25 | — |
| MetroPlus | Essential Plan 3-4 | $307.25 | — |
| MetroPlus | Essential Plan 200-250 | $307.25 | — |
| PB - AFFINITY | CHP | $323.40 | — |
| PB - AFFINITY | ESSENTIAL | $323.40 | — |
| MAGNACARE | Direct Plus FPP | $330.00 | — |
| MAGNACARE | PPO FPP | $330.00 | — |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | — |
| MAGNACARE | PPO Non-FPP | $330.00 | — |
| EMBLEM | HIP_GHI_CHP | $332.00 | — |
| EMBLEM | PPO_Commercial | $332.00 | — |
| OXFORD | Liberty | $380.00 | — |
| OXFORD | Freedom | $431.00 | — |
| UNITED | EXCHANGE | $480.00 | — |
| UNITED | ALL PRODUCTS | $529.00 | — |
| ANTHEM | Small Group EPO_PPO | $538.44 | — |
| ANTHEM | Blue Access Small Group | $538.44 | — |
| ANTHEM | Blue Access Large Group | $555.81 | — |
| ANTHEM | EPO | $600.20 | — |
| ANTHEM | PPO | $600.20 | — |
| ANTHEM | HMO | $600.20 | — |
| ANTHEM | INDEMNITY | $600.20 | — |
| Centerlight | PACE | $609.00 | — |
| OSCAR | ALL PRODUCTS | $645.00 | — |
| EMBLEM | Essential Plan 3-4 | $730.80 | — |
| Wellcare | MEDICARE ADVANTAGE | $730.80 | — |
| Carelon | GHI BMP | $791.70 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $791.70 | — |
| Carelon | Managed Medicaid_HARP_CHP | $791.70 | — |
| Carelon | Commercial_Essential Plans | $791.70 | — |
| EMBLEM | MEDICARE ADVANTAGE | $852.60 | — |
| EMBLEM | Essential Plan 1-2 | $852.60 | — |
| Emblem | Essential Plan 200-250 | $852.60 | — |
| Carelon (Amida Care) | Managed Medicaid | $974.40 | — |
| MULTIPLAN | ALL PRODUCTS | $974.40 | — |
| Amidacare | Managed Medicaid | $1,035.30 | — |
| VillageCare Max | MEDICARE ADVANTAGE | $1,035.30 | — |
| VNSNY | MAP | $1,035.30 | — |
| VNSNY | Medicaid SNP | $1,035.30 | — |
| VNSNY | Medicare Advantage | $1,035.30 | — |
| VNSNY | Medicare SNP | $1,035.30 | — |
| Local 1199 | ALL PRODUCTS | $1,035.30 | — |
| VillageCare Max | MAP | $1,035.30 | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | Essential Plan 1-2 | not published by hospital | — |
| Affinity | Essential Plan 200-250 | not published by hospital | — |
| Affinity | Essential Plan 3-4 | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 1-2 | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 200-250 | not published by hospital | — |
| Anthem HealthPlus | Essential Plan 3-4 | not published by hospital | — |
| Anthem HealthPlus | EXCHANGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Fidelis | CHP | not published by hospital | — |
| Fidelis | Essential Plan 1-4_200-250 | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| Fidelis | HARP_Managed Medicaid | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| Healthfirst | CHP | not published by hospital | — |
| Healthfirst | Essential Plan 1-2 | not published by hospital | — |
| Healthfirst | Essential Plan 200-250 | not published by hospital | — |
| Healthfirst | Essential Plan 3-4 | not published by hospital | — |
| Healthfirst | HARP | not published by hospital | — |
| Healthfirst | Managed Medicaid | not published by hospital | — |
| MetroPlus | CHP | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| MetroPlus | Gold | not published by hospital | — |
| MetroPlus | Goldcare 1 & 2 | not published by hospital | — |
| MetroPlus | HARP | not published by hospital | — |
| MetroPlus | Managed Medicaid | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | SNP | not published by hospital | — |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| Senior Whole Health | MAP | not published by hospital | — |
| Senior Whole Health | MLTC | not published by hospital | — |
| UNITED | CHP | not published by hospital | — |
| UNITED | Essential Plan 1-4_200-250 | not published by hospital | — |
| UNITED | HARP | not published by hospital | — |
| UNITED | Managed Medicaid | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | HARP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | not published by hospital | — |
| VACCN | All Products | not published by hospital | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | not published | $0.01 – $645.00 |
| South Brooklyn Health | Brooklyn | not published | $0.01 – $645.00 |
| UPMC Chautauqua | Jamestown | $217.80 | $61.00 – $321.30 |
| NewYork-Presbyterian Queens | Flushing | $1,014.00 | $1,567.74 – $1,644.31 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $715.00 | $1,597.27 – $1,597.27 |
| Rochester General Hospital | Rochester | $584.79 | $72.00 – $72.00 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $584.79 | $52.50 – $255.63 |
| Gouverneur Hospital | Gouverneur | $514.76 | $76.97 – $272.05 |