Perq dev breast 1st mr guide at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$832.60
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.
?
What you pay up front if you don't use insurance.
$2,276.54
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.
?
The hospital's undiscounted list price — almost no one pays this.
$94.06 with PB - ANTHEM vs $4,677.00 with OSCAR — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| PB - ANTHEM | EXCHANGE | $94.06 | ↓ -89% |
| PB - AETNA | ALL PRODUCTS | $110.64 | ↓ -87% |
| Aetna | MEDICARE ADVANTAGE | $137.54 | ↓ -83% |
| PB - CENTERLIGHT | PACE | $151.50 | ↓ -82% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $151.50 | ↓ -82% |
| PB - OSCAR | ALL PRODUCTS | $166.65 | ↓ -80% |
| PB - LOCAL 1199 | ALL PRODUCTS | $167.00 | ↓ -80% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $181.80 | ↓ -78% |
| Fidelis | MAP | $198.06 | ↓ -76% |
| PB - AFFINITY | CHP | $212.10 | ↓ -75% |
| PB - AFFINITY | ESSENTIAL | $212.10 | ↓ -75% |
| EMBLEM | PPO_Commercial | $332.00 | ↓ -60% |
| EMBLEM | HIP_GHI_CHP | $332.00 | ↓ -60% |
| Local 1199 | ALL PRODUCTS | $441.00 | ↓ -47% |
| Healthfirst | MAP | $455.31 | ↓ -45% |
| Healthfirst | MEDICARE ADVANTAGE | $455.31 | ↓ -45% |
| Healthfirst | Medicare Advantage PPO | $455.31 | ↓ -45% |
| PB - AETNA | MEDICARE ADVANTAGE | $742.27 | ↓ -11% |
| ANTHEM | MEDICARE ADVANTAGE | $832.60 | ↑ +0% |
| Senior Whole Health | MLTC | $832.60 | ↑ +0% |
| Senior Whole Health | MAP | $832.60 | ↑ +0% |
| VNSNY | Medicare Advantage | $832.60 | ↑ +0% |
| VNSNY | Medicare SNP | $832.60 | ↑ +0% |
| VACCN | All Products | $832.60 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $874.23 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $883.95 | ↑ +6% |
| Centerlight | PACE | $883.95 | ↑ +6% |
| Wellcare | MEDICARE ADVANTAGE | $899.21 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $928.15 | ↑ +11% |
| MetroPlus | MAP | $998.86 | ↑ +20% |
| MetroPlus | EXCHANGE | $998.86 | ↑ +20% |
| MetroPlus | MEDICARE ADVANTAGE | $998.86 | ↑ +20% |
| OXFORD | Liberty | $1,138.27 | ↑ +37% |
| Fidelis | EXCHANGE | $1,182.29 | ↑ +42% |
| EMBLEM | MEDICARE ADVANTAGE | $1,248.90 | ↑ +50% |
| VillageCare Max | MEDICARE ADVANTAGE | $1,325.93 | ↑ +59% |
| VillageCare Max | MAP | $1,325.93 | ↑ +59% |
| OXFORD | Freedom | $1,365.92 | ↑ +64% |
| Carelon | MAP_Medicare Advantage | $1,479.75 | ↑ +78% |
| Healthfirst | CHP | $1,573.54 | ↑ +89% |
| Healthfirst | HARP | $1,573.54 | ↑ +89% |
| Healthfirst | Managed Medicaid | $1,573.54 | ↑ +89% |
| ANTHEM | Small Group EPO_PPO | $1,643.00 | ↑ +97% |
| ANTHEM | Blue Access Small Group | $1,643.00 | ↑ +97% |
| ANTHEM | Blue Access Large Group | $1,689.00 | ↑ +103% |
| MAGNACARE | PPO FPP | $1,707.41 | ↑ +105% |
| MAGNACARE | PPO Non-FPP | $1,707.41 | ↑ +105% |
| MAGNACARE | Direct Plus Non-FPP | $1,707.41 | ↑ +105% |
| MAGNACARE | Direct Plus FPP | $1,707.41 | ↑ +105% |
| UNITED | EXCHANGE | $1,821.23 | ↑ +119% |
| MULTIPLAN | ALL PRODUCTS | $1,821.23 | ↑ +119% |
| UNITED | ALL PRODUCTS | $1,821.23 | ↑ +119% |
| ANTHEM | HMO | $1,826.00 | ↑ +119% |
| ANTHEM | PPO | $1,826.00 | ↑ +119% |
| ANTHEM | INDEMNITY | $1,826.00 | ↑ +119% |
| ANTHEM | EPO | $1,826.00 | ↑ +119% |
| Carelon | Managed Medicaid_HARP_CHP | $1,895.83 | ↑ +128% |
| UNITED | HARP | $1,895.83 | ↑ +128% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $1,895.83 | ↑ +128% |
| MetroPlus | SNP | $1,895.83 | ↑ +128% |
| Anthem HealthPlus | EXCHANGE | $1,895.83 | ↑ +128% |
| UNITED | Managed Medicaid | $1,895.83 | ↑ +128% |
| MetroPlus | Gold | $1,895.83 | ↑ +128% |
| MetroPlus | Goldcare 1 & 2 | $1,895.83 | ↑ +128% |
| MetroPlus | Managed Medicaid | $1,895.83 | ↑ +128% |
| Fidelis | CHP | $1,895.83 | ↑ +128% |
| Fidelis | HARP_Managed Medicaid | $1,895.83 | ↑ +128% |
| MetroPlus | HARP | $1,895.83 | ↑ +128% |
| MetroPlus | CHP | $1,895.83 | ↑ +128% |
| Carelon | Commercial_Essential Plans | $1,895.83 | ↑ +128% |
| Carelon | GHI BMP | $1,895.83 | ↑ +128% |
| UNITED BEHAVIORAL HEALTH | CHP | $1,933.75 | ↑ +132% |
| VNSNY | Medicaid SNP | $1,933.75 | ↑ +132% |
| Carelon (Amida Care) | Managed Medicaid | $1,933.75 | ↑ +132% |
| VNSNY | MAP | $1,933.75 | ↑ +132% |
| UNITED BEHAVIORAL HEALTH | HARP | $1,933.75 | ↑ +132% |
| UNITED | Essential Plan 1-4_200-250 | $2,028.54 | ↑ +144% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $2,085.41 | ↑ +150% |
| EMBLEM | Essential Plan 3-4 | $2,369.79 | ↑ +185% |
| UNITED | CHP | $2,369.79 | ↑ +185% |
| Emblem | Essential Plan 200-250 | $2,559.37 | ↑ +207% |
| EMBLEM | Essential Plan 1-2 | $2,559.37 | ↑ +207% |
| Aetna | ALL PRODUCTS | $2,626.00 | ↑ +215% |
| Amidacare | Managed Medicaid | $2,764.00 | ↑ +232% |
| Healthfirst | EXCHANGE | $3,033.33 | ↑ +264% |
| Healthfirst | Small Group | $3,090.20 | ↑ +271% |
| Healthfirst | Essential Plan 1-2 | $4,265.62 | ↑ +412% |
| Anthem HealthPlus | Essential Plan 1-2 | $4,265.62 | ↑ +412% |
| Anthem HealthPlus | Essential Plan 200-250 | $4,265.62 | ↑ +412% |
| Fidelis | Essential Plan 1-4_200-250 | $4,265.62 | ↑ +412% |
| MetroPlus | Essential Plan 200-250 | $4,265.62 | ↑ +412% |
| Healthfirst | Essential Plan 3-4 | $4,265.62 | ↑ +412% |
| Healthfirst | Essential Plan 200-250 | $4,265.62 | ↑ +412% |
| Anthem HealthPlus | Essential Plan 3-4 | $4,265.62 | ↑ +412% |
| MetroPlus | Essential Plan 1-2 | $4,265.62 | ↑ +412% |
| Affinity | Essential Plan 3-4 | $4,265.62 | ↑ +412% |
| Affinity | Essential Plan 200-250 | $4,265.62 | ↑ +412% |
| Affinity | Essential Plan 1-2 | $4,265.62 | ↑ +412% |
| MetroPlus | Essential Plan 3-4 | $4,265.62 | ↑ +412% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↑ +415% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↑ +462% |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| PB - CIGNA | ALL PRODUCTS | not published by hospital | — |
| PB - FIDELIS | QHP | not published by hospital | — |
| PB - FIDELIS | ESSENTIAL PLAN | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Perq dev breast 1st mr guide at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $832.60 | $94.06 – $1,325.93 |
| South Brooklyn Health | Brooklyn | $832.60 | $137.54 – $1,248.90 |
| NewYork-Presbyterian Queens | Flushing | $1,588.00 | $790.93 – $2,414.48 |
| Bellevue Hospital Center | NY 10016 | $832.60 | $94.06 – $1,325.93 |
| Harlem Hospital Center | New York | $832.60 | $134.71 – $1,248.90 |
| Lincoln Medical Center | Bronx | $832.60 | $137.54 – $1,248.90 |
| Metropolitan Hospital Center | New York | $832.60 | $137.54 – $1,248.90 |
| Queens Hospital Center | Jamaica | $832.60 | $94.06 – $1,325.93 |