Pt evaluation moderate complexity patient/family at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$111.81
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.
?
What you pay up front if you don't use insurance.
$478.50
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.
$49.11 with PB - AETNA vs $410.76 with MetroPlus — 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 - AETNA | MEDICARE ADVANTAGE | $49.11 | ↓ -56% |
| PB - AETNA | ALL PRODUCTS | $49.11 | ↓ -56% |
| Healthfirst | MEDICARE ADVANTAGE | $91.42 | ↓ -18% |
| Healthfirst | MAP | $91.42 | ↓ -18% |
| Healthfirst | Medicare Advantage PPO | $107.95 | ↓ -3% |
| Amidacare | Managed Medicaid | $110.15 | ↓ -1% |
| Centerlight | PACE | $110.15 | ↓ -1% |
| Senior Whole Health | MLTC | $110.15 | ↓ -1% |
| VACCN | All Products | $111.81 | ↑ +0% |
| Senior Whole Health | MAP | $111.81 | ↑ +0% |
| Aetna | MEDICARE ADVANTAGE | $111.81 | ↑ +0% |
| VNSNY | Medicare SNP | $111.81 | ↑ +0% |
| VNSNY | Medicare Advantage | $111.81 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $111.81 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $111.81 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $115.66 | ↑ +3% |
| OXFORD | MEDICARE ADVANTAGE | $117.40 | ↑ +5% |
| Wellcare | MEDICARE ADVANTAGE | $120.75 | ↑ +8% |
| MetroPlus | MEDICARE ADVANTAGE | $124.47 | ↑ +11% |
| MetroPlus | EXCHANGE | $124.47 | ↑ +11% |
| MetroPlus | MAP | $124.47 | ↑ +11% |
| PB - CENTERLIGHT | PACE | $139.00 | ↑ +24% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $139.00 | ↑ +24% |
| Healthfirst | CHP | $151.53 | ↑ +36% |
| Healthfirst | Managed Medicaid | $151.53 | ↑ +36% |
| Healthfirst | HARP | $151.53 | ↑ +36% |
| PB - OSCAR | ALL PRODUCTS | $152.90 | ↑ +37% |
| Fidelis | MAP | $161.01 | ↑ +44% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $166.80 | ↑ +49% |
| Anthem HealthPlus | EXCHANGE | $182.56 | ↑ +63% |
| Fidelis | CHP | $182.56 | ↑ +63% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $182.56 | ↑ +63% |
| Carelon | Managed Medicaid_HARP_CHP | $182.56 | ↑ +63% |
| UNITED | Managed Medicaid | $182.56 | ↑ +63% |
| Fidelis | HARP_Managed Medicaid | $182.56 | ↑ +63% |
| UNITED | HARP | $182.56 | ↑ +63% |
| MetroPlus | SNP | $182.57 | ↑ +63% |
| MetroPlus | Goldcare 1 & 2 | $182.57 | ↑ +63% |
| MetroPlus | Managed Medicaid | $182.57 | ↑ +63% |
| MetroPlus | HARP | $182.57 | ↑ +63% |
| MetroPlus | CHP | $182.57 | ↑ +63% |
| MetroPlus | Gold | $182.57 | ↑ +63% |
| Carelon | GHI BMP | $182.57 | ↑ +63% |
| Carelon | Commercial_Essential Plans | $182.57 | ↑ +63% |
| VNSNY | Medicaid SNP | $186.21 | ↑ +67% |
| UNITED BEHAVIORAL HEALTH | CHP | $186.21 | ↑ +67% |
| Carelon (Amida Care) | Managed Medicaid | $186.21 | ↑ +67% |
| VNSNY | MAP | $186.21 | ↑ +67% |
| UNITED BEHAVIORAL HEALTH | HARP | $186.21 | ↑ +67% |
| PB - AFFINITY | ESSENTIAL | $194.60 | ↑ +74% |
| PB - AFFINITY | CHP | $194.60 | ↑ +74% |
| UNITED | Essential Plan 1-4_200-250 | $195.34 | ↑ +75% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $200.82 | ↑ +80% |
| Aetna | ALL PRODUCTS | $203.00 | ↑ +82% |
| Elderplan | MAP_Medicare Advantage_MLTC | $220.30 | ↑ +97% |
| EMBLEM | PPO_Commercial | $222.00 | ↑ +99% |
| EMBLEM | HIP_GHI_CHP | $222.00 | ↑ +99% |
| UNITED | CHP | $228.21 | ↑ +104% |
| EMBLEM | Essential Plan 3-4 | $228.21 | ↑ +104% |
| PB - LOCAL 1199 | ALL PRODUCTS | $236.30 | ↑ +111% |
| EMBLEM | MEDICARE ADVANTAGE | $237.00 | ↑ +112% |
| CIGNA | ALL PRODUCTS | $241.00 | ↑ +116% |
| VillageCare Max | MEDICARE ADVANTAGE | $242.25 | ↑ +117% |
| VillageCare Max | MAP | $242.25 | ↑ +117% |
| EMBLEM | Essential Plan 1-2 | $246.47 | ↑ +120% |
| Emblem | Essential Plan 200-250 | $246.47 | ↑ +120% |
| OXFORD | Liberty | $248.00 | ↑ +122% |
| OSCAR | ALL PRODUCTS | $264.00 | ↑ +136% |
| ANTHEM | Blue Access Small Group | $268.82 | ↑ +140% |
| ANTHEM | Small Group EPO_PPO | $268.82 | ↑ +140% |
| ANTHEM | Blue Access Large Group | $277.49 | ↑ +148% |
| OXFORD | Freedom | $278.00 | ↑ +149% |
| Healthfirst | EXCHANGE | $292.11 | ↑ +161% |
| Healthfirst | Small Group | $297.59 | ↑ +166% |
| ANTHEM | INDEMNITY | $299.65 | ↑ +168% |
| ANTHEM | HMO | $299.65 | ↑ +168% |
| ANTHEM | PPO | $299.65 | ↑ +168% |
| ANTHEM | EPO | $299.65 | ↑ +168% |
| Carelon | MAP_Medicare Advantage | $311.03 | ↑ +178% |
| UNITED | EXCHANGE | $314.00 | ↑ +181% |
| UNITED | ALL PRODUCTS | $346.00 | ↑ +209% |
| MAGNACARE | Direct Plus Non-FPP | $358.88 | ↑ +221% |
| MAGNACARE | Direct Plus FPP | $358.88 | ↑ +221% |
| MAGNACARE | PPO Non-FPP | $358.88 | ↑ +221% |
| MAGNACARE | PPO FPP | $358.88 | ↑ +221% |
| MULTIPLAN | ALL PRODUCTS | $382.80 | ↑ +242% |
| Local 1199 | ALL PRODUCTS | $406.73 | ↑ +264% |
| Anthem HealthPlus | Essential Plan 3-4 | $410.76 | ↑ +267% |
| Healthfirst | Essential Plan 3-4 | $410.76 | ↑ +267% |
| Fidelis | Essential Plan 1-4_200-250 | $410.76 | ↑ +267% |
| Healthfirst | Essential Plan 200-250 | $410.76 | ↑ +267% |
| Healthfirst | Essential Plan 1-2 | $410.76 | ↑ +267% |
| Affinity | Essential Plan 3-4 | $410.76 | ↑ +267% |
| Affinity | Essential Plan 200-250 | $410.76 | ↑ +267% |
| Affinity | Essential Plan 1-2 | $410.76 | ↑ +267% |
| Anthem HealthPlus | Essential Plan 1-2 | $410.76 | ↑ +267% |
| Anthem HealthPlus | Essential Plan 200-250 | $410.76 | ↑ +267% |
| MetroPlus | Essential Plan 3-4 | $410.76 | ↑ +267% |
| MetroPlus | Essential Plan 200-250 | $410.76 | ↑ +267% |
| MetroPlus | Essential Plan 1-2 | $410.76 | ↑ +267% |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Fidelis | EXCHANGE | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| PB - ANTHEM | EXCHANGE | not published by hospital | — |
| PB - ANTHEM | ESSENTIAL PLAN 1-4 and 200-250 | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | 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 | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| PB - HEALTHFIRST | MEDICARE ADVANTAGE PPO | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $111.81 | $49.11 – $242.25 |
| South Brooklyn Health | Brooklyn | $111.81 | $91.42 – $242.25 |
| NewYork-Presbyterian Queens | Flushing | $734.00 | $93.00 – $200.04 |
| Bellevue Hospital Center | NY 10016 | $109.88 | $49.11 – $242.25 |
| Harlem Hospital Center | New York | $111.81 | $91.42 – $242.25 |
| Lincoln Medical Center | Bronx | $111.81 | $91.42 – $242.25 |
| Metropolitan Hospital Center | New York | $109.88 | $90.32 – $242.25 |
| UPMC Chautauqua | Jamestown | $98.40 | $66.99 – $161.15 |