Removal biliary drg cath at Kings County Hospital Center
451 Clarkson Ave, Brooklyn, NY · NYC Health + Hospitals · · NPI 1043224355
$1,109.47
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.
$2,718.38
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.
$66.92 with PB - ANTHEM vs $4,677.00 with OSCAR — 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 |
|---|---|---|---|
| PB - ANTHEM | EXCHANGE | $66.92 | ↓ -94% |
| Aetna | MEDICARE ADVANTAGE | $105.95 | ↓ -90% |
| EMBLEM | PPO_Commercial | $105.95 | ↓ -90% |
| EMBLEM | HIP_GHI_CHP | $105.95 | ↓ -90% |
| PB - AETNA | ALL PRODUCTS | $114.59 | ↓ -90% |
| PB - CENTERLIGHT | PACE | $121.50 | ↓ -89% |
| PB - HAMASPIK | MEDICARE ADVANTAGE | $121.50 | ↓ -89% |
| PB - OSCAR | ALL PRODUCTS | $133.65 | ↓ -88% |
| PB - WELLCARE | MEDICARE ADVANTAGE | $145.80 | ↓ -87% |
| Fidelis | MAP | $152.57 | ↓ -86% |
| PB - AFFINITY | CHP | $170.10 | ↓ -85% |
| PB - AFFINITY | ESSENTIAL | $170.10 | ↓ -85% |
| PB - LOCAL 1199 | ALL PRODUCTS | $206.55 | ↓ -81% |
| Local 1199 | ALL PRODUCTS | $441.00 | ↓ -60% |
| PB - AETNA | MEDICARE ADVANTAGE | $461.92 | ↓ -58% |
| Healthfirst | CHP | $522.32 | ↓ -53% |
| Healthfirst | Managed Medicaid | $522.32 | ↓ -53% |
| Healthfirst | HARP | $522.32 | ↓ -53% |
| Fidelis | CHP | $629.29 | ↓ -43% |
| Anthem HealthPlus | EXCHANGE | $629.29 | ↓ -43% |
| UNITED | HARP | $629.29 | ↓ -43% |
| Fidelis | HARP_Managed Medicaid | $629.29 | ↓ -43% |
| Carelon | Managed Medicaid_HARP_CHP | $629.29 | ↓ -43% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $629.29 | ↓ -43% |
| UNITED | Managed Medicaid | $629.29 | ↓ -43% |
| MetroPlus | SNP | $629.30 | ↓ -43% |
| Carelon | GHI BMP | $629.30 | ↓ -43% |
| MetroPlus | Gold | $629.30 | ↓ -43% |
| MetroPlus | Goldcare 1 & 2 | $629.30 | ↓ -43% |
| MetroPlus | Managed Medicaid | $629.30 | ↓ -43% |
| MetroPlus | HARP | $629.30 | ↓ -43% |
| MetroPlus | CHP | $629.30 | ↓ -43% |
| Carelon | Commercial_Essential Plans | $629.30 | ↓ -43% |
| Carelon (Amida Care) | Managed Medicaid | $641.88 | ↓ -42% |
| UNITED BEHAVIORAL HEALTH | HARP | $641.88 | ↓ -42% |
| VNSNY | MAP | $641.88 | ↓ -42% |
| VNSNY | Medicaid SNP | $641.88 | ↓ -42% |
| UNITED BEHAVIORAL HEALTH | CHP | $641.88 | ↓ -42% |
| UNITED | Essential Plan 1-4_200-250 | $673.34 | ↓ -39% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $692.22 | ↓ -38% |
| EMBLEM | Essential Plan 3-4 | $786.63 | ↓ -29% |
| UNITED | CHP | $786.63 | ↓ -29% |
| Emblem | Essential Plan 200-250 | $849.56 | ↓ -23% |
| EMBLEM | Essential Plan 1-2 | $849.56 | ↓ -23% |
| Healthfirst | MAP | $939.71 | ↓ -15% |
| Healthfirst | Medicare Advantage PPO | $939.71 | ↓ -15% |
| Healthfirst | MEDICARE ADVANTAGE | $939.71 | ↓ -15% |
| Healthfirst | EXCHANGE | $1,006.88 | ↓ -9% |
| Healthfirst | Small Group | $1,025.76 | ↓ -8% |
| VNSNY | Medicare Advantage | $1,109.47 | ↑ +0% |
| Senior Whole Health | MLTC | $1,109.47 | ↑ +0% |
| Senior Whole Health | MAP | $1,109.47 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $1,109.47 | ↑ +0% |
| VNSNY | Medicare SNP | $1,109.47 | ↑ +0% |
| VACCN | All Products | $1,109.47 | ↑ +0% |
| Amidacare | Managed Medicaid | $1,132.18 | ↑ +2% |
| Centerlight | PACE | $1,132.18 | ↑ +2% |
| Elderplan | MAP_Medicare Advantage_MLTC | $1,132.18 | ↑ +2% |
| OXFORD | MEDICARE ADVANTAGE | $1,164.94 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $1,188.78 | ↑ +7% |
| Wellcare | MEDICARE ADVANTAGE | $1,198.23 | ↑ +8% |
| MetroPlus | MAP | $1,279.36 | ↑ +15% |
| MetroPlus | EXCHANGE | $1,279.36 | ↑ +15% |
| MetroPlus | MEDICARE ADVANTAGE | $1,279.36 | ↑ +15% |
| EMBLEM | MEDICARE ADVANTAGE | $1,386.84 | ↑ +25% |
| Fidelis | Essential Plan 1-4_200-250 | $1,415.90 | ↑ +28% |
| MetroPlus | Essential Plan 1-2 | $1,415.90 | ↑ +28% |
| MetroPlus | Essential Plan 200-250 | $1,415.90 | ↑ +28% |
| MetroPlus | Essential Plan 3-4 | $1,415.90 | ↑ +28% |
| Affinity | Essential Plan 1-2 | $1,415.90 | ↑ +28% |
| Affinity | Essential Plan 200-250 | $1,415.90 | ↑ +28% |
| Affinity | Essential Plan 3-4 | $1,415.90 | ↑ +28% |
| Healthfirst | Essential Plan 1-2 | $1,415.90 | ↑ +28% |
| Healthfirst | Essential Plan 200-250 | $1,415.90 | ↑ +28% |
| Healthfirst | Essential Plan 3-4 | $1,415.90 | ↑ +28% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,415.90 | ↑ +28% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,415.90 | ↑ +28% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,415.90 | ↑ +28% |
| Fidelis | EXCHANGE | $1,575.45 | ↑ +42% |
| ANTHEM | Blue Access Small Group | $1,643.00 | ↑ +48% |
| ANTHEM | Small Group EPO_PPO | $1,643.00 | ↑ +48% |
| ANTHEM | Blue Access Large Group | $1,689.00 | ↑ +52% |
| VillageCare Max | MAP | $1,698.26 | ↑ +53% |
| VillageCare Max | MEDICARE ADVANTAGE | $1,698.26 | ↑ +53% |
| Aetna | ALL PRODUCTS | $1,715.00 | ↑ +55% |
| Carelon | MAP_Medicare Advantage | $1,766.95 | ↑ +59% |
| ANTHEM | HMO | $1,826.00 | ↑ +65% |
| ANTHEM | EPO | $1,826.00 | ↑ +65% |
| ANTHEM | INDEMNITY | $1,826.00 | ↑ +65% |
| ANTHEM | PPO | $1,826.00 | ↑ +65% |
| MAGNACARE | Direct Plus Non-FPP | $2,038.79 | ↑ +84% |
| MAGNACARE | Direct Plus FPP | $2,038.79 | ↑ +84% |
| MAGNACARE | PPO FPP | $2,038.79 | ↑ +84% |
| MAGNACARE | PPO Non-FPP | $2,038.79 | ↑ +84% |
| MULTIPLAN | ALL PRODUCTS | $2,174.70 | ↑ +96% |
| UNITED | EXCHANGE | $2,594.00 | ↑ +134% |
| UNITED | ALL PRODUCTS | $2,860.00 | ↑ +158% |
| OXFORD | Liberty | $3,399.00 | ↑ +206% |
| OXFORD | Freedom | $3,850.00 | ↑ +247% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↑ +286% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↑ +322% |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| PB - ANTHEM | CHP | not published by hospital | — |
| Affinity | CHP | 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 | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| PB - UNITED BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| PB - UNITED BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Removal biliary drg cath at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn | $1,109.47 | $66.92 – $1,698.26 |
| South Brooklyn Health | Brooklyn | $1,109.47 | $105.95 – $1,279.36 |
| NewYork-Presbyterian Queens | Flushing | $2,787.00 | $477.00 – $1,164.88 |
| Bellevue Hospital Center | NY 10016 | $1,109.47 | $66.92 – $1,698.26 |
| Harlem Hospital Center | New York | $1,109.47 | $103.58 – $1,279.36 |
| Lincoln Medical Center | Bronx | $1,109.47 | $105.95 – $1,279.36 |
| Metropolitan Hospital Center | New York | $1,109.47 | $105.95 – $1,279.36 |
| Queens Hospital Center | Jamaica | $1,109.47 | $66.92 – $1,698.26 |