How many shoppable procedure prices are published for Kings County Hospital Center?

Kings County Hospital Center in Brooklyn, NY currently has 142 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Kings County Hospital Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Kings County Hospital Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Kings County Hospital Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Kings County Hospital Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 381 Beds · rural Updated: 2025-09-05

Kings County Hospital Center

451 Clarkson Avenue, Brooklyn, NY 11203 · 142 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Above Fair Market · Negotiate

1.08×vs. Fair Market Price

Typical commercial prices here are +8% above the fair benchmark (1.08×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 59% of the Time

File Completeness100

Price Logic51

Peer Alignment62

Clean Billing90

Real Cash Discount82

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.08× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Kings County Hospital Center prices routine shoppable procedures near 1.3× Medicare (p50 1.07×) while skewing captive emergency, lab, and upper-quartile codes to 2.5× Medicare (p75 1.36×, +27% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#56 of 92 in NY · 59th State Percentile#1,621 of 3,385 in U.S. · 47th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.75× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 59% of shoppable procedures (82/100 Cash Honesty)
1-Star CMS clinical rating with 63% patient recommendation (58/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.08× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (2.5×) & laboratory (0.9×) services average 1.92× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.36×) jump +27% above the median procedure ratio (Q50 1.07×)
Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.92× Divergence

2.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+27% Upper Tail

Q25 0.75× · Q50 1.07× · Q75 1.36×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.5× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.3× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

59% Cash Edge · 82/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 58/100Elevated

Procedure Prices at Kings County Hospital Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 142 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$55,081	$30,775	1.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$39,931	$19,087	2.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$38,947	$19,432	2.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$37,967	$17,936	2.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$24,752	$8,223	unverified
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Total hip replacement CPT Code: `27130`	—	—	$13,413	—
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,605	$3,229	$6,109	0.5×
C-section delivery (full package) CPT Code: `59510`	—	$3,179	$2,975	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,896	$2,680	1.1×
Bunion correction surgery CPT Code: `28296`	$3,705	$2,506	$3,446	0.7×
Inguinal hernia repair CPT Code: `49505`	$3,960	$2,504	$3,629	0.7×
Cataract surgery with lens implant CPT Code: `66984`	$2,668	$2,449	$2,540	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,705	$2,097	$3,372	0.6×
Breast lump removal CPT Code: `19120`	—	$1,896	$3,875	0.5×
Trauma team activation HCPCS Code: `G0390`	—	$1,566	$1,453	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,038	$989	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,046	$951	$981	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,351	$951	$1,256	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,197	$741	$1,021	0.7×
Blood transfusion CPT Code: `36430`	$497	$677	$498	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	$678	$855	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$440	$534	$511	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$440	$423	$448	0.9×
Residential mental health treatment HCPCS Code: `H2036`	—	—	$406	—
MRI, lower back (no contrast) CPT Code: `72148`	$281	$371	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$281	$371	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$281	$349	$369	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$281	$302	$272	1.1×
Rabies immune globulin HCPCS Code: `90375`	—	—	$322	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$264	$140	1.9×
Behavioral health assessment HCPCS Code: `H0001`	—	$264	$157	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$281	$286	$303	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$183	$259	$185	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$210	$258	$258	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$632	$279	$583	0.5×
Behavioral health day program HCPCS Code: `H2012`	—	$221	$100	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$210	$219	$242	0.9×
Behavioral health living support HCPCS Code: `H2019`	—	$183	$34	5.4×
Speech therapy (language evaluation) CPT Code: `92507`	$98	$178	$86	2.1×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$175	$88	2.0×
CT scan, pelvis CPT Code: `72192`	$126	$189	$163	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$126	$192	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$126	$191	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$126	$191	$169	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$171	$162	$123	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$211	$181	$148	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$183	$188	$166	1.1×
CT scan, sinuses CPT Code: `70486`	$126	$186	$166	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$183	$196	$181	1.1×
Family therapy session CPT Code: `90847`	$183	$169	$173	1.0×
Neurobehavioral status check CPT Code: `96116`	$359	$188	$231	0.8×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$192	$257	0.7×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$192	$269	0.7×
Behavioral health day treatment HCPCS Code: `H0010`	—	$181	$343	0.5×
Behavioral health residential care HCPCS Code: `H0011`	—	$181	$364	0.5×
Psychological testing by technician CPT Code: `96138`	—	$188	$395	0.5×
Psychological testing evaluation CPT Code: `96136`	$146	$184	$128	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	$154	$86	1.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$126	$147	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$126	$149	$134	1.1×
Ultrasound, pelvis CPT Code: `76856`	$126	$143	$130	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$126	$154	$160	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$126	$126	$126	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	—	$151	unverified
Orthotic fitting and training CPT Code: `97760`	$61	$119	$51	2.3×
Care planning with family CPT Code: `90887`	—	$118	$107	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$108	$123	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$244	$114	$201	0.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$42	$119	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$47	$119	$40	unverified
Prosthetic fitting and training CPT Code: `97761`	$53	$119	$45	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$84	$25	3.4×
Physical therapy (gait training) CPT Code: `97116`	$37	$92	$33	2.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$70	$82	$64	1.3×
Group therapy session CPT Code: `90853`	$102	$104	$100	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$92	$110	0.8×
Review of medical records for care CPT Code: `90889`	—	—	$114	unverified
Typhoid vaccine HCPCS Code: `90675`	—	—	$347	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	—	$203	—
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	—
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$15	$64	$14	4.6×
Occupational therapy (self-care training) CPT Code: `97535`	$41	$66	$38	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$43	$57	$38	1.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$59	$49	$35	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	—	$54	$49	1.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$52	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$53	$49	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$73	$87	0.8×
X-ray, hip CPT Code: `73502`	$104	$73	$93	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$75	$111	0.7×
X-ray, lower back CPT Code: `72110`	$126	$74	$112	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$37	$37	$35	1.1×
Blood antibody screen CPT Code: `86850`	$62	$62	$46	unverified
Mental health services (therapy) HCPCS Code: `H0032`	—	—	$65	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$34	$33	1.0×
X-ray, hand CPT Code: `73130`	$104	$58	$93	0.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$104	$57	$93	0.6×
X-ray, foot CPT Code: `73630`	$104	$52	$92	0.6×
X-ray, ankle CPT Code: `73610`	$104	$50	$93	0.5×
X-ray, chest (two views) CPT Code: `71046`	$104	$48	$93	0.5×
X-ray, shoulder CPT Code: `73030`	$104	$47	$92	0.5×
X-ray, chest (single view) CPT Code: `71045`	$104	$37	$92	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	—	$39	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	—	$56	—
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$14	$14	$14	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	—	$37	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$7	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$5	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$9	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$18	$19	0.9×
X-ray, pelvis CPT Code: `72170`	$126	$43	$110	0.4×
Blood test, amylase CPT Code: `82150`	$6	$6	$7	0.9×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$11	$16	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$8	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$11	$11	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$13	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$8	$8	$9	unverified
Blood test, vitamin D CPT Code: `82306`	$30	$30	$31	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	unverified
Blood test, calcium CPT Code: `82310`	$5	$5	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$15	$15	$16	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$10	$10	$10	unverified
Blood test, lipase CPT Code: `83690`	$7	$7	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$17	$17	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$14	$14	$15	unverified
Culture, blood CPT Code: `87040`	$10	$10	$11	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	—	—	$25	unverified
Speech therapy (group session) CPT Code: `92508`	$30	$30	$27	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$34	$34	$34	unverified
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$8	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$4	$5	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$26	$26	$27	unverified
Community mental health services HCPCS Code: `H0038`	—	—	$16	unverified

Showing top 25 high-impact procedures of 142 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Kings County Hospital Center (Zero PHI Required)

CMS CCN: 330202

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $55,081

1. Amount on Your Bill or Quote ($) Pre-filled with Kings County Hospital Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Kings County Hospital Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$101,419 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($132,194) is $101,419 above the denoised Fair BaseRate ($30,775) and 5.6× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Kings County Hospital Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite58/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait260 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (364 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Kings County Hospital Center.

Price Index: 0.98× regional baseline

Quality: 52/100 CMS composite

Median Household Income$78,548U.S. Census ACS

Local Uninsured Share5.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 76/100 · Corroborated CMS CCN 330202

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 330202) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filekings

Publication / Vintage2025-09-05 · 759.22 MB

Validated Rate Rows11,713 (CMS v3.0.0)

File Integrity Digest783cd775bd896f8fdd4f…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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