CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: New York Community Hospital of Brooklyn, Inc.

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $9,028
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at New York Community Hospital of Brooklyn, Inc. is $9,028. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.59x the Medicare baseline. Located in 2525 Kings Highway, Brooklyn, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,028

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $9,028 (159%)
Ins. Median: $9,028 (159% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $7,897 139%
Blue Cross Blue Shield $7,897 139%
Centerlight Healthcare $7,897 139%
Centers Plan For Healthy Living $7,897 139%
Cigna $7,897 - $15,316 139%
Elderplan $7,897 139%
Elderplan Fida $7,897 139%
Elderserve Health $7,897 139%
Emblem Health - Hip $7,897 - $16,790 139%
Emblem Health - Hip Vip $7,897 139%
Fidelis $7,897 139%
Hamaspik $7,897 139%
Healthfirst $7,897 139%
UnitedHealthcare $7,897 - $13,803 139%
Visiting Nurse Svc Of Ny $7,897 139%
Wellcare $7,897 139%
Villagecare Maxx Fida $8,292 146%
Emblem Health - Ghi $9,764 - $31,327 172%
Local 1199 $11,059 195%
Oxford Health Plan $12,190 215%
Oxford Liberty $12,190 215%
Magnacare $13,493 238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Kings Highway, Brooklyn, NY 11229
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals