CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: New York Community Hospital of Brooklyn, Inc.

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $20,164
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at New York Community Hospital of Brooklyn, Inc. is $20,164. 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 $12,807.1, this hospital’s rate is 1.57x 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
$20,164

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)
Insurance Median: $20,164 (157%)
Ins. Median: $20,164 (157% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 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 $17,378 136%
Blue Cross Blue Shield $17,378 136%
Centerlight Healthcare $17,378 136%
Centers Plan For Healthy Living $17,378 136%
Cigna $17,378 - $34,636 136%
Elderplan $17,378 136%
Elderplan Fida $17,378 136%
Elderserve Health $17,378 136%
Emblem Health - Hip $17,378 - $37,970 136%
Emblem Health - Hip Vip $17,378 136%
Fidelis $17,378 136%
Hamaspik $17,378 136%
Healthfirst $17,378 136%
UnitedHealthcare $17,378 - $31,214 136%
Visiting Nurse Svc Of Ny $17,378 136%
Wellcare $17,378 136%
Villagecare Maxx Fida $18,247 142%
Emblem Health - Ghi $22,082 - $70,844 172%
Local 1199 $25,010 195%
Oxford Health Plan $27,566 215%
Oxford Liberty $27,566 215%
Magnacare $30,512 238%

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