CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Elmhurst Hospital Center

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$58
about 1.4× the $40 Medicare rate · typically $17–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
Below the fair price — a good deal
about $7 under the fair price · 1.3× Medicare
Medicare pays $40 Fair price $58 This hospital $51

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $12 Priciest $51

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic procedure preparation is about $58 (about 1.4× the $40 Medicare rate). Elmhurst Hospital Center charges insurers about $51 — below the fair price — a good deal. Located in Elmhurst, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $18 - $201 45%
Blue Cross Blue Shieldmajor $80 - $362 198%
Aetnamajor $16 - $55 40%
Cignamajor $47 116%
Fidelis Care $26 - $362 64%
Oscar Health $27 - $73 67%
WellCare $20 - $53 49%
+ 10 smaller / regional plans $15 - $362

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Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals