CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Elmhurst Hospital Center
Billing Code: 392 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$12,038
about 2.1× the $5,676 Medicare rate · typically $7,847–$21,565
modeled estimate · not a bill or quote
Medicare pays $5,676 Fair price $12,038
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 | $13,979 - $21,295 | 246% |
| Blue Cross Blue Shieldmajor | $26,727 | 471% |
| Aetnamajor | $13,850 - $26,727 | 244% |
| Cignamajor | $14,628 | 258% |
| Fidelis Care | $26,727 - $37,953 | 471% |
| Oscar Health | $17,861 | 315% |
| WellCare | $27,128 | 478% |
| + 11 smaller / regional plans | $9,796 - $27,797 |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Elmhurst Hospital Center
Compare: Digestive disorders treatment (inpatient stay) at other NY hospitals
- Sisters of Charity Hospital · Buffalo $5,103
- Mercy Hospital of Buffalo · Buffalo $5,610
- Kenmore Mercy Hospital · Kenmore $5,857
- Community Memorial Hospital, Inc · Hamilton $6,210
- United Memorial Medical Center · Batavia $6,279
- Montefiore St Luke's Cornwall · Newburgh $6,673
- Montefiore Mount Vernon Hospital · Mount Vernon $6,829
- Montefiore New Rochelle Hospital · New Rochelle $6,861
Insurance negotiated median for the same procedure, sorted lowest first.