CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Francis Hospital - the Heart Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$10,692
about 1.9× the $5,676 Medicare rate · typically $7,710–$18,148
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,240
Above the fair price
about $4,548 over the fair price · 2.7× Medicare
Medicare pays $5,676 Fair price $10,692 This hospital $15,240

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 $5,103 Priciest $15,240

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $10,692 (about 1.9× the $5,676 Medicare rate). St Francis Hospital - the Heart Center charges insurers about $15,240 — above the fair price. Located in Roslyn, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $10,692. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $6,773 - $24,293 119%
Blue Cross Blue Shieldmajor $6,638 - $24,293 117%
Aetnamajor $6,880 - $24,430 121%
Cignamajor $25,952 457%
Humanamajor $6,909 122%
AmeriHealth $29,087 512%
Cigna HealthSpring $6,773 119%
Fidelis Care $6,773 119%
Independent Health $6,773 119%
MVP Health Care $6,773 - $25,952 119%
WellCare $7,044 124%
+ 30 smaller / regional plans $5,236 - $29,087
Government programs also on file: Medicare, 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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 100 Port Washington Boulevard, Roslyn, NY 11576
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals