CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Flushing Hospital Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $11,251
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Flushing Hospital Medical Center is $11,251. 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 1.98x the Medicare baseline. Located in 45Th Avenue and Parsons Boulevard, Flushing, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,251

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: $11,251 (198%)
Ins. Median: $11,251 (198% 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
Hotel Trades Council $1,912 34%
Healthfirst $5,111 - $10,761 90%
Aetna $10,761 - $12,542 190%
Beacon Health Strategies $10,761 190%
Centerlight Healthcare $10,761 190%
Elderplan $10,761 190%
Empire $10,761 190%
Fidelis $10,761 190%
Ghi $10,761 - $16,190 190%
Hip $10,761 - $15,466 190%
Metroplus $10,761 - $11,837 190%
UnitedHealthcare $10,761 - $12,855 190%
Wellcare Of Ny $10,761 190%
Humana $10,922 - $11,460 192%
Vns $10,976 193%
Empire - Healthplus D $11,084 195%
Emblemhealth $11,203 197%
Villagecaremax $11,299 199%
1199 National Benefit Fund $11,583 204%
Hamaspik Choice $11,837 209%
Senior Whole Health $11,837 209%
Centers Plan For Healthy Living $12,052 212%
Elderserve Health $12,375 218%
Magnacare $12,375 218%
Oscar $13,631 240%
Cigna $13,873 244%
Centivo $14,605 257%
Create Health Plan $20,850 367%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 45Th Avenue and Parsons Boulevard, Flushing, NY 11355
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals