CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Flushing Hospital Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,140
about 1.7× the $14,044 Medicare rate · typically $17,172–$39,531
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,302
About the fair price
about $1,162 over the fair price · 1.8× Medicare
Medicare pays $14,044 Fair price $24,140 This hospital $25,302

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 $11,437 Priciest $25,302

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

A fair price for a Hip or knee replacement (inpatient stay) is about $24,140 (about 1.7× the $14,044 Medicare rate). Flushing Hospital Medical Center charges insurers about $25,302 — about the fair price. Located in Flushing, 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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $24,565 - $31,062 175%
Aetnamajor $24,565 175%
Cignamajor $33,522 239%
Humanamajor $24,934 - $26,162 178%
EmblemHealth $27,070 193%
Fidelis Care $24,565 175%
MagnaCare $28,250 201%
Oscar Health $32,938 235%
WellCare $24,565 175%
+ 19 smaller / regional plans $1,912 - $50,382

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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