CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Flushing Hospital Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$79
about 0.8× the $95 Medicare rate · typically $65–$184
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
About the fair price
about $4 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $79 This hospital $75 Cash price $430 Hospital's list price $430

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 $56 Priciest $75

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $79 (about 0.8× the $95 Medicare rate). Flushing Hospital Medical Center charges insurers about $75, or about $430 in cash — 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.

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 $46 - $230 48%
Blue Cross Blue Shieldmajor $176 185%
Aetnamajor $64 - $278 67%
Cignamajor $289 304%
Humanamajor $64 - $67 67%
EmblemHealth $99 104%
Fidelis Care $60 - $64 63%
MagnaCare $73 - $1,485 77%
Oscar Health $438 460%
WellCare $66 69%
+ 18 smaller / regional plans $35 - $1,912

Self-Pay How to get the cash price

Insurance Before you use insurance

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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