CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Flushing Hospital Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$34,830
about 1.5× the $23,504 Medicare rate · typically $26,118–$58,053
modeled estimate · not a bill or quote
What this hospital charges insurers
$43,514
Above the fair price
about $8,684 over the fair price · 1.9× Medicare
Medicare pays $23,504 Fair price $34,830 This hospital $43,514

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 $24,445 Priciest $43,514

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $34,830 (about 1.5× the $23,504 Medicare rate). Flushing Hospital Medical Center charges insurers about $43,514 — above the fair price. Located in Flushing, 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 $34,830. 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.

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 $40,198 - $50,839 171%
Aetnamajor $40,198 - $49,601 171%
Cignamajor $54,866 233%
Humanamajor $40,801 - $42,811 174%
EmblemHealth $44,306 189%
Fidelis Care $40,198 171%
MagnaCare $46,228 197%
Oscar Health $53,909 229%
WellCare $40,198 171%
+ 17 smaller / regional plans $19,094 - $82,461

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