CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Maimonides Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$10,005
about 1.8× the $5,676 Medicare rate · typically $7,200–$16,694
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,947
Above the fair price
about $2,942 over the fair price · 2.3× Medicare
Medicare pays $5,676 Fair price $10,005 This hospital $12,947

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 $12,947

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 $10,005 (about 1.8× the $5,676 Medicare rate). Maimonides Medical Center charges insurers about $12,947 — above the fair price. Located in Brooklyn, 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 $10,005. 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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $10,789 - $24,901 190%
Blue Cross Blue Shieldmajor $10,789 - $24,459 190%
Aetnamajor $10,789 - $18,759 190%
Cignamajor $10,789 - $22,454 190%
Fidelis Care $10,789 190%
MagnaCare $26,857 473%
Molina $10,249 181%
WellCare $10,789 190%
+ 19 smaller / regional plans $10,034 - $23,965

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: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals