CMS Price Transparency Data

Review of medical records for care

Facility: South Brooklyn Health

Billing Code: 90889 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90889
Insurance Median: $385
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Review of medical records for care at South Brooklyn Health is $385. 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 N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2601 Ocean Parkway, Brooklyn, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$385

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
United	$47 - $1,093	N/A
Aetna	$60 - $1,171	N/A
United Behavioral Health	$87 - $103	N/A
Metroplus	$99	N/A
Healthfirst	$103 - $128	N/A
Centerlight	$257	N/A
Oscar	$282	N/A
Emblem	$308 - $977	N/A
Wellcare	$308	N/A
Carelon	$333	N/A
Elderplan	$333	N/A
Magnacare	$385	N/A
Carelon (Amida Care)	$410	N/A
Multiplan	$410	N/A
Amidacare	$436	N/A
Villagecare Max	$436	N/A
Vnsny	$436	N/A
Oxford	$781 - $882	N/A
Local 1199	$796	N/A
Blue Cross Blue Shield	$1,463 - $1,626	N/A
Cigna	$1,500	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90889.

Insurance In-Network Protection Plan

Contact your insurance company to confirm South Brooklyn Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90889.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.