CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Queens Hospital Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$27,492
about 2.0× the $14,044 Medicare rate · typically $17,872–$50,175
modeled estimate · not a bill or quote
What this hospital charges insurers
$42,141
Above the fair price
about $14,649 over the fair price · 3.0× Medicare
Medicare pays $14,044 Fair price $27,492 This hospital $42,141

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 $42,141

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 $27,492 (about 2.0× the $14,044 Medicare rate). Queens Hospital Center charges insurers about $42,141 — above the fair price. Located in Jamaica, 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 $27,492. 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 $39,113 - $45,278 279%
Blue Cross Blue Shieldmajor $42,141 300%
Aetnamajor $38,838 - $42,141 277%
Cignamajor $35,346 252%
Fidelis Care $49,726 - $59,840 354%
Oscar Health $17,861 127%
WellCare $42,773 305%
+ 11 smaller / regional plans $23,671 - $47,619
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals