CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Suny/Stony Brook University Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$10,412

about 1.8× the $5,676 Medicare rate · typically $7,682–$15,895

modeled estimate · not a bill or quote

What this hospital charges insurers

$10,629

About the fair price

about $217 over the fair price · 1.9× Medicare

Medicare pays $5,676 Fair price $10,412 This hospital $10,629

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 $10,629

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 $10,412 (about 1.8× the $5,676 Medicare rate). Suny/Stony Brook University Hospital charges insurers about $10,629 — about the fair price. Located in Stony Brook, NY.

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	$10,421	184%
Blue Cross Blue Shieldmajor	$10,421	184%
Aetnamajor	$10,421 - $15,839	184%
Cignamajor	$4,471	79%
EmblemHealth	$10,629	187%
Fidelis Care	$10,421	184%
+ 5 smaller / regional plans	$6,045 - $13,547

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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Suny/Stony Brook University Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Suny/Stony Brook University Hospital

Compare: Digestive disorders treatment (inpatient stay) at other NY hospitals

Sisters of Charity Hospital · Buffalo $5,103
Mercy Hospital of Buffalo · Buffalo $5,610
Kenmore Mercy Hospital · Kenmore $5,857
Community Memorial Hospital, Inc · Hamilton $6,210
United Memorial Medical Center · Batavia $6,279
Montefiore St Luke's Cornwall · Newburgh $6,673
Montefiore Mount Vernon Hospital · Mount Vernon $6,829
Montefiore New Rochelle Hospital · New Rochelle $6,861

Insurance negotiated median for the same procedure, sorted lowest first.