CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: Henry J Carter Specialty Hospital
Billing Code: 392 (MS-DRG)
The BaseRate · fair price medium confidence
A fair price for this
$13,618
about 2.4× the $5,676 Medicare rate · typically $5,796–$34,991
modeled estimate · not a bill or quote
Medicare pays $5,676 Fair price $13,618
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $14,155 | 249% |
| Fidelis Care | $46,360 - $53,961 | 817% |
| + 5 smaller / regional plans | $38,000 - $47,500 |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Henry J Carter Specialty 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.