How many shoppable procedure prices are published for Flushing Hospital Medical Center?

Flushing Hospital Medical Center in Flushing, NY currently has 118 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Flushing Hospital Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Flushing Hospital Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Flushing Hospital Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Flushing Hospital Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 247 Beds · rural Updated: 3/25/2026

Flushing Hospital Medical Center

45Th Avenue and Parsons Boulevard, Flushing, NY 11355 · 118 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

0.97×vs. Fair Market Price

Typical commercial prices here are 3% below the fair benchmark (0.97×) after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 15% of the Time

File Completeness60

Price Logic82

Peer Alignment71

Clean Billing83

Real Cash Discount6

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.97× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Flushing Hospital Medical Center prices shoppable and inpatient services (1.2× to 1.1× Medicare, divergence 0.92×) in alignment with regional hospital peers (0.97× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#34 of 92 in NY · 35th State Percentile#1,119 of 3,385 in U.S. · 33rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 3% below peer Fair BaseRate (0.97×)
Self-pay cash beats commercial insurance on 15% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 64% patient recommendation (64/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (39.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
Commercial insurance median sits at 1.01× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.18×) jump +17% above the median procedure ratio (Q50 1.01×)
Unnegotiated chargemaster list prices average 3.2× Medicare (31¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.92× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+17% Upper Tail

Q25 0.95× · Q50 1.01× · Q75 1.18×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.6× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.7× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.2× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

15% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 64/100Elevated

Procedure Prices at Flushing Hospital Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$43,514	$30,775	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$25,965	$19,087	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$25,302	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$24,435	$17,936	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,380	$8,223	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$7,112	$7,134	$6,109	1.2×
Total hip replacement CPT Code: `27130`	$5,180	$5,180	$13,413	0.4×
Total knee replacement CPT Code: `27447`	$5,042	$5,042	$13,523	0.4×
Inguinal hernia repair CPT Code: `49505`	$4,662	$4,662	$3,629	1.3×
Bunion correction surgery CPT Code: `28296`	$2,556	$2,556	$3,446	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,382	$2,382	$3,372	0.7×
Cataract surgery with lens implant CPT Code: `66984`	$2,082	$2,082	$2,540	0.8×
Breast lump removal CPT Code: `19120`	$2,052	$2,052	$3,875	0.5×
Colonoscopy with biopsy CPT Code: `45380`	$1,394	$1,394	$1,256	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,383	$1,224	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$2,231	$1,194	$987	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$957	$706	$583	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,133	$638	$369	unverified
Blood transfusion CPT Code: `36430`	$1,004	$553	$498	1.1×
Psychological testing by technician CPT Code: `96138`	$692	$509	$395	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,557	$459	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,557	$468	$511	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$432	$432	$201	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$425	$302	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$992	$314	$303	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$992	$320	$343	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$992	$314	$338	0.9×
Neurobehavioral status check CPT Code: `96116`	$545	$271	$231	1.2×
Rabies immune globulin HCPCS Code: `90375`	$9,800	$290	$322	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$276	$220	$166	1.3×
Family therapy session CPT Code: `90847`	$276	$220	$173	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$276	$220	$181	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$391	$224	$185	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$744	$229	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$744	$231	$258	0.9×
Psychological testing evaluation CPT Code: `96136`	$222	$169	$128	1.3×
Group therapy session CPT Code: `90853`	$213	$126	$100	1.3×
X-ray, pelvis CPT Code: `72170`	$254	$132	$110	1.2×
X-ray, lower back CPT Code: `72110`	$304	$132	$112	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$254	$138	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$254	$138	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$254	$138	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$254	$138	$134	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,468	$144	$151	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$445	$138	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$445	$138	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$445	$138	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$445	$138	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$445	$138	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$445	$138	$169	0.8×
X-ray, shoulder CPT Code: `73030`	$237	$112	$92	1.2×
X-ray, chest (single view) CPT Code: `71045`	$210	$110	$92	1.2×
X-ray, foot CPT Code: `73630`	$312	$110	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$210	$110	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$260	$110	$93	1.2×
X-ray, hand CPT Code: `73130`	$312	$110	$93	1.2×
X-ray, hip CPT Code: `73502`	$260	$110	$93	1.2×
X-ray, ankle CPT Code: `73610`	$312	$110	$93	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$182	$86	$86	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$524	$110	$123	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$681	$92	$110	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$653	$339	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$634	$219	$203	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$422	$141	$140	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$338	$111	$111	1.0×
Drug screening test HCPCS Code: `G0480`	$164	$114	$116	1.0×
Blood antibody screen CPT Code: `86850`	$188	$65	$46	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$150	$58	$48	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$150	$58	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$150	$58	$49	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$107	$74	$64	1.2×
Orthotic fitting and training CPT Code: `97760`	$118	$53	$51	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$430	$75	$87	0.9×
Community mental health services HCPCS Code: `H0038`	$77	$77	$16	unverified
Physical therapy (gait training) CPT Code: `97116`	$71	$34	$33	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$116	$41	$40	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$171	$56	$56	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$67	$15	$14	1.1×
Speech therapy (group session) CPT Code: `92508`	$57	$28	$27	1.0×
Prosthetic fitting and training CPT Code: `97761`	$101	$46	$45	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$285	$57	$148	0.4×
Screening mammogram (both breasts) CPT Code: `77067`	$178	$43	$123	0.3×
Blood test, basic metabolic panel CPT Code: `80048`	$25	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$32	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$36	$14	$14	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$41	$14	$14	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$80	$38	$38	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$79	$38	$38	1.0×
Blood test, vitamin D CPT Code: `82306`	$89	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$10	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$19	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$14	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$12	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$24	$10	$10	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$71	$34	$35	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$65	$32	$34	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$144	$32	$35	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$105	$33	$37	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$106	$34	$39	0.9×
Blood test, lipase CPT Code: `83690`	$20	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$19	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$14	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$50	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$14	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$12	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$23	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$16	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$34	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$31	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$26	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$74	$24	$25	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$50	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$45	$15	$16	0.9×
Blood test, liver function panel CPT Code: `80076`	$25	$8	$9	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$11	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$7	$2	$3	0.7×

Showing top 25 high-impact procedures of 118 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 39.0%

Audit a Bill or Quote at Flushing Hospital Medical Center (Zero PHI Required)

CMS CCN: 330193

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $43,514

1. Amount on Your Bill or Quote ($) Pre-filled with Flushing Hospital Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $40,729 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $40,729

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (39.0% of gross = $40,729).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Flushing Hospital Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$73,659 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($104,434) is $73,659 above the denoised Fair BaseRate ($30,775) and 4.4× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 111631781

Filing Period: 195302

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (39.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait217 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (1,113 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Flushing Hospital Medical Center.

Price Index: 0.72× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Ghi

-49.7%

1199 National Benefit Fund

-47.9%

Empire

+69.6%

Median Household Income$84,961U.S. Census ACS

Local Uninsured Share8.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 62/100 · Caution CMS CCN 330193 EIN 111631781

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (mrf!111631781_Flushing-Hospital-Medical-Center_standardcharges.csv) Verify on CMS Medicare.gov (CCN 330193) ↗ Verify IRS Form 990 (EIN 111631781) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf!111631781_Flushing-Hospital-Medical-Center_standardcharges.csv

Publication / Vintage3/25/2026 · 4.46 MB

Validated Rate Rows4,146 (CMS v3.0.0)

File Integrity DigestVerified · CCN 330193

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy