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Acute Care Hospital

New York-Presbyterian Hospital

New York, New York · New York County · Emergency services listed

Summary

New York-Presbyterian Hospital is an acute care hospital in New York, New York. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 14 services, specialties and programs. Medicare lists 4,789 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Exterior of New York-Presbyterian Hospital
Photo: Kenneth C. Zirkel, CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
862Beds (hospital website)
14Services listed

Quick answers

Does New York-Presbyterian Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at New York-Presbyterian Hospital. In a medical emergency, call 911.
Where is New York-Presbyterian Hospital?
525 East 68th Street, New York, NY 10065, in New York County, New York.
What is the phone number of New York-Presbyterian Hospital?
(212) 746-5454, as listed by Medicare (CMS).
What is the Medicare star rating of New York-Presbyterian Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Programs and centers[4]

  • Weill Cornell Medicine Meyer Cancer Center
  • Organ transplant program
  • Cardiac programs (minimally invasive heart surgery)

Visiting and practical information

VisitingVisiting hours are 7 a.m. to 9 p.m[4]
ParkingValet at main entrance; garages at 525 E 68th St, 507 E 70th St and 426-438 E 71st St, open 24 hours[5]

Recognition[4]

  • Magnet Recognition (ANCC)

Doctors and clinicians (4,789)

4,789 doctors and other clinicians list New York-Presbyterian Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (4,789)

And 4,765 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

  • Duane Reade0.3 mi · Roosevelt Island, NY · Pharmacy
  • Barmed Drugs Inc0.4 mi · New York, NY · Community/retail pharmacy
  • BBRX1LLC0.4 mi · New York, NY · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What New York-Presbyterian Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1069%National average: 72%
Would definitely recommend the hospital72%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean65%National average: 74%
Area around the room “always” quiet at night49%National average: 60%
Completed surveys2,640Response rate: 20%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0.632Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.575Better than the national benchmark
Surgical site infections after colon surgery0.717No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.314No different from the national benchmark
MRSA bloodstream infections0.743Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.22Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients9.6%
Deaths within 30 days: heart failure patients6.9%
Deaths within 30 days: pneumonia patients10.9%
Deaths within 30 days: COPD patients5.7%
Deaths within 30 days: stroke patients7.7%
Deaths within 30 days: coronary bypass surgery (CABG)1.7%
Serious complications (patient safety indicator PSI-90)0.4Better than the national rate
Complications after hip or knee replacement4%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack13.6%
Readmitted within 30 days: heart failure20.4%
Readmitted within 30 days: pneumonia16.4%
Readmitted within 30 days: COPD20.6%
Readmitted within 30 days: coronary bypass surgery9.9%
Readmitted within 30 days: hip or knee replacement5.5%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)224 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)45%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 80 common services exactly as New York-Presbyterian Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC NEW PT SERVICE LEVEL 3 $715 $536.25 $357.50 – $720.96
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $357.50
  • Beech Street — All Commercial Plans: $643.50
  • Claritev dba MultiPlan — All Commercial Plans: $607.75
  • Consumer Health Network — All Commercial Plans: $672.10
  • Devon — All Commercial Plans: $643.50
  • First Health — All Commercial Plans: $664.95
  • First Health Coventry — All Commercial Plans: $622.05
  • MagnaCare — All Commercial Plans: $543.40
  • Oxford Health Plans — All Commercial Plans: $720.96
  • QHM — All Commercial Plans: $607.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC NEW PT SERVICE LEVEL 4 $715 $536.25 $357.50 – $1,171.73
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $357.50
  • Beech Street — All Commercial Plans: $643.50
  • Claritev dba MultiPlan — All Commercial Plans: $607.75
  • Consumer Health Network — All Commercial Plans: $672.10
  • Devon — All Commercial Plans: $643.50
  • First Health — All Commercial Plans: $664.95
  • First Health Coventry — All Commercial Plans: $622.05
  • MagnaCare — All Commercial Plans: $543.40
  • Oxford Health Plans — All Commercial Plans: $1,171.73
  • QHM — All Commercial Plans: $607.75
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC NEW PT SERVICE LEVEL 5 $715 $536.25 $357.50 – $1,597.27
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $357.50
  • Beech Street — All Commercial Plans: $643.50
  • Claritev dba MultiPlan — All Commercial Plans: $607.75
  • Consumer Health Network — All Commercial Plans: $672.10
  • Devon — All Commercial Plans: $643.50
  • First Health — All Commercial Plans: $664.95
  • First Health Coventry — All Commercial Plans: $622.05
  • MagnaCare — All Commercial Plans: $543.40
  • Oxford Health Plans — All Commercial Plans: $1,597.27
  • QHM — All Commercial Plans: $607.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC BH ESTAB PT SERVICE LEVEL 3 $715 $536.25 $357.50 – $672.10
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $357.50
  • Beech Street — All Commercial Plans: $643.50
  • Claritev dba MultiPlan — All Commercial Plans: $607.75
  • Consumer Health Network — All Commercial Plans: $672.10
  • Devon — All Commercial Plans: $643.50
  • First Health — All Commercial Plans: $664.95
  • First Health Coventry — All Commercial Plans: $622.05
  • MagnaCare — All Commercial Plans: $543.40
  • Oxford Health Plans — All Commercial Plans: $575.75
  • QHM — All Commercial Plans: $607.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC BH ESTAB PT SERVICE LEVEL 4 $715 $536.25 $357.50 – $847.70
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $357.50
  • Beech Street — All Commercial Plans: $643.50
  • Claritev dba MultiPlan — All Commercial Plans: $607.75
  • Consumer Health Network — All Commercial Plans: $672.10
  • Devon — All Commercial Plans: $643.50
  • First Health — All Commercial Plans: $664.95
  • First Health Coventry — All Commercial Plans: $622.05
  • MagnaCare — All Commercial Plans: $543.40
  • Oxford Health Plans — All Commercial Plans: $847.70
  • QHM — All Commercial Plans: $607.75
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: HC NEW PATIENT CONSULT 40 MIN $715 $536.25 $357.50 – $683.67
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $357.50
  • Beech Street — All Commercial Plans: $643.50
  • Claritev dba MultiPlan — All Commercial Plans: $607.75
  • Consumer Health Network — All Commercial Plans: $672.10
  • Devon — All Commercial Plans: $643.50
  • First Health — All Commercial Plans: $664.95
  • First Health Coventry — All Commercial Plans: $622.05
  • MagnaCare — All Commercial Plans: $543.40
  • Oxford Health Plans — All Commercial Plans: $683.67
  • QHM — All Commercial Plans: $607.75
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: HC NEW PATIENT CONSULT 60 MIN $715 $536.25 $357.50 – $1,037.20
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $357.50
  • Beech Street — All Commercial Plans: $643.50
  • Claritev dba MultiPlan — All Commercial Plans: $607.75
  • Consumer Health Network — All Commercial Plans: $672.10
  • Devon — All Commercial Plans: $643.50
  • First Health — All Commercial Plans: $664.95
  • First Health Coventry — All Commercial Plans: $622.05
  • MagnaCare — All Commercial Plans: $543.40
  • Oxford Health Plans — All Commercial Plans: $1,037.20
  • QHM — All Commercial Plans: $607.75
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: HC INIT PM EVAL NEW PATIENT 18-39 YRS $715 $536.25 $134 – $727.87
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $134
  • Beech Street — All Commercial Plans: $643.50
  • Claritev dba MultiPlan — All Commercial Plans: $607.75
  • Consumer Health Network — All Commercial Plans: $672.10
  • Devon — All Commercial Plans: $643.50
  • First Health — All Commercial Plans: $664.95
  • First Health Coventry — All Commercial Plans: $622.05
  • MagnaCare — All Commercial Plans: $543.40
  • Oxford Health Plans — All Commercial Plans: $727.87
  • QHM — All Commercial Plans: $607.75
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: HC INIT PM EVAL NEW PATIENT 40-64 YRS $715 $536.25 $157 – $881.21
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $157
  • Beech Street — All Commercial Plans: $643.50
  • Claritev dba MultiPlan — All Commercial Plans: $607.75
  • Consumer Health Network — All Commercial Plans: $672.10
  • Devon — All Commercial Plans: $643.50
  • First Health — All Commercial Plans: $664.95
  • First Health Coventry — All Commercial Plans: $622.05
  • MagnaCare — All Commercial Plans: $543.40
  • Oxford Health Plans — All Commercial Plans: $881.21
  • QHM — All Commercial Plans: $607.75
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC ER CHARGE LEVEL III $2,421 $1,815.75 $311.26 – $3,180.58
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $957
  • Aetna — Commercial: $2,407.09
  • Aetna — Medicare Advantage: $337.47
  • Anthem BCBS — All Commercial Plans: $3,180.58
  • Anthem BCBS — Medicare Advantage: $311.26
  • Anthem BCBS Healthplus — Medicare Advantage: $320.60
  • Beech Street — All Commercial Plans: $2,178.90
  • Cigna Healthcare — All Commercial Plans: $2,458.90
  • Cigna Healthcare — Medicare Advantage: $327.64
  • Claritev dba MultiPlan — All Commercial Plans: $2,057.85
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC ER CHARGE LEVEL IV $3,187 $2,390.25 $478.68 – $3,180.58
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $957
  • Aetna — Commercial: $2,407.09
  • Aetna — Medicare Advantage: $518.99
  • Anthem BCBS — All Commercial Plans: $3,180.58
  • Anthem BCBS — Medicare Advantage: $478.68
  • Anthem BCBS Healthplus — Medicare Advantage: $493.04
  • Beech Street — All Commercial Plans: $2,868.30
  • Cigna Healthcare — All Commercial Plans: $2,458.90
  • Cigna Healthcare — Medicare Advantage: $503.87
  • Claritev dba MultiPlan — All Commercial Plans: $2,708.95
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC ER CHARGE LEVEL V $4,657 $3,492.75 $689.21 – $4,377.58
Emergency room visit (high): 10 of 29 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $957
  • Aetna — Commercial: $2,407.09
  • Aetna — Medicare Advantage: $747.24
  • Anthem BCBS — All Commercial Plans: $3,180.58
  • Anthem BCBS — Medicare Advantage: $689.21
  • Anthem BCBS Healthplus — Medicare Advantage: $709.88
  • Beech Street — All Commercial Plans: $4,191.30
  • Cigna Healthcare — All Commercial Plans: $2,458.90
  • Cigna Healthcare — Medicare Advantage: $725.48
  • Claritev dba MultiPlan — All Commercial Plans: $3,958.45

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC LAB BASIC METABOLIC PANEL CALCIUM TOTAL $130 $97.50 $5.92 – $435.89
Basic metabolic panel (blood test): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $9
  • Aetna — Commercial: $5.92
  • Aetna — Medicare Advantage: $8.71
  • Affinity by Molina Healthcare — All NYS Essential Plans: $242.20
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $107.64
  • Amida Care — Medicaid: $123.79
  • Anthem BCBS — All Commercial Plans: $5.92
  • Anthem BCBS — Medicare Advantage: $8.04
  • Anthem BCBS Healthplus — All NYS Essential Plans: $357.37
  • Anthem BCBS Healthplus — Child Health Plus: $161.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC LAB COMPREHENSIVE METABOLIC PANEL $129 $96.75 $7.39 – $435.89
Comprehensive metabolic panel (blood test): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $12
  • Aetna — Commercial: $7.39
  • Aetna — Medicare Advantage: $10.88
  • Affinity by Molina Healthcare — All NYS Essential Plans: $242.20
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $107.64
  • Amida Care — Medicaid: $123.79
  • Anthem BCBS — All Commercial Plans: $7.39
  • Anthem BCBS — Medicare Advantage: $10.03
  • Anthem BCBS Healthplus — All NYS Essential Plans: $357.37
  • Anthem BCBS Healthplus — Child Health Plus: $161.46
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LAB LIPID PANEL $239 $179.25 $9.37 – $435.89
Cholesterol panel (lipid panel): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $19
  • Aetna — Commercial: $9.37
  • Aetna — Medicare Advantage: $13.79
  • Affinity by Molina Healthcare — All NYS Essential Plans: $242.20
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $107.64
  • Amida Care — Medicaid: $123.79
  • Anthem BCBS — All Commercial Plans: $9.37
  • Anthem BCBS — Medicare Advantage: $12.72
  • Anthem BCBS Healthplus — All NYS Essential Plans: $357.37
  • Anthem BCBS Healthplus — Child Health Plus: $161.46
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC LAB RENAL FUNCTION PANEL $107 $80.25 $6.08 – $435.89
Kidney function panel: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $12
  • Aetna — Commercial: $6.08
  • Aetna — Medicare Advantage: $8.94
  • Affinity by Molina Healthcare — All NYS Essential Plans: $242.20
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $107.64
  • Amida Care — Medicaid: $123.79
  • Anthem BCBS — All Commercial Plans: $6.08
  • Anthem BCBS — Medicare Advantage: $8.25
  • Anthem BCBS Healthplus — All NYS Essential Plans: $357.37
  • Anthem BCBS Healthplus — Child Health Plus: $161.46
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC LAB HEPATIC FUNCTION PANEL $162 $121.50 $5.72 – $435.89
Liver function panel: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $11
  • Aetna — Commercial: $5.72
  • Aetna — Medicare Advantage: $8.42
  • Affinity by Molina Healthcare — All NYS Essential Plans: $242.20
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $107.64
  • Amida Care — Medicaid: $123.79
  • Anthem BCBS — All Commercial Plans: $5.72
  • Anthem BCBS — Medicare Advantage: $7.76
  • Anthem BCBS Healthplus — All NYS Essential Plans: $357.37
  • Anthem BCBS Healthplus — Child Health Plus: $161.46
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC LAB URINALYSIS DIPSTICK/TABLET REAGENT AUTO W/MICRO $110 $82.50 $2.22 – $351.72
Urine test (automated, with microscope): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $5
  • Aetna — Commercial: $2.22
  • Aetna — Medicare Advantage: $3.27
  • Affinity by Molina Healthcare — All NYS Essential Plans: $195.43
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $86.86
  • Amida Care — Medicaid: $99.89
  • Anthem BCBS — All Commercial Plans: $2.22
  • Anthem BCBS — Medicare Advantage: $3.01
  • Anthem BCBS Healthplus — All NYS Essential Plans: $288.37
  • Anthem BCBS Healthplus — Child Health Plus: $130.29
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC LAB URINALYSIS DIPSTICK/TABLET REAGENT NONAUTO W/O MICRO $75 $56.25 $2.44 – $351.72
Urine test (manual, without microscope): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $4
  • Aetna — Commercial: $2.44
  • Aetna — Medicare Advantage: $3.58
  • Affinity by Molina Healthcare — All NYS Essential Plans: $195.43
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $86.86
  • Amida Care — Medicaid: $99.89
  • Anthem BCBS — All Commercial Plans: $2.44
  • Anthem BCBS — Medicare Advantage: $3.31
  • Anthem BCBS Healthplus — All NYS Essential Plans: $288.37
  • Anthem BCBS Healthplus — Child Health Plus: $130.29
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC LAB URINALYSIS DIPSTICK/TABLET REAGENT AUTO W/O MICRO $90 $67.50 $1.58 – $351.72
Urine test (automated, without microscope): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $4
  • Aetna — Commercial: $1.58
  • Aetna — Medicare Advantage: $2.32
  • Affinity by Molina Healthcare — All NYS Essential Plans: $195.43
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $86.86
  • Amida Care — Medicaid: $99.89
  • Anthem BCBS — All Commercial Plans: $1.58
  • Anthem BCBS — Medicare Advantage: $2.14
  • Anthem BCBS Healthplus — All NYS Essential Plans: $288.37
  • Anthem BCBS Healthplus — Child Health Plus: $130.29
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC LAB ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $392 $294 $12.87 – $368.48
PSA (prostate specific antigen) blood test: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $26
  • Aetna — Commercial: $12.87
  • Aetna — Medicare Advantage: $18.94
  • Affinity by Molina Healthcare — All NYS Essential Plans: $196.08
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $87.15
  • Amida Care — Medicaid: $100.22
  • Anthem BCBS — All Commercial Plans: $12.87
  • Anthem BCBS — Medicare Advantage: $17.47
  • Anthem BCBS Healthplus — All NYS Essential Plans: $289.33
  • Anthem BCBS Healthplus — Child Health Plus: $130.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC LAB ASSAY OF THYROID STIMULATING HORMONE (TSH) $359 $269.25 $11.76 – $432.64
Thyroid stimulating hormone (TSH) test: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $24
  • Aetna — Commercial: $11.76
  • Aetna — Medicare Advantage: $17.30
  • Affinity by Molina Healthcare — All NYS Essential Plans: $240.39
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $106.84
  • Amida Care — Medicaid: $122.87
  • Anthem BCBS — All Commercial Plans: $11.76
  • Anthem BCBS — Medicare Advantage: $15.96
  • Anthem BCBS Healthplus — All NYS Essential Plans: $354.71
  • Anthem BCBS Healthplus — Child Health Plus: $160.26
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC LAB BLOOD COUNT COMPLETE AUTO W/AUTO DIFF WBC $113 $84.75 $5.44 – $354.60
Complete blood count (CBC) with differential: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $11
  • Aetna — Commercial: $5.44
  • Aetna — Medicare Advantage: $8
  • Affinity by Molina Healthcare — All NYS Essential Plans: $197.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $87.57
  • Amida Care — Medicaid: $100.70
  • Anthem BCBS — All Commercial Plans: $5.44
  • Anthem BCBS — Medicare Advantage: $7.38
  • Anthem BCBS Healthplus — All NYS Essential Plans: $290.72
  • Anthem BCBS Healthplus — Child Health Plus: $131.35
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC LAB BLOOD COUNT COMPLETE AUTOMATED $87 $65.25 $4.53 – $354.60
Complete blood count (CBC), automated: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $9
  • Aetna — Commercial: $4.53
  • Aetna — Medicare Advantage: $6.66
  • Affinity by Molina Healthcare — All NYS Essential Plans: $197.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $87.57
  • Amida Care — Medicaid: $100.70
  • Anthem BCBS — All Commercial Plans: $4.53
  • Anthem BCBS — Medicare Advantage: $6.15
  • Anthem BCBS Healthplus — All NYS Essential Plans: $290.72
  • Anthem BCBS Healthplus — Child Health Plus: $131.35
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC LAB PROTHROMBIN TIME $78 $58.50 $3 – $73.32
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $6
  • Aetna — Commercial: $3
  • Aetna — Medicare Advantage: $4.42
  • Anthem BCBS — All Commercial Plans: $3
  • Anthem BCBS — Medicare Advantage: $4.08
  • Anthem BCBS Healthplus — Medicare Advantage: $4.08
  • Beech Street — All Commercial Plans: $70.20
  • Cigna Healthcare — All Commercial Plans: $3.96
  • Cigna Healthcare — Medicare Advantage: $4.29
  • Claritev dba MultiPlan — All Commercial Plans: $66.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC LAB PARTIAL THROMBO TIME (PTT) PLASMA/WHOLE BLOOD $126 $94.50 $4.21 – $366.93
Blood clotting test (partial thromboplastin time, PTT): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $9
  • Aetna — Commercial: $4.21
  • Aetna — Medicare Advantage: $6.19
  • Affinity by Molina Healthcare — All NYS Essential Plans: $203.88
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $90.61
  • Amida Care — Medicaid: $104.20
  • Anthem BCBS — All Commercial Plans: $4.21
  • Anthem BCBS — Medicare Advantage: $5.71
  • Anthem BCBS Healthplus — All NYS Essential Plans: $300.83
  • Anthem BCBS Healthplus — Child Health Plus: $135.92

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT HEAD WITHOUT CONTRAST $2,595 $1,946.25 $119.54 – $2,439.30
CT scan of the head or brain, without contrast: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $241
  • Aetna — Commercial: $1,922.90
  • Aetna — Medicare Advantage: $129.60
  • Affinity by Molina Healthcare — All NYS Essential Plans: $1,115.25
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $495.67
  • Amida Care — Medicaid: $570.02
  • Anthem BCBS — All Commercial Plans: $811.27
  • Anthem BCBS — Medicare Advantage: $119.54
  • Anthem BCBS Healthplus — All NYS Essential Plans: $1,645.62
  • Anthem BCBS Healthplus — Child Health Plus: $743.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN INCL BRAIN STEM W/O & WITH CONTRAST $8,101 $6,075.75 $401.46 – $7,614.94
MRI of the brain, before and after contrast: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $1,268
  • Aetna — Commercial: $6,002.84
  • Aetna — Medicare Advantage: $435.27
  • Affinity by Molina Healthcare — All NYS Essential Plans: $1,921.57
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $854.03
  • Amida Care — Medicaid: $982.14
  • Anthem BCBS — All Commercial Plans: $2,788.59
  • Anthem BCBS — Medicare Advantage: $401.46
  • Anthem BCBS Healthplus — All NYS Essential Plans: $2,835.39
  • Anthem BCBS Healthplus — Child Health Plus: $1,281.05
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC X-RAY CHEST 2 VIEWS $1,171 $878.25 $24 – $1,100.74
Chest X-ray, 2 views: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $24
  • Aetna — Commercial: $867.71
  • Aetna — Medicare Advantage: $107.32
  • Affinity by Molina Healthcare — All NYS Essential Plans: $256.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $113.79
  • Amida Care — Medicaid: $130.86
  • Anthem BCBS — All Commercial Plans: $244.05
  • Anthem BCBS — Medicare Advantage: $98.98
  • Anthem BCBS Healthplus — All NYS Essential Plans: $377.78
  • Anthem BCBS Healthplus — Child Health Plus: $170.69
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC X-RAY LUMBOSACRAL SPINE MINIMUM 4 VIEWS $996 $747 $47 – $936.24
X-ray of the lower spine, at least 4 views: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $47
  • Aetna — Commercial: $738.04
  • Aetna — Medicare Advantage: $129.60
  • Affinity by Molina Healthcare — All NYS Essential Plans: $256.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $113.79
  • Amida Care — Medicaid: $130.86
  • Anthem BCBS — All Commercial Plans: $394.80
  • Anthem BCBS — Medicare Advantage: $119.54
  • Anthem BCBS Healthplus — All NYS Essential Plans: $377.78
  • Anthem BCBS Healthplus — Child Health Plus: $170.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI LUMBAR SPINE WITHOUT CONTRAST $5,353 $4,014.75 $271.73 – $5,031.82
MRI of the lower back (lumbar spine), without contrast: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $634
  • Aetna — Commercial: $3,966.57
  • Aetna — Medicare Advantage: $294.61
  • Affinity by Molina Healthcare — All NYS Essential Plans: $1,329.05
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $590.69
  • Amida Care — Medicaid: $679.29
  • Anthem BCBS — All Commercial Plans: $1,592.57
  • Anthem BCBS — Medicare Advantage: $271.73
  • Anthem BCBS Healthplus — All NYS Essential Plans: $1,961.09
  • Anthem BCBS Healthplus — Child Health Plus: $886.04
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS WITH CONTRAST $2,355 $1,766.25 $200.12 – $2,213.70
CT scan of the pelvis, with contrast: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $349
  • Aetna — Commercial: $1,745.06
  • Aetna — Medicare Advantage: $216.97
  • Affinity by Molina Healthcare — All NYS Essential Plans: $1,115.25
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $495.67
  • Amida Care — Medicaid: $570.02
  • Anthem BCBS — All Commercial Plans: $2,005.07
  • Anthem BCBS — Medicare Advantage: $200.12
  • Anthem BCBS Healthplus — All NYS Essential Plans: $1,645.62
  • Anthem BCBS Healthplus — Child Health Plus: $743.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI ANY JOINT LOWER EXTREMITY W/O CONTRAST $4,506 $3,379.50 $271.73 – $4,235.64
MRI of a leg joint (such as the knee), without contrast: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $571
  • Aetna — Commercial: $3,338.95
  • Aetna — Medicare Advantage: $294.61
  • Affinity by Molina Healthcare — All NYS Essential Plans: $1,329.05
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $590.69
  • Amida Care — Medicaid: $679.29
  • Anthem BCBS — All Commercial Plans: $1,796.98
  • Anthem BCBS — Medicare Advantage: $271.73
  • Anthem BCBS Healthplus — All NYS Essential Plans: $1,961.09
  • Anthem BCBS Healthplus — Child Health Plus: $886.04
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABDOMEN & PELVIS WITH CONTRAST $3,529 $2,646.75 $318 – $3,317.26
CT scan of the abdomen and pelvis, with contrast: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $318
  • Aetna — Commercial: $2,614.99
  • Aetna — Medicare Advantage: $435.27
  • Affinity by Molina Healthcare — All NYS Essential Plans: $1,115.25
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $495.67
  • Amida Care — Medicaid: $570.02
  • Anthem BCBS — All Commercial Plans: $2,629.91
  • Anthem BCBS — Medicare Advantage: $401.46
  • Anthem BCBS Healthplus — All NYS Essential Plans: $1,645.62
  • Anthem BCBS Healthplus — Child Health Plus: $743.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC ULTRASOUND ABDOMEN COMPLETE $1,283 $962.25 $101 – $3,369.97
Ultrasound of the abdomen, complete: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $101
  • Aetna — Commercial: $950.70
  • Aetna — Medicare Advantage: $129.60
  • Affinity by Molina Healthcare — All NYS Essential Plans: $1,872.48
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $832.22
  • Amida Care — Medicaid: $957.05
  • Anthem BCBS — All Commercial Plans: $918.31
  • Anthem BCBS — Medicare Advantage: $119.54
  • Anthem BCBS Healthplus — All NYS Essential Plans: $2,762.95
  • Anthem BCBS Healthplus — Child Health Plus: $1,248.32
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC OB ULTRASOUND 14 WEEKS OR MORE SINGLE/1ST GESTATION $884 $663 $108 – $1,009.59
Pregnancy ultrasound (after the first trimester): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $108
  • Aetna — Commercial: $655.04
  • Aetna — Medicare Advantage: $129.60
  • Affinity by Molina Healthcare — All NYS Essential Plans: $503.72
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $223.88
  • Amida Care — Medicaid: $257.46
  • Anthem BCBS — All Commercial Plans: $1,009.59
  • Anthem BCBS — Medicare Advantage: $119.54
  • Anthem BCBS Healthplus — All NYS Essential Plans: $743.27
  • Anthem BCBS Healthplus — Child Health Plus: $335.81
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US TRANSVAGINAL $979 $734.25 $78 – $1,002.89
Transvaginal ultrasound: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $78
  • Aetna — Commercial: $725.44
  • Aetna — Medicare Advantage: $129.60
  • Affinity by Molina Healthcare — All NYS Essential Plans: $557.25
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $247.66
  • Amida Care — Medicaid: $284.81
  • Anthem BCBS — All Commercial Plans: $989.67
  • Anthem BCBS — Medicare Advantage: $119.54
  • Anthem BCBS Healthplus — All NYS Essential Plans: $822.25
  • Anthem BCBS Healthplus — Child Health Plus: $371.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL $852 $639 $94.53 – $1,041.31
Diagnostic mammogram, one breast: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $112
  • Aetna — Commercial: $631.33
  • Aetna — Medicare Advantage: $102.50
  • Affinity by Molina Healthcare — All NYS Essential Plans: $490.57
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $218.03
  • Amida Care — Medicaid: $250.73
  • Anthem BCBS — All Commercial Plans: $1,041.31
  • Anthem BCBS — Medicare Advantage: $94.53
  • Anthem BCBS Healthplus — All NYS Essential Plans: $723.86
  • Anthem BCBS Healthplus — Child Health Plus: $327.04
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC MAMMOGRAM DIAGNOSTIC DIGITAL BILATERAL $1,111 $833.25 $120.34 – $1,326.85
Diagnostic mammogram, both breasts: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $143
  • Aetna — Commercial: $823.25
  • Aetna — Medicare Advantage: $130.47
  • Affinity by Molina Healthcare — All NYS Essential Plans: $490.57
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $218.03
  • Amida Care — Medicaid: $250.73
  • Anthem BCBS — All Commercial Plans: $1,326.85
  • Anthem BCBS — Medicare Advantage: $120.34
  • Anthem BCBS Healthplus — All NYS Essential Plans: $723.86
  • Anthem BCBS Healthplus — Child Health Plus: $327.04
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMOGRAM SCREENING BILATERAL $874 $655.50 $99.40 – $1,100.78
Screening mammogram, both breasts: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $118
  • Aetna — Commercial: $647.63
  • Aetna — Medicare Advantage: $107.77
  • Affinity by Molina Healthcare — All NYS Essential Plans: $490.57
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $218.03
  • Amida Care — Medicaid: $250.73
  • Anthem BCBS — All Commercial Plans: $1,100.78
  • Anthem BCBS — Medicare Advantage: $99.40
  • Anthem BCBS Healthplus — All NYS Essential Plans: $723.86
  • Anthem BCBS Healthplus — Child Health Plus: $327.04

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: L HRT CATH W-NJX L VENTRICULOGRAPHY IMG SANDI Not listed in the file Not listed in the file $2,388.44 – $97,968.60
Left heart catheterization (diagnostic): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $10,037
  • Aetna — Commercial: $22,989.74
  • Aetna — Medicare Advantage: $3,920.16
  • Affinity by Molina Healthcare — All NYS Essential Plans: $5,373.99
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $2,388.44
  • Amida Care — Medicaid: $2,746.70
  • Anthem BCBS — All Commercial Plans: $35,429.82
  • Anthem BCBS — Medicare Advantage: $3,615.68
  • Anthem BCBS Healthplus — All NYS Essential Plans: $7,929.62
  • Anthem BCBS Healthplus — Child Health Plus: $3,582.66
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HC EP COMPREHENSIVE W/O ARRHYTHMIA Not listed in the file Not listed in the file $792.78 – $39,565.98
Heart rhythm study (electrophysiology evaluation): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $10,037
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $9,248.37
  • Affinity by Molina Healthcare — All NYS Essential Plans: $1,783.75
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $792.78
  • Amida Care — Medicaid: $911.69
  • Anthem BCBS — All Commercial Plans: $11,197.80
  • Anthem BCBS — Medicare Advantage: $8,530.05
  • Anthem BCBS Healthplus — All NYS Essential Plans: $2,632.02
  • Anthem BCBS Healthplus — Child Health Plus: $1,189.16
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC EP EP EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN Not listed in the file Not listed in the file $1,279.70 – $48,012.07
Heart rhythm study with ablation for atrial fibrillation: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $10,037
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $29,899.94
  • Affinity by Molina Healthcare — All NYS Essential Plans: $2,879.32
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,279.70
  • Amida Care — Medicaid: $1,471.65
  • Anthem BCBS — All Commercial Plans: $11,197.80
  • Anthem BCBS — Medicare Advantage: $27,577.62
  • Anthem BCBS Healthplus — All NYS Essential Plans: $4,248.60
  • Anthem BCBS Healthplus — Child Health Plus: $1,919.55
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC PSG (SLEEP STAGING) 6 YRS OR OLDER 4+ PARAMETERS $11,097 $8,322.75 $1,090.48 – $10,431.18
Sleep study (overnight, in a sleep lab): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $3,650
  • Aetna — Commercial: $8,222.88
  • Aetna — Medicare Advantage: $1,240
  • Affinity by Molina Healthcare — All NYS Essential Plans: $2,453.58
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,090.48
  • Amida Care — Medicaid: $1,254.05
  • Anthem BCBS — All Commercial Plans: $5,480.74
  • Anthem BCBS — Medicare Advantage: $1,143.69
  • Anthem BCBS Healthplus — All NYS Essential Plans: $3,620.39
  • Anthem BCBS Healthplus — Child Health Plus: $1,635.72

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC PT EXERCISE THERAPEUTIC 15 MIN $423 $317.25 $30.65 – $636.23
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $50
  • Aetna — Commercial: $313.44
  • Aetna — Medicare Advantage: $33.23
  • Affinity by Molina Healthcare — All NYS Essential Plans: $353.51
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $157.12
  • Amida Care — Medicaid: $180.68
  • Anthem BCBS — All Commercial Plans: $328.60
  • Anthem BCBS — Medicare Advantage: $30.65
  • Anthem BCBS Healthplus — All NYS Essential Plans: $521.63
  • Anthem BCBS Healthplus — Child Health Plus: $235.68
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVALUATION LOW COMPLEXITY $761 $570.75 $93 – $919.23
Physical therapy evaluation (low complexity): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $93
  • Aetna — Commercial: $563.90
  • Aetna — Medicare Advantage: $113.18
  • Affinity by Molina Healthcare — All NYS Essential Plans: $497.39
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $221.06
  • Amida Care — Medicaid: $254.22
  • Anthem BCBS — All Commercial Plans: $919.23
  • Anthem BCBS — Medicare Advantage: $104.39
  • Anthem BCBS Healthplus — All NYS Essential Plans: $733.92
  • Anthem BCBS Healthplus — Child Health Plus: $331.59
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVALUATION MOD COMPLEXITY $837 $627.75 $93 – $919.23
Physical therapy evaluation (moderate complexity): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $93
  • Aetna — Commercial: $620.22
  • Aetna — Medicare Advantage: $113.18
  • Affinity by Molina Healthcare — All NYS Essential Plans: $497.39
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $221.06
  • Amida Care — Medicaid: $254.22
  • Anthem BCBS — All Commercial Plans: $919.23
  • Anthem BCBS — Medicare Advantage: $104.39
  • Anthem BCBS Healthplus — All NYS Essential Plans: $733.92
  • Anthem BCBS Healthplus — Child Health Plus: $331.59
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVALUATION HIGH COMPLEXITY $922 $691.50 $93 – $919.23
Physical therapy evaluation (high complexity): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $93
  • Aetna — Commercial: $683.20
  • Aetna — Medicare Advantage: $113.18
  • Affinity by Molina Healthcare — All NYS Essential Plans: $497.39
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $221.06
  • Amida Care — Medicaid: $254.22
  • Anthem BCBS — All Commercial Plans: $919.23
  • Anthem BCBS — Medicare Advantage: $104.39
  • Anthem BCBS Healthplus — All NYS Essential Plans: $733.92
  • Anthem BCBS Healthplus — Child Health Plus: $331.59
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC CRISIS INTERIM INTERVENTION $2,312 $1,734 $71 – $2,173.28
Psychotherapy, 30 minutes: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $71
  • Aetna — Commercial: $212.67
  • Aetna — Medicare Advantage: $195.82
  • Affinity by Molina Healthcare — All NYS Essential Plans: $467.01
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $207.56
  • Amida Care — Medicaid: $238.69
  • Anthem BCBS — All Commercial Plans: $443.46
  • Anthem BCBS — Medicare Advantage: $180.61
  • Anthem BCBS Healthplus — All NYS Essential Plans: $689.09
  • Anthem BCBS Healthplus — Child Health Plus: $311.34
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC PSYCH THERAPY 45 MIN WITH PATIENT $480 $360 $100 – $1,022.75
Psychotherapy, 45 minutes: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $100
  • Aetna — Commercial: $382.57
  • Aetna — Medicare Advantage: $195.82
  • Affinity by Molina Healthcare — All NYS Essential Plans: $568.28
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $252.57
  • Amida Care — Medicaid: $290.45
  • Anthem BCBS — All Commercial Plans: $680.04
  • Anthem BCBS — Medicare Advantage: $180.61
  • Anthem BCBS Healthplus — All NYS Essential Plans: $838.52
  • Anthem BCBS Healthplus — Child Health Plus: $378.85
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC PSYCH THERAPY 60 MIN WITH PATIENT $599 $449.25 $127 – $1,175.84
Psychotherapy, 60 minutes: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $127
  • Aetna — Commercial: $382.57
  • Aetna — Medicare Advantage: $195.82
  • Affinity by Molina Healthcare — All NYS Essential Plans: $568.28
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $252.57
  • Amida Care — Medicaid: $290.45
  • Anthem BCBS — All Commercial Plans: $680.04
  • Anthem BCBS — Medicare Advantage: $180.61
  • Anthem BCBS Healthplus — All NYS Essential Plans: $838.52
  • Anthem BCBS Healthplus — Child Health Plus: $378.85
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HC PSYCH THERAPY FAMILY W/O PATIENT $579 $434.25 $75 – $860.07
Family psychotherapy, without the patient: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $75
  • Aetna — Commercial: $383.76
  • Aetna — Medicare Advantage: $195.82
  • Affinity by Molina Healthcare — All NYS Essential Plans: $467.01
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $207.56
  • Amida Care — Medicaid: $238.69
  • Anthem BCBS — All Commercial Plans: $571.83
  • Anthem BCBS — Medicare Advantage: $180.61
  • Anthem BCBS Healthplus — All NYS Essential Plans: $689.09
  • Anthem BCBS Healthplus — Child Health Plus: $311.34
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC PSYCH THERAPY FAMILY W/PATIENT 50 MIN $579 $434.25 $75 – $896.56
Family psychotherapy, with the patient: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $75
  • Aetna — Commercial: $383.76
  • Aetna — Medicare Advantage: $195.82
  • Affinity by Molina Healthcare — All NYS Essential Plans: $467.01
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $207.56
  • Amida Care — Medicaid: $238.69
  • Anthem BCBS — All Commercial Plans: $571.83
  • Anthem BCBS — Medicare Advantage: $180.61
  • Anthem BCBS Healthplus — All NYS Essential Plans: $689.09
  • Anthem BCBS Healthplus — Child Health Plus: $311.34
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC PSYCH THERAPY GROUP $579 $434.25 $35 – $576.21
Group psychotherapy: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $35
  • Aetna — Commercial: $255.44
  • Aetna — Medicare Advantage: $112.74
  • Affinity by Molina Healthcare — All NYS Essential Plans: $320.16
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $142.29
  • Amida Care — Medicaid: $163.64
  • Anthem BCBS — All Commercial Plans: $375.56
  • Anthem BCBS — Medicare Advantage: $103.99
  • Anthem BCBS Healthplus — All NYS Essential Plans: $472.42
  • Anthem BCBS Healthplus — Child Health Plus: $213.44

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: EXC CYST-ABERRANT BREAST TISSUE OPEN 1-GREATER THAN LESION Not listed in the file Not listed in the file $2,099.54 – $14,739.08
Removal of breast growth (open surgery): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $3,009
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $4,667.13
  • Affinity by Molina Healthcare — All NYS Essential Plans: $4,723.98
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $2,099.54
  • Amida Care — Medicaid: $2,414.48
  • Anthem BCBS — All Commercial Plans: $14,739.08
  • Anthem BCBS — Medicare Advantage: $4,304.63
  • Anthem BCBS Healthplus — All NYS Essential Plans: $6,970.49
  • Anthem BCBS Healthplus — Child Health Plus: $3,149.32
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: ARTHRP ACETBLR-PROX FEM PROSTC AGRFT-ALGRFT Not listed in the file Not listed in the file $4,527.92 – $107,603.56
Total hip replacement: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $37,982
  • Aetna — Commercial: $87,451.29
  • Aetna — Medicare Advantage: $15,682.07
  • Affinity by Molina Healthcare — All NYS Essential Plans: $10,187.81
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $4,527.92
  • Amida Care — Medicaid: $5,207.10
  • Anthem BCBS — All Commercial Plans: $17,635.34
  • Anthem BCBS — Medicare Advantage: $14,464.04
  • Anthem BCBS Healthplus — All NYS Essential Plans: $15,032.68
  • Anthem BCBS Healthplus — Child Health Plus: $6,791.87
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: ARTHRP KNE CONDYLEANDPLATU MEDIALANDLAT COMPARTMENTS Not listed in the file Not listed in the file $4,527.92 – $107,603.56
Total knee replacement: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $55,311
  • Aetna — Commercial: $87,451.29
  • Aetna — Medicare Advantage: $15,682.07
  • Affinity by Molina Healthcare — All NYS Essential Plans: $10,187.81
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $4,527.92
  • Amida Care — Medicaid: $5,207.10
  • Anthem BCBS — All Commercial Plans: $17,764.77
  • Anthem BCBS — Medicare Advantage: $14,464.04
  • Anthem BCBS Healthplus — All NYS Essential Plans: $15,032.68
  • Anthem BCBS Healthplus — Child Health Plus: $6,791.87
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: ARTHRS KNE SURG W-MENISCECTOMY MED-LAT W-SHVG Not listed in the file Not listed in the file $2,418.63 – $14,739.08
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $3,697
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $3,954.53
  • Affinity by Molina Healthcare — All NYS Essential Plans: $5,441.92
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $2,418.63
  • Amida Care — Medicaid: $2,781.43
  • Anthem BCBS — All Commercial Plans: $14,739.08
  • Anthem BCBS — Medicare Advantage: $3,647.38
  • Anthem BCBS Healthplus — All NYS Essential Plans: $8,029.86
  • Anthem BCBS Healthplus — Child Health Plus: $3,627.95
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: TONSILLECTOMY AND ADENOIDECTOMY LESS THAN AGE 12 Not listed in the file Not listed in the file $1,937.40 – $15,649.34
Removal of tonsils and adenoids (under age 12): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $3,009
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $7,210
  • Affinity by Molina Healthcare — All NYS Essential Plans: $4,359.15
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,937.40
  • Amida Care — Medicaid: $2,228.01
  • Anthem BCBS — All Commercial Plans: $15,649.34
  • Anthem BCBS — Medicare Advantage: $6,650
  • Anthem BCBS Healthplus — All NYS Essential Plans: $6,432.17
  • Anthem BCBS Healthplus — Child Health Plus: $2,906.10
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC UPPER GI DIAGNOSTIC Not listed in the file Not listed in the file $1,053.94 – $12,700.68
Upper GI endoscopy (diagnostic): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $1,951
  • Aetna — Commercial: $3,728.26
  • Aetna — Medicare Advantage: $1,142.69
  • Affinity by Molina Healthcare — All NYS Essential Plans: $2,549.16
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,132.96
  • Amida Care — Medicaid: $1,302.91
  • Anthem BCBS — All Commercial Plans: $11,197.80
  • Anthem BCBS — Medicare Advantage: $1,053.94
  • Anthem BCBS Healthplus — All NYS Essential Plans: $3,761.43
  • Anthem BCBS Healthplus — Child Health Plus: $1,699.44
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC UPPER GI BIOPSY SINGLE OR MULTIPLE Not listed in the file Not listed in the file $1,053.94 – $12,700.68
Upper GI endoscopy with biopsy: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $2,628
  • Aetna — Commercial: $3,728.26
  • Aetna — Medicare Advantage: $1,142.69
  • Affinity by Molina Healthcare — All NYS Essential Plans: $2,549.16
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,132.96
  • Amida Care — Medicaid: $1,302.91
  • Anthem BCBS — All Commercial Plans: $11,197.80
  • Anthem BCBS — Medicare Advantage: $1,053.94
  • Anthem BCBS Healthplus — All NYS Essential Plans: $3,761.43
  • Anthem BCBS Healthplus — Child Health Plus: $1,699.44
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY FLEXIBLE Not listed in the file Not listed in the file $1,024.89 – $12,700.68
Colonoscopy (diagnostic): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $2,628
  • Aetna — Commercial: $3,728.26
  • Aetna — Medicare Advantage: $1,111.19
  • Affinity by Molina Healthcare — All NYS Essential Plans: $2,459.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,092.90
  • Amida Care — Medicaid: $1,256.84
  • Anthem BCBS — All Commercial Plans: $11,197.80
  • Anthem BCBS — Medicare Advantage: $1,024.89
  • Anthem BCBS Healthplus — All NYS Essential Plans: $3,628.43
  • Anthem BCBS Healthplus — Child Health Plus: $1,639.35
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY FLEXIBLE W/BIOPSY Not listed in the file Not listed in the file $1,092.90 – $13,583.76
Colonoscopy with biopsy: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $2,628
  • Aetna — Commercial: $3,728.26
  • Aetna — Medicare Advantage: $1,437.07
  • Affinity by Molina Healthcare — All NYS Essential Plans: $2,459.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,092.90
  • Amida Care — Medicaid: $1,256.84
  • Anthem BCBS — All Commercial Plans: $13,583.76
  • Anthem BCBS — Medicare Advantage: $1,325.45
  • Anthem BCBS Healthplus — All NYS Essential Plans: $3,628.43
  • Anthem BCBS Healthplus — Child Health Plus: $1,639.35
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY FLEX W/REM SNARE Not listed in the file Not listed in the file $1,092.90 – $13,583.76
Colonoscopy with removal of polyps (snare): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $2,628
  • Aetna — Commercial: $3,728.26
  • Aetna — Medicare Advantage: $1,437.07
  • Affinity by Molina Healthcare — All NYS Essential Plans: $2,459.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,092.90
  • Amida Care — Medicaid: $1,256.84
  • Anthem BCBS — All Commercial Plans: $13,583.76
  • Anthem BCBS — Medicare Advantage: $1,325.45
  • Anthem BCBS Healthplus — All NYS Essential Plans: $3,628.43
  • Anthem BCBS Healthplus — Child Health Plus: $1,639.35
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLSC FLX W-NDSC US XM RCTM ET AL LMTDANDADJ STRUX Not listed in the file Not listed in the file $1,092.90 – $13,583.76
Ultrasound of the lower bowel by endoscope: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $2,628
  • Aetna — Commercial: $3,728.26
  • Aetna — Medicare Advantage: $1,437.07
  • Affinity by Molina Healthcare — All NYS Essential Plans: $2,459.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,092.90
  • Amida Care — Medicaid: $1,256.84
  • Anthem BCBS — All Commercial Plans: $13,583.76
  • Anthem BCBS — Medicare Advantage: $1,325.45
  • Anthem BCBS Healthplus — All NYS Essential Plans: $3,628.43
  • Anthem BCBS Healthplus — Child Health Plus: $1,639.35
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $968 – $12,700.68
Screening colonoscopy (not high risk): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $968
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $1,111.19
  • Affinity by Molina Healthcare — All NYS Essential Plans: $2,459.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,092.90
  • Amida Care — Medicaid: $1,256.84
  • Anthem BCBS — All Commercial Plans: $11,197.80
  • Anthem BCBS — Medicare Advantage: $1,024.89
  • Anthem BCBS Healthplus — All NYS Essential Plans: $3,628.43
  • Anthem BCBS Healthplus — Child Health Plus: $1,639.35
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY Not listed in the file Not listed in the file $3,520.06 – $23,293.89
Gallbladder removal by laparoscope: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $5,858
  • Aetna — Commercial: $23,293.89
  • Aetna — Medicare Advantage: $7,110.91
  • Affinity by Molina Healthcare — All NYS Essential Plans: $7,920.13
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $3,520.06
  • Amida Care — Medicaid: $4,048.07
  • Anthem BCBS — All Commercial Plans: $16,243.44
  • Anthem BCBS — Medicare Advantage: $6,558.61
  • Anthem BCBS Healthplus — All NYS Essential Plans: $11,686.59
  • Anthem BCBS Healthplus — Child Health Plus: $5,280.09
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: HC PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $2,747.20 – $15,678
Groin (inguinal) hernia repair, age 5 or older: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $3,697
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $4,301.22
  • Affinity by Molina Healthcare — All NYS Essential Plans: $6,181.20
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $2,747.20
  • Amida Care — Medicaid: $3,159.28
  • Anthem BCBS — All Commercial Plans: $14,739.08
  • Anthem BCBS — Medicare Advantage: $3,967.14
  • Anthem BCBS Healthplus — All NYS Essential Plans: $9,120.70
  • Anthem BCBS Healthplus — Child Health Plus: $4,120.80
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: PROSTATE NEEDLE BIOPSY ANY APPROACH Not listed in the file Not listed in the file $2,302.80 – $13,583.76
Prostate biopsy: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $2,628
  • Aetna — Commercial: $4,340.13
  • Aetna — Medicare Advantage: $2,496.72
  • Affinity by Molina Healthcare — All NYS Essential Plans: $5,918.75
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $2,630.56
  • Amida Care — Medicaid: $3,025.14
  • Anthem BCBS — All Commercial Plans: $13,583.76
  • Anthem BCBS — Medicare Advantage: $2,302.80
  • Anthem BCBS Healthplus — All NYS Essential Plans: $8,733.45
  • Anthem BCBS Healthplus — Child Health Plus: $3,945.84
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD W-NRV SPARING ROBOT Not listed in the file Not listed in the file $3,517.52 – $55,311
Prostate removal by laparoscope (radical prostatectomy): 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $55,311
  • Aetna — Commercial: $23,293.89
  • Aetna — Medicare Advantage: $12,689.19
  • Affinity by Molina Healthcare — All NYS Essential Plans: $7,914.42
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $3,517.52
  • Amida Care — Medicaid: $4,045.15
  • Anthem BCBS — All Commercial Plans: $17,764.77
  • Anthem BCBS — Medicare Advantage: $11,703.62
  • Anthem BCBS Healthplus — All NYS Essential Plans: $11,678.16
  • Anthem BCBS Healthplus — Child Health Plus: $5,276.28
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BX ENDOMETRIUMAND-POLYPC W-WO DANDC Not listed in the file Not listed in the file $1,879.57 – $13,583.76
Hysteroscopy with biopsy of the uterus lining: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $3,009
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $3,875.21
  • Affinity by Molina Healthcare — All NYS Essential Plans: $4,229.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,879.57
  • Amida Care — Medicaid: $2,161.50
  • Anthem BCBS — All Commercial Plans: $13,583.76
  • Anthem BCBS — Medicare Advantage: $3,574.22
  • Anthem BCBS Healthplus — All NYS Essential Plans: $6,240.16
  • Anthem BCBS Healthplus — Child Health Plus: $2,819.35
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX DX-THER SBST INTRLMNR LMBR-SAC W-IMG GDN Not listed in the file Not listed in the file $778.49 – $12,700.68
Spinal injection, lower back (epidural), with imaging guidance: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $968
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $844.04
  • Affinity by Molina Healthcare — All NYS Essential Plans: $1,835.13
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $815.61
  • Amida Care — Medicaid: $937.96
  • Anthem BCBS — All Commercial Plans: $11,197.80
  • Anthem BCBS — Medicare Advantage: $778.49
  • Anthem BCBS Healthplus — All NYS Essential Plans: $2,707.84
  • Anthem BCBS Healthplus — Child Health Plus: $1,223.42
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AAAND-STRD TFRML EPI LUMBAR-SACRAL 1 LEVEL Not listed in the file Not listed in the file $815.61 – $12,700.68
Nerve root injection, lower back, with imaging guidance: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $1,951
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $1,085.08
  • Affinity by Molina Healthcare — All NYS Essential Plans: $1,835.13
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $815.61
  • Amida Care — Medicaid: $937.96
  • Anthem BCBS — All Commercial Plans: $11,197.80
  • Anthem BCBS — Medicare Advantage: $1,000.81
  • Anthem BCBS Healthplus — All NYS Essential Plans: $2,707.84
  • Anthem BCBS Healthplus — Child Health Plus: $1,223.42
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: NEUROPLASTY AND-TRANSPOS MEDIAN NRV CARPAL TUNNE Not listed in the file Not listed in the file $1,791.64 – $13,583.76
Carpal tunnel release: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $2,628
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $2,380.03
  • Affinity by Molina Healthcare — All NYS Essential Plans: $4,031.18
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $1,791.64
  • Amida Care — Medicaid: $2,060.38
  • Anthem BCBS — All Commercial Plans: $13,583.76
  • Anthem BCBS — Medicare Advantage: $2,195.17
  • Anthem BCBS Healthplus — All NYS Essential Plans: $5,948.23
  • Anthem BCBS Healthplus — Child Health Plus: $2,687.45
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: HC LASER CAPSULOTOMY $3,275 $2,456.25 $616.70 – $12,700.68
Laser treatment of clouding after cataract surgery: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $2,628
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $668.63
  • Affinity by Molina Healthcare — All NYS Essential Plans: $4,837.90
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $2,150.18
  • Amida Care — Medicaid: $2,472.70
  • Anthem BCBS — All Commercial Plans: $11,197.80
  • Anthem BCBS — Medicare Advantage: $616.70
  • Anthem BCBS Healthplus — All NYS Essential Plans: $7,138.59
  • Anthem BCBS Healthplus — Child Health Plus: $3,225.27
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL INSJ IO LENS PROSTH W-O ECP Not listed in the file Not listed in the file $2,563.85 – $13,583.76
Cataract removal with lens implant: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $5,685
  • Aetna — Commercial: $11,977.24
  • Aetna — Medicare Advantage: $2,779.75
  • Affinity by Molina Healthcare — All NYS Essential Plans: $6,051.57
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $2,689.59
  • Amida Care — Medicaid: $3,093.03
  • Anthem BCBS — All Commercial Plans: $13,583.76
  • Anthem BCBS — Medicare Advantage: $2,563.85
  • Anthem BCBS Healthplus — All NYS Essential Plans: $8,929.43
  • Anthem BCBS Healthplus — Child Health Plus: $4,034.38

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $86,396.12 – $564,323.92
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $226,803.29
  • Aetna — Commercial: $438,925.57
  • Aetna — Medicare Advantage: $93,671.59
  • Affinity by Molina Healthcare — All NYS Essential Plans: $300,649.97
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $130,470.74
  • Amida Care — Medicaid: $130,470.74
  • Anthem BCBS — All Commercial Plans: $491,446.48
  • Anthem BCBS — Medicare Advantage: $86,396.12
  • Anthem BCBS Healthplus — All NYS Essential Plans: $376,663.36
  • Anthem BCBS Healthplus — Child Health Plus: $170,179.23
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $17,240.75 – $148,736.95
Hip or knee replacement (major joint of the leg), without major complications: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $44,054.44
  • Aetna — Commercial: $85,257.22
  • Aetna — Medicare Advantage: $18,692.60
  • Affinity by Molina Healthcare — All NYS Essential Plans: $71,412.12
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $30,990.17
  • Amida Care — Medicaid: $30,990.17
  • Anthem BCBS — All Commercial Plans: $148,736.95
  • Anthem BCBS — Medicare Advantage: $17,240.75
  • Anthem BCBS Healthplus — All NYS Essential Plans: $89,467.26
  • Anthem BCBS Healthplus — Child Health Plus: $40,421.96
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC-MCC Not listed in the file Not listed in the file $21,507.18 – $141,851.33
Neck (cervical) spinal fusion, without complications: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $57,010.43
  • Aetna — Commercial: $110,330.57
  • Aetna — Medicare Advantage: $23,345.47
  • Affinity by Molina Healthcare — All NYS Essential Plans: $56,994.03
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $24,733.26
  • Amida Care — Medicaid: $24,733.26
  • Anthem BCBS — All Commercial Plans: $133,074.51
  • Anthem BCBS — Medicare Advantage: $21,532.23
  • Anthem BCBS Healthplus — All NYS Essential Plans: $71,403.84
  • Anthem BCBS Healthplus — Child Health Plus: $32,260.77
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC-MCC Not listed in the file Not listed in the file $11,124.55 – $68,204.92
Uterus and ovary surgery (not for cancer), without complications: 10 of 49 insurance plan rates
  • 1199SEIU Funds — All Commercial Plans: $27,411.74
  • Aetna — Commercial: $53,049.12
  • Aetna — Medicare Advantage: $12,061.36
  • Affinity by Molina Healthcare — All NYS Essential Plans: $39,616.60
  • Affinity by Molina Healthcare — Medicaid/Child Health Plus: $17,192.11
  • Amida Care — Medicaid: $17,192.11
  • Anthem BCBS — All Commercial Plans: $67,016.82
  • Anthem BCBS — Medicare Advantage: $11,124.55
  • Anthem BCBS Healthplus — All NYS Essential Plans: $49,632.87
  • Anthem BCBS Healthplus — Child Health Plus: $22,424.49

Source: New York-Presbyterian Hospital’s standard charges file (nyp.widen.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address525 East 68th Street, New York, NY 10065
CountyNew York County
StateNew York
Phone(212) 746‑5454
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330101
Name in Medicare recordsNEW YORK-PRESBYTERIAN HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteNewYork-Presbyterian/Weill Cornell Medical Center
Official websitenyp.org
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Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. NewYork-Presbyterian/Weill Cornell Medical Center — nyp.org
  2. Directions & Parking | NewYork-Presbyterian/Weill Cornell Medical Center — nyp.org