Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Español Near me My list Help
US Patient GuideUSA
Surprise me
Acute Care Hospital

Suny/Downstate University Hospital of Brooklyn

Brooklyn, New York · Kings County · Emergency services listed

Summary

Suny/Downstate University Hospital of Brooklyn is an acute care hospital in Brooklyn, New York. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 38 services, specialties and programs. Medicare lists 237 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

Call(718) 270‑1000 Directions Website Medicare profile
Compare
Exterior of Suny/Downstate University Hospital of Brooklyn
Photo: Jim.henderson, CC0, 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
1 of 5 stars1 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
376Beds (hospital website)
237Doctors and clinicians
38Services listed

Quick answers

Does Suny/Downstate University Hospital of Brooklyn have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Suny/Downstate University Hospital of Brooklyn. In a medical emergency, call 911.
Where is Suny/Downstate University Hospital of Brooklyn?
445 Lenox Road, Brooklyn, NY 11203, in Kings County, New York.
What is the phone number of Suny/Downstate University Hospital of Brooklyn?
(718) 270-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Suny/Downstate University Hospital of Brooklyn?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][9][11]

  • Family & Community Medicine
  • Infectious Diseases
  • Medicine
  • Nephrology (dialysis)
  • Neurology
  • Obstetrics & Gynecology
  • Cardiovascular care
  • Orthopaedic surgery
  • Vascular surgery
  • Renal care

Conditions treated[7][11]

Treatments[4][5][7][8][11]

  • Dialysis
  • Angioplasty
  • Bypass surgery
  • Endovascular treatment of aortic aneurysms
  • Pediatric cardiovascular surgery
  • Electroencephalography
  • Electromyography
  • Evoked potential testing
  • Neuropsychological testing
  • Mammography

Programs and centers[4][5][11]

  • Center of Excellence in cardiovascular care
  • Center of Excellence in neurosciences
  • Center of Excellence in women's and children's health
  • Star Program NYC (HIV and HCV screening and treatment)
  • HEAT Program
  • Alzheimer's Disease and Memory Disorders Center
  • Asthma Center
  • Stroke Center
  • Neonatal intensive care unit
  • Comprehensive heart failure program

Emergency care (hospital website)[8]

Emergency roomYes

Visiting and practical information

VisitingAdult inpatients: two visitors at a time. Visitors must be 12+ and accompanied by an adult. Rules follow NYS DOH and can change[10]
Interpreters and languagesPage says language is no barrier to care for patients who speak other languages[4]

Recognition[6]

  • College of American Pathologists laboratory accreditation (pathology laboratories)

Doctors and clinicians (237)

237 doctors and other clinicians list Suny/Downstate University Hospital of Brooklyn 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 (237)

And 213 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

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 Suny/Downstate University Hospital of Brooklyn 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) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home1 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1061%National average: 72%
Would definitely recommend the hospital64%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home76%National average: 86%
Room and bathroom “always” clean68%National average: 74%
Area around the room “always” quiet at night56%National average: 60%
Completed surveys505Response rate: 10%

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)0.865No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.492No different from the national benchmark
Surgical site infections after colon surgery1.356No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.391Better 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 patients11.3%
Deaths within 30 days: heart failure patients10.1%
Deaths within 30 days: pneumonia patients16%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patients12.8%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.05No different from the national rate
Complications after hip or knee replacement3.1%

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 attack14.2%
Readmitted within 30 days: heart failure23%
Readmitted within 30 days: pneumonia18.6%
Readmitted within 30 days: COPD21.5%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.4%

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)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)164 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)93%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.

ER wait times in BrooklynBest hospitals in Brooklyn

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 68 common services exactly as Suny/Downstate University Hospital of Brooklyn 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 →

$ 28 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: 99203 - OFFICE O/P NEW LOW 30-44 MIN $18,307 $18,307 $13,674 – $28,168 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 30–44 minutes): 10 of 29 insurance plan rates
  • 1199 — commercial: $17,992
  • Aetna — commercial: $20,229 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA - Medicare — commercial: $18,499
  • AlphaCare Medicare — commercial: $18,499
  • CIGNA — commercial: $24,340 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EBCBS HMO — commercial: $19,651 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EBCBS Medicare — commercial: $18,499
  • EBCBS PPO — commercial: $19,651 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ElderPlan Medicare — commercial: $18,869
  • Emblem GHI — commercial: $28,168 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: 99204 - OFFICE O/P NEW MOD 45-59 MIN $471 $471 $130 – $841
New patient office visit (about 45–59 minutes): 10 of 47 insurance plan rates
  • 1199 — commercial: $165
  • Aetna — commercial: $161
  • AETNA - Medicare — commercial: $140
  • Affinity Medicaid — commercial: $211
  • AlphaCare Medicare — commercial: $140
  • AmidaCare Medicaid — commercial: $211
  • CIGNA — commercial: $239
  • EBCBS HMO — commercial: $221
  • EBCBS Medicaid — commercial: $211
  • EBCBS Medicare — commercial: $140
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: 99205 - OFFICE O/P NEW HI 60-74 MIN $1,251 $1,251 $93 – $315
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates
  • 1199 — commercial: $173
  • Aetna — commercial: $93
  • Affinity Medicaid — commercial: $100
  • AmidaCare Medicaid — commercial: $100
  • CIGNA — commercial: $315
  • EBCBS Medicaid — commercial: $100
  • Emblem GHI — commercial: $110
  • Emblem HIP — commercial: $110
  • Emblem HIP Medicaid — commercial: $100
  • Fidelis EP — commercial: $225
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: 99213 - OFFICE O/P EST LOW 20-29 MIN $13,683 $13,683 $7,264 – $14,963
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates
  • 1199 — commercial: $9,558
  • Aetna — commercial: $10,746
  • AETNA - Medicare — commercial: $10,465
  • AlphaCare Medicare — commercial: $10,465
  • CIGNA — commercial: $12,930
  • EBCBS HMO — commercial: $10,439
  • EBCBS Medicare — commercial: $10,465
  • EBCBS PPO — commercial: $10,439
  • ElderPlan Medicare — commercial: $10,674
  • Emblem GHI — commercial: $14,963
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: 99214 - OFFICE O/P EST MOD 30-39 MIN $12,393 $12,393 $7,854 – $16,179
Established patient office visit (about 30–39 minutes): 10 of 29 insurance plan rates
  • 1199 — commercial: $10,334
  • Aetna — commercial: $11,619
  • AETNA - Medicare — commercial: $11,205
  • AlphaCare Medicare — commercial: $11,205
  • CIGNA — commercial: $13,981
  • EBCBS HMO — commercial: $11,287
  • EBCBS Medicare — commercial: $11,205
  • EBCBS PPO — commercial: $11,287
  • ElderPlan Medicare — commercial: $11,429
  • Emblem GHI — commercial: $16,179
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: 99243 - OFF/OP CNSLTJ NEW/EST LOW 30 $229 $229 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $180
Office consultation with a specialist (moderate): 10 of 28 insurance plan rates
  • 1199 — commercial: $133
  • Aetna — commercial: $133
  • Affinity Medicaid — commercial: $54
  • AmidaCare Medicaid — commercial: $54
  • CIGNA — commercial: $180
  • EBCBS Medicaid — commercial: $54
  • Emblem GHI — commercial: $119
  • Emblem HIP — commercial: $119
  • Emblem HIP Medicaid — commercial: $54
  • Fidelis EP — commercial: $123
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: 99244 - OFF/OP CNSLTJ NEW/EST MOD 40 $36,807 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $36,807 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $13,695 – $28,212 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high): 10 of 29 insurance plan rates
  • 1199 — commercial: $18,020
  • Aetna — commercial: $20,260
  • AETNA - Medicare — commercial: $18,526
  • AlphaCare Medicare — commercial: $18,526
  • CIGNA — commercial: $24,378
  • EBCBS HMO — commercial: $19,681
  • EBCBS Medicare — commercial: $18,526
  • EBCBS PPO — commercial: $19,681
  • ElderPlan Medicare — commercial: $18,896
  • Emblem GHI — commercial: $28,212 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: 99385 - PREV VISIT NEW AGE 18-39 $12,839 $12,839 $9,965 – $20,528 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39: 10 of 29 insurance plan rates
  • 1199 — commercial: $13,112
  • Aetna — commercial: $14,742
  • AETNA - Medicare — commercial: $13,851
  • AlphaCare Medicare — commercial: $13,851
  • CIGNA — commercial: $17,738 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EBCBS HMO — commercial: $14,321
  • EBCBS Medicare — commercial: $13,851
  • EBCBS PPO — commercial: $14,321
  • ElderPlan Medicare — commercial: $14,128
  • Emblem GHI — commercial: $20,528 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: 99386 - PREV VISIT NEW AGE 40-64 $36,991 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $36,991 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $14,846 – $30,583 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64: 10 of 29 insurance plan rates
  • 1199 — commercial: $19,534
  • Aetna — commercial: $21,963 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA - Medicare — commercial: $19,968 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AlphaCare Medicare — commercial: $19,968 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • CIGNA — commercial: $26,426 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EBCBS HMO — commercial: $21,335 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EBCBS Medicare — commercial: $19,968 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EBCBS PPO — commercial: $21,335 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ElderPlan Medicare — commercial: $20,368 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Emblem GHI — commercial: $30,583 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: 99283 - EMERGENCY DEPT VISIT LOW MDM $436 $436 $60 – $1,351
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • 1199 — commercial: $76
  • Aetna — commercial: $74
  • AETNA - Medicare — commercial: $65
  • AlphaCare Medicare — commercial: $65
  • CIGNA — commercial: $874
  • EBCBS HMO — commercial: $102
  • EBCBS Medicare — commercial: $65
  • EBCBS PPO — commercial: $102
  • ElderPlan Medicare — commercial: $66
  • Emblem GHI — commercial: $849
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: 99284 - EMERGENCY DEPT VISIT MOD MDM $626 $626 $78 – $1,661
Emergency room visit (moderately high): 10 of 47 insurance plan rates
  • 1199 — commercial: $369
  • Aetna — commercial: $78
  • AETNA - Medicare — commercial: $319
  • Affinity Medicaid — commercial: $738
  • AlphaCare Medicare — commercial: $319
  • AmidaCare Medicaid — commercial: $738
  • CIGNA — commercial: $874
  • EBCBS HMO — commercial: $504
  • EBCBS Medicaid — commercial: $738
  • EBCBS Medicare — commercial: $319
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: 99285 - EMERGENCY DEPT VISIT HI MDM $1,410 $1,410 $250 – $1,017
Emergency room visit (high): rates for 8 insurance plans
  • 1199 — commercial: $402
  • Aetna — commercial: $299
  • CIGNA — commercial: $1,017
  • Emblem GHI — commercial: $250
  • Emblem HIP — commercial: $250
  • UHC AP — commercial: $788
  • UHC Oxford — commercial: $788
  • UHC Oxford Narrow — commercial: $788

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: 80048 - METABOLIC PANEL TOTAL CA $65 $65 $5 – $66
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
  • 1199 — commercial: $10
  • Aetna — commercial: $5
  • Affinity Medicaid — commercial: $29
  • AmidaCare Medicaid — commercial: $29
  • CIGNA — commercial: $17
  • EBCBS Medicaid — commercial: $29
  • Emblem HIP Medicaid — commercial: $29
  • Fidelis EP — commercial: $66
  • Fidelis Medicaid — commercial: $29
  • Fidelis QHP — commercial: $31
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: 80053 - COMPREHEN METABOLIC PANEL $156 $156 $6 – $83
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates
  • 1199 — commercial: $12
  • Aetna — commercial: $6
  • Affinity Medicaid — commercial: $37
  • AmidaCare Medicaid — commercial: $37
  • CIGNA — commercial: $26
  • EBCBS Medicaid — commercial: $37
  • Emblem GHI — commercial: $6
  • Emblem HIP — commercial: $6
  • Emblem HIP Medicaid — commercial: $37
  • Fidelis EP — commercial: $83
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: 80061 - LIPID PANEL $284 $284 $34 – $162
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates
  • 1199 — commercial: $41
  • Aetna — commercial: $42
  • AETNA - Medicare — commercial: $103
  • Affinity Medicaid — commercial: $56
  • AlphaCare Medicare — commercial: $103
  • AmidaCare Medicaid — commercial: $56
  • CIGNA — commercial: $34
  • EBCBS HMO — commercial: $162
  • EBCBS Medicaid — commercial: $56
  • EBCBS Medicare — commercial: $103
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: 80069 - RENAL FUNCTION PANEL $366 $366 $7 – $162
Kidney function panel: 10 of 47 insurance plan rates
  • 1199 — commercial: $33
  • Aetna — commercial: $31
  • AETNA - Medicare — commercial: $103
  • Affinity Medicaid — commercial: $56
  • AlphaCare Medicare — commercial: $103
  • AmidaCare Medicaid — commercial: $56
  • CIGNA — commercial: $22
  • EBCBS HMO — commercial: $162
  • EBCBS Medicaid — commercial: $56
  • EBCBS Medicare — commercial: $103
Liver function panel CPT 80076 · Inpatient or outpatient In the file: 80076 - HEPATIC FUNCTION PANEL $625 $625 $20 – $420
Liver function panel: 10 of 47 insurance plan rates
  • 1199 — commercial: $126
  • Aetna — commercial: $32
  • AETNA - Medicare — commercial: $128
  • Affinity Medicaid — commercial: $187
  • AlphaCare Medicare — commercial: $128
  • AmidaCare Medicaid — commercial: $187
  • CIGNA — commercial: $20
  • EBCBS HMO — commercial: $202
  • EBCBS Medicaid — commercial: $187
  • EBCBS Medicare — commercial: $128
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: 81001 - URINALYSIS AUTO W/SCOPE $38 $38 $1 – $76
Urine test (automated, with microscope): 10 of 24 insurance plan rates
  • 1199 — commercial: $4
  • Aetna — commercial: $2
  • Affinity Medicaid — commercial: $34
  • AmidaCare Medicaid — commercial: $34
  • CIGNA — commercial: $6
  • EBCBS Medicaid — commercial: $34
  • Emblem GHI — commercial: $1
  • Emblem HIP — commercial: $1
  • Emblem HIP Medicaid — commercial: $34
  • Fidelis EP — commercial: $76
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: 81002 - URINALYSIS NONAUTO W/O SCOPE $24 $24 $2 – $66
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • 1199 — commercial: $5
  • Aetna — commercial: $2
  • Affinity Medicaid — commercial: $29
  • AmidaCare Medicaid — commercial: $29
  • CIGNA — commercial: $5
  • EBCBS Medicaid — commercial: $29
  • Emblem HIP Medicaid — commercial: $29
  • Fidelis EP — commercial: $66
  • Fidelis Medicaid — commercial: $29
  • Fidelis QHP — commercial: $31
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: 81003 - URINALYSIS AUTO W/O SCOPE $6 $6 $1 – $4
Urine test (automated, without microscope): rates for 4 insurance plans
  • CIGNA — commercial: $4
  • Emblem GHI — commercial: $2
  • Emblem HIP — commercial: $2
  • MagnaCare — commercial: $1
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: 84153 - ASSAY OF PSA TOTAL $431 $431 $46 – $273
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates
  • 1199 — commercial: $61
  • Aetna — commercial: $69
  • AETNA - Medicare — commercial: $173
  • Affinity Medicaid — commercial: $56
  • AlphaCare Medicare — commercial: $173
  • AmidaCare Medicaid — commercial: $56
  • CIGNA — commercial: $46
  • EBCBS HMO — commercial: $273
  • EBCBS Medicaid — commercial: $56
  • EBCBS Medicare — commercial: $173
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: 84443 - ASSAY THYROID STIM HORMONE $349 $349 $10 – $76
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • 1199 — commercial: $19
  • Aetna — commercial: $10
  • Affinity Medicaid — commercial: $34
  • AmidaCare Medicaid — commercial: $34
  • CIGNA — commercial: $34
  • EBCBS Medicaid — commercial: $34
  • Emblem HIP Medicaid — commercial: $34
  • Fidelis EP — commercial: $76
  • Fidelis Medicaid — commercial: $34
  • Fidelis QHP — commercial: $36
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: 85025 - COMPLETE CBC W/AUTO DIFF WBC $236 $236 $7 – $94
Complete blood count (CBC) with differential: rates for 6 insurance plans
  • 1199 — commercial: $24
  • Aetna — commercial: $7
  • CIGNA — commercial: $15
  • UHC AP — commercial: $94
  • UHC Oxford — commercial: $62
  • UHC Oxford Narrow — commercial: $56
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: 85027 - COMPLETE CBC AUTOMATED $36 $36 $3 – $66
Complete blood count (CBC), automated: 10 of 27 insurance plan rates
  • 1199 — commercial: $7
  • Aetna — commercial: $4
  • Affinity Medicaid — commercial: $29
  • AmidaCare Medicaid — commercial: $29
  • CIGNA — commercial: $13
  • EBCBS Medicaid — commercial: $29
  • Emblem GHI — commercial: $3
  • Emblem HIP — commercial: $3
  • Emblem HIP Medicaid — commercial: $29
  • Fidelis EP — commercial: $66
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: 85610 - PROTHROMBIN TIME $188 $188 $2 – $176
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • 1199 — commercial: $5
  • Aetna — commercial: $2
  • AETNA - Medicare — commercial: $111
  • Affinity Medicaid — commercial: $69
  • AlphaCare Medicare — commercial: $111
  • AmidaCare Medicaid — commercial: $69
  • CIGNA — commercial: $7
  • EBCBS HMO — commercial: $176
  • EBCBS Medicaid — commercial: $69
  • EBCBS Medicare — commercial: $111
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: 85730 - THROMBOPLASTIN TIME PARTIAL $312 $312 $13 – $145
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates
  • 1199 — commercial: $13
  • Aetna — commercial: $21
  • AETNA - Medicare — commercial: $24
  • Affinity Medicaid — commercial: $64
  • AlphaCare Medicare — commercial: $24
  • AmidaCare Medicaid — commercial: $64
  • CIGNA — commercial: $15
  • EBCBS HMO — commercial: $38
  • EBCBS Medicaid — commercial: $64
  • EBCBS Medicare — commercial: $24

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: 70450 - CT HEAD/BRAIN W/O DYE $1,275 $1,275 $65 – $1,171
CT scan of the head or brain, without contrast: 10 of 47 insurance plan rates
  • 1199 — commercial: $241
  • Aetna — commercial: $120
  • AETNA - Medicare — commercial: $103
  • Affinity Medicaid — commercial: $379
  • AlphaCare Medicare — commercial: $103
  • AmidaCare Medicaid — commercial: $379
  • CIGNA — commercial: $1,171
  • EBCBS HMO — commercial: $162
  • EBCBS Medicaid — commercial: $379
  • EBCBS Medicare — commercial: $103
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: 70553 - MRI BRAIN STEM W/O & W/DYE $5,954 $5,954 $200 – $2,143
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates
  • 1199 — commercial: $1,268
  • Aetna — commercial: $371
  • AETNA - Medicare — commercial: $354
  • Affinity Medicaid — commercial: $681
  • AlphaCare Medicare — commercial: $354
  • AmidaCare Medicaid — commercial: $681
  • CIGNA — commercial: $2,143
  • EBCBS HMO — commercial: $558
  • EBCBS Medicaid — commercial: $681
  • EBCBS Medicare — commercial: $354
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 - X-RAY EXAM CHEST 2 VIEWS $142 $142 $3 – $76
Chest X-ray, 2 views: 10 of 25 insurance plan rates
  • 1199 — commercial: $24
  • Aetna — commercial: $3
  • Affinity Medicaid — commercial: $34
  • AmidaCare Medicaid — commercial: $34
  • CIGNA — commercial: $21
  • EBCBS Medicaid — commercial: $34
  • Emblem HIP Medicaid — commercial: $34
  • Fidelis EP — commercial: $76
  • Fidelis Medicaid — commercial: $34
  • Fidelis QHP — commercial: $36
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: 72110 - X-RAY EXAM L-2 SPINE 4/>VWS $187 $187 $11 – $76
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates
  • 1199 — commercial: $21
  • Aetna — commercial: $11
  • Affinity Medicaid — commercial: $34
  • AmidaCare Medicaid — commercial: $34
  • CIGNA — commercial: $31
  • EBCBS Medicaid — commercial: $34
  • Emblem GHI — commercial: $15
  • Emblem HIP — commercial: $15
  • Emblem HIP Medicaid — commercial: $34
  • Fidelis EP — commercial: $76
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: 72148 - MRI LUMBAR SPINE W/O DYE $3,545 $3,545 $131 – $2,143
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates
  • 1199 — commercial: $634
  • Aetna — commercial: $371
  • AETNA - Medicare — commercial: $224
  • Affinity Medicaid — commercial: $459
  • AlphaCare Medicare — commercial: $224
  • AmidaCare Medicaid — commercial: $459
  • CIGNA — commercial: $2,143
  • EBCBS HMO — commercial: $354
  • EBCBS Medicaid — commercial: $459
  • EBCBS Medicare — commercial: $224
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: 72193 - CT PELVIS W/DYE $1,881 $1,881 $161 – $1,171
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates
  • 1199 — commercial: $349
  • Aetna — commercial: $234
  • AETNA - Medicare — commercial: $173
  • Affinity Medicaid — commercial: $379
  • AlphaCare Medicare — commercial: $173
  • AmidaCare Medicaid — commercial: $379
  • CIGNA — commercial: $1,171
  • EBCBS HMO — commercial: $273
  • EBCBS Medicaid — commercial: $379
  • EBCBS Medicare — commercial: $173
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: 73721 - MRI JNT OF LWR EXTRE W/O DYE $509 $509 $34 – $140
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates
  • 1199 — commercial: $71
  • Aetna — commercial: $38
  • Affinity Medicaid — commercial: $62
  • AmidaCare Medicaid — commercial: $62
  • CIGNA — commercial: $128
  • EBCBS Medicaid — commercial: $62
  • Emblem GHI — commercial: $34
  • Emblem HIP — commercial: $34
  • Emblem HIP Medicaid — commercial: $62
  • Fidelis EP — commercial: $140
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: 74177 - CT ABD & PELV W/CONTRAST $2,763 $2,763 $217 – $1,171
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates
  • 1199 — commercial: $318
  • Aetna — commercial: $321
  • AETNA - Medicare — commercial: $354
  • Affinity Medicaid — commercial: $379
  • AlphaCare Medicare — commercial: $354
  • AmidaCare Medicaid — commercial: $379
  • CIGNA — commercial: $1,171
  • EBCBS HMO — commercial: $558
  • EBCBS Medicaid — commercial: $379
  • EBCBS Medicare — commercial: $354
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: 76700 - US EXAM ABDOM COMPLETE $440 $440 $33 – $473
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates
  • 1199 — commercial: $62
  • Aetna — commercial: $33
  • AETNA - Medicare — commercial: $184
  • Affinity Medicaid — commercial: $210
  • AlphaCare Medicare — commercial: $184
  • AmidaCare Medicaid — commercial: $210
  • CIGNA — commercial: $76
  • EBCBS HMO — commercial: $290
  • EBCBS Medicaid — commercial: $210
  • EBCBS Medicare — commercial: $184
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: 76805 - OB US >= 14 WKS SNGL FETUS $400 $400 $54 – $336
Pregnancy ultrasound (after the first trimester): 10 of 47 insurance plan rates
  • 1199 — commercial: $54
  • Aetna — commercial: $96
  • AETNA - Medicare — commercial: $103
  • Affinity Medicaid — commercial: $149
  • AlphaCare Medicare — commercial: $103
  • AmidaCare Medicaid — commercial: $149
  • CIGNA — commercial: $98
  • EBCBS HMO — commercial: $162
  • EBCBS Medicaid — commercial: $149
  • EBCBS Medicare — commercial: $103
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: 76830 - TRANSVAGINAL US NON-OB $349 $349 $23 – $222
Transvaginal ultrasound: 10 of 45 insurance plan rates
  • 1199 — commercial: $23
  • Aetna — commercial: $28
  • AETNA - Medicare — commercial: $111
  • Affinity Medicaid — commercial: $99
  • AlphaCare Medicare — commercial: $111
  • AmidaCare Medicaid — commercial: $99
  • CIGNA — commercial: $67
  • EBCBS HMO — commercial: $176
  • EBCBS Medicaid — commercial: $99
  • EBCBS Medicare — commercial: $111
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 77065 - DX MAMMO INCL CAD UNI $687 $687 $79 – $1,491
Diagnostic mammogram, one breast: 10 of 45 insurance plan rates
  • 1199 — commercial: $239
  • Aetna — commercial: $170
  • AETNA - Medicare — commercial: $224
  • Affinity Medicaid — commercial: $662
  • AlphaCare Medicare — commercial: $224
  • AmidaCare Medicaid — commercial: $662
  • CIGNA — commercial: $79
  • EBCBS HMO — commercial: $354
  • EBCBS Medicaid — commercial: $662
  • EBCBS Medicare — commercial: $224
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 77066 - DX MAMMO INCL CAD BI $279 $279 $29 – $135
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates
  • 1199 — commercial: $54
  • Aetna — commercial: $29
  • Affinity Medicaid — commercial: $60
  • AmidaCare Medicaid — commercial: $60
  • CIGNA — commercial: $97
  • EBCBS Medicaid — commercial: $60
  • Emblem GHI — commercial: $31
  • Emblem HIP — commercial: $31
  • Emblem HIP Medicaid — commercial: $60
  • Fidelis EP — commercial: $135
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 77067 - SCR MAMMO BI INCL CAD $1,069 $1,069 $61 – $1,491
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • 1199 — commercial: $78
  • Aetna — commercial: $93
  • AETNA - Medicare — commercial: $224
  • Affinity Medicaid — commercial: $662
  • AlphaCare Medicare — commercial: $224
  • AmidaCare Medicaid — commercial: $662
  • CIGNA — commercial: $73
  • EBCBS HMO — commercial: $354
  • EBCBS Medicaid — commercial: $662
  • EBCBS Medicare — commercial: $224

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: 93656 - COMPRE EP EVAL ABLTJ ATR FIB $56,341 $56,341 $945 – $35,558
Heart rhythm study with ablation for atrial fibrillation: 10 of 42 insurance plan rates
  • 1199 — commercial: $1,224
  • Aetna — commercial: $1,055
  • AETNA - Medicare — commercial: $22,536
  • Affinity Medicaid — commercial: $945
  • AlphaCare Medicare — commercial: $22,536
  • AmidaCare Medicaid — commercial: $945
  • CIGNA — commercial: $1,965
  • EBCBS HMO — commercial: $35,558
  • EBCBS Medicaid — commercial: $945
  • EBCBS Medicare — commercial: $22,536

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: 97161 - PT EVAL LOW COMPLEX 20 MIN $12,263 $12,263 $7,608 – $15,672
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
  • 1199 — commercial: $10,010
  • Aetna — commercial: $11,255
  • AETNA - Medicare — commercial: $10,896
  • AlphaCare Medicare — commercial: $10,896
  • CIGNA — commercial: $13,542
  • EBCBS HMO — commercial: $10,933
  • EBCBS Medicare — commercial: $10,896
  • EBCBS PPO — commercial: $10,933
  • ElderPlan Medicare — commercial: $11,114
  • Emblem GHI — commercial: $15,672
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: 97162 - PT EVAL MOD COMPLEX 30 MIN $14,746 $14,746 $7,610 – $15,676
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
  • 1199 — commercial: $10,013
  • Aetna — commercial: $11,258
  • AETNA - Medicare — commercial: $10,899
  • AlphaCare Medicare — commercial: $10,899
  • CIGNA — commercial: $13,546
  • EBCBS HMO — commercial: $10,936
  • EBCBS Medicare — commercial: $10,899
  • EBCBS PPO — commercial: $10,936
  • ElderPlan Medicare — commercial: $11,117
  • Emblem GHI — commercial: $15,676
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832 - PSYTX W PT 30 MINUTES $630 $630 $79 – $775
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates
  • 1199 — commercial: $204
  • Aetna — commercial: $311
  • AETNA - Medicare — commercial: $269
  • Affinity Medicaid — commercial: $344
  • AlphaCare Medicare — commercial: $269
  • AmidaCare Medicaid — commercial: $344
  • CIGNA — commercial: $114
  • EBCBS HMO — commercial: $424
  • EBCBS Medicaid — commercial: $344
  • EBCBS Medicare — commercial: $269
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: 90846 - FAMILY PSYTX W/O PT 50 MIN $1,329 $1,329 $45 – $1,121
Family psychotherapy, without the patient: 10 of 47 insurance plan rates
  • 1199 — commercial: $79
  • Aetna — commercial: $137
  • AETNA - Medicare — commercial: $464
  • Affinity Medicaid — commercial: $293
  • AlphaCare Medicare — commercial: $464
  • AmidaCare Medicaid — commercial: $293
  • CIGNA — commercial: $182
  • EBCBS HMO — commercial: $732
  • EBCBS Medicaid — commercial: $293
  • EBCBS Medicare — commercial: $464
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 - FAMILY PSYTX W/PT 50 MIN $289 $289 $68 – $336
Family psychotherapy, with the patient: 10 of 22 insurance plan rates
  • 1199 — commercial: $68
  • Aetna — commercial: $161
  • Affinity Medicaid — commercial: $149
  • AmidaCare Medicaid — commercial: $149
  • CIGNA — commercial: $184
  • EBCBS Medicaid — commercial: $149
  • Emblem HIP Medicaid — commercial: $149
  • Fidelis EP — commercial: $336
  • Fidelis Medicaid — commercial: $149
  • Fidelis QHP — commercial: $157

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: 19120 - REMOVAL OF BREAST LESION $8,249 $8,249 $367 – $5,206
Removal of breast growth (open surgery): 10 of 48 insurance plan rates
  • 1199 — commercial: $387
  • Aetna — commercial: $367
  • AETNA - Medicare — commercial: $3,299
  • Affinity Medicaid — commercial: $1,595
  • AlphaCare Medicare — commercial: $3,299
  • AmidaCare Medicaid — commercial: $1,595
  • CIGNA — commercial: $3,535
  • EBCBS HMO — commercial: $5,206
  • EBCBS Medicaid — commercial: $1,595
  • EBCBS Medicare — commercial: $3,299
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: 42820 - REMOVE TONSILS AND ADENOIDS $12,812 $12,812 $338 – $8,086
Removal of tonsils and adenoids (under age 12): 10 of 48 insurance plan rates
  • 1199 — commercial: $363
  • Aetna — commercial: $338
  • AETNA - Medicare — commercial: $5,125
  • Affinity Medicaid — commercial: $1,466
  • AlphaCare Medicare — commercial: $5,125
  • AmidaCare Medicaid — commercial: $1,466
  • CIGNA — commercial: $3,535
  • EBCBS HMO — commercial: $8,086
  • EBCBS Medicaid — commercial: $1,466
  • EBCBS Medicare — commercial: $5,125
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: 43235 - EGD DIAGNOSTIC BRUSH WASH $1,981 $1,981 $147 – $4,134
Upper GI endoscopy (diagnostic): 10 of 48 insurance plan rates
  • 1199 — commercial: $147
  • Aetna — commercial: $149
  • AETNA - Medicare — commercial: $792
  • Affinity Medicaid — commercial: $975
  • AlphaCare Medicare — commercial: $792
  • AmidaCare Medicaid — commercial: $975
  • CIGNA — commercial: $1,880
  • EBCBS HMO — commercial: $1,250
  • EBCBS Medicaid — commercial: $975
  • EBCBS Medicare — commercial: $792
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: 43239 - EGD BIOPSY SINGLE/MULTIPLE $1,981 $1,981 $168 – $4,134
Upper GI endoscopy with biopsy: 10 of 48 insurance plan rates
  • 1199 — commercial: $174
  • Aetna — commercial: $168
  • AETNA - Medicare — commercial: $792
  • Affinity Medicaid — commercial: $975
  • AlphaCare Medicare — commercial: $792
  • AmidaCare Medicaid — commercial: $975
  • CIGNA — commercial: $1,965
  • EBCBS HMO — commercial: $1,250
  • EBCBS Medicaid — commercial: $975
  • EBCBS Medicare — commercial: $792
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: 45378 - DIAGNOSTIC COLONOSCOPY $1,994 $1,994 $222 – $4,134
Colonoscopy (diagnostic): 10 of 48 insurance plan rates
  • 1199 — commercial: $232
  • Aetna — commercial: $222
  • AETNA - Medicare — commercial: $798
  • Affinity Medicaid — commercial: $942
  • AlphaCare Medicare — commercial: $798
  • AmidaCare Medicaid — commercial: $942
  • CIGNA — commercial: $1,965
  • EBCBS HMO — commercial: $1,258
  • EBCBS Medicaid — commercial: $942
  • EBCBS Medicare — commercial: $798
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: 45380 - COLONOSCOPY AND BIOPSY $2,598 $2,598 $240 – $3,578
Colonoscopy with biopsy: 10 of 48 insurance plan rates
  • 1199 — commercial: $274
  • Aetna — commercial: $240
  • AETNA - Medicare — commercial: $1,039
  • Affinity Medicaid — commercial: $942
  • AlphaCare Medicare — commercial: $1,039
  • AmidaCare Medicaid — commercial: $942
  • CIGNA — commercial: $1,965
  • EBCBS HMO — commercial: $1,640
  • EBCBS Medicaid — commercial: $942
  • EBCBS Medicare — commercial: $1,039
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: 45385 - COLONOSCOPY W/LESION REMOVAL $2,598 $2,598 $304 – $4,134
Colonoscopy with removal of polyps (snare): 10 of 48 insurance plan rates
  • 1199 — commercial: $325
  • Aetna — commercial: $304
  • AETNA - Medicare — commercial: $1,039
  • Affinity Medicaid — commercial: $1,051
  • AlphaCare Medicare — commercial: $1,039
  • AmidaCare Medicaid — commercial: $1,051
  • CIGNA — commercial: $1,965
  • EBCBS HMO — commercial: $1,640
  • EBCBS Medicaid — commercial: $1,051
  • EBCBS Medicare — commercial: $1,039
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: 45391 - COLONOSCOPY W/ENDOSCOPE US $2,598 $2,598 $306 – $4,134
Ultrasound of the lower bowel by endoscope: 10 of 48 insurance plan rates
  • 1199 — commercial: $312
  • Aetna — commercial: $306
  • AETNA - Medicare — commercial: $1,039
  • Affinity Medicaid — commercial: $797
  • AlphaCare Medicare — commercial: $1,039
  • AmidaCare Medicaid — commercial: $797
  • CIGNA — commercial: $1,965
  • EBCBS HMO — commercial: $1,640
  • EBCBS Medicaid — commercial: $797
  • EBCBS Medicare — commercial: $1,039
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: 47562 - LAPAROSCOPIC CHOLECYSTECTOMY $12,506 $12,506 $719 – $7,893
Gallbladder removal by laparoscope: 10 of 48 insurance plan rates
  • 1199 — commercial: $719
  • Aetna — commercial: $781
  • AETNA - Medicare — commercial: $5,002
  • Affinity Medicaid — commercial: $2,544
  • AlphaCare Medicare — commercial: $5,002
  • AmidaCare Medicaid — commercial: $2,544
  • CIGNA — commercial: $2,910
  • EBCBS HMO — commercial: $7,893
  • EBCBS Medicaid — commercial: $2,544
  • EBCBS Medicare — commercial: $5,002
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: 49505 - PRP I/HERN INIT REDUC >5 YR $8,498 $8,498 $513 – $5,364
Groin (inguinal) hernia repair, age 5 or older: 10 of 48 insurance plan rates
  • 1199 — commercial: $513
  • Aetna — commercial: $617
  • AETNA - Medicare — commercial: $3,399
  • Affinity Medicaid — commercial: $2,067
  • AlphaCare Medicare — commercial: $3,399
  • AmidaCare Medicaid — commercial: $2,067
  • CIGNA — commercial: $2,910
  • EBCBS HMO — commercial: $5,364
  • EBCBS Medicaid — commercial: $2,067
  • EBCBS Medicare — commercial: $3,399
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: 55700 - BIOPSY OF PROSTATE $2,485 $2,485 $99 – $4,134
Prostate biopsy: 10 of 48 insurance plan rates
  • 1199 — commercial: $99
  • Aetna — commercial: $164
  • AETNA - Medicare — commercial: $1,780
  • Affinity Medicaid — commercial: $1,226
  • AlphaCare Medicare — commercial: $1,780
  • AmidaCare Medicaid — commercial: $1,226
  • CIGNA — commercial: $1,965
  • EBCBS HMO — commercial: $2,809
  • EBCBS Medicaid — commercial: $1,226
  • EBCBS Medicare — commercial: $1,780
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: 55866 - LAPS SURG PRST8ECT RPBIC RAD $21,804 $21,804 $1,655 – $13,761
Prostate removal by laparoscope (radical prostatectomy): 10 of 48 insurance plan rates
  • 1199 — commercial: $1,793
  • Aetna — commercial: $1,655
  • AETNA - Medicare — commercial: $8,722
  • Affinity Medicaid — commercial: $3,252
  • AlphaCare Medicare — commercial: $8,722
  • AmidaCare Medicaid — commercial: $3,252
  • CIGNA — commercial: $2,910
  • EBCBS HMO — commercial: $13,761
  • EBCBS Medicaid — commercial: $3,252
  • EBCBS Medicare — commercial: $8,722
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: 58558 - HYSTEROSCOPY BIOPSY $6,784 $6,784 $329 – $4,282
Hysteroscopy with biopsy of the uterus lining: 10 of 44 insurance plan rates
  • 1199 — commercial: $1,678
  • Aetna — commercial: $329
  • AETNA - Medicare — commercial: $2,714
  • Affinity Medicaid — commercial: $1,862
  • AlphaCare Medicare — commercial: $2,714
  • AmidaCare Medicaid — commercial: $1,862
  • CIGNA — commercial: $3,535
  • EBCBS HMO — commercial: $4,282
  • EBCBS Medicaid — commercial: $1,862
  • EBCBS Medicare — commercial: $2,714
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323 - NJX INTERLAMINAR LMBR/SAC $1,546 $1,546 $115 – $4,134
Spinal injection, lower back (epidural), with imaging guidance: 10 of 48 insurance plan rates
  • 1199 — commercial: $288
  • Aetna — commercial: $115
  • AETNA - Medicare — commercial: $618
  • Affinity Medicaid — commercial: $577
  • AlphaCare Medicare — commercial: $618
  • AmidaCare Medicaid — commercial: $577
  • CIGNA — commercial: $1,880
  • EBCBS HMO — commercial: $976
  • EBCBS Medicaid — commercial: $577
  • EBCBS Medicare — commercial: $618
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: 64483 - NJX AA&/STRD TFRM EPI L/S 1 $2,045 $2,045 $110 – $4,134
Nerve root injection, lower back, with imaging guidance: 10 of 48 insurance plan rates
  • 1199 — commercial: $110
  • Aetna — commercial: $129
  • AETNA - Medicare — commercial: $818
  • Affinity Medicaid — commercial: $707
  • AlphaCare Medicare — commercial: $818
  • AmidaCare Medicaid — commercial: $707
  • CIGNA — commercial: $1,880
  • EBCBS HMO — commercial: $1,290
  • EBCBS Medicaid — commercial: $707
  • EBCBS Medicare — commercial: $818
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: 66821 - AFTER CATARACT LASER SURGERY $1,342 $1,342 $251 – $4,134
Laser treatment of clouding after cataract surgery: 10 of 48 insurance plan rates
  • 1199 — commercial: $251
  • Aetna — commercial: $371
  • AETNA - Medicare — commercial: $509
  • Affinity Medicaid — commercial: $693
  • AlphaCare Medicare — commercial: $509
  • AmidaCare Medicaid — commercial: $693
  • CIGNA — commercial: $1,965
  • EBCBS HMO — commercial: $804
  • EBCBS Medicaid — commercial: $693
  • EBCBS Medicare — commercial: $509
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: 66984 - XCAPSL CTRC RMVL W/O ECP $7,690 $7,690 $384 – $4,854
Cataract removal with lens implant: 10 of 22 insurance plan rates
  • 1199 — commercial: $418
  • Aetna — commercial: $384
  • AETNA - Medicare — commercial: $3,076
  • AlphaCare Medicare — commercial: $3,076
  • EBCBS HMO — commercial: $4,854
  • EBCBS Medicare — commercial: $3,076
  • EBCBS PPO — commercial: $4,854
  • ElderPlan Medicare — commercial: $3,138
  • Emblem GHI Medicare — commercial: $3,076
  • Emblem HIPI Medicare — commercial: $3,076

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: 59400 - OBSTETRICAL CARE $160 $160 $50 – $5,716
Vaginal delivery, with care before and after: 10 of 30 insurance plan rates
  • 1199 — commercial: $788
  • Aetna — commercial: $4,773
  • Affinity Medicaid — commercial: $50
  • AmidaCare Medicaid — commercial: $50
  • CIGNA — commercial: $4,831
  • EBCBS HMO — commercial: $110
  • EBCBS Medicaid — commercial: $50
  • EBCBS PPO — commercial: $110
  • Emblem GHI — commercial: $5,716
  • Emblem HIP — commercial: $5,716

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: 460 - Spinal fusion except cervical w/o MCC $11,925 $11,925 $5,778
Spinal fusion (not neck), without major complications: rates for 2 insurance plans
  • Emblem GHI — commercial: $5,778
  • Emblem HIP — commercial: $5,778
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: 470 - Maj hip/knee joint rplcmnt/reattachment of low extremity w/o MCC $4,746 $4,746 $1,487
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans
  • Emblem GHI — commercial: $1,487
  • Emblem HIP — commercial: $1,487
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: 473 - Cervical spinal fusion w/o CC/MCC $6,165 $6,165 $718 – $3,891
Neck (cervical) spinal fusion, without complications: 10 of 22 insurance plan rates
  • 1199 — commercial: $718
  • Aetna — commercial: $786
  • AETNA - Medicare — commercial: $2,466
  • AlphaCare Medicare — commercial: $2,466
  • EBCBS HMO — commercial: $3,891
  • EBCBS Medicare — commercial: $2,466
  • EBCBS PPO — commercial: $3,891
  • ElderPlan Medicare — commercial: $2,515
  • Emblem GHI Medicare — commercial: $2,466
  • Emblem HIPI Medicare — commercial: $2,466
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: 743 - Uterine & adnexa proc for non-malignancy w/o CC/MCC $627 $627 $95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $170
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans
  • 1199 — commercial: $170
  • Aetna — commercial: $95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

Source: Suny/Downstate University Hospital of Brooklyn’s standard charges file (downstate.edu, CSV, CMS template 1.0.0; it can be a very large file), last updated by the hospital on April 22, 2025; 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
Address445 Lenox Road, Brooklyn, NY 11203
CountyKings County
StateNew York
Phone(718) 270‑1000
Emergency servicesYes
OwnershipGovernment - State
Medicare overall rating1 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330350
Name in Medicare recordsSUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN
Profile levelMedicare data + hospital website
Name on the hospital’s websiteUniversity Hospital at Downstate
Official websitedownstate.edu
CorrectionsReport an error or suggest an update →

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. Patient Care - SUNY Downstate — downstate.edu
  2. University Hospital Locations — downstate.edu
  3. Pathology | Lab Services | Patient Care | SUNY Downstate Health Sciences University — downstate.edu
  4. Neurology | Areas of Care | SUNY Downstate Health Sciences University — downstate.edu
  5. Open Services | University Hospital at Downstate | SUNY Downstate Health Sciences University — downstate.edu
  6. Department of Orthopaedic Surgery | SUNY Downstate — downstate.edu
  7. Visitor Guidelines | Patient & Family Support | SUNY Downstate Health Sciences University — downstate.edu
  8. Centers Of Excellence | University Hospital at Downstate | SUNY Downstate — downstate.edu