Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $4,600 · local Medicare $2,007 · file 2026-04-01 | |||
| 1199SEIU | $4,956 | 2.5× | 1 |
| Aetna | $1,350 | 0.7× | 4 |
| Cigna | $1,503 | 0.7× | 5 |
| Elevance/Anthem/Empire | $6,740 | 3.4× | 14 |
| EmblemHealth | $4,244 | 2.1× | 8 |
| Healthfirst | $1,706 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $1,072 | 0.5× | 1 |
| Oscar | $6,602 | 3.3× | 1 |
| UnitedHealthcare | $13,220 | 6.6× | 5 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $9,025 · local Medicare $2,007 · file 2026-01-01 | |||
| 1199SEIU | $7,084 | 3.5× | 3 |
| Aetna | $10,024 | 5.0× | 24 |
| BCBS (other) | $10,351 | 5.2× | 16 |
| Cigna | $6,487 | 3.2× | 22 |
| Elevance/Anthem/Empire | $10,351 | 5.2× | 36 |
| EmblemHealth | $8,427 | 4.2× | 73 |
| UnitedHealthcare | $9,025 | 4.5× | 24 |
| Hospital for Special Surgery median $10,830 · local Medicare $2,007 · file 2026-04-01 | |||
| Aetna | $12,267 | 6.1× | 17 |
| BCBS (other) | $6,937 | 3.5× | 3 |
| Cigna | $12,245 | 6.1× | 13 |
| Elevance/Anthem/Empire | $7,159 | 3.6× | 10 |
| EmblemHealth | $12,343 | 6.1× | 14 |
| UnitedHealthcare | $9,416 | 4.7× | 25 |
3 New York City hospitals post usable commercial rates for CPT 25111, hospital outpatient. The median across hospitals is $9,025; hospital medians range from $4,600 to $10,830. Your cost depends on your plan's deductible and coinsurance.