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Heart failure (hospital stay) in New York City

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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MS-DRG 291

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $12,829 · local Medicare $11,619 · file 2026-04-01
EmblemHealth$12,8291.1×1
Jamaica Hospital Medical Center median $21,262 · local Medicare $11,619 · file 2026-03-25
Aetna$19,6071.7×1
Cigna$23,1982.0×1
EmblemHealth$21,2621.8×3
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $24,058 · local Medicare $11,619 · file 2026-09-05
1199SEIU$16,9221.5×1
Aetna$24,0402.1×1
Cigna$25,2092.2×1
EmblemHealth$25,5322.2×2
MultiPlan/PHCS (rental network)$25,0342.2×1
Oscar$24,0762.1×1
UnitedHealthcare$20,2441.7×3
South Brooklyn Health median $24,058 · local Medicare $11,619 · file 2026-09-05
1199SEIU$16,9221.5×1
Aetna$24,0402.1×1
Cigna$25,2092.2×1
EmblemHealth$25,5322.2×2
MultiPlan/PHCS (rental network)$26,9912.3×1
Oscar$24,0762.1×1
UnitedHealthcare$23,7592.0×3
Elmhurst Hospital Center median $24,402 · local Medicare $11,619 · file 2026-09-05
1199SEIU$16,9221.5×1
Aetna$24,0402.1×1
Cigna$25,2092.2×1
EmblemHealth$25,5322.2×2
MultiPlan/PHCS (rental network)$34,3463.0×1
Oscar$24,0762.1×1
UnitedHealthcare$24,7282.1×4
Jacobi Medical Center median $25,370 · local Medicare $11,619 · file 2026-09-05
1199SEIU$16,9221.5×1
Aetna$30,1802.6×1
Cigna$25,2092.2×1
EmblemHealth$25,5322.2×2
MultiPlan/PHCS (rental network)$34,6683.0×1
Oscar$24,0762.1×1
UnitedHealthcare$35,7293.1×3
Maimonides Medical Center median $37,186 · local Medicare $11,619 · file 2026-04-01
1199SEIU$22,0651.9×1
Aetna$37,4333.2×3
Cigna$36,9763.2×3
Elevance/Anthem/Empire$39,5633.4×2
EmblemHealth$36,8563.2×3
UnitedHealthcare$37,3963.2×7
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $41,201 · local Medicare $11,619 · file 2026-01-01
1199SEIU$41,2013.5×3
Aetna$34,0352.9×24
BCBS (other)$52,9944.6×16
Cigna$37,2403.2×22
Elevance/Anthem/Empire$52,9944.6×32
EmblemHealth$37,8553.3×40
UnitedHealthcare$49,0414.2×24

MS-DRG 292

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $8,468 · local Medicare $7,684 · file 2026-04-01
EmblemHealth$8,4681.1×1
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $27,247 · local Medicare $7,684 · file 2026-01-01
1199SEIU$27,2473.5×3
Aetna$22,1452.9×24
BCBS (other)$35,0464.6×16
Cigna$24,6283.2×22
Elevance/Anthem/Empire$35,0464.6×32
EmblemHealth$25,0343.3×40
UnitedHealthcare$32,4324.2×24

MS-DRG 293

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $5,397 · local Medicare $5,123 · file 2026-04-01
EmblemHealth$5,3971.1×1
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $18,165 · local Medicare $5,123 · file 2026-01-01
1199SEIU$18,1653.5×3
Aetna$14,7642.9×24
BCBS (other)$23,3644.6×16
Cigna$16,4193.2×22
Elevance/Anthem/Empire$23,3644.6×32
EmblemHealth$16,6903.3×40
UnitedHealthcare$21,6214.2×24

Questions

How much does heart failure (hospital stay) cost with commercial insurance in New York City?

8 New York City hospitals post usable commercial rates for inpatient stay (MS-DRG 291). The median across hospitals is $24,230; hospital medians range from $12,829 to $41,201. Your cost depends on your plan's deductible and coinsurance.