Price AtlasInteractive atlas · All states · techysurgeon.comPneumonia (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 194
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $8,062 · local Medicare $7,294 · file 2026-04-01 | |||
| EmblemHealth | $8,062 | 1.1× | 1 |
| Jamaica Hospital Medical Center median $14,526 · local Medicare $7,294 · file 2026-03-25 | |||
| Aetna | $14,526 | 2.0× | 4 |
| Cigna | $14,579 | 2.0× | 1 |
| EmblemHealth | $13,362 | 1.8× | 3 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $15,102 · local Medicare $7,294 · file 2026-09-05 | |||
| 1199SEIU | $10,623 | 1.5× | 1 |
| Aetna | $15,091 | 2.1× | 1 |
| Cigna | $15,825 | 2.2× | 1 |
| EmblemHealth | $16,028 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $15,715 | 2.2× | 1 |
| Oscar | $15,114 | 2.1× | 1 |
| UnitedHealthcare | $12,708 | 1.7× | 3 |
| South Brooklyn Health median $15,102 · local Medicare $7,294 · file 2026-09-05 | |||
| 1199SEIU | $10,623 | 1.5× | 1 |
| Aetna | $15,091 | 2.1× | 1 |
| Cigna | $15,825 | 2.2× | 1 |
| EmblemHealth | $16,028 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $16,943 | 2.3× | 1 |
| Oscar | $15,114 | 2.1× | 1 |
| UnitedHealthcare | $14,915 | 2.0× | 3 |
| Elmhurst Hospital Center median $15,318 · local Medicare $7,294 · file 2026-09-05 | |||
| 1199SEIU | $10,623 | 1.5× | 1 |
| Aetna | $15,091 | 2.1× | 1 |
| Cigna | $15,825 | 2.2× | 1 |
| EmblemHealth | $16,028 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $21,560 | 3.0× | 1 |
| Oscar | $15,114 | 2.1× | 1 |
| UnitedHealthcare | $15,522 | 2.1× | 4 |
| Jacobi Medical Center median $15,926 · local Medicare $7,294 · file 2026-09-05 | |||
| 1199SEIU | $10,623 | 1.5× | 1 |
| Aetna | $18,945 | 2.6× | 1 |
| Cigna | $15,825 | 2.2× | 1 |
| EmblemHealth | $16,028 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $21,763 | 3.0× | 1 |
| Oscar | $15,114 | 2.1× | 1 |
| UnitedHealthcare | $22,429 | 3.1× | 3 |
| Maimonides Medical Center median $23,344 · local Medicare $7,294 · file 2026-04-01 | |||
| 1199SEIU | $13,851 | 1.9× | 1 |
| Aetna | $23,498 | 3.2× | 3 |
| Cigna | $23,212 | 3.2× | 3 |
| Elevance/Anthem/Empire | $24,835 | 3.4× | 2 |
| EmblemHealth | $23,136 | 3.2× | 3 |
| UnitedHealthcare | $23,475 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $25,864 · local Medicare $7,294 · file 2026-01-01 | |||
| 1199SEIU | $25,864 | 3.5× | 3 |
| Aetna | $21,021 | 2.9× | 24 |
| BCBS (other) | $33,267 | 4.6× | 16 |
| Cigna | $23,378 | 3.2× | 22 |
| Elevance/Anthem/Empire | $33,267 | 4.6× | 32 |
| EmblemHealth | $23,764 | 3.3× | 40 |
| UnitedHealthcare | $30,785 | 4.2× | 24 |
MS-DRG 193
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $12,956 · local Medicare $11,896 · file 2026-04-01 | |||
| EmblemHealth | $12,956 | 1.1× | 1 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $42,183 · local Medicare $11,896 · file 2026-01-01 | |||
| 1199SEIU | $42,183 | 3.5× | 3 |
| Aetna | $34,285 | 2.9× | 24 |
| BCBS (other) | $54,257 | 4.6× | 16 |
| Cigna | $38,128 | 3.2× | 22 |
| Elevance/Anthem/Empire | $54,257 | 4.6× | 32 |
| EmblemHealth | $38,758 | 3.3× | 40 |
| UnitedHealthcare | $50,210 | 4.2× | 24 |
MS-DRG 195
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $6,123 · local Medicare $5,688 · file 2026-04-01 | |||
| EmblemHealth | $6,123 | 1.1× | 1 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $20,170 · local Medicare $5,688 · file 2026-01-01 | |||
| 1199SEIU | $20,170 | 3.5× | 3 |
| Aetna | $16,394 | 2.9× | 24 |
| BCBS (other) | $25,944 | 4.6× | 16 |
| Cigna | $18,232 | 3.2× | 22 |
| Elevance/Anthem/Empire | $25,944 | 4.6× | 32 |
| EmblemHealth | $18,533 | 3.3× | 40 |
| UnitedHealthcare | $24,009 | 4.2× | 24 |
Questions
How much does pneumonia (hospital stay) cost with commercial insurance in New York City?
8 New York City hospitals post usable commercial rates for inpatient stay (MS-DRG 194). The median across hospitals is $15,210; hospital medians range from $8,062 to $25,864. Your cost depends on your plan's deductible and coinsurance.