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 $7,308 · local Medicare $7,294 · file 2026-04-01 | |||
| EmblemHealth | $8,062 | 1.1× | 1 |
| Point Comfort | $6,554 | 0.9× | 1 |
| Jamaica Hospital Medical Center median $13,996 · local Medicare $7,294 · file 2026-03-25 | |||
| 1999 National Benefit Fund | $13,393 | 1.8× | 1 |
| Aetna | $14,526 | 2.0× | 4 |
| Centerlight Healthcare | $13,465 | 1.8× | 1 |
| Centivo | $15,349 | 2.1× | 1 |
| Cigna | $14,579 | 2.0× | 1 |
| Create Health Plan | $19,441 | 2.7× | 1 |
| Elderplan | $13,465 | 1.8× | 1 |
| EmblemHealth | $13,362 | 1.8× | 3 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $15,114 · 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× | 1 |
| MultiPlan/PHCS (rental network) | $15,715 | 2.2× | 1 |
| Oscar | $15,114 | 2.1× | 1 |
| UnitedHealthcare | $12,708 | 1.7× | 3 |
| Vaccn | $37,277 | 5.1× | 1 |
| South Brooklyn Health median $15,114 · 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× | 1 |
| MultiPlan/PHCS (rental network) | $16,943 | 2.3× | 1 |
| Oscar | $15,114 | 2.1× | 1 |
| UnitedHealthcare | $14,915 | 2.0× | 3 |
| Vaccn | $16,800 | 2.3× | 1 |
| Elmhurst Hospital Center median $15,523 · 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× | 1 |
| MultiPlan/PHCS (rental network) | $21,560 | 3.0× | 1 |
| Oscar | $15,114 | 2.1× | 1 |
| UnitedHealthcare | $15,523 | 2.1× | 4 |
| Vaccn | $36,039 | 4.9× | 1 |
| Jacobi Medical Center median $16,028 · 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× | 1 |
| MultiPlan/PHCS (rental network) | $21,763 | 3.0× | 1 |
| Oscar | $15,114 | 2.1× | 1 |
| UnitedHealthcare | $22,429 | 3.1× | 3 |
| Vaccn | $21,038 | 2.9× | 1 |
| Maimonides Medical Center median $23,475 · local Medicare $7,294 · file 2026-04-01 | |||
| 1199SEIU | $13,851 | 1.9× | 1 |
| Aetna | $23,498 | 3.2× | 3 |
| Centivo | $24,773 | 3.4× | 1 |
| Cigna | $23,212 | 3.2× | 3 |
| Elevance/Anthem/Empire | $24,835 | 3.4× | 2 |
| EmblemHealth | $23,137 | 3.2× | 3 |
| Magnacare (rental network) | $27,763 | 3.8× | 1 |
| UnitedHealthcare | $23,475 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $24,814 · 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 |
| Centerlight | $8,639 | 1.2× | 2 |
| Cigna | $23,378 | 3.2× | 22 |
| Elevance/Anthem/Empire | $33,267 | 4.6× | 32 |
| EmblemHealth | $23,764 | 3.3× | 40 |
| Magnacare (rental network) | $35,053 | 4.8× | 9 |
| UnitedHealthcare | $30,785 | 4.2× | 24 |
MS-DRG 193
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $11,744 · local Medicare $11,896 · file 2026-04-01 | |||
| EmblemHealth | $12,956 | 1.1× | 1 |
| Point Comfort | $10,533 | 0.9× | 1 |
| Jamaica Hospital Medical Center median $22,432 · local Medicare $11,896 · file 2026-03-25 | |||
| 1999 National Benefit Fund | $21,522 | 1.8× | 1 |
| Aetna | $23,342 | 2.0× | 4 |
| Centerlight Healthcare | $20,000 | 1.7× | 1 |
| Centivo | $24,664 | 2.1× | 1 |
| Cigna | $23,427 | 2.0× | 1 |
| Create Health Plan | $31,240 | 2.6× | 1 |
| Elderplan | $20,000 | 1.7× | 1 |
| EmblemHealth | $21,472 | 1.8× | 3 |
| South Brooklyn Health median $24,613 · local Medicare $11,896 · file 2026-09-05 | |||
| 1199SEIU | $17,325 | 1.5× | 1 |
| Aetna | $24,613 | 2.1× | 1 |
| Cigna | $25,810 | 2.2× | 1 |
| EmblemHealth | $26,141 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $27,634 | 2.3× | 1 |
| Oscar | $24,650 | 2.1× | 1 |
| UnitedHealthcare | $24,326 | 2.0× | 3 |
| Vaccn | $23,456 | 2.0× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $24,650 · local Medicare $11,896 · file 2026-09-05 | |||
| 1199SEIU | $17,325 | 1.5× | 1 |
| Aetna | $24,613 | 2.1× | 1 |
| Cigna | $25,810 | 2.2× | 1 |
| EmblemHealth | $26,141 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $25,631 | 2.2× | 1 |
| Oscar | $24,650 | 2.1× | 1 |
| UnitedHealthcare | $20,727 | 1.7× | 3 |
| Vaccn | $44,707 | 3.8× | 1 |
| Elmhurst Hospital Center median $25,317 · local Medicare $11,896 · file 2026-09-05 | |||
| 1199SEIU | $17,325 | 1.5× | 1 |
| Aetna | $24,613 | 2.1× | 1 |
| Cigna | $25,810 | 2.2× | 1 |
| EmblemHealth | $26,141 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $35,164 | 3.0× | 1 |
| Oscar | $24,650 | 2.1× | 1 |
| UnitedHealthcare | $25,317 | 2.1× | 4 |
| Vaccn | $42,674 | 3.6× | 1 |
| Jacobi Medical Center median $26,141 · local Medicare $11,896 · file 2026-09-05 | |||
| 1199SEIU | $17,325 | 1.5× | 1 |
| Aetna | $30,899 | 2.6× | 1 |
| Cigna | $25,810 | 2.2× | 1 |
| EmblemHealth | $26,141 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $35,494 | 3.0× | 1 |
| Oscar | $24,650 | 2.1× | 1 |
| UnitedHealthcare | $36,581 | 3.1× | 3 |
| Vaccn | $27,681 | 2.3× | 1 |
| Maimonides Medical Center median $38,287 · local Medicare $11,896 · file 2026-04-01 | |||
| 1199SEIU | $22,591 | 1.9× | 1 |
| Aetna | $38,325 | 3.2× | 3 |
| Centivo | $40,405 | 3.4× | 1 |
| Cigna | $37,857 | 3.2× | 3 |
| Elevance/Anthem/Empire | $40,506 | 3.4× | 2 |
| EmblemHealth | $37,735 | 3.2× | 3 |
| Magnacare (rental network) | $45,281 | 3.8× | 1 |
| UnitedHealthcare | $38,287 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $40,470 · 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 |
| Centerlight | $13,736 | 1.2× | 2 |
| Cigna | $38,128 | 3.2× | 22 |
| Elevance/Anthem/Empire | $54,257 | 4.6× | 32 |
| EmblemHealth | $38,758 | 3.3× | 40 |
| Magnacare (rental network) | $57,170 | 4.8× | 9 |
| UnitedHealthcare | $50,210 | 4.2× | 24 |
MS-DRG 195
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $5,550 · local Medicare $5,688 · file 2026-04-01 | |||
| EmblemHealth | $6,123 | 1.1× | 1 |
| Point Comfort | $4,978 | 0.9× | 1 |
| Jamaica Hospital Medical Center median $11,185 · local Medicare $5,688 · file 2026-03-25 | |||
| 1999 National Benefit Fund | $10,171 | 1.8× | 1 |
| Aetna | $11,249 | 2.0× | 4 |
| Centerlight Healthcare | $11,185 | 2.0× | 1 |
| Centivo | $11,656 | 2.0× | 1 |
| Cigna | $11,071 | 1.9× | 1 |
| Create Health Plan | $14,763 | 2.6× | 1 |
| Elderplan | $11,185 | 2.0× | 1 |
| EmblemHealth | $10,147 | 1.8× | 3 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $11,787 · local Medicare $5,688 · file 2026-09-05 | |||
| 1199SEIU | $8,284 | 1.5× | 1 |
| Aetna | $11,769 | 2.1× | 1 |
| Cigna | $12,342 | 2.2× | 1 |
| EmblemHealth | $12,500 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $12,256 | 2.2× | 1 |
| Oscar | $11,787 | 2.1× | 1 |
| UnitedHealthcare | $9,911 | 1.7× | 3 |
| Vaccn | $34,685 | 6.1× | 1 |
| South Brooklyn Health median $11,787 · local Medicare $5,688 · file 2026-09-05 | |||
| 1199SEIU | $8,284 | 1.5× | 1 |
| Aetna | $11,769 | 2.1× | 1 |
| Cigna | $12,342 | 2.2× | 1 |
| EmblemHealth | $12,500 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $13,214 | 2.3× | 1 |
| Oscar | $11,787 | 2.1× | 1 |
| UnitedHealthcare | $11,632 | 2.0× | 3 |
| Vaccn | $14,478 | 2.5× | 1 |
| Elmhurst Hospital Center median $12,106 · local Medicare $5,688 · file 2026-09-05 | |||
| 1199SEIU | $8,284 | 1.5× | 1 |
| Aetna | $11,769 | 2.1× | 1 |
| Cigna | $12,342 | 2.2× | 1 |
| EmblemHealth | $12,500 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $16,814 | 3.0× | 1 |
| Oscar | $11,787 | 2.1× | 1 |
| UnitedHealthcare | $12,106 | 2.1× | 4 |
| Vaccn | $33,725 | 5.9× | 1 |
| Jacobi Medical Center median $12,500 · local Medicare $5,688 · file 2026-09-05 | |||
| 1199SEIU | $8,284 | 1.5× | 1 |
| Aetna | $14,775 | 2.6× | 1 |
| Cigna | $12,342 | 2.2× | 1 |
| EmblemHealth | $12,500 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $16,972 | 3.0× | 1 |
| Oscar | $11,787 | 2.1× | 1 |
| UnitedHealthcare | $17,492 | 3.1× | 3 |
| Vaccn | $18,721 | 3.3× | 1 |
| Maimonides Medical Center median $18,308 · local Medicare $5,688 · file 2026-04-01 | |||
| 1199SEIU | $10,802 | 1.9× | 1 |
| Aetna | $18,326 | 3.2× | 3 |
| Centivo | $19,320 | 3.4× | 1 |
| Cigna | $18,102 | 3.2× | 3 |
| Elevance/Anthem/Empire | $19,368 | 3.4× | 2 |
| EmblemHealth | $18,044 | 3.2× | 3 |
| Magnacare (rental network) | $21,652 | 3.8× | 1 |
| UnitedHealthcare | $18,308 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $19,352 · 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 |
| Centerlight | $6,861 | 1.2× | 2 |
| Cigna | $18,232 | 3.2× | 22 |
| Elevance/Anthem/Empire | $25,944 | 4.6× | 32 |
| EmblemHealth | $18,533 | 3.3× | 40 |
| Magnacare (rental network) | $27,337 | 4.8× | 9 |
| 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 $15,319; hospital medians range from $7,308 to $24,814. Your cost depends on your plan's deductible and coinsurance.