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 $482 · local Medicare $507 · file 2026-04-01 | |||
| Aetna | $482 | 1.0× | 3 |
| Cigna | $359 | 0.7× | 3 |
| Elevance/Anthem/Empire | $2,717 | 5.4× | 15 |
| EmblemHealth | $651 | 1.3× | 11 |
| Healthfirst | $431 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $405 | 0.8× | 1 |
| Oscar | $271 | 0.5× | 1 |
| UnitedHealthcare | $539 | 1.1× | 6 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $1,770 · local Medicare $507 · file 2026-01-01 | |||
| Elevance/Anthem/Empire | $2,443 | 4.8× | 9 |
| EmblemHealth | $1,096 | 2.2× | 4 |
| Hospital for Special Surgery median $3,670 · local Medicare $507 · file 2026-04-01 | |||
| BCBS (other) | $3,670 | 7.2× | 3 |
| Elevance/Anthem/Empire | $3,693 | 7.3× | 8 |
| UnitedHealthcare | $2,996 | 5.9× | 50 |
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $1,060 · local Medicare $923 · file 2026-04-01 | |||
| 1199SEIU | $4,342 | 4.7× | 1 |
| Aetna | $775 | 0.8× | 4 |
| Cigna | $1,117 | 1.2× | 5 |
| Elevance/Anthem/Empire | $1,002 | 1.1× | 21 |
| EmblemHealth | $1,974 | 2.1× | 11 |
| Healthfirst | $784 | 0.8× | 1 |
| MultiPlan/PHCS (rental network) | $606 | 0.7× | 2 |
| Oscar | $489 | 0.5× | 2 |
| UnitedHealthcare | $1,131 | 1.2× | 6 |
| Hospital for Special Surgery median $3,728 · local Medicare $923 · file 2026-04-01 | |||
| BCBS (other) | $3,670 | 4.0× | 3 |
| Elevance/Anthem/Empire | $3,787 | 4.1× | 10 |
| EmblemHealth | $7,059 | 7.6× | 4 |
| UnitedHealthcare | $2,996 | 3.2× | 25 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $5,432 · local Medicare $923 · file 2026-01-01 | |||
| 1199SEIU | $5,941 | 6.4× | 3 |
| BCBS (other) | $4,100 | 4.4× | 16 |
| Cigna | $6,487 | 7.0× | 22 |
| Elevance/Anthem/Empire | $4,100 | 4.4× | 36 |
| EmblemHealth | $7,163 | 7.8× | 18 |
| UnitedHealthcare | $4,923 | 5.3× | 24 |
3 New York City hospitals post usable commercial rates for CPT 11042, hospital outpatient. The median across hospitals is $1,770; hospital medians range from $482 to $3,670. Your cost depends on your plan's deductible and coinsurance.