PayerPrice
Data Platform
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Newyork-Presbyterian Queens Hospital

New York Presbyterian Healthcare System · Flushing, NY

56-45 Main Street, Flushing, NY 11355(718) 670-2000

5 of 5

CMS star rating

492

Beds

26,484

Inpatient discharges a year

$1.2B

Net patient revenue a year

36

In-network payers

Photo 1: Tdorante10, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Newyork-Presbyterian Queens Hospital is a 492-bed voluntary non-profit - private hospital in Flushing, NY, affiliated with New York Presbyterian Healthcare System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 272 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
330055
NPI
1952347205
Website
nyp.org
Health system
New York Presbyterian Healthcare System
Teaching
Major teaching hospital
County
Queens County
Metro area
New York-Newark-Jersey City, NY-NJ MSA
Medicare contractor
Jurisdiction K, National Government Services (13001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Newyork-Presbyterian Queens Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$15,234 - $23,097

from 4 insurers · median $18,511

UnitedHealthcare$19,730
Insurer A*$15,234
Insurer B*$17,292
Insurer C*$23,097

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$18,353 - $29,469

from 4 insurers · median $24,897

UnitedHealthcare$26,307
Insurer A*$18,353
Insurer B*$23,487
Insurer C*$29,469

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$47,966 - $61,090

from 4 insurers · median $53,370

Aetna$49,088
Insurer A*$47,966
Insurer B*$57,653
Insurer C*$61,090
Medicare $17,196Nearby hospitals $37,21843% above nearby hospitals

126 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$15,234 - $23,097

from 4 insurers · median $18,511

UnitedHealthcare$19,730
Insurer A*$15,234
Insurer B*$17,292
Insurer C*$23,097

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

How the insurers pay at Newyork-Presbyterian Queens Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
672%
160
Insurer B*23
459%
200
Insurer C*23
432%
180
Insurer D*24
250%
200

How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Newyork-Presbyterian Queens Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    5 of 5 stars

    • 280 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 42 services
    • 699 affiliated clinicians
    See doctors and services
  • Finances

    $1.2B net patient revenue

    • Operating margin on patient care -103.6%
    • $72.7M unreimbursed and uncompensated care
    • $126.3M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • William J Farrell, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Newyork-Presbyterian Queens Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
11-1839362(multi-state) New York Hospital Medical Center Of Queens59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 54 more1053429274 New York-presbyterian-queens1952347205 Newyork-presbyterian-queens1023053527 Newyork-presbyterian-queensand 22 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

56-45 Main Street, Flushing, NY 11355

(718) 670-2000

Get directions

Frequently asked questions

About Newyork-Presbyterian Queens Hospital's rates and hospital price transparency.

How much does an MRI cost at Newyork-Presbyterian Queens Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Newyork-Presbyterian Queens Hospital range from $898 to $5,607 across 4 insurers. Blue Cross Blue Shield's rate is $2,565. The median at nearby comparable hospitals is $756. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Newyork-Presbyterian Queens Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Newyork-Presbyterian Queens Hospital range from $499 to $4,720 across 4 insurers. Blue Cross Blue Shield's rate is $2,032. The median at nearby comparable hospitals is $664. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Newyork-Presbyterian Queens Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Newyork-Presbyterian Queens Hospital range from $4,257 to $8,216 across 4 insurers. Cigna's rate is $8,216. The median at nearby comparable hospitals is $2,470. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Newyork-Presbyterian Queens Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Newyork-Presbyterian Queens Hospital range from $15,234 to $23,097 across 4 insurers. UnitedHealthcare's rate is $19,730. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Newyork-Presbyterian Queens Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Newyork-Presbyterian Queens Hospital range from $190 to $903 across 4 insurers. UnitedHealthcare's rate is $190. The median at nearby comparable hospitals is $201. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Newyork-Presbyterian Queens Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Newyork-Presbyterian Queens Hospital range from $47,966 to $61,090 across 4 insurers. Aetna's rate is $49,088. The median at nearby comparable hospitals is $37,218. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Newyork-Presbyterian Queens Hospital's CMS star rating?

Newyork-Presbyterian Queens Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is Newyork-Presbyterian Queens Hospital a teaching hospital?

Yes. CMS counts 0.41 Medicare-funded residents per bed at Newyork-Presbyterian Queens Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Newyork-Presbyterian Queens Hospital for readmissions?

No. Newyork-Presbyterian Queens Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Newyork-Presbyterian Queens Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (896 discharges), heart failure and shock with mcc (217 discharges), respiratory infections and inflammations with mcc (129 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster