Mount Sinai Health System · Astoria, NY
35
In-network payers
715
Disclosed rate categories
235
Beds
4
Care quality
Mount Sinai Queens is a 235-bed voluntary non-profit - private hospital in Astoria, NY, affiliated with Mount Sinai Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 715 disclosed rate categories.
CCN (Medicare provider number)
330024
NPI
1245248939
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
235
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Mount Sinai Queens 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.
Childbirth · Inpatient
MS-DRG 807
$12,533 - $18,322
from 4 insurers · median $15,997
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
MS-DRG 788
$16,705 - $33,705
from 4 insurers · median $23,874
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
MS-DRG 216
$181,862 - $332,742
from 4 insurers · median $245,833
61 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 470
$44,271 - $65,608
from 4 insurers · median $48,321
171 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$83,443 - $93,144
from 4 insurers · median $87,481
73 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$3,992 - $8,841
from 3 insurers · median $5,145
80 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$12,533 - $18,322
from 4 insurers · median $15,997
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
Digestive procedures
CPT 45380
$3,620 - $8,028
from 3 insurers · median $5,305
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$734 - $2,038
from 3 insurers · median $869
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,361 - $14,069
from 3 insurers · median $8,562
230 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$3,151 - $8,028
from 3 insurers · median $3,165
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,729 - $8,028
from 3 insurers · median $5,317
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,099 - $14,069
from 3 insurers · median $7,906
255 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$5,146 - $10,410
from 3 insurers · median $6,216
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$3,127 - $8,028
from 3 insurers · median $3,165
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$5,228 - $10,944
from 3 insurers · median $7,723
123 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$676 - $1,592
from 3 insurers · median $771
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$315 - $743
from 3 insurers · median $337
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$213 - $1,559
from 3 insurers · median $259
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$2,979 - $4,487
from 3 insurers · median $3,385
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$574 - $3,478
from 3 insurers · median $623
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$4,260 - $8,028
from 3 insurers · median $5,317
Typical for a hospital with this service line
CT imaging
CPT 74176
$339 - $1,240
from 3 insurers · median $400
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$661 - $5,243
from 3 insurers · median $870
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 582% | 12 | 0 |
| Insurer B* | 24 | 434% | 9 | 7 |
| Insurer C* | 14 | 244% | 2 | 5 |
| Insurer D* | 24 | 237% | 2 | 18 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 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 Mount Sinai Queens.
25 30th Ave, Astoria, NY 11102
718.932.1000
The nearest hospitals of similar type and size. Their rates are compared with Mount Sinai Queens for the same insurers and services above.
Lenox Hill Hospital
▼ Rates typically 20% lower than Mount Sinai Queens (21 services)
Newyork-Presbyterian Weill Cornell Medical Center
▲ Rates typically 74% higher than Mount Sinai Queens (21 services)
Nyu Langone Tisch
▲ Rates typically 9% higher than Mount Sinai Queens (21 services)
Montefiore Hospital
▲ Rates typically 55% higher than Mount Sinai Queens (21 services)
Hackensack University Medical Center
Rates about the same as Mount Sinai Queens (21 services)
Newyork-Presbyterian Brooklyn Methodist Hospital
▲ Rates typically 58% higher than Mount Sinai Queens (20 services)
Mount Sinai South Nassau
Mount Sinai Morningside
Mount Sinai Beth Israel
New York Eye And Ear Infirmary
About Mount Sinai Queens's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mount Sinai Queens range from $661 to $5,243 across 3 insurers. Cigna's rate is $870. The median at nearby comparable hospitals is $904. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mount Sinai Queens range from $734 to $2,038 across 3 insurers. Cigna's rate is $869. The median at nearby comparable hospitals is $988. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Mount Sinai Queens range from $3,620 to $8,028 across 3 insurers. Blue Cross Blue Shield's rate is $5,305. The median at nearby comparable hospitals is $6,093. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mount Sinai Queens range from $12,533 to $18,322 across 4 insurers. UnitedHealthcare's rate is $18,322. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mount Sinai Queens range from $315 to $743 across 3 insurers. Aetna's rate is $315. The median at nearby comparable hospitals is $427. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mount Sinai Queens range from $44,271 to $65,608 across 4 insurers. Aetna's rate is $44,271. The median at nearby comparable hospitals is $55,863. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mount Sinai Queens has 235 beds. Facility type: Short Term Acute Care Hospital.
Mount Sinai Queens is located at 25 30th Ave, Astoria, NY 11102. Its main phone number is 718.932.1000.
Mount Sinai Queens's CMS Certification Number (CCN), also called its Medicare provider number, is 330024.
The National Provider Identifier (NPI) on file for Mount Sinai Queens is 1245248939.
Mount Sinai Queens is affiliated with Mount Sinai Health System.
Mount Sinai Queens lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
715 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"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
}
]
}]
}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