New York / Flushing Hospital Medical Center
CMS certification 330193 · Flushing, NY
Flushing Hospital Medical Center: charges and Medicare payments
Flushing Hospital Medical Center reported 1,226 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 1.49 times what it was paid — among the lower ratios in New York, number 116 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 356 stays at an average charge of $38,900, 57% below the national average. It also billed 318 outpatient services, charging 3.67 times what Medicare paid.
- 1Medicare inpatient stays 1,226
- 2Charge ÷ paid, inpatient 1.49×
- 3Rank in NY (highest ratio = 1) 116 of 123
- 4CMS price-transparency actions 0
Inpatient stays
For the 36 DRGs that can be compared with the national average, Flushing Hospital Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 356 | $38,900 | -57% | $25,734 |
| 291 Heart Failure and Shock with MCC | 79 | $29,088 | -48% | $17,776 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 59 | $114,324 | -65% | $83,260 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 49 | $116,738 | -49% | $79,551 |
| 689 Kidney and Urinary Tract Infections with MCC | 39 | $29,670 | -42% | $16,114 |
| 682 Renal Failure with MCC | 37 | $19,951 | -70% | $17,236 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 36 | $11,934 | -68% | $12,118 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $31,035 | -56% | $20,531 |
| 690 Kidney and Urinary Tract Infections without MCC | 35 | $18,390 | -51% | $11,332 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 35 | $28,067 | -43% | $14,965 |
| 894 Alcohol, Drug Abuse or Dependence, Left Ama | 33 | $7,039 | -75% | $8,483 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $28,054 | -63% | $18,961 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $17,179 | -57% | $11,574 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $24,064 | -60% | $17,317 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $20,661 | -44% | $12,794 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 24 | $34,885 | -52% | $21,817 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 23 | $228,962 | -63% | $154,624 |
| 812 Red Blood Cell Disorders without MCC | 23 | $16,684 | -62% | $12,053 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $25,734 | -57% | $17,980 |
| 312 Syncope and Collapse | 19 | $19,670 | -57% | $11,357 |
| 377 Gastrointestinal Hemorrhage with MCC | 18 | $49,633 | -42% | $26,544 |
| 637 Diabetes with MCC | 16 | $31,715 | -52% | $18,064 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $25,735 | -49% | $15,739 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $17,871 | -68% | $18,411 |
| 811 Red Blood Cell Disorders with MCC | 14 | $20,740 | -70% | $18,211 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $42,613 | -6% | $20,222 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $17,430 | -55% | $11,649 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 13 | $87,115 | -70% | $69,218 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $63,013 | -54% | $35,935 |
| 393 Other Digestive System Diagnoses with MCC | 13 | $23,564 | -69% | $19,203 |
| 603 Cellulitis without MCC | 13 | $26,723 | -28% | $13,786 |
| 638 Diabetes with CC | 13 | $18,952 | -55% | $12,472 |
| 813 Coagulation Disorders | 13 | $59,589 | -26% | $21,734 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $23,925 | -57% | $13,708 |
| 101 Seizures without MCC | 12 | $13,856 | -72% | $11,983 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $20,960 | -57% | $13,010 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 175 | $13,180 | $3,101 |
| Level 1 Intraocular Procedures | 46 | $6,322 | $2,652 |
| Level 5 Urology and Related Services | 22 | $8,954 | $5,888 |
| Level 1 Laparoscopy and Related Services | 16 | $8,325 | $6,291 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $6,274 | $3,937 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 12 | $3,908 | $3,233 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 11 | $5,151 | $1,845 |
| Level 2 Endovascular Procedures | 11 | $7,550 | $6,504 |
| Level 4 Urology and Related Services | 11 | $6,811 | $3,967 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Flushing Hospital Medical Center charged $38,900 on average, 67% less than the New York average of $116,930, and was paid $25,734 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Flushing Hospital Medical Center charged $29,088 on average, 64% less than the New York average of $81,161, and was paid $17,776 against a state average of $16,034. For Septicemia or Severe Sepsis with MV >96 Hours (DRG 870), Flushing Hospital Medical Center charged $114,324 on average, 68% less than the New York average of $359,081, and was paid $83,260 against a state average of $85,696. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Flushing Hospital Medical Center charged $116,738 on average, 60% less than the New York average of $288,832, and was paid $79,551 against a state average of $63,023. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,180 was 51% below the state average of $26,675. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,322 was 61% below the state average of $16,178. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $8,954 was 68% below the state average of $28,292. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $8,325 was 76% below the state average of $35,085.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.