0274T — Perq Lamot/lam Crv/thrc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Perq lamot/lam crv/thrc (HCPCS 0274T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0274T?code_type=HCPCS
MLA (9th ed.)
“Perq lamot/lam crv/thrc (HCPCS 0274T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0274T?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Perq lamot/lam crv/thrc (HCPCS 0274T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0274T?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,787–$12,125 (25th–75th percentile) across 1,186 hospitals · 1,458 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0274T — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.54 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $3.54 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| THE NEBRASKA MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $80.09 | $4,300.00 | $2,795.00 | 2026-01-05 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $80.09 | $4,300.00 | $2,795.00 | 2025-12-29 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $90.02 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $90.59 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $90.59 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $103.17 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $103.82 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $103.82 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $112.33 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $113.04 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $113.04 | — | — | 2026-03-18 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $164.50 | $15,702.75 | $9,421.65 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $164.50 | $15,702.75 | $9,421.65 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | AETNA | AETNA Commercial | $241.50 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | AETNA | AETNA Commercial | $241.50 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Vantage Health Plan Inc (Plan: Commercial) | Vantage Health Plan Inc (Plan: Commercial) | $241.50 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Vantage Health Plan Inc (Plan: Commercial) | Vantage Health Plan Inc (Plan: Commercial) | $241.50 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana (Plan: Commercial) | Humana (Plan: Commercial) | $257.60 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana (Plan: Commercial) | Humana (Plan: Commercial) | $257.60 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $288.80 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $288.80 | — | — | 2026-03-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Cigna (Plan: Commercial) | Cigna (Plan: Commercial) | $292.70 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Cigna (Plan: Commercial) | Cigna (Plan: Commercial) | $292.70 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Wellcare Health Plan Inc MCR Adv (Plan: Medicare Advantage) | Wellcare Health Plan Inc MCR Adv (Plan: Medicare Advantage) | $318.72 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Wellcare Health Plan Inc MCR Adv (Plan: Medicare Advantage) | Wellcare Health Plan Inc MCR Adv (Plan: Medicare Advantage) | $318.72 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Plan: Medicare Advantage) | Blue Cross Blue Shield of LA (Plan: Medicare Advantage) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana (Plan: Medicare Advantage) | Humana (Plan: Medicare Advantage) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Vantage Health Plan Inc MCR Adv (Plan: Medicare Advantage) | Vantage Health Plan Inc MCR Adv (Plan: Medicare Advantage) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Federal) | Blue Cross Blue Shield of LA (Federal) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Aetna Medicare Advantage | Aetna Medicare Advantage | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Aetna Medicare Advantage | Aetna Medicare Advantage | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana Advantage Care Plans Med Advantage (Plan: Medicare Advantage) | Humana Advantage Care Plans Med Advantage (Plan: Medicare Advantage) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Medicare A LA JH (Plan: Medicare Part A) | Medicare A LA JH (Plan: Medicare Part A) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Federal) | Blue Cross Blue Shield of LA (Federal) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Medicaid Louisiana IP OP (Plan: Medicaid) | Medicaid Louisiana IP OP (Plan: Medicaid) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | AETNA Better Health Medicaid Replacement | AETNA Better Health Medicaid Replacement | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | AETNA Better Health Medicaid Replacement | AETNA Better Health Medicaid Replacement | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Plan: HMO) | Blue Cross Blue Shield of LA (Plan: HMO) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Medicare B LA JH (Plan: Medicare Part B) | Medicare B LA JH (Plan: Medicare Part B) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Plan: HMO) | Blue Cross Blue Shield of LA (Plan: HMO) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Vantage Health Plan Inc MCR Adv (Plan: Medicare Advantage) | Vantage Health Plan Inc MCR Adv (Plan: Medicare Advantage) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | VA Community Care Network VACCN Regions 1 -3 (Plan: Comercial) | VA Community Care Network VACCN Regions 1 -3 (Plan: Comercial) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Plan: Medicare Advantage) | Blue Cross Blue Shield of LA (Plan: Medicare Advantage) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | VA Community Care Network VACCN Regions 1 -3 (Plan: Comercial) | VA Community Care Network VACCN Regions 1 -3 (Plan: Comercial) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Medicaid Louisiana IP OP (Plan: Medicaid) | Medicaid Louisiana IP OP (Plan: Medicaid) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Plan: PPO) | Blue Cross Blue Shield of LA (Plan: PPO) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana Advantage Care Plans Med Advantage (Plan: Medicare Advantage) | Humana Advantage Care Plans Med Advantage (Plan: Medicare Advantage) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Medicare B LA JH (Plan: Medicare Part B) | Medicare B LA JH (Plan: Medicare Part B) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Blue Cross Blue Shield of LA (Plan: PPO) | Blue Cross Blue Shield of LA (Plan: PPO) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Medicare A LA JH (Plan: Medicare Part A) | Medicare A LA JH (Plan: Medicare Part A) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana (Plan: Medicare Advantage) | Humana (Plan: Medicare Advantage) | $322.00 | $338.10 | $202.86 | 2025-08-11 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $378.25 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $378.25 | — | — | 2025-10-28 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $481.31 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $509.85 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $511.39 | — | — | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $521.54 | — | — | 2026-03-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $526.73 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $526.73 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Access Other Commercial Plan | $526.73 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $526.73 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $553.51 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $553.51 | — | — | 2026-01-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $585.19 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $585.19 | — | — | 2026-03-20 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $601.04 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Geisinger | Commercial | $601.04 | — | — | 2025-06-20 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Essential Other Commercial Plan | $601.04 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $601.04 | — | — | 2026-04-01 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $601.04 | $25,718.00 | $20,060.04 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $601.04 | $25,718.00 | $20,060.04 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $601.04 | $25,718.00 | $20,060.04 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | All Commercial Plans | $601.04 | — | — | 2026-04-01 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $601.04 | $25,718.00 | $20,060.04 | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $601.04 | — | — | 2026-04-01 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $601.04 | — | — | 2026-04-14 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $601.64 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $601.64 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $601.64 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $601.64 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | All Commercial Plans | $601.64 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Highmark All Commercial Plans | $610.66 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Medicare Managed Care Plan | $610.66 | — | — | 2026-04-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 | $616.77 | — | — | 2026-01-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Other Commercial Plan | $619.69 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Medicare Managed Care Plan | $619.69 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | All Commercial Plans | $619.69 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera - Wchob | Medicare Managed Care Plan | $619.69 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera - Wchob | All Commercial Plans | $619.69 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Other Commercial Plan | $619.69 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Medicare Managed Care Plan | $619.69 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $619.69 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Highmark Hmo/Pos | $628.26 | — | — | 2026-04-01 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | UnitedHealthcare | Quest | $694.00 | — | — | 2026-02-12 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Products Facility | $724.16 | — | — | 2025-07-22 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | BCBS | NetworkP | $756.43 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | BCBS | NetworkP | $756.43 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | BCBS | NetworkP | $756.43 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR ASHLAND CITY MEDICAL CENTER Outpatient | BCBS | NetworkP | $756.43 | — | — | 2026-03-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $756.50 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $756.50 | — | — | 2025-10-28 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $759.00 | — | — | 2026-02-12 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | STAR+PLUS | $768.95 | — | — | 2025-10-14 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $769.20 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payer | $769.20 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $769.20 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | American Postal Workers | APWU Health Plan | $769.20 | — | — | 2026-04-01 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Commercial | $812.00 | — | — | 2025-01-28 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Unitedhealthcare | Medicaid Managed Care Plan | $825.00 | — | — | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | $832.15 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | $832.15 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | $832.15 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | $832.15 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | $832.15 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | $832.15 | — | — | 2025-10-28 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Commercial | $835.35 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $835.35 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Medica | Commercial | $835.35 | — | — | 2026-04-23 | MRF ↗ |
| FILLMORE COUNTY HOSPITAL OutpatientFacility | Aetna | Commercial | $835.35 | — | — | 2026-04-23 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payers | $849.42 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $849.42 | — | — | 2025-06-27 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | All Commercial Plans | $849.42 | — | — | 2026-03-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $849.42 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | All Payers | $849.42 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Compass | $849.42 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | Oxford | $849.42 | — | — | 2025-06-27 | MRF ↗ |
| THE NEBRASKA MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $856.74 | $4,300.00 | $2,795.00 | 2026-01-05 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $856.74 | $4,300.00 | $2,795.00 | 2025-12-29 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $871.40 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH PEKIN HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $871.40 | — | — | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL InpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $871.40 | — | — | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $871.40 | — | — | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $871.40 | — | — | 2026-04-15 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $874.02 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $874.02 | — | — | 2025-06-04 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $880.65 | — | — | 2025-09-05 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.