0398T — Mrgfus Strtctc Les Abltj
Cite this view
HANK Price Transparency. (n.d.). Mrgfus strtctc les abltj (OTHER 0398T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0398T?code_type=OTHER
“Mrgfus strtctc les abltj (OTHER 0398T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0398T?code_type=OTHER. Accessed .
“Mrgfus strtctc les abltj (OTHER 0398T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0398T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,125–$18,007 (25th–75th percentile) across 345 hospitals · 211 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0398T — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $0.03 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA HMO POS | 1127_HUMANA 20221001 | $0.04 | — | — | 2026-01-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $80.63 | $44,792.00 | $13,122.99 | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $44,792.00 | $13,122.99 | 2024-12-31 | MRF ↗ |
| REGIONAL ONE HEALTH Outpatient | Summit | Arkansas Medicaid PASSE | $297.00 | $82,777.84 | $45,362.26 | 2025-01-06 | MRF ↗ |
| REGIONAL ONE HEALTH Outpatient | Summit | Arkansas Medicaid PASSE | $297.00 | $82,777.84 | $45,362.26 | 2025-01-06 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $369.00 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $484.68 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $484.68 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $484.68 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $484.68 | — | — | 2026-01-01 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMSA | HPH | $487.88 | — | — | 2026-01-25 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMSA | HPH PLUS | $487.88 | — | — | 2026-01-25 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMSA | HMSA | $542.09 | — | — | 2026-01-25 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP PREFERRED | 1210_SJPK,SJPR HAP PREFERRED 20241001 | $571.46 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP PREFERRED | 1210_SJPK,SJPR HAP PREFERRED 20241001 | $571.46 | — | — | 2026-01-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | HMSA | ALL PRODUCTS | $612.56 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | HMSA | ALL PRODUCTS | $612.56 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | HMSA | ALL PRODUCTS | $612.56 | — | — | 2026-02-12 | MRF ↗ |
| NORTHBAY MEDICAL CENTER OutpatientFacility | Blue Cross - Asc | All Commercial Plans | $874.00 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | PPO | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $955.01 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $955.01 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $955.01 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $955.01 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $955.01 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $955.01 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Aetna | All Commercial Plans | $1,017.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST COMMUNITY HOSPITAL 1 OutpatientFacility | Aetna | All Commercial Plans | $1,017.00 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $1,047.59 | — | — | 2026-04-01 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Zelis | All Payor | $1,119.00 | $18,751.00 | $4,312.73 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Zelis | All Payor | $1,119.00 | $18,751.00 | $4,125.22 | 2026-08-17 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $1,146.46 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $1,146.46 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $1,154.20 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $1,190.20 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $1,190.20 | — | — | 2026-04-01 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $1,255.09 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $1,255.09 | — | — | 2025-12-28 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $1,288.18 | — | — | 2025-07-22 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | All Commercial Plans | $1,309.49 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $1,309.49 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $1,315.50 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Other Commercial Plan | $1,348.77 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Medicare Managed Care Plan | $1,348.77 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | All Commercial Plans | $1,348.77 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Medicare Managed Care Plan | $1,348.77 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $1,351.02 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Veterans Administration | Veterans Administration | $1,351.02 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $1,351.02 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Veterans Administration | Veterans Administration | $1,351.02 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Veterans Administration | Veterans Administration | $1,351.02 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $1,351.02 | — | — | 2026-01-02 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $1,356.85 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $1,356.85 | — | — | 2025-06-04 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Medicare Managed Care Plan | $1,382.42 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Bcbs | Highmark All Commercial Plans | $1,382.42 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,407.16 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,407.16 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,407.16 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,407.16 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,407.16 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,407.16 | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $1,411.51 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Highmark Hmo/Pos | $1,422.26 | — | — | 2026-04-01 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | ConnectiCare | All Products | $1,423.67 | — | — | 2025-07-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,428.29 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,428.29 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,428.29 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,428.29 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,428.29 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,428.29 | — | — | 2026-04-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $1,430.71 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $1,430.71 | — | — | 2026-03-20 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $1,439.59 | — | — | 2025-07-22 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Humana | HMO/POS | $1,469.34 | — | — | 2026-03-31 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Humana | PPO | $1,469.34 | — | — | 2026-03-31 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Humana | All Commercial Plans | $1,469.34 | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL ASSOCIATION OutpatientFacility | United Healthcare | All Products | $1,543.39 | — | — | 2026-08-21 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,571.96 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,571.96 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,571.96 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,571.96 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,571.96 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,571.96 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Products Facility | $1,592.51 | — | — | 2025-07-22 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Cigna Healthcare | All Payor | $1,597.00 | $18,751.00 | $4,312.73 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Cigna Healthcare | All Payor | $1,597.00 | $18,751.00 | $4,125.22 | 2026-08-17 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UNITEDHEALTHCARE | ALL PRODUCTS | $1,604.92 | — | — | 2025-07-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,605.77 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,605.77 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,605.77 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,605.77 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,605.77 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Humana | All Commercial Plans | $1,605.77 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $6,099.75 | $3,964.84 | 2025-11-26 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $1,660.25 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $1,660.25 | — | — | 2025-12-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos Aetna Cox | All Payor | $1,751.00 | $18,751.00 | $4,125.22 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Health Inc. Ppo/Pos Aetna Cox | All Payor | $1,751.00 | $18,751.00 | $4,312.73 | 2026-07-15 | MRF ↗ |
| REGIONAL ONE HEALTH Outpatient | Humana | Choice Point of Service | $1,754.00 | $82,777.84 | $45,362.26 | 2025-01-06 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $1,754.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $1,754.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $1,754.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $1,754.00 | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $1,754.00 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2026-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $1,754.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $1,754.00 | — | — | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| REGIONAL ONE HEALTH Outpatient | Humana | Choice Point of Service | $1,754.00 | $82,777.84 | $45,362.26 | 2025-01-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $1,754.00 | — | — | 2026-04-01 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $1,754.00 | — | — | 2025-09-05 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Univera | Medicare Managed Care Plan | $1,787.80 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $1,787.80 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,805.89 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $1,805.89 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $1,805.89 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,855.69 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $1,855.69 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $1,855.69 | — | — | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Outpatient | Blue Cross | HMO/PPO | $1,858.00 | — | — | 2026-05-12 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,864.51 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $1,864.51 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $1,864.51 | — | — | 2026-04-01 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Health Inc. Ppo/Pos | All Payor | $1,903.00 | $18,751.00 | $4,125.22 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Health Inc. Ppo/Pos | All Payor | $1,903.00 | $18,751.00 | $4,312.73 | 2026-07-15 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $2,010.98 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $2,010.98 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access PPO | $2,010.98 | — | — | 2026-04-01 | MRF ↗ |
| WINCHESTER HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $2,012.97 | — | — | 2026-04-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | MRF ↗ |
| ST VINCENT HEART CENTER Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $2,025.77 | — | — | 2026-01-01 | 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.