0409T — Insj/rplc Car Modulj Pls Gn
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Insj/rplc car modulj pls gn (OTHER 0409T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0409T?code_type=OTHER
MLA (9th ed.)
“Insj/rplc car modulj pls gn (OTHER 0409T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0409T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Insj/rplc car modulj pls gn (OTHER 0409T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0409T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20,852–$29,758 (25th–75th percentile) across 157 hospitals · 288 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0409T — 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 |
|---|---|---|---|---|---|---|---|
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Blue Access Small Group | $227.31 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Epo Hmo | $235.33 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Hmo | $240.68 | — | — | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $66,519.00 | $46,563.30 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $66,519.00 | $46,563.30 | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Ppo | $261.48 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Indemnity Commercial | $261.48 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $266.20 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Ppo/Epo | $267.43 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $273.03 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $273.03 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $330.31 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Medicare Advantage | $330.31 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $340.39 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $367.09 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $367.09 | — | — | 2026-05-14 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $368.48 | — | — | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $369.90 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $369.90 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $369.90 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $369.90 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $369.90 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $369.90 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $369.90 | — | — | 2026-05-08 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Ppo Professional | $412.26 | $1,084.00 | $357.72 | 2026-05-09 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Ppo Professional | $412.26 | $1,084.00 | $357.72 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Ppo Professional | $412.26 | $1,084.00 | $357.72 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $425.86 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $425.86 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $466.65 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $468.34 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $468.34 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $499.56 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $499.56 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $501.40 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $517.86 | — | — | 2026-05-23 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $563.55 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $563.55 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $563.55 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $563.55 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $563.55 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $563.55 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $563.55 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $563.55 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $563.55 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $569.50 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | The Empire Plan | $589.43 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | The Empire Plan | $589.43 | — | — | 2026-05-23 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $642.37 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $642.37 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $642.37 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $642.37 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $642.37 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Geha | Geha | $642.37 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | United Healthcare | $642.37 | — | — | 2026-05-09 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $752.10 | — | — | 2026-05-23 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $761.74 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $761.74 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $911.79 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $911.79 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $911.79 | — | — | 2026-05-09 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Tenncare Select | $973.39 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Tenncare Select | $973.39 | — | — | 2026-05-14 | MRF ↗ |
| DEBORAH HEART AND LUNG CENTER Outpatient | United Healthcare Oxford | Commercial | $1,028.00 | $141,118.00 | $141,118.00 | 2026-05-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Commercial (Granger) | $1,030.62 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,065.83 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,065.83 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,065.83 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $1,065.83 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,065.83 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $1,065.83 | — | — | 2026-05-09 | MRF ↗ |
| DEBORAH HEART AND LUNG CENTER Outpatient | United Healthcare | Commercial | $1,120.00 | $141,118.00 | $141,118.00 | 2026-05-16 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange - Dhpn | $1,149.65 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo - Dhpn | $1,264.08 | — | — | 2026-05-08 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Harvard Pilgrim Managed Care | Harvard Pilgrim Managed Care | $1,309.23 | — | — | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth - Dhpn | $1,349.11 | — | — | 2026-05-08 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $1,454.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $1,454.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $1,454.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $1,454.00 | — | — | 2026-05-22 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo - Dhpn | $1,457.14 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Ifp Connect | $1,463.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Ifp Connect | $1,463.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Ifp Connect | $1,463.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Local Plus | $1,507.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Local Plus | $1,507.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Local Plus | $1,507.00 | — | — | 2026-05-09 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Ppo | $1,555.00 | — | — | 2026-05-17 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,737.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,737.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,824.00 | — | — | 2026-05-09 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicaid | $1,887.00 | $66,519.00 | $46,563.30 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | Medicaid | $1,887.00 | $66,519.00 | $46,563.30 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $1,887.00 | $66,519.00 | $46,563.30 | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Humana Choice Care | Commercial | $2,181.00 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Humana Choice Care | Commercial | $2,181.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $2,464.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Cpos | $2,464.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Hmo/Nl/Oap/Other/Gw | $2,868.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Hmo/Nl/Oap/Other/Gw | $2,868.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Hmo/Nl/Oap/Other/Gw | $2,868.00 | — | — | 2026-05-13 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $2,875.23 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $2,875.23 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $2,875.23 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $2,875.23 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $2,875.23 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $2,875.23 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan - Dhp | $3,400.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Tiered Freedom Plan | $3,400.00 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Choicecare Ppo | $3,581.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Hmo | $3,581.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Ppo | $3,581.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Ppo | $3,581.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Pos | $3,581.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Hmo | $3,581.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Choicecare Ppo | $3,581.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Pos | $3,581.00 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $3,655.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $3,655.00 | — | — | 2026-05-14 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Blue Cross | Individual Exchange | $3,845.00 | — | — | 2026-05-09 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Multiplan | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Chp | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Ghi | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Sedgwick Government Solutions | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny Select Care | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Individual | Comm | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny Harp | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Essential Plan 1/2 | Healthfirst Essential Plan 1/2 | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Chp | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Essential Plan | Comm | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Chp | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Harp | Managed Medi | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Community Plan | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Healthplus | Mgd Medi | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Molina Chp/Harp | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Multiplan | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Community Plan | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Molina Essential 1 And 2 | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Epp | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Exchange (Hbx) | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Sedgwick Government Solutions | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Ghi | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Exchange (Hbx) | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny Select Care | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Molina Essential 1 And 2 | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Chp | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Epp | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Essential Plan 3/4 | Commerial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblem Essential Health Plans 1/2 | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Molina Chp/Harp | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblem Essential Health Plans 3/4 | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care - Essential Plans 1 | 5 | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblem Essential Health Plans 3/4 | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Brighton Local Exclusion – Commercial | Brighton Local Exclusion – Commercial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Essential Plan 1/2 | Healthfirst Essential Plan 1/2 | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Individual | Comm | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care - Essential Plans 1 | 5 | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Brighton Local Exclusion – Commercial | Brighton Local Exclusion – Commercial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Harp | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Healthplus | Mgd Medi | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny Chp | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Essential Plan 3/4 | Commerial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Essential Plan | Comm | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny Chp | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Harp | Commercial | — | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny Harp | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblem Essential Health Plans 1/2 | Managed Medicaid | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Harp | Managed Medi | — | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| HARRIS HEALTH Outpatient | Uhc | Commercial | $4,516.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Uhc | Commercial | $4,516.00 | — | — | 2026-05-22 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $5,229.63 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $5,229.63 | — | — | 2026-05-23 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna | Commercial | $5,417.00 | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna | Commercial | $5,417.00 | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Oxford Freedom And Liberty | Commercial | $5,562.00 | $21,110.00 | $21,110.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Oxford Freedom And Liberty | Commercial | $5,562.00 | $21,110.00 | $21,110.00 | 2026-05-18 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | $5,622.00 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Blue Choice | — | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Sc Preferred | — | — | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Bcbs Of Tennessee | Tenncare Select | $5,755.00 | — | — | 2026-05-06 | 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.