0449T — Insj Aqueous Drain Dev 1st
Cite this view
HANK Price Transparency. (n.d.). INSJ AQUEOUS DRAIN DEV 1ST (CPT 0449T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0449T?code_type=CPT
“INSJ AQUEOUS DRAIN DEV 1ST (CPT 0449T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0449T?code_type=CPT. Accessed .
“INSJ AQUEOUS DRAIN DEV 1ST (CPT 0449T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0449T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,195–$8,360 (25th–75th percentile) across 1,155 hospitals · 1,208 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 0449T — 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 |
|---|---|---|---|---|---|---|---|
| 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 | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $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 ↗ |
| Tyler Memorial Hospital OutpatientFacility | — | — | — | — | — | 2026-01-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $77.26 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $77.26 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $77.26 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $88.55 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $88.55 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $88.55 | — | — | 2026-03-18 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $96.41 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $96.41 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $96.41 | — | — | 2026-03-18 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $122.47 | — | — | 2026-01-29 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MAP | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $228.26 | — | — | 2026-01-28 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $234.12 | — | — | 2026-03-18 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | HARP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | CHP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $254.65 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $254.65 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $254.65 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $254.65 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $254.65 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $254.65 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $254.65 | — | — | 2026-02-05 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $262.41 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $262.41 | — | — | 2026-03-01 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $426.00 | — | — | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $426.00 | — | — | 2025-06-26 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $9,625.00 | $4,331.25 | 2026-03-13 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Medicare Advantage | $451.45 | — | — | 2025-08-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $451.45 | — | — | 2025-10-24 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicare Managed Care Plan | $473.88 | — | — | 2026-03-01 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | HMSA | Mcd_ABD | $479.00 | — | — | 2025-08-07 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Outpatient | HMSA | Mcd_ABD | $479.00 | — | — | 2025-07-28 | MRF ↗ |
| KONA COMMUNITY HOSPITAL Outpatient | HMSA | Mcd_ABD | $479.00 | — | — | 2025-07-28 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $488.64 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $488.64 | — | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $493.29 | — | — | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | UPMC Work Partners | Workers Comp | — | — | — | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Multiplan | Worker's Compensation | — | — | — | 2026-03-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Aetna Oncology | Commercial | $505.62 | — | — | 2025-08-01 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Performance Blue | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Community Blue | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Social Mission Managed Care | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Social Mission Managed Care | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark My Blue Access | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Managed Care | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Highmark | Highmark Community Blue | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Social Mission Indemnity | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Managed Care | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Indemnity | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Indemnity | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark My Direct Blue | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Blue High Performance | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Blue High Performance | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Performance Blue | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark My Blue Access | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Performance Blue | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Community Blue | $516.90 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark My Direct Blue | $516.90 | — | — | 2026-04-14 | 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.