0449T — Insj Aqueous Drain Dev 1st
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Insj aqueous drain dev 1st (OTHER 0449T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0449T?code_type=OTHER
MLA (9th ed.)
“Insj aqueous drain dev 1st (OTHER 0449T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0449T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Insj aqueous drain dev 1st (OTHER 0449T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0449T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,650–$7,495 (25th–75th percentile) across 576 hospitals · 596 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| BELLEVUE MEDICAL CENTER Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $78.57 | $4,510.70 | $2,931.96 | 2026-08-10 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER 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 ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH 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 ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $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 ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | MAP | $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 ↗ |
| North Central Bronx Hospital 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 ↗ |
| BELLEVUE 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 ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $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 ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $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 ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $11,187.33 | $6,105.79 | 2026-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | MAP | $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 ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $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 ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL 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 ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH 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 ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $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 ↗ |
| QUEENS 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 ↗ |
| JACOBI MEDICAL CENTER 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 ↗ |
| METROPOLITAN HOSPITAL CENTER 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 ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS 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 | $6,105.79 | 2026-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $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 ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $220.50 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER 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 ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | HARP | $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 ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 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 ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | HARP | $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 ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $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 ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH 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 ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $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 ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER 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 ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $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 | HARP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | HARP | $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 | 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 ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER 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 ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $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 ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $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 | 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 ↗ |
| North Central Bronx Hospital 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 ↗ |
| BELLEVUE HOSPITAL 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 ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.00 | $11,187.33 | — | 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 ↗ |
| North Central Bronx Hospital 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 ↗ |
| JACOBI MEDICAL 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 ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH 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 ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital 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 ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | HARP | $265.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $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 | Ufcw | Ucd Hb Blue Shield Referred | $361.76 | — | — | 2026-04-01 | 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 | Sheet Metal Workers Union(Smw) | 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 ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Medicare Advantage PPO | $450.00 | $11,187.33 | $6,105.79 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Amidacare | Managed Medicaid | $493.00 | $11,187.33 | $6,105.79 | 2026-09-05 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $604.05 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $614.65 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Aetna | F8101_Aetna - Medicare Advantage | $614.65 | — | — | 2026-04-01 | MRF ↗ |
| DEKALB COMMUNITY HOSPITAL Outpatient | BCBS BLUE CARE (REGIONALS ONLY) | 2428_BCBS BLUE CARE (DEKALB) 20221001 | $640.46 | — | — | 2026-01-01 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Outpatient | BCBS TENNCARE SELECT | 2414_BCBS BLUE CARE TENNCARE (RUTHERFORD) 20221001 | $640.46 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Saint Thomas Hospital Midtown Outpatient | BCBS BLUE CARE | 1015_BCBS BLUE CARE TENNCARE SELECT 20221001 | $640.46 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Outpatient | BCBS TENNCARE SELECT | 2423_BCBS BLUE CARE TENNCARE (WEST) 20221001 | $640.46 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Saint Thomas Hickman Outpatient | BCBS BLUE CARE (REGIONALS ONLY) | 2429_BCBS BLUE CARE (HIGHLAND) 20221001 | $640.46 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Outpatient | BCBS BLUE CARE (REGIONALS ONLY) | 2431_BCBS BLUE CARE (STONES RIVER) 20221001 | $640.46 | — | — | 2026-01-01 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Medicaid Texas Plan | Medicaid | $640.54 | $2,784.97 | $2,088.73 | 2026-07-17 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $641.80 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $661.05 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $661.05 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Pathway Exchange | $662.11 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $662.11 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $662.11 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $665.52 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $669.87 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access Choice PPO | $680.37 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $680.37 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $680.37 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Preferred HMO/POS | $683.60 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $683.60 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $683.60 | — | — | 2026-04-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | BCBS TN Medicaid | MANAGED MEDICAID | $692.34 | — | — | 2025-07-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $694.66 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $694.66 | — | — | 2026-01-01 | MRF ↗ |
| LIVINGSTON REGIONAL HOSPITAL OutpatientFacility | BCBS | TennCare Select Medicaid Managed Care Plan | $697.64 | — | — | 2026-04-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Outpatient | BCBS TENNCARE SELECT | 2427_BCBS TENNCARE SELECT (STONES RIVER) 20221001 | $703.87 | — | — | 2026-01-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $709.66 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $709.66 | — | — | 2025-06-04 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | HAP PREFERRED | 2172_SJMA HAP PREFERRED (PHP) 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | AHLIC | 2163_AHLIC 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Both | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| Henry Ford Health Warren Hospital Both | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | — | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Both | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Both | AHLIC | 2163_AHLIC 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION RIVER DISTRICT HOSPITAL Both | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | AHLIC | 2163_AHLIC 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | AHLIC | 2163_AHLIC 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Outpatient | HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $724.50 | — | — | 2026-01-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $730.43 | — | — | 2025-07-22 | MRF ↗ |
| LIVINGSTON REGIONAL HOSPITAL OutpatientFacility | BCBS | BlueCare Medicaid Managed Care Plan | $735.87 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $737.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | BCBS | Anthem Blue Access PPO | $737.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $737.30 | — | — | 2026-04-01 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $751.02 | — | — | 2025-06-28 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Tenncare Select HMO | MANAGED MEDICAID | $751.90 | — | — | 2025-07-01 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Medicaid Missouri Plan | Medicaid | $751.94 | $2,784.97 | $2,088.73 | 2026-07-17 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | All Commercial Plans | $755.06 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $755.06 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $755.06 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $755.06 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Carelon | GHI BMP | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Carelon | MAP_Medicare Advantage | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Carelon | MAP_Medicare Advantage | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Carelon | GHI BMP | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Carelon | Commercial_Essential Plans | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Carelon | GHI BMP | $758.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Carelon | MAP_Medicare Advantage | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Carelon | Commercial_Essential Plans | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Carelon | MAP_Medicare Advantage | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Carelon | GHI BMP | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Carelon | GHI BMP | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Carelon | MAP_Medicare Advantage | $758.00 | $11,187.33 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Carelon | MAP_Medicare Advantage | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Carelon | Commercial_Essential Plans | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Carelon | GHI BMP | $758.00 | $12,847.00 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Carelon | MAP_Medicare Advantage | $758.00 | $12,847.00 | — | 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.