0515T — Insj Wcs Lv Compl Sys
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Insj wcs lv compl sys (OTHER 0515T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0515T?code_type=OTHER
MLA (9th ed.)
“Insj wcs lv compl sys (OTHER 0515T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0515T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Insj wcs lv compl sys (OTHER 0515T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0515T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,087–$33,517 (25th–75th percentile) across 582 hospitals · 682 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0515T — 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 |
|---|---|---|---|---|---|---|---|
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $10,871.00 | — | 2025-06-28 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Medicare Advantage PPO | $225.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Aetna | ALL PRODUCTS | $257.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $319.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MAGNACARE | Direct Plus FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MAGNACARE | Direct Plus FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MAGNACARE | PPO FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MAGNACARE | PPO FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MAGNACARE | PPO FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MAGNACARE | PPO FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MAGNACARE | Direct Plus FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MAGNACARE | Direct Plus FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MAGNACARE | PPO Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $320.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MAGNACARE | Direct Plus FPP | $330.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MAGNACARE | PPO Non-FPP | $330.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MAGNACARE | Direct Plus Non-FPP | $330.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MAGNACARE | PPO FPP | $330.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | EMBLEM | PPO_Commercial | $332.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | EMBLEM | HIP_GHI_CHP | $332.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | EMBLEM | HIP_GHI_CHP | $332.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | EMBLEM | PPO_Commercial | $332.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | Small Group EPO_PPO | $341.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $341.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | Blue Access Small Group | $341.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | Small Group EPO_PPO | $341.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | Blue Access Small Group | $341.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $341.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $341.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $341.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $341.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $341.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $345.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $345.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $345.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $345.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $346.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $346.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $346.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $346.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Small Group | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | ANTHEM | Small Group EPO_PPO | $347.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | Blue Access Large Group | $351.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | Blue Access Large Group | $351.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $351.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $351.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $351.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $354.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $354.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $355.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $355.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $356.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $356.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $356.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $356.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $356.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | Blue Access Large Group | $356.00 | $70,195.39 | — | 2025-09-05 | 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 | Blue Shield | Ucd Hb Blue Shield Ifp | $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 ↗ |
| 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 ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $362.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | ANTHEM | Small Group EPO_PPO | $363.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | ANTHEM | Blue Access Small Group | $363.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $372.91 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | ANTHEM | Blue Access Large Group | $373.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | PPO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | EPO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | PPO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | EPO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | HMO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | HMO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | INDEMNITY | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | EPO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | HMO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | PPO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | ANTHEM | HMO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | INDEMNITY | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | ANTHEM | EPO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | PPO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | INDEMNITY | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | EPO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | ANTHEM | INDEMNITY | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | ANTHEM | PPO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | ANTHEM | HMO | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | ANTHEM | INDEMNITY | $379.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | OXFORD | Liberty | $380.00 | $70,195.39 | $26,561.92 | 2026-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | INDEMNITY | $383.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | EPO | $383.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | PPO | $383.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | INDEMNITY | $383.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | PPO | $383.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | HMO | $383.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | HMO | $383.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | ANTHEM | EPO | $383.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | HMO | $384.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | HMO | $384.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | PPO | $384.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | EPO | $384.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | EPO | $384.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | INDEMNITY | $384.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | PPO | $384.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | ANTHEM | INDEMNITY | $384.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | EPO | $385.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | PPO | $385.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | INDEMNITY | $385.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | HMO | $385.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | HMO | $385.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | PPO | $385.00 | $70,195.39 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | ANTHEM | PPO | $385.00 | $70,195.39 | — | 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.