0614T — Rmvl&rplcmt Ss Impl Dfb Pg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Rmvl&rplcmt ss impl dfb pg (OTHER 0614T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0614T?code_type=OTHER
MLA (9th ed.)
“Rmvl&rplcmt ss impl dfb pg (OTHER 0614T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0614T?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Rmvl&rplcmt ss impl dfb pg (OTHER 0614T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0614T?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21,042–$29,748 (25th–75th percentile) across 142 hospitals · 249 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0614T — 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 |
|---|---|---|---|---|---|---|---|
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $68,877.00 | $48,213.90 | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $68,877.00 | $48,213.90 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $266.68 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Blue Access Small Group | $305.81 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Epo Hmo | $316.60 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Hmo | $323.80 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Ppo | $351.78 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Indemnity Commercial | $351.78 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $354.34 | — | — | 2026-05-09 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Ppo/Epo | $359.78 | — | — | 2026-05-08 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Medica | Commercial | $369.15 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $382.13 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $382.13 | — | — | 2026-05-14 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Optum Care Network | Medicare Advantage | $395.10 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Humana | Choicecare Medicare Advantage | $395.10 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $395.10 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Kaiser Foundation | Hp Medicare | $395.10 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $395.10 | — | — | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $426.63 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $426.63 | — | — | 2026-05-23 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Premera | Medicare Advantage Hmo/Ppo | $432.68 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Signal Health | Medicare Advantage | $432.68 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $432.68 | — | — | 2026-05-27 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $456.95 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $456.95 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $467.50 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $476.58 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Individual | $476.58 | — | — | 2026-05-14 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | United Healthcare | Commercial | $532.27 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $539.69 | — | — | 2026-05-27 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $571.30 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $571.30 | — | — | 2026-05-23 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Medicare Advantage | $574.29 | — | — | 2026-05-27 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $630.07 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $630.07 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $672.08 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $672.08 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $685.56 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $685.56 | — | — | 2026-05-23 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Cigna | Commercial | $820.83 | — | — | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $835.49 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $835.49 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $835.49 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $835.49 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $835.49 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $835.49 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $835.49 | — | — | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Commercial (Granger) | $903.68 | — | — | 2026-05-13 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Uniform Medical Plan | $943.73 | — | — | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $984.75 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $1,012.23 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $1,017.83 | — | — | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Commercial | $1,110.73 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Premera | Commercial | $1,116.81 | — | — | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $1,127.23 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $1,132.53 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange - Dhpn | $1,151.73 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $1,169.69 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $1,181.70 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $1,214.68 | — | — | 2026-05-08 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $1,221.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $1,221.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Ppo | $1,221.00 | — | — | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Outpatient | Aetna | Commercial Hmo | $1,221.00 | — | — | 2026-05-22 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $1,221.39 | — | — | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Commercial | $1,252.47 | — | — | 2026-05-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo - Dhpn | $1,266.36 | — | — | 2026-05-08 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $1,272.94 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $1,272.94 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $1,272.94 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $1,272.94 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $1,272.94 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $1,272.94 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $1,272.94 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $1,272.94 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $1,272.94 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Uhc | Commercial | $1,286.08 | — | — | 2026-05-09 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Ppo | $1,308.00 | — | — | 2026-05-17 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Harvard Pilgrim Managed Care | Harvard Pilgrim Managed Care | $1,311.60 | — | — | 2026-05-13 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | The Empire Plan | $1,331.29 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | The Empire Plan | $1,331.29 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth - Dhpn | $1,351.55 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $1,352.68 | — | — | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $1,364.64 | — | — | 2026-05-27 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Ppo/Pos | $1,439.80 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Ppo/Pos | $1,439.80 | — | — | 2026-05-24 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $1,450.99 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $1,450.99 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Geha | Geha | $1,450.99 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $1,450.99 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $1,450.99 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $1,450.99 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | United Healthcare | $1,450.99 | — | — | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo - Dhpn | $1,459.77 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,577.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,577.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $1,656.00 | — | — | 2026-05-09 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $1,698.80 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $1,773.77 | — | — | 2026-05-08 | MRF ↗ |
| The Queen's Medical Center Outpatient | United Healthcare | Medicaid | $1,887.00 | $68,877.00 | $48,213.90 | 2026-05-08 | MRF ↗ |
| Wahiawa General Hospital Outpatient | United Healthcare | Medicaid | $1,887.00 | $68,877.00 | $48,213.90 | 2026-05-08 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | United Healthcare | Medicaid | $1,887.00 | $68,877.00 | $48,213.90 | 2026-05-06 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Humana | Choice Care | $1,928.34 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Humana | Choice Care | $1,928.34 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $2,128.53 | — | — | 2026-05-08 | 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 ↗ |
| 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 | Hmo | $3,581.00 | — | — | 2026-05-24 | 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 | — | — | 2026-05-13 | 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 | — | — | 2026-05-13 | 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 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Humana | Ppo | $3,581.00 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $3,665.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $3,665.00 | — | — | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Outpatient | Blue Cross | Individual Exchange | $3,845.00 | — | — | 2026-05-09 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Multiplan | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblem Essential Health Plans 1/2 | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Brighton All Payer | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Community Plan | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Essential Plan 3/4 | Commerial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny Select Care | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Chp | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny Chp | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Epp | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Individual | Comm | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care - Essential Plans 1 | 5 | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny Harp | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Molina Essential 1 And 2 | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Essential Plan | Comm | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Harp | Managed Medi | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Essential Plan | Comm | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Exchange (Hbx) | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Harp | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Chp | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Healthplus | Mgd Medi | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Essential Plan 1/2 | Healthfirst Essential Plan 1/2 | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Molina Chp/Harp | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Chp | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Molina Chp/Harp | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblem Essential Health Plans 3/4 | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Essential Plan 3/4 | Commerial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Molina Essential 1 And 2 | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Brighton Local Exclusion – Commercial | Brighton Local Exclusion – Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Ghi | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Brighton Local Exclusion – Commercial | Brighton Local Exclusion – Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblem Essential Health Plans 1/2 | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblem Essential Health Plans 3/4 | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny Chp | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Brighton All Payer | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Essential Plan 1/2 | Healthfirst Essential Plan 1/2 | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny Harp | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Sedgwick Government Solutions | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Community Plan | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Sedgwick Government Solutions | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Epp | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Healthplus | Mgd Medi | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Multiplan | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Ghi | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Harp | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Individual | Comm | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care - Essential Plans 1 | 5 | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Exchange (Hbx) | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Harp | Managed Medi | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny Select Care | Commercial | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Chp | Managed Medicaid | — | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $4,295.68 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $4,295.68 | — | — | 2026-05-23 | 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 ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $5,018.00 | — | — | 2026-05-07 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $5,018.00 | — | — | 2026-05-06 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $5,052.69 | — | — | 2026-05-08 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna | Commercial | $5,417.00 | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Aetna | Commercial | $5,417.00 | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Oxford Freedom And Liberty | Commercial | $5,562.00 | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Oxford Freedom And Liberty | Commercial | $5,562.00 | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $5,963.00 | $73,176.00 | $73,176.00 | 2026-05-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $5,963.00 | $73,176.00 | $73,176.00 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cofinity | Cofinity Other | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | First Health Network | Administrative Concepts Inc | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cofinity | Cofinity Ppo | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | First Health Network | First Health Other | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | First Health Network | First Health Other | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | $6,367.00 | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cofinity | Cofinity Other | — | — | — | 2026-05-14 | 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.