129288 — Plate Brl Dhs 135d 4h 94mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PLATE BRL DHS 135D 4H 94MM (CDM 129288) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/129288?code_type=CDM
MLA (9th ed.)
“PLATE BRL DHS 135D 4H 94MM (CDM 129288) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/129288?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PLATE BRL DHS 135D 4H 94MM (CDM 129288) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/129288?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $690–$1,295 (25th–75th percentile) across 14 hospitals · 45 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 129288 — 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 |
|---|---|---|---|---|---|---|---|
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STAR | $66.30 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARKids | $66.30 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHPFC | $66.30 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHIP | $66.30 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARPLUS | $66.30 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | MCR | $73.26 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIP | $143.65 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR+PLUS | $143.65 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR | $143.65 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIPPerinatal | $143.65 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MGMCD | $154.70 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MCDCHIPBH | $154.70 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | CSN | $163.54 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | OpenAccessPlus | $176.80 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | MyBlueHealth | $180.12 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | HMO | $193.38 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | EPO | $193.38 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | United | OptionsPPO | $194.48 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | BAV | $198.90 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | PPO | $209.95 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Oscar | HIX | $215.47 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | ValueHMO | $218.79 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | CHIP | $225.42 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | HMO | $248.63 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | EPOSOA | $254.15 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | PPO | $258.57 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | STAR | $261.88 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | STARKIDS | $261.88 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | TX Workforce Commission | GVT | $265.20 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Healthcare Highways | NarrowNetwork | $281.77 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | QHPExchange | $292.82 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Molina Healthcare | HIX | $298.35 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | Premier | $300.00 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Evry Health | BroadNetwork | $301.67 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Humana | HMO | $352.61 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Humana | PPO | $352.61 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | NBPPO | $354.70 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | NBHMO | $354.70 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | NBPOS | $354.70 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | COMMPOS | $377.91 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | COMMHMO | $377.91 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | COMMPPO | $377.91 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | Traditional | $386.75 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Imagine Health | PPO | $386.75 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Christus (USFHP) | TRICARE | $442.00 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Curative Administrators | COMM | $442.00 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | OONHMO | $443.11 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | OONPPO | $443.11 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | OONPOS | $443.11 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | HealthSmart Preferred Care | ACCEL | $475.15 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | ASAPOS | $478.46 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | ASAPPO | $478.46 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | ASAHMO | $478.46 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | United | GlobalAppendix | $497.25 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Fidelis SecureCare of TX | MGMCR | $497.25 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Averde Health | Commercial | $497.25 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Multiplan | SAVILITYNETWORK | $552.50 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Coventry National First Health | COMM | $588.97 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Rockport Workers Comp | COMM | $607.75 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Physicians Cooperative of Texas | WC | $607.75 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Fidelis | Fidelis - Exchange | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $647.37 | — | $922.62 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $647.37 | — | $841.58 | 2026-03-31 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Beech Street | WCOMP | $663.00 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Independent Medical System | COMM | $663.00 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | National Healthcare Solutions | COMM | $663.00 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | SouthWest Medical | WORKERSCOMP | $663.00 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| Syosset Hospital Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | Fidelis | Fidelis Medicaid - FHP | $699.16 | — | $841.58 | 2026-03-31 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Coastal Comp | COMM | $718.25 | $1,105.00 | $1,105.00 | 2026-03-01 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $776.84 | — | $922.62 | 2026-03-31 | 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.