Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV

172 — Level Iii Kidney And Ureteral Procedures

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $5,855

Usually $2,532–$10,894 (25th–75th percentile) across 89 hospitals · 95 payers.

“Negotiated” is the hospital’s negotiated facility rate for this EAPG 172 — 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
LAKESIDE MEDICAL CENTER OutpatientFacility Aetna Managed Medicaid $14.67 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Simply Healthcare Managed Medicaid $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility AmeriHealth Managed Medicaid_CHIP $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Aetna CHIP $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility WellCare Managed Medicaid $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility UHC Managed Medicaid $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Sunshine Managed Medicaid $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility UHC CHIP $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Community Care Plan Managed Medicaid $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility WellCare CHIP $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Sunshine CHIP $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Humana Managed Medicaid $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Simply Healthcare CHIP $14.68 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Glade Sheriffs Correction Services $15.41 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Molina Managed Medicaid_Florida Kids_MA-SNP $15.41 — — 2025-12-02 MRF ↗
LAKESIDE MEDICAL CENTER OutpatientFacility Molina Marketplace-Exchange Plan $17.62 — — 2025-12-02 MRF ↗
HALE COUNTY HOSPITAL OutpatientFacility BCBS All Products $38.36 — — 2026-04-01 MRF ↗
HALE COUNTY HOSPITAL OutpatientFacility BCBS All Products $38.36 — — 2026-04-01 MRF ↗
WHITFIELD REGIONAL HOSPITAL OutpatientFacility BCBS All Products $38.36 — — 2026-04-01 MRF ↗
HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility BCBSAL All Products $38.36 — — 2026-04-10 MRF ↗
RUSSELL MEDICAL CENTER OutpatientFacility BCBS All Products $38.36 — — 2026-04-01 MRF ↗
HILL HOSPITAL OF SUMTER COUNTY OutpatientFacility BCBSAL All Products $38.36 — — 2026-04-10 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility Dean Health Plan Managed Medicaid $1,309.25 — — 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility Humana Managed Medicaid $1,309.25 — — 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility GHC Managed Medicaid $1,309.25 — — 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility Anthem BCBS Managed Medicaid $1,309.25 — — 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility United Healthcare Managed Medicaid $1,309.25 — — 2026-01-29 MRF ↗
SAUK PRAIRIE HOSPITAL OutpatientFacility Quartz Managed Medicaid $1,309.25 — — 2026-01-29 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Cdphp Essential Plan 1 & 2 $1,518.23 — — 2026-07-15 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Uhc Medicaid $1,518.23 — — 2026-07-15 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Cdphp Essential Plan 3 & 4 $1,518.23 — — 2026-07-15 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Mvp Essential Plan 1,2,5,6 $1,518.23 — — 2026-07-15 MRF ↗
SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient Mvp Medicaid $1,518.23 — — 2026-07-15 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility MVP Health Care Managed Medicaid $1,564.63 — — 2025-08-07 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $1,717.71 — — 2026-01-01 MRF ↗
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility United Healthcare Managed Medicaid $1,738.48 — — 2025-08-07 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Excellus Blue Choice Options Managed Medicaid $1,738.48 — — 2025-08-07 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility United Healthcare Managed Medicaid $1,738.48 — — 2025-08-07 MRF ↗
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility Fidelis Managed Medicaid $1,738.48 — — 2025-08-07 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Aetna Managed Medicaid $1,738.48 — — 2025-08-07 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility Galaxy Health Workers Comp $1,874.01 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility EmblemHealth Medicaid $1,912.30 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility EmblemHealth Essential Plan 3/Essential Plan 4 $1,912.30 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility United Healthcare CHIP/Family Health Plus/Medicaid $1,912.30 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility Hamaspik Choice Medicaid $1,912.30 — — 2026-05-22 MRF ↗
SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility Fidelis Medicare Advantage $1,912.33 — — 2025-08-07 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $1,919.79 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $1,919.79 — — 2026-01-01 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility WellCare Child Health Plus/Family Health Plus/Medicaid $2,007.93 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility MVP Health Care of NY Child Health Plus/Family Health Plus/HARP/Medicaid $2,007.93 — — 2026-05-22 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient FIDELIS [5155],FIDELIS [1708] FIDELIS MEDICAID [170801], FIDELIS CHILD HEALTH PLUS [515502] $2,020.82 — — 2026-04-01 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID [1716] UNITED HEALTHCARE MEDICAID [171601] $2,020.82 — — 2026-04-01 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA, EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] $2,020.82 — — 2026-04-01 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] BLUE CHOICE OPTION MEDICAID [170601] $2,020.82 — — 2026-04-01 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] AMERIGROUP (BSWNY ALTERNATE) [172001] $2,020.82 — — 2026-04-01 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $2,020.83 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $2,020.83 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $2,020.83 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 $2,020.83 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNIVERA HEALTHCARE 1706 UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 $2,020.83 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNIVERA HEALTHCARE 1706 UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 $2,020.83 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $2,020.83 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $2,020.83 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $2,020.83 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $2,020.83 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $2,020.83 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $2,020.83 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $2,020.83 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $2,020.83 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $2,020.83 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 $2,020.83 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $2,020.83 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $2,020.83 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $2,020.83 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $2,020.83 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $2,020.83 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $2,020.83 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $2,020.83 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $2,020.83 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $2,020.83 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $2,020.83 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 $2,020.83 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $2,020.83 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $2,020.83 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $2,020.83 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $2,020.83 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $2,020.83 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $2,020.83 — — 2026-01-01 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Fidelis Managed Medicaid $2,086.18 — — 2025-08-07 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $2,222.91 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $2,222.91 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $2,222.91 — — 2026-01-01 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility GHC - Eau Claire Managed Medicaid $2,290.69 — — 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility Anthem Blue Cross and Blue Shield Managed Medicaid $2,290.69 — — 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility GHC - South Central WI Managed Medicaid $2,290.69 — — 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility Dean Health Plan Managed Medicaid $2,290.69 — — 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility United Healthcare Managed Medicaid $2,290.69 — — 2026-01-28 MRF ↗
UNITYPOINT HEALTH - MERITER OutpatientFacility My Choice Managed Medicaid $2,290.69 — — 2026-01-28 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility EmblemHealth Essential Plan 1/Essential Plan 2 $2,294.72 — — 2026-05-22 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE [5158] UNITED HEALTHCARE ESSENTIAL PQ 1 AND 2 [515812] $2,323.94 — — 2026-04-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $2,323.95 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $2,323.95 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $2,323.95 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $2,404.79 — — 2026-01-01 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient MVP MEDICAID [1712] MVP OPTION MEDICAID [171201], MVP CHILD HEALTH PLUS [290004] $2,424.98 — — 2026-04-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $2,425.00 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $2,425.00 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $2,425.00 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $2,425.00 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP OPTION MEDICAID 171201, MVP CHILD HEALTH PLUS 290004 $2,425.00 — — 2026-01-01 MRF ↗
NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility Molina Healthcare (FKA Affinity) Essential Plan 3 & 4 $2,475.61 — — 2025-10-28 MRF ↗
NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility Anthem Blue Cross and Blue Shield (FKA Empire) Managed Medicaid $2,475.61 — — 2025-10-28 MRF ↗
NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility EmblemHealth Managed Medicaid $2,475.61 — — 2025-10-28 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE [1723], MOLINA HEALTHCARE [5189] MOLINA HEALTHCARE [172301], MOLINA CHILD HEALTH PLUS [518901] $2,526.03 — — 2026-04-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $2,526.04 — — 2026-01-01 MRF ↗
TAYLORVILLE MEMORIAL HOSPITAL Outpatient Molina Molina Medicaid Managed Care (Op) $2,532.07 — — 2026-10-09 MRF ↗
TAYLORVILLE MEMORIAL HOSPITAL Outpatient Aetna Aetna Better Health Medicaid Managed Care (Op) $2,532.07 — — 2026-10-09 MRF ↗
TAYLORVILLE MEMORIAL HOSPITAL Outpatient Meridian Meridian Medicaid Managed Care Op) $2,532.07 — — 2026-10-09 MRF ↗
TAYLORVILLE MEMORIAL HOSPITAL Outpatient Bcbs Bcbs Medicaid Managed Care (Op) $2,532.07 — — 2026-10-09 MRF ↗
NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility United Healthcare Managed Medicaid $2,723.17 — — 2025-10-28 MRF ↗
NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility Molina Healthcare (FKA Affinity) Essential Plan 1 & 2 $2,970.73 — — 2025-10-28 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $3,031.24 — — 2026-01-01 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility My Choice Wisconsin WI MEDICAID MYCHOICE WI-CARE WI $3,048.89 — — 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Chorus Community Health Plan WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) $3,109.87 — — 2026-03-24 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $3,132.29 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $3,132.29 — — 2026-01-01 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Managed Health Services WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH $3,323.29 — — 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Molina Healthcare of Wisconsin WI MEDICAID MOLINA HEALTHCARE $3,323.29 — — 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility My Choice Wisconsin WI MEDICAID TRILOGY $3,414.75 — — 2026-03-24 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient United Healthcare Medicaid Mco United Healthcare $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Chorus Community Health Plan Medicaid Mco Chorus Community Health Plan $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Icare Medicaid Mco Icare $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Managed Health Services Medicaid Mco Managed Health/Network Health Plans $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Molina Healthcare Of Wi Medicaid Mco Molina Healthcare Of Wi $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Molina Healthcare Of Il Medicaid Mco Molina Il $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Mercy Care Medicaid Mco Mercycare $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient My Choice Medicaid Mco Hmo My Choice $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Anthem Medicaid Mco Anthem $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Aetna Better Health Medicaid Mco Aetna Better Health Il $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Dean Health Plan Medicaid Mco Deancare $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Ghc Eau Claire Medicaid Mco Ghc Eau Claire $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Meridian Medicaid Mco Meridian Health Plan Il $3,434.47 — — 2026-07-15 MRF ↗
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Outpatient Community Care Medicaid Mco Community Care Family Care $3,434.47 — — 2026-07-15 MRF ↗
GENEVA GENERAL HOSPITAL OutpatientFacility Fidelis Commercial $3,476.96 — — 2025-08-07 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility Anthem Blue Cross Blue Shield WI MEDICAID ANTHEM $3,506.22 — — 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility United Healthcare Insurance Company WI MEDICAID UHC COMMUNITY PLAN $3,729.94 — — 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility My Choice Wisconsin WI MEDICAID MYCHOICE WI-CARE WI $3,729.94 — — 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Chorus Community Health Plan WI MEDICAID CHORUS COMMUNITY HEALTH PLANS (CCHP) $3,804.54 — — 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY OutpatientFacility ICare WI Medicaid I Care - CFV $3,811.11 — — 2026-03-24 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Managed Health Services WI MEDICAID MANAGED HEALTH SERVICES & NETWORK HEALTH $4,065.64 — — 2026-03-23 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility MVP Health Care of NY Essential Plan 1&2 $4,111.50 — — 2026-05-22 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility MVP Health Care of NY Essential Plan 3&4 $4,111.50 — — 2026-05-22 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient MVP [2900], MVP MEDICAID [1712] MVP ESSENTIAL (NO MEDICAID) [290005], MVP ESSENTIAL (W/ MEDICAID) [171204] $4,142.68 — — 2026-04-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900 $4,142.70 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient MVP MEDICAID 1712 MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900 $4,142.70 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900 $4,142.70 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MVP MEDICAID 1712 MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900 $4,142.70 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MVP MEDICAID 1712 MVP ESSENTIAL 3-4 171204, MVP ESSENTIAL 1-2 200-250 2900 $4,142.70 — — 2026-01-01 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Molina Healthcare of Wisconsin WI MEDICAID MOLINA HEALTHCARE $4,177.54 — — 2026-03-23 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility My Choice Wisconsin WI MEDICAID MY CHOICE $4,177.54 — — 2026-03-23 MRF ↗
COSHOCTON REGIONAL MEDICAL CENTER Outpatient Tricare Tricare $4,198.92 — — 2024-12-19 MRF ↗
EAST LIVERPOOL CITY HOSPITAL Outpatient Tricare Tricare $4,208.62 — — 2024-12-19 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility Anthem Blue Cross Blue Shield WI MEDICAID ANTHEM $4,289.43 — — 2026-03-23 MRF ↗
GIBSON GENERAL HOSPITAL OutpatientFacility Blue Cross Blue Shield of Illinois Managed Medicaid $4,474.82 — — 2026-02-11 MRF ↗
GIBSON GENERAL HOSPITAL OutpatientFacility MeridianHealth (IL) Managed Medicaid $4,474.82 — — 2026-02-11 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient Blue Cross Blue Shield Medicaid- Aca, Fhp, Icp $4,474.82 — — 2026-09-20 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Meridian Health IL Managed Medicaid $4,474.82 — — 2026-02-13 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Aetna Better Health IL Managed Medicaid $4,474.82 — — 2026-02-13 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Molina IL Managed Medicaid $4,474.82 — — 2026-02-13 MRF ↗
THE WOMEN'S HOSPITAL OutpatientFacility Blue Cross Blue Shield of Illinois Managed Medicaid $4,474.82 — — 2026-02-13 MRF ↗
GIBSON GENERAL HOSPITAL OutpatientFacility Wellcare (IL) Medicaid Managed Medicaid $4,474.82 — — 2026-02-11 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Clear Health Alliance Medicaid $4,476.69 — — 2026-07-15 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient United Healthcare Medicaid $4,476.69 — — 2026-07-15 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Sunshine State Health Medicaid $4,476.69 — — 2026-07-15 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Wellcare Medicaid $4,476.69 — — 2026-07-15 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient Humana Medicaid $4,476.69 — — 2026-07-15 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient United Healthcare Medicaid $4,477.00 — — 2026-07-15 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient FIDELIS [5155],FIDELIS [1708] FIDELIS ESS PQ 1 AND 2 [515503],FIDELIS ESSENTIAL PA 3 AND 4 [170804] $4,546.85 — — 2026-04-01 MRF ↗
STRONG MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE [5189] MOLINA ESSENTIAL PQ 1 AND 2 [518902], MOLINA ESSENTIAL PA 3 AND 4 [172302] $4,546.85 — — 2026-04-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $4,546.87 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 5155 $4,546.87 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 5189 $4,546.87 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $4,546.87 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 5155 $4,546.87 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 5189 $4,546.87 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 5155 $4,546.87 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $4,546.87 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $4,546.87 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 5155 $4,546.87 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 5189 $4,546.87 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 5189 $4,546.87 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA ESSENTIAL 3-4 172302, MOLINA ESSENTIAL 1-2 200-250 5189 $4,546.87 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS ESSENTIAL 3-4 170804, FIDELIS ESSENTIAL 1-2 200-250 5155 $4,546.87 — — 2026-01-01 MRF ↗
SILVER CROSS HOSPITAL AND MEDICAL CENTERS Outpatient Meridian Medicaid $4,609.07 — — 2026-09-20 MRF ↗
WELLINGTON REGIONAL MEDICAL CENTER Outpatient United Healthcare Medicaid $4,655.76 — — 2026-07-15 MRF ↗
CHILDRENS HOSPITAL OF WISCONSIN OutpatientFacility ICare WI MEDICAID I CARE $4,662.43 — — 2026-03-23 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient Staywell Wellcare Medicaid $4,700.53 — — 2026-07-15 MRF ↗
MANATEE MEMORIAL HOSPITAL Outpatient Humana Medicaid $4,700.53 — — 2026-07-15 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient Staywell Wellcare Medicaid $4,701.00 — — 2026-07-15 MRF ↗
LAKEWOOD RANCH MEDICAL CENTER Outpatient Humana Medicaid $4,701.00 — — 2026-07-15 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.