21627 — Mesh Silastic Sheet 0.02x6x8in
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MESH SILASTIC SHEET 0.02X6X8IN (CDM 21627) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/21627?code_type=CDM
MLA (9th ed.)
“MESH SILASTIC SHEET 0.02X6X8IN (CDM 21627) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/21627?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“MESH SILASTIC SHEET 0.02X6X8IN (CDM 21627) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/21627?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $252–$4,429 (25th–75th percentile) across 21 hospitals · 31 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 21627 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION SAINT THOMAS THREE RIVERS Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $21.25 | $21.25 | $6.38 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $21.25 | $21.25 | $6.38 | 2026-01-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $152.22 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $167.45 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $175.82 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $182.67 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $182.67 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $187.74 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $187.74 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $191.80 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $193.88 | — | $276.31 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $193.88 | — | $276.31 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $193.88 | — | $276.31 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $193.88 | — | $276.31 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $193.88 | — | $276.31 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Fidelis | Fidelis - Exchange | $193.88 | — | $276.31 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $193.88 | — | $276.31 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Fidelis | Fidelis - Exchange | $193.88 | — | $276.31 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $193.88 | — | $276.31 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $193.88 | — | $252.04 | 2026-03-31 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $206.52 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $209.39 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $209.39 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Fidelis | Fidelis Medicaid - FHP | $209.39 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $209.39 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Fidelis | Fidelis Medicaid - FHP | $209.39 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $209.39 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $232.65 | — | $276.31 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | GHI HMO | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Emblem | Emblem - Exchange | $232.65 | — | $276.31 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Emblem | HIP HMO | $232.65 | — | $276.31 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | HIP HMO | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | Emblem - Exchange | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Exchange | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | Emblem - Essential 1&2 | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Emblem | GHI HMO | $232.65 | — | $276.31 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | Emblem - Exchange | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | HIP HMO | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | HIP HMO | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | HIP HMO | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Exchange | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | GHI HMO | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | GHI HMO | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | HIP HMO | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | GHI HMO | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | Emblem - Exchange | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | GHI HMO | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | Emblem - Essential 1&2 | $232.65 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Empire | Empire HMO | $252.04 | — | $276.31 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Empire | Empire Blue Access Large Group | $252.04 | — | $276.31 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Empire | Empire Blue Access Small Group | $252.04 | — | $276.31 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Empire | Empire PPO | $252.04 | — | $276.31 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Empire | Empire Connection | $252.04 | — | $276.31 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire PPO | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire HMO | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Indemnity | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Connection | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Blue Access Large Group | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $252.04 | — | $276.31 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Empire | Empire Indemnity | $252.04 | — | $276.31 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Blue Access Small Group | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Connection | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire Connection | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire PPO | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Blue Access Small Group | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Blue Access Large Group | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Indemnity | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Empire | Empire PPO | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Empire | Empire Connection | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Empire | Empire Blue Access Large Group | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Empire | Empire Blue Access Small Group | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire HMO | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire Blue Access Large Group | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire Blue Access Small Group | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire PPO | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire Connection | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire Indemnity | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire Blue Access Small Group | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire Blue Access Large Group | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire Indemnity | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire HMO | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire PPO | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire HMO | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Empire | Empire Indemnity | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Empire | Empire HMO | $252.04 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | GHI Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | HIP Medicare PPO | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Essential 3&4 | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | HIP Medicare PPO | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | Emblem - Essential 3&4 | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | GHI Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | HIP Medicaid | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | HIP Medicaid | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | HIP VIP Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | HIP Medicare PPO | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | HIP Medicare PPO | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | HIP VIP Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | HIP Medicaid | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | GHI Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | HIP Medicaid | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Essential 3&4 | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | HIP VIP Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | HIP VIP Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | Emblem - Essential 3&4 | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | GHI Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | GHI Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | HIP Medicaid | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | HIP Medicare PPO | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | Emblem - Essential 3&4 | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | HIP VIP Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | HIP Medicare PPO | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | Emblem - Essential 3&4 | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | HIP VIP Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | HIP Medicaid | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | GHI Medicare | $271.42 | — | $252.04 | 2026-03-31 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $284.15 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $289.22 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $304.44 | $507.40 | $294.30 | 2026-02-28 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Northwell Direct | Northwell Direct | $310.20 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Northwell Direct | Northwell Direct | $310.20 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Northwell Direct | Northwell Direct | $310.20 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Northwell Direct | Northwell Direct | $310.20 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Northwell Direct | Northwell Direct | $310.20 | — | $252.04 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Northwell Direct | Northwell Direct | $310.20 | — | $276.31 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | WellCare | WellCare MCR | $348.98 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | WellCare | WellCare MCR | $348.98 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | WellCare | WellCare MCR | $348.98 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | WellCare | WellCare MCR | $348.98 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | WellCare | WellCare MCR | $348.98 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | WellCare | WellCare MCR | $348.98 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna PPO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Aetna | Aetna HMO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Aetna | Aetna Meritain PPO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Aetna | Aetna Meritain PPO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna HMO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna HMO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Aetna | Aetna PPO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Aetna | Aetna PPO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna PPO | $354.48 | — | $252.04 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Aetna | Aetna HMO | $354.48 | — | $252.04 | 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.