220490 — Lens Iol Preload Ultrasert Au00t0 26.0d
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LENS IOL PRELOAD ULTRASERT AU00T0 26.0D (CDM 220490) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/220490?code_type=CDM
MLA (9th ed.)
“LENS IOL PRELOAD ULTRASERT AU00T0 26.0D (CDM 220490) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/220490?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“LENS IOL PRELOAD ULTRASERT AU00T0 26.0D (CDM 220490) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/220490?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $210–$420 (25th–75th percentile) across 19 hospitals · 91 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 220490 — 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 |
|---|---|---|---|---|---|---|---|
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Humana (Choice Care) | Commercial | $16.00 | $23.00 | $15.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $17.00 | $23.00 | $15.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $18.00 | $23.00 | $15.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional | $18.00 | $23.00 | $15.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO | $18.00 | $23.00 | $15.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $19.00 | $23.00 | $15.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $20.00 | $23.00 | $15.00 | 2025-06-26 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $39.25 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $39.25 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $39.25 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $39.25 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Regence Blue Shield | MGMCR | $50.00 | $34,119.50 | $34,119.50 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $109.90 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $109.90 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | WCOMP | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Veterans | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | PPO | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Doug Andrus Distributing | COMM | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | INDIGENTCARE | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | ConnectedCare | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Group | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice of the Midwest | COMM | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | PRIMARY | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | St. John's Health Network | COMM | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | EverNorth BH | COMM | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Mountain Health Co-Op | Individual | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | PPO | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QHP | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Aetna | PEAKPERFERENCE | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | HIX | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | MCR | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | QEP | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Coventry First Health | WCOMP | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Shashone-Bannock Tribal Health | FED | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | PPO | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | PPO | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | PacificSource Health | CCNNetworks | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | GEHA PPO USA | COMM | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | TRAD | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | POS | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | DMBA | HMO | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HMP | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | PPO | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | PPO | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | First Choice Health Of Washington | WCOMP | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Prime Health | GROUPHEALTH | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | HIX | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIX | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Intermountain Healthcare | PPO | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | — | $31,017.73 | $31,017.73 | 2024-10-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $116.97 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $133.45 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $133.45 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $133.45 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | BlueAdvantage | $137.38 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Imperial Insurance | MGMCR | $149.15 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | HMO | $150.72 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | HIX | $150.72 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | PPO | $167.99 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | EPO | $167.99 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Oscar | POS | $167.99 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $175.07 | — | $249.52 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $175.07 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | MODA | HIX | $184.47 | $785.00 | $785.00 | 2026-03-01 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Fidelis | Fidelis Medicaid - FHP | $189.08 | — | $227.60 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $189.08 | — | $227.60 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $189.08 | — | $227.60 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | Fidelis | Fidelis Medicaid - FHP | $189.08 | — | $227.60 | 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.