2254 — Appendectomy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Appendectomy (APR_DRG 2254) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/2254?code_type=APR_DRG
MLA (9th ed.)
“Appendectomy (APR_DRG 2254) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/2254?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“Appendectomy (APR_DRG 2254) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/2254?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $31,803–$68,015 (25th–75th percentile) across 71 hospitals · 60 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 2254 — 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 |
|---|---|---|---|---|---|---|---|
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $5,102.12 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $15,114.54 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $15,114.54 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $17,396.29 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $17,396.29 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Capital District Physician's Health Plan, Inc (CDPHP) | Managed Medicaid | $17,396.29 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $17,396.29 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $17,918.18 | — | — | 2026-02-02 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | HFIC | $18,259.82 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | QHP | $18,259.82 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | HFIC | $18,259.82 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Inpatient | HealthFirst | QHP | $18,259.82 | — | — | 2025-06-27 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $20,628.10 | — | — | 2026-03-06 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 1-2 and 5-6 | $20,875.55 | — | — | 2026-02-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $21,659.49 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $21,659.49 | — | — | 2026-03-06 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Commercial | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Managed Medicaid | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Aetna | Managed Medicaid | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | MVP Health Care | Managed Medicaid | $22,790.23 | — | — | 2025-08-07 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $23,869.57 | — | — | 2024-12-02 | MRF ↗ |
| LONGMONT UNITED HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $23,869.57 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Denver Health | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Kaiser | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Naphcare | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Denver Health | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Denver Health | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Colorado Access | Managed Medicaid | $24,120.89 | — | — | 2024-12-02 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE InpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $24,228.93 | — | — | 2026-02-19 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE InpatientFacility | MVP | Managed Medicaid | $24,228.93 | — | — | 2026-02-19 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $24,653.09 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | $24,653.09 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Kaiser | Managed Medicaid | $24,653.09 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $24,653.09 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $24,653.09 | — | — | 2024-12-02 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $24,753.71 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 1&2 | $24,753.71 | — | — | 2026-03-06 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Colorado Access | Managed Medicaid | $26,186.68 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $26,186.68 | — | — | 2024-12-02 | MRF ↗ |
| ST ANTHONY SUMMIT MEDICAL CENTER InpatientFacility | Denver Health | Managed Medicaid | $26,186.68 | — | — | 2024-12-02 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL InpatientFacility | Denver Health Medical Plan | Medicaid Choice | $26,302.79 | — | — | 2025-11-01 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Fidelis | Child Health Plus/Family Health Plus/Medicaid | $26,359.62 | — | — | 2026-03-06 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $26,817.77 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Colorado Access | Managed Medicaid | $26,817.77 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Denver Health | Managed Medicaid | $26,817.77 | — | — | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Kaiser | Managed Medicaid | $26,817.77 | — | — | 2024-12-02 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | United Healthcare | Managed Medicaid/Essential Plans | $27,245.35 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid | $27,245.35 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | MVP | Managed Medicaid | $27,245.35 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $27,245.35 | — | — | 2026-02-19 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Fidelis Care | Managed Medicaid | $27,245.35 | — | — | 2026-02-19 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $27,486.32 | — | — | 2025-12-23 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina HC Aff CHP | $27,644.66 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | UHC | NY CHIP | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | UHC | HARP | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MVP | Medicaid and CHP | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Anthem Healthplus | HARP | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Child Health Plus | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Medicaid | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | HFIC | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | Medicaid | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | Essential Plan 3 & 4 | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | HIV_SNP | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | UHC | NY Essential | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MVP | Essential 3 & 4 | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | HARP | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Essential Plan 3 & 4 | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Amidacare | HIV Primary Care and Care Management Services | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | HealthFirst | Medicaid HARP | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Medicaid | Medicaid | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | MetroPlus | Gold Goldcare2 | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Anthem Healthplus | Medicaid | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Emblem | Essential Plan 3 & 4 | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Wellcare | Medicaid | $27,898.10 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $27,941.91 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $28,113.04 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $28,113.04 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $28,316.50 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | $28,316.50 | — | — | 2024-12-02 | MRF ↗ |
| ST MARY-CORWIN HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | $28,316.50 | — | — | 2024-12-02 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $28,415.34 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Medicaid | $28,415.34 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Empire BlueCross BlueShield | Managed Medicaid Aliessa | $28,607.62 | — | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Fidelis | HARP | $28,735.04 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Emblem | Medicaid FHP CHP | $28,735.04 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Fidelis | Medicaid | $28,735.04 | — | — | 2026-04-01 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | $28,768.26 | — | — | 2024-12-02 | MRF ↗ |
| MERCY REGIONAL MEDICAL CENTER InpatientFacility | Denver Health | Managed Medicaid | $28,768.26 | — | — | 2024-12-02 | MRF ↗ |
| ST ELIZABETH HOSPITAL InpatientFacility | Colorado Access | Managed Medicaid | $28,768.26 | — | — | 2024-12-02 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | HARP | $28,847.73 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Medicaid | $28,847.73 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $29,130.93 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Essential Plan 3 & 4 | $29,130.93 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Hamaspik | Medicaid | $29,293.01 | — | — | 2026-04-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH InpatientFacility | Colorado Access | CHP+ | $29,354.33 | — | — | 2025-12-23 | MRF ↗ |
| KALEIDA HEALTH InpatientFacility | Independent Health Association | Medisource Medicaid Managed Care Plan | $29,593.13 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH InpatientFacility | Independent Health Association | State Medicaid Managed Care Plan | $29,593.13 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH InpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $29,593.13 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL InpatientFacility | Independent Health Association | State Medicaid Managed Care Plan | $29,593.13 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL InpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $29,593.13 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL InpatientFacility | Independent Health Association | Medisource Medicaid Managed Care Plan | $29,593.13 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $29,624.50 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $29,624.50 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $29,624.50 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Molina Healthcare of NY Affinity | HARP | $29,624.50 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Anthem | Medicaid | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Wellcare | Medicaid | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | MVP | Essential Plan 3 & 4 | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Emblem | Essential Plan 3 & 4 | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Medicaid | Medicaid | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Medicaid HARP | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | CHIP | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Essential Plan 3 & 4 | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Anthem | HARP | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | HARP | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NY Essential | $29,725.44 | — | $29,725.44 | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | HealthFirst | Medicaid HARP | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | HealthFirst | Medicaid | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Emblem | Essential Plan 3 & 4 | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | MetroPlus | Medicaid | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | MVP | Medicare | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | MVP | Medicaid | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | MVP | Essential 3 & 4 | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | UHC | NY Health and Recovery | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | UHC | HARP | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | UHC | NY CHIP | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | UHC | NY Essential | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Medicaid | Medicaid | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Fidelis | Medicaid Managed Care, FHP, CHP, HARP | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | HARP | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Medicaid | $30,049.72 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Inpatient | Molina Healthcare of NY Affinity | Molina HC Aff CHP | $30,129.95 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Essential_Plan_3&4 | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Empire | HARP | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | HARP | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Wellcare | Medicaid | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NYCHIP | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | QHP | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Medicaid_HARP | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Medicaid | Medicaid | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NY Essential | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Empire | Medicaid | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Essential_Plan_3&4 | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Emblem | Essential_Plan_3_4 | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Emblem | Essential_Plan_3_4 | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | QHP | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Wellcare | Medicaid | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Medicaid | Medicaid | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Empire | Medicaid | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NY Essential | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NYCHIP | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Empire | HARP | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NY Health and Recovery | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Medicaid_HARP | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | HARP | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | UHC | NY Health and Recovery | $30,229.08 | — | $30,229.08 | 2025-06-27 | MRF ↗ |
| WHITE PLAINS HOSPITAL CENTER Inpatient | Anthem | Blue Access | — | — | — | 2026-04-01 | MRF ↗ |
| WHITE PLAINS HOSPITAL CENTER Inpatient | Anthem | HMO, POS, PPO, EPO, Indemnity | — | — | — | 2026-04-01 | MRF ↗ |
| WHITE PLAINS HOSPITAL CENTER Inpatient | Molina Healthcare of NY Affinity | HARP | $30,259.45 | — | — | 2026-04-01 | MRF ↗ |
| WHITE PLAINS HOSPITAL CENTER Inpatient | Molina Healthcare of NY Affinity | Medicaid | $30,259.45 | — | — | 2026-04-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | $30,304.26 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | $30,304.26 | — | — | 2025-10-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Managed Medicaid | $30,304.26 | — | — | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | $30,304.26 | — | — | 2025-01-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | $30,304.26 | — | — | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | $30,304.26 | — | — | 2025-10-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 3-4 | $30,304.26 | — | — | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | $30,304.26 | — | — | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Managed Medicaid | $30,304.26 | — | — | 2025-01-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | $30,304.26 | — | — | 2025-10-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Managed Medicaid | $30,304.26 | — | — | 2025-01-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | $30,304.26 | — | — | 2025-10-28 | 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.