228015 — Imp Breast Gel Sm Rd Srf 325cc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IMP BREAST GEL SM RD SRF 325CC (CDM 228015) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/228015?code_type=CDM
MLA (9th ed.)
“IMP BREAST GEL SM RD SRF 325CC (CDM 228015) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/228015?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“IMP BREAST GEL SM RD SRF 325CC (CDM 228015) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/228015?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,195–$1,950 (25th–75th percentile) across 8 hospitals · 26 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 228015 — 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 |
|---|---|---|---|---|---|---|---|
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Fidelis | Fidelis - Exchange | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Fidelis | Fidelis - Exchange | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $975.25 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $975.25 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | MCR | $1,031.50 | $10,315.00 | $10,315.00 | 2026-03-01 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $1,053.27 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Fidelis | Fidelis Medicaid - FHP | $1,053.27 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $1,053.27 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $1,053.27 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $1,053.27 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Fidelis | Fidelis Medicaid - FHP | $1,053.27 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Emblem | Emblem - Exchange | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | HIP HMO | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | Emblem - Exchange | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | HIP HMO | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | GHI HMO | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | GHI HMO | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Emblem | GHI HMO | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Emblem | HIP HMO | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Emblem | HIP HMO | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Exchange | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Emblem | Emblem - Essential 1&2 | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | HIP HMO | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Exchange | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Emblem | GHI HMO | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Emblem | Emblem - Exchange | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Emblem | Emblem - Essential 1&2 | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | GHI HMO | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | HIP HMO | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | Emblem - Exchange | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $1,170.30 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | GHI HMO | $1,170.30 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Blue Access Large Group | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire Blue Access Small Group | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire Connection | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire Indemnity | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire Blue Access Large Group | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire HMO | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire PPO | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Blue Access Small Group | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire HMO | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Connection | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Indemnity | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire PPO | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire HMO | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Empire | Empire Blue Access Large Group | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Empire | Empire Connection | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Empire | Empire Blue Access Small Group | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Empire | Empire Indemnity | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Empire | Empire Connection | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Empire | Empire PPO | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Empire | Empire Blue Access Large Group | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Empire | Empire Blue Access Small Group | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Empire | Empire HMO | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Empire | Empire Indemnity | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Empire | Empire PPO | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire PPO | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire HMO | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire Blue Access Small Group | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire Indemnity | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire Blue Access Large Group | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Blue Access Large Group | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire Connection | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire PPO | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Blue Access Small Group | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Connection | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Indemnity | $1,267.83 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Empire | Empire HMO | $1,267.83 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | HIP Medicaid | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | GHI Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | HIP VIP Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | GHI Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | HIP Medicaid | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | GHI Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | HIP VIP Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Essential 3&4 | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | HIP Medicare PPO | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | HIP Medicare PPO | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Essential 3&4 | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | Emblem - Essential 3&4 | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | HIP Medicaid | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | HIP Medicare PPO | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | Emblem - Essential 3&4 | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | HIP VIP Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | GHI Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | HIP Medicaid | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | HIP Medicare PPO | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | HIP VIP Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | HIP Medicaid | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | Emblem - Essential 3&4 | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | Emblem - Essential 3&4 | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | GHI Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | GHI Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | HIP Medicare PPO | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | HIP Medicare PPO | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | HIP VIP Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | HIP VIP Medicare | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | HIP Medicaid | $1,365.35 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $1,547.25 | $10,315.00 | $10,315.00 | 2026-03-01 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Northwell Direct | Northwell Direct | $1,560.40 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Northwell Direct | Northwell Direct | $1,560.40 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Northwell Direct | Northwell Direct | $1,560.40 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Northwell Direct | Northwell Direct | $1,560.40 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Northwell Direct | Northwell Direct | $1,560.40 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Northwell Direct | Northwell Direct | $1,560.40 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | WellCare | WellCare MCR | $1,755.45 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | WellCare | WellCare MCR | $1,755.45 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | WellCare | WellCare MCR | $1,755.45 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | WellCare | WellCare MCR | $1,755.45 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | WellCare | WellCare MCR | $1,755.45 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | WellCare | WellCare MCR | $1,755.45 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna HMO | $1,783.15 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna PPO | $1,783.15 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Aetna | Aetna HMO | $1,783.15 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Aetna | Aetna PPO | $1,783.15 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $1,783.15 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Aetna | Aetna PPO | $1,783.15 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Aetna | Aetna Meritain PPO | $1,783.15 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Aetna | Aetna Meritain PPO | $1,783.15 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Aetna | Aetna HMO | $1,783.15 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Aetna | Aetna PPO | $1,783.15 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Aetna | Aetna HMO | $1,783.15 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Aetna | Aetna Meritain PPO | $1,783.15 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Affinity | Affinity Health Plan - Essential 1&2 | $1,794.46 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Affinity | Affinity Health Plan - MCD | $1,794.46 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Affinity | Affinity Health Plan - CHP | $1,794.46 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Affinity | Affinity Health Plan - CHP | $1,794.46 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Affinity | Affinity Health Plan - MCD | $1,794.46 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Affinity | Affinity Health Plan - Essential 1&2 | $1,794.46 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Affinity | Affinity Health Plan - Essential 1&2 | $1,794.46 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Affinity | Affinity Health Plan - MCD | $1,794.46 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Affinity | Affinity Health Plan - Essential 1&2 | $1,794.46 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Affinity | Affinity Health Plan - CHP | $1,794.46 | — | $1,267.83 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Affinity | Affinity Health Plan - MCD | $1,794.46 | — | $1,389.92 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Affinity | Affinity Health Plan - CHP | $1,794.46 | — | $1,389.92 | 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.