263045 — Stnt Synergy Xd Cor 4.5x12mm
Cite this view
HANK Price Transparency. (n.d.). STNT SYNERGY XD COR 4.5X12MM (CDM 263045) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/263045?code_type=CDM
“STNT SYNERGY XD COR 4.5X12MM (CDM 263045) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/263045?code_type=CDM. Accessed .
“STNT SYNERGY XD COR 4.5X12MM (CDM 263045) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/263045?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,469–$2,938 (25th–75th percentile) across 15 hospitals · 62 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 263045 — 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 |
|---|---|---|---|---|---|---|---|
| Davie Medical Center OutpatientFacility | MedCost | Employee Managed Care | $237.60 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna | Behavioral Health | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | Blue Local Individual | $248.28 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Partners | Medicaid Tailored Plan | $271.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Health Blue | Medicaid Managed Care | $271.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Amerihealth | Medicaid Managed Care | $271.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Carolina Complete | Medicaid Managed Care | $271.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Vaya | Medicaid Tailored Plan | $273.96 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Wellcare | Medicaid Managed Care | $274.68 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | United Healthcare | Medicaid Managed Care | $274.68 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Alliance | Medicaid Tailored Plan | $276.60 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Trillium | Medicaid Tailored Plan | $279.36 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna | IVL Exchange | $284.40 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Vaya | Medicaid Tailored Plan | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | HealthTeam | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Magellan | Behavioral Health | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Behavioral Health | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Health Blue | Medicaid Managed Care | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Evernorth | Behavioral Health | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Partners | Medicaid Tailored Plan | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicaid Managed Care | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicaid Managed Care | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna LifeSource | Transplant Services | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Trillium | Medicaid Tailored Plan | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Medicaid Managed Care | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Transplant Services | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Managed Care | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Liberty | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alliance | Medicaid Tailored Plan | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HPN | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Devoted | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | IVL Exchange | $318.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Transplant Services | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Managed Care | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Adult) | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Apex | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alignment Medicare | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Ambetter | Managed Care | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Behavioral Health | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Optum Transplant | Transplant Services | — | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Amerihealth | Managed Care | $323.40 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Ambetter | Managed Care | $324.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | HPN | $340.08 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | MedCost | Ultra Managed Care | $346.80 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna Whole Health | Managed Care | $351.60 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Oscar | Managed Care | $360.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | MedCost | Employee Managed Care | $367.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Cigna | Managed Care (Pediatrics) | $367.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | Blue Value | $384.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Managed Care | $385.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna North Carolina Preferred | Managed Care | $391.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | MedCost | MBS Managed Care | $397.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | HMO/PPO | $404.16 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | United Healthcare | IEX Individual Managed Care | $405.60 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | United Healthcare | Managed Care | $414.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Cigna | Managed Care (Adult) | $420.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Oscar | Managed Care | $432.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | MedCost | Ultra Managed Care | $434.40 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna | Broad Network | $481.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Broad Network | $492.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Humana ChoiceCare | Managed Care | $656.40 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | DirectNet | Managed Care | $709.20 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Cigna LifeSource | Transplant Services | $720.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | MedCost | Leased Managed Care | $798.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cone Health | Managed Care | $840.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Healthgram | Managed Care | $840.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Carolina Care | Managed Care | $960.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Private Healthcare Systems | Managed Care | $984.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Health (Aetna) | Managed Care | $1,020.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Multiplan | Managed Care | $1,080.00 | $1,200.00 | $600.00 | 2025-10-21 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $1,468.75 | — | $2,093.25 | 2026-03-31 | MRF ↗ |
| LENOX HILL HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $1,468.75 | — | $1,909.38 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Valley Stream Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $1,468.75 | — | $1,909.38 | 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.