36120 — Establish Access To Artery
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ESTABLISH ACCESS TO ARTERY (CPT 36120) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/36120?code_type=CPT
MLA (9th ed.)
“ESTABLISH ACCESS TO ARTERY (CPT 36120) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/36120?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“ESTABLISH ACCESS TO ARTERY (CPT 36120) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/36120?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $341–$4,371 (25th–75th percentile) across 518 hospitals · 740 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 36120 — 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 |
|---|---|---|---|---|---|---|---|
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $9.99 | $414.45 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $10.98 | $414.45 | — | 2026-08-17 | MRF ↗ |
| DOCTOR'S CENTER DE SAN JUAN Outpatient | Triple-S | Commercial | $15.00 | $150.00 | $150.00 | 2025-10-20 | MRF ↗ |
| DOCTORS CENTER HOSPITAL CAROLINA LLC Outpatient | Triple-S | Commercial | $15.00 | $98.00 | $98.00 | 2025-10-20 | MRF ↗ |
| DOCTORS' CENTER HOSPITAL, INC Outpatient | Triple-S | Commercial | $15.00 | $150.00 | $150.00 | 2025-10-20 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $15.14 | $533.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $16.84 | $533.00 | — | 2026-08-17 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Exchange | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Preferred | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Cigna | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Narrow Network | — | — | — | 2026-07-15 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Non Contracted Medicaid | Non-Contracted Medicaid - 95 Percent | $37.02 | $492.09 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | Superior Health Plan Medicaid Kids | $38.97 | $492.09 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Driscoll Health Plan Medicaid | Driscoll Health Plan Medicaid Star Kids | $38.97 | $492.09 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Traditional Medicaid | Traditional Medicaid | $38.97 | $492.09 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | United Healthcare Managed Care | UHC Medicaid Kids | $38.97 | $492.09 | — | 2024-12-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | — | — | — | 2026-08-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $55.35 | $410.00 | $307.50 | 2026-01-16 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $62.17 | $414.45 | — | 2026-08-17 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Shop - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | United Healthcare Managed Care | United Healthcare Star Plan | $63.92 | $492.09 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Driscoll Health Plan Medicaid | Driscoll Star | $63.92 | $492.09 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | Superior Star Health Plan | $63.92 | $492.09 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Molina | Molina Star Healthcare of TX | $67.75 | $492.09 | — | 2024-12-19 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $71.84 | — | — | 2025-09-05 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $72.10 | $103.00 | $72.10 | 2026-02-02 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $76.87 | — | — | 2025-09-05 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Cigna HealthSpring (FKA Bravo) | Cigna Healthspring Medicaid FKA Bravo | $77.95 | $492.09 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | BCBS | BCBS Medicaid | $77.95 | $492.09 | — | 2024-12-19 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER InpatientFacility | Qualcare | PPO/HMO/WC | $79.95 | $533.00 | — | 2026-08-17 | MRF ↗ |
| KANSAS MEDICAL CENTER LLC Outpatient | UNITED | UNITED HEALTHCARE COMMERCIAL PLAN | $84.00 | $415.80 | $249.48 | 2026-03-31 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $85.08 | $410.00 | $307.50 | 2026-01-16 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $85.50 | — | — | 2026-04-01 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $88.26 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $88.26 | — | — | 2025-12-28 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | United Healthcare Managed Care | United Healthcare Star Plus | $93.15 | $492.09 | — | 2024-12-19 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | Superior Star Plus Health Plan | $93.15 | $492.09 | — | 2024-12-19 | MRF ↗ |
| SCK HEALTH Outpatient | UHC MCAID OP ONLY | UHC MCAID OP ONLY | $94.00 | $500.00 | $500.00 | 2026-05-04 | MRF ↗ |
| SCK HEALTH Outpatient | SUNFLOWER MCAID OP ONLY - ALL PLANS | SUNFLOWER MCAID OP ONLY - ALL PLANS | $94.00 | $500.00 | $500.00 | 2026-05-04 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Medicaid | Medicaid | $94.00 | $1,259.00 | $1,259.00 | 2026-07-15 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $94.00 | — | — | 2026-04-01 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Medicaid Managed Generic | Medicaid Managed Generic | $94.00 | $1,259.00 | $1,259.00 | 2026-07-15 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $94.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $94.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $94.00 | — | — | 2026-04-01 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| MISSION REGIONAL MEDICAL CENTER Outpatient | Molina | Molina Star Plus | $98.74 | $492.09 | — | 2024-12-19 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $99.00 | $396.00 | $396.00 | 2026-03-25 | MRF ↗ |
| ATHENS LIMESTONE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $99.00 | $396.00 | $396.00 | 2026-03-25 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Commercial | $100.00 | — | — | 2025-01-28 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $100.10 | — | — | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $100.10 | — | — | 2025-12-31 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | UPMC Health Plan | Managed Medicare | $103.60 | $304.70 | $91.41 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | — | $304.70 | $91.41 | 2025-08-06 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | $105.41 | — | — | 2026-07-15 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | $105.41 | — | — | 2026-05-06 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $105.64 | — | — | 2025-09-05 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $105.68 | $414.45 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $105.68 | $414.45 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $105.68 | $414.45 | — | 2026-08-17 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $106.68 | — | — | 2026-04-01 | MRF ↗ |
| DESERT VALLEY HOSPITAL Outpatient | Blue Shield of CA | Blue Shield Of CA Exchange | $108.31 | $558.30 | — | 2024-12-19 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | HealthFirst | Exchanges - EPO - Paraprofessional | $109.17 | $387.13 | $253.18 | 2026-04-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $109.51 | — | — | 2026-02-12 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Gateway | Highmark Wholecare Medicaid (Fka Gateway Medicaid) | $109.98 | $1,259.00 | $1,259.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Keystone First Medicaid | Keystone First Medicaid | $111.86 | $1,259.00 | $1,259.00 | 2026-07-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Medicaid - Specialists | $112.11 | $387.13 | $253.18 | 2026-04-01 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $113.40 | $810.00 | $340.20 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $113.40 | $810.00 | $340.20 | 2026-02-28 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $114.00 | — | — | 2025-08-06 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $114.00 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | 1199 | 1199 | $114.00 | $387.13 | $253.18 | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $114.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $114.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | 1199 SEIU | Commercial | $114.00 | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $114.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2026-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $114.00 | — | — | 2026-04-01 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $114.00 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $114.00 | — | — | 2025-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $114.00 | — | — | 2026-04-01 | MRF ↗ |
| ST JOHN OWASSO Both | AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $115.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN NOWATA Both | AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $115.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $115.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN BROKEN ARROW Both | AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $115.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $115.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN JANE PHILLIPS Both | AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $115.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN MEDICAL CENTER Both | AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $115.57 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST JOHN SAPULPA Both | AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $115.57 | — | — | 2026-01-01 | MRF ↗ |
| ST JOHN OWASSO Both | AETNA WHOLE HEALTH | 2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001 | $115.57 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage - OB/GYN | $116.14 | $387.13 | $253.18 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicaid | $116.14 | $387.13 | $253.18 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials | $116.14 | $387.13 | $253.18 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicaid/Essentials Midlevels | $116.14 | $387.13 | $253.18 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | MVP | Medicare | $116.14 | $387.13 | $253.18 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Metroplus | Medicare Advantage | $116.14 | $387.13 | $253.18 | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Highmark Hmo/Pos | $116.51 | — | — | 2026-04-01 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|NE Total Care | $121.50 | $810.00 | $340.20 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|NE Total Care | $121.50 | $810.00 | $340.20 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|NE Total Care | $121.50 | $810.00 | $340.20 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|NE Total Care | $121.50 | $810.00 | $340.20 | 2026-02-28 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $121.88 | $304.70 | $91.41 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $121.88 | $304.70 | $91.41 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Medicare | $121.88 | $304.70 | $91.41 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna | Advantra Washington Prime | $121.88 | $304.70 | $91.41 | 2025-08-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA [1001] | AETNA [100100] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA [1001] | MERITAIN HEALTH [100108] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA [1001] | AETNA COMMERCIAL [100112] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA [1001] | CORE SOURCE [100104] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA [1001] | ASSURANT HEALTH [100105] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | UNITED HEALTH [1006] | UHC UT [100610] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA MEDICARE [9002] | AETNA MEDICARE [900200] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | UNITED HEALTH [1006] | UNITED HEALTHCARE SHARED SERVICES [100614] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | TRICARE [8002] | TRIWEST WPS VACAA [800203] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | UNITED HEALTH [1006] | GEHA [100603] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | UNITED HEALTH [1006] | CITY OF NEW ORLEANS [100604] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | BLUE CROSS [6000] | BLUE CROSS OGB PPO PLAN [600007] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | HEALTHY BLUE LOUISIANA [3502] | HEALTHY BLUE-PSYCH [350201] | — | $353.00 | — | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | TRICARE [8002] | TRICARE FEDERAL HEALTH NET [800207] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | TRICARE [8002] | WPS TRICARE FOR LIFE [800204] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | TRICARE [8002] | TRICARE OVERSEAS [800206] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | UNITED HEALTH [1006] | NEXUSACO OA [100607] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA [1001] | AETNA GLOBAL BENEFITS [100109] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | UNITED HEALTH CARE (MGD MCD) [3505] | UNITED HEALTH COMMUNITY-PSYCH [350501] | — | $353.00 | — | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | FIRST HEALTH NETWORK [1073] | FIRST HEALTH [107300] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | UMR [1070] | PREMIER HEALTH [107002] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA BETTER HEALTH [3501] | AETNA BETTER HEALTH-PSYCH [350101] | — | $353.00 | — | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AMBETTER [1120] | AMBETTER - MAGNOLIA [112002] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | HUMANA MEDICAID [3509] | HUMANA HEALTHY HORIZON - PSYCH [350901] | — | $353.00 | — | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AMBETTER [1120] | AMBETTER - LHC [112001] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | TRICARE [8002] | TRICARE EAST REGION [800205] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA [1001] | AETNA LIFE MEDICARE SUP [100107] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA MEDICARE [9002] | AETNA MEDICARE DUAL PREFERRED [900201] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | AETNA [1001] | SRC AETNA COMPANY [100101] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | TRICARE [8002] | TRICARE WEST REGION [800202] | — | $353.00 | $77.66 | 2026-03-25 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER NEW ORLEANS Outpatient | UMR [1070] | NORTH OAKS UMR [107003] | — | $353.00 | $77.66 | 2026-03-25 | 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.