476 — Sponge Interceed 3x4in
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SPONGE INTERCEED 3X4IN (CDM 476) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/476?code_type=CDM
MLA (9th ed.)
“SPONGE INTERCEED 3X4IN (CDM 476) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/476?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SPONGE INTERCEED 3X4IN (CDM 476) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/476?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $299–$597 (25th–75th percentile) across 7 hospitals · 26 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 476 — 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 |
|---|---|---|---|---|---|---|---|
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $5.44 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $5.50 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $5.50 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $5.55 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $5.55 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $5.55 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $5.55 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $5.55 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $5.55 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $5.55 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $5.55 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|Select PPO | $6.24 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|Select PPO | $6.24 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|All Other Plans | $7.68 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|All Other Plans | $7.68 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Humana | Commercial|All Plans | $8.00 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Humana | Commercial|All Plans | $8.00 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Workers Comp | $8.80 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Workers Comp | $8.80 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|PPO POS HMO | $11.04 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|PPO POS HMO | $11.04 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Health Choice | Commercial|All Plans | $11.20 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Health Choice | Commercial|All Plans | $11.20 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|Trad | $11.68 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|Trad | $11.68 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Preferred Network | Commercial|All Plans | $12.00 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Preferred Network | Commercial|All Plans | $12.00 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Commercial|Self Funded | $12.26 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Commercial|Self Funded | $12.26 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Exchange | $12.36 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Exchange | $12.36 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Coventry | Commercial|All Plans | $12.48 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Coventry | Commercial|All Plans | $12.48 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Trad | $13.40 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Blue Access | $13.40 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Blue Access | $13.40 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Trad | $13.40 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Accel PPO | $13.60 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Auto | $13.60 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | $13.60 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|HPO | $13.60 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Summacare | Commercial|All Plans | $13.60 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | $13.60 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Summacare | Commercial|All Plans | $13.60 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Auto | $13.60 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|HPO | $13.60 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Accel PPO | $13.60 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $13.92 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $13.92 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $13.92 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $13.92 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Options | $14.56 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Non-Options | $14.56 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Options | $14.56 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Non-Options | $14.56 | $16.00 | $7.94 | 2026-02-28 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Inpatient | Fidelis | Fidelis - Exchange | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (CHP) Medicaid | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | HealthPlus (FHP) Medicaid | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network - CHP | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Inpatient | Fidelis | Fidelis - Exchange | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (PHSP) Medicaid Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $298.52 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Essential Intra-Network 3&4 | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | HealthFirst (MHI) Medicare Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthFirst | Healthfirst - Exchange Small Group Intra-Network | $298.52 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Fidelis | Fidelis Medicaid - FHP | $322.40 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $322.40 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $322.40 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Fidelis | Fidelis Medicaid - FHP | $322.40 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $322.40 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $322.40 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | Emblem - Exchange | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | HIP HMO | $358.22 | — | $425.44 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | Emblem - Essential 1&2 | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | HIP HMO | $358.22 | — | $425.44 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | GHI HMO | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | HIP HMO | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | GHI HMO | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | GHI HMO | $358.22 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Exchange | $358.22 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Exchange | $358.22 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $358.22 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | GHI HMO | $358.22 | — | $425.44 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Emblem | Emblem - Essential 1&2 | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | Emblem - Exchange | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $358.22 | — | $425.44 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | HIP HMO | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | HIP HMO | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | Emblem - Exchange | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | GHI HMO | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | GHI HMO | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | Emblem - Exchange | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | HIP HMO | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $358.22 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire Blue Access Large Group | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire Indemnity | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Blue Access Small Group | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Connection | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire HMO | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire Blue Access Small Group | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire Connection | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire PPO | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire PPO | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| PHELPS HOSPITAL Outpatient | Empire | Empire HMO | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire PPO | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Blue Access Large Group | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire Indemnity | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire Blue Access Large Group | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire Connection | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTHERN WESTCHESTER HOSPITAL Outpatient | Empire | Empire Indemnity | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Empire | Empire Indemnity | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Empire | Empire Connection | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Empire | Empire Blue Access Large Group | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Empire | Empire Blue Access Small Group | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Empire | Empire PPO | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Empire | Empire HMO | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire Blue Access Small Group | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire Indemnity | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire HMO | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Empire | Empire PPO | $388.07 | — | $425.44 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire Connection | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire PPO | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire Blue Access Large Group | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire HMO | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire Indemnity | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire Blue Access Small Group | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| Zucker Hillside Hospital Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire HMO | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire Blue Access Large Group | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire Blue Access Small Group | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Empire | Empire Connection | $388.07 | — | $388.07 | 2026-03-31 | MRF ↗ |
| LONG ISLAND JEWISH MEDICAL CENTER Outpatient | Emblem | HIP VIP Medicare | $417.92 | — | $388.07 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | GHI Medicare | $417.92 | — | $388.07 | 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.