57410 — Pelvic Examination
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PELVIC EXAMINATION (CPT 57410) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/57410?code_type=CPT
MLA (9th ed.)
“PELVIC EXAMINATION (CPT 57410) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/57410?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PELVIC EXAMINATION (CPT 57410) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/57410?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,064–$4,595 (25th–75th percentile) across 1,985 hospitals · 4,919 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 57410 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$1,064
$3,210 typical
$4,595
The middle 50% of negotiated facility rates for this procedure, measured across 1,985 hospitals. The the surgeon's fee are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,210 |
| Surgeon (professional fee) Estimate national typical Medicare $97 × 1.22 commercial. | $118 |
| Likely subtotal | $3,327 |
Surgical episode (typical)
~$3,327
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL NORTHWEST ARKANSAS OutpatientFacility | HEALTH CHOICE CONTRACTED [320166] | HB ROGR OKLAHOMA STATE AND EDUCATION EMPLOYEES | $0.39 | $4,771.76 | $3,101.64 | 2026-03-13 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.81 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.81 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.83 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.87 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.05 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.05 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.07 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.07 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.07 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.07 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.09 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.13 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $1.16 | $1,262.00 | $946.50 | 2025-03-07 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.18 | $218.00 | $207.10 | 2026-02-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.07 | $259.00 | $49.21 | 2026-01-25 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Both | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $4.21 | $404.65 | $404.65 | 2026-04-24 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $4.99 | $11,681.59 | $7,008.95 | 2026-03-24 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Medica | Commercial | $5.00 | $10.00 | $8.00 | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Physicians Medical Group | MCD | $5.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Molina | MCD | $5.00 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | LA Care Health | Medi-cal | $5.00 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Brand New Day | MCD | $5.50 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Gold Coast Health Plan | MCD | $5.50 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medi-Cal | $5.50 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Brand New Day | MCD | $5.50 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $5.74 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $5.74 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $6.31 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $6.31 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $6.31 | — | — | 2026-03-01 | MRF ↗ |
| MCLAREN THUMB REGION Both | Tricare | Tricare | $7.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $7.14 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Inland Empire Health Plan | MGMCD | $7.25 | — | — | 2024-10-01 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $7.28 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $7.28 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $7.43 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $7.50 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP ESSENTIAL 1&2 | $7.58 | $8,411.74 | $5,467.63 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP OPTION|MVP CHILD HEALTH PLUS|MVP ESSENTIAL 3&4 | $7.58 | $8,411.74 | $5,467.63 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | $7.58 | $8,411.74 | $5,467.63 | 2024-12-30 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $7.68 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $7.68 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $7.68 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $7.68 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $7.68 | — | — | 2026-01-01 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $7.79 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MCLAREN THUMB REGION Both | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $8.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - United | Medicare - United | $8.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | MI Amish Medical Board | MI Amish Medical Board | $8.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Employee Benefit Logistics | Medicare - Employee Benefit Logistics | $8.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Humana | Medicare - Humana | $8.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Fidelis | Medicare - Fidelis | $8.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $8.00 | $10.00 | $8.00 | 2026-05-22 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $8.00 | $10.00 | $8.00 | 2026-05-22 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | GRANTS [20507] | All TB GETCHELL [226] Plans | $8.01 | $13,010.98 | $13,010.98 | 2026-03-26 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $8.08 | $404.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $8.08 | $404.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $8.08 | $404.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $8.08 | $404.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $8.08 | $404.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $8.08 | $404.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $8.08 | $404.00 | — | 2026-03-31 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 | HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 | $8.16 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $8.16 | — | — | 2026-01-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BSWNY ALTERNATE) [1720], HIGHMARK BC/BS OF WESTERN NY [5143] | HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (BSWNY ALTERNATE) [172001], COMMUNITY BLUE CHILD HEALTH PLUS [514306], BC/BS OF WNY ESSENTIAL (NO MEDICAID) [514307] | $8.16 | — | — | 2026-04-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 | HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 | $8.16 | — | — | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Both | HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BSWNY ALTERNATE) [1720], HIGHMARK BC/BS OF WESTERN NY [5143] | HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (BSWNY ALTERNATE) [172001], COMMUNITY BLUE CHILD HEALTH PLUS [514306], BC/BS OF WNY ESSENTIAL (NO MEDICAID) [514307] | $8.16 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $8.16 | — | — | 2026-01-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $8.32 | — | — | 2026-03-01 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | MASSHEALTH [20302] | All MASSHEALTH UM [10] Plans | $8.62 | $13,010.98 | $13,010.98 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | INSTITUTION [10406] | All WORCESTER RECOVERY UM [233] Plans | $8.62 | $13,010.98 | $13,010.98 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE MEDICAID (FORMERLY BMC) UM [75] Plans | $8.62 | $13,010.98 | $13,010.98 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | HNE MEDICAID [10905] | All HEALTH NEW ENGLAND/MINUTEMAN MCO UM [222] Plans | $8.62 | $13,010.98 | $13,010.98 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | MGB MEDICAID [10906] | All MGB (FORMERLY AHP) ACO UM [212] Plans | $8.62 | $13,010.98 | $13,010.98 | 2026-03-26 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | FALLON MEDICAID [10904] | All FALLON ACO UM [130] Plans | $8.62 | $13,010.98 | $13,010.98 | 2026-03-26 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $9.00 | $362.00 | $68.78 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $9.00 | $362.00 | $68.78 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | BLUE CROSS MCAL | BLUE CROSS MCAL | $9.00 | $362.00 | $68.78 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $9.00 | $362.00 | $68.78 | 2026-01-31 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | OK Health Network | Commercial | $9.00 | $10.00 | $8.00 | 2026-05-22 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Molina | Medicare - Molina | $9.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicare - Priority Health | Medicare - Priority Health | $9.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | MEDI-CAL | MEDI-CAL | $9.00 | $362.00 | $68.78 | 2026-01-31 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $9.60 | — | — | 2026-01-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BSWNY ALTERNATE) [1720], HIGHMARK BC/BS OF WESTERN NY [5143] | HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (BSWNY ALTERNATE) [172001], COMMUNITY BLUE CHILD HEALTH PLUS [514306], BC/BS OF WNY ESSENTIAL (NO MEDICAID) [514307] | $9.60 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Both | HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BSWNY ALTERNATE) [1720], HIGHMARK BC/BS OF WESTERN NY [5143] | HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (BSWNY ALTERNATE) [172001], COMMUNITY BLUE CHILD HEALTH PLUS [514306], BC/BS OF WNY ESSENTIAL (NO MEDICAID) [514307] | $9.60 | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 | HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, AMERIGROUP (BSWNY ALTERNATE) 172001, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 | $9.60 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 | HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, AMERIGROUP (BSWNY ALTERNATE) 172001, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 | $9.60 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EXCELLUS MEDICAID 1706, EXCELLUS 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLUS HEALTHY NY 220110 | $9.60 | — | — | 2026-01-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $9.60 | — | — | 2026-04-01 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | $9.60 | $174.06 | $174.06 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | $9.60 | $174.06 | $174.06 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK MEDICAID [11403] | $9.60 | $174.06 | $174.06 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | HIGHMARK [114] | HIGHMARK MEDICAID [11403] | $9.60 | $174.06 | $174.06 | 2024-12-30 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY MEDICAID 1702, AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720, HIGHMARK BLUE CROSS BLUE SHIELD OF WESTERN NY 5143 | HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, AMERIGROUP (BSWNY ALTERNATE) 172001, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307 | $9.60 | — | — | 2026-01-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.96 | $5,536.00 | $3,104.30 | 2024-12-31 | MRF ↗ |
| ARBUCKLE MEMORIAL HOSPITAL Outpatient | Health Choice Network | Commercial | $10.00 | $10.00 | $8.00 | 2026-05-22 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Ambetter | Commercial|All Plans | $10.56 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Outpatient | WELLSENSE MEDICAID [10901] | All WELLSENSE SPECIAL KIDS (FORMERLY BMC) UM [255] Plans | $10.78 | $13,010.98 | $13,010.98 | 2026-03-26 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Commercial|Exchange | $10.92 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $11.04 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $11.04 | — | — | 2026-01-01 | MRF ↗ |
| MCLAREN THUMB REGION Both | McLaren Commercial Ins | McLaren Commercial Ins | $12.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $12.32 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $12.57 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $12.69 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MCLAREN THUMB REGION Both | WC - Workers Compensation | WC - Workers Compensation | $13.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $13.19 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $14.00 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Medicaid|All Other Plans | $14.12 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $14.72 | $109.00 | $81.75 | 2026-01-16 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | AMBETTER NH HEALTHY FAMILIES | NH HEALTHY FAMILIES AMBETTER | $15.00 | $207.00 | $111.57 | 2026-01-01 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | WELL SENSE HEALTH PLAN | WELL SENSE HEALTH PLAN | $15.47 | $242.00 | $133.10 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BEACON HEALTH | CARELON BEHAVIORAL HEALTH | $15.47 | $242.00 | $133.10 | 2026-04-10 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | NH HEALTHY FAMILIES | NH HEALTHY FAMILIES | $15.60 | $207.00 | $111.57 | 2026-01-01 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS NH | AMERIHEALTH CARITAS NH | $16.27 | $242.00 | $133.10 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID DISABILITY | $16.43 | $242.00 | $133.10 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID | $16.43 | $242.00 | $133.10 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID PENDING | $16.43 | $242.00 | $133.10 | 2026-04-10 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Medicaid|All Other Plans | $16.47 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MCLAREN THUMB REGION Both | Cofinity Auto | Cofinity Auto | $17.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $17.54 | — | — | 2025-12-31 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | Ambetter | Commercial|All Plans | $17.87 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MCLAREN THUMB REGION Both | United Healthcare | United Healthcare | $18.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | First Health Network | First Health Network | $18.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Commercial|Exchange | $18.48 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MCLAREN THUMB REGION Both | Aetna | Aetna | $19.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Blue Cross Blue Shield | Blue Cross Blue Shield | $19.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN THUMB REGION Both | Priority Health | Priority Health | $19.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Inpatient | Wellpoint | Medicaid|All Other Plans | $19.41 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Inpatient | Wellpoint | Medicaid|STAR | $19.41 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Medicaid|STAR | $19.49 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Medicaid|STAR | $19.76 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| MCLAREN THUMB REGION Both | HAP | HAP | $20.00 | $23.00 | $11.00 | 2025-02-03 | MRF ↗ |
| GRIMES ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $20.31 | $56.00 | $9.80 | 2026-02-28 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Molina | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Johns Hopkins Health Plan | Tricare | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $20.37 | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Veterans Administration | Veterans Administration | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Aetna | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Sentara Health Plans | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Johns Hopkins Health Plan | Tricare | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Veterans Administration | Veterans Administration | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Sentara Health Plans | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana Military | Tricare | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Sentara Health Plans | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Aetna | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Humana Military | Tricare | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $20.37 | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Humana | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Humana | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Humana Military | Tricare | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | PPO Products | $20.37 | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Johns Hopkins Health Plan | Tricare | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | HMO Products | $20.37 | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $20.37 | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana Military | Tricare | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Johns Hopkins Health Plan | Tricare | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Veterans Administration | Veterans Administration | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Aetna | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Aetna | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Sentara Health Plans | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Molina | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Sentara Health Plans | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Humana | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Humana | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Humana Military | Tricare | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Molina | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $20.37 | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $20.37 | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Veterans Administration | Veterans Administration | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | Managed Medicaid | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Molina | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Medicare Advantage | — | $48.00 | $24.00 | 2026-01-02 | 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.