64323991 — Teplizum Mzwv 1mg/ml2ml Inj Jw
Cite this view
HANK Price Transparency. (n.d.). TEPLIZUM MZWV 1MG/ML2ML INJ JW (CDM 64323991) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64323991?code_type=CDM
“TEPLIZUM MZWV 1MG/ML2ML INJ JW (CDM 64323991) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64323991?code_type=CDM. Accessed .
“TEPLIZUM MZWV 1MG/ML2ML INJ JW (CDM 64323991) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64323991?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $163,538–$233,625 (25th–75th percentile) across 7 hospitals · 14 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 64323991 — 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 |
|---|---|---|---|---|---|---|---|
| Long Island Jewish Forest Hills Inpatient | Emblem | Emblem - Essential 1&2 | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Exchange | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Emblem | HIP HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Emblem | Emblem - Exchange | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Emblem | HIP HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Emblem | GHI HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Emblem | GHI HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Emblem | Emblem - Essential 1&2 | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Emblem | HIP HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Emblem | HIP HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Emblem | Emblem - Exchange | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Emblem | Emblem - Exchange | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | GHI HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Emblem | GHI HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | GHI HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Emblem | Emblem - Exchange | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Emblem | GHI HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Emblem | Emblem - Essential 1&2 | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Exchange | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Emblem | Emblem - Exchange | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Emblem | GHI HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Emblem | HIP HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | HIP HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Emblem | HIP HMO | $93,450.10 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Fidelis | Fidelis - Exchange | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Fidelis | Fidelis - Exchange | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Fidelis | Fidelis - Exchange | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $116,812.63 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $116,812.63 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $126,157.64 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $126,157.64 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $126,157.64 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Fidelis | Fidelis Medicaid - FHP | $126,157.64 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Fidelis | Fidelis Medicaid - FHP | $126,157.64 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $126,157.64 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Fidelis | Fidelis Medicaid - FHP | $126,157.64 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Emblem | Emblem - Essential 1&2 | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Emblem | HIP HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Emblem | GHI HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Emblem | GHI HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Emblem | Emblem - Exchange | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Emblem | HIP HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Emblem | Emblem - Exchange | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Emblem | Emblem - Exchange | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Emblem | Emblem - Essential 1&2 | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Emblem | HIP HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | GHI HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Exchange | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | GHI HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Emblem | GHI HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Emblem | GHI HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Emblem | Emblem - Exchange | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | HIP HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Emblem | Emblem - Essential 1&2 | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Emblem | Emblem - Exchange | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Emblem | GHI HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | HIP HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Emblem | HIP HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Emblem | HIP HMO | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Exchange | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $140,175.16 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Oxford | Oxford PPO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Oxford | Oxford Freedom HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Oxford | Oxford Liberty HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | United | United HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | United | United PPO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | United | United HMO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Oxford | Oxford Freedom HMO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | United | United HMO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Oxford | Oxford PPO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Oxford | Oxford Liberty HMO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | United | United - Exchange | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | United | United HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United - Exchange | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | United | United PPO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Oxford | Oxford Freedom HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Oxford | Oxford PPO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Oxford | Oxford Liberty HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Oxford | Oxford PPO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Oxford | Oxford PPO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | United | United - Exchange | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United PPO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Oxford | Oxford Freedom HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | United | United - Exchange | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | United | United PPO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | United | United HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Oxford | Oxford Liberty HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Oxford | Oxford Freedom HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | United | United HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | United | United PPO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Oxford | Oxford PPO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Oxford | Oxford Freedom HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Oxford | Oxford Liberty HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | United | United PPO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | United | United - Exchange | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | United | United - Exchange | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Oxford | Oxford Freedom HMO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Oxford | Oxford Liberty HMO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Oxford | Oxford PPO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Oxford | Oxford Liberty HMO | $163,537.68 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | United | United PPO | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | United | United - Exchange | $163,537.68 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Empire | Empire Medicare HMO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Empire | Empire Advantage Medicare PPO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Northwell Direct | Northwell Direct | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Empire | Empire Medicare HMO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Northwell Direct | Northwell Direct | $186,900.21 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Empire | Empire Advantage Medicare PPO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Northwell Direct | Northwell Direct | $186,900.21 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Empire | Empire Advantage Medicare PPO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Northwell Direct | Northwell Direct | $186,900.21 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Empire | Empire Advantage Medicare PPO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Empire | Empire Medicare HMO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Empire | Empire Medicare HMO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Northwell Direct | Northwell Direct | $186,900.21 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Advantage Medicare PPO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Medicare HMO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Empire | Empire Advantage Medicare PPO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Empire | Empire Medicare HMO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Empire | Empire Advantage Medicare PPO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Northwell Direct | Northwell Direct | $186,900.21 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Empire | Empire Medicare HMO | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Northwell Direct | Northwell Direct | $186,900.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | WellCare | WellCare MCR | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | WellCare | WellCare MCR | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Cigna | Cigna HMO | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Cigna | Cigna HMO | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Cigna | Cigna HMO | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | WellCare | WellCare MCR | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Cigna | Cigna HMO | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | WellCare | WellCare MCR | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | WellCare | WellCare MCR | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Cigna | Cigna HMO | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Cigna | Cigna HMO | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | WellCare | WellCare MCR | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | WellCare | WellCare MCR | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Cigna | Cigna HMO | $210,262.74 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna HMO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Aetna | Aetna HMO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Aetna | Aetna Meritain PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Aetna | Aetna PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Aetna | Aetna HMO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Aetna | Aetna PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Aetna | Aetna PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Aetna | Aetna PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Aetna | Aetna Meritain PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna HMO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Aetna | Aetna Meritain PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Aetna | Aetna HMO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Aetna | Aetna PPO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Aetna | Aetna HMO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Aetna | Aetna HMO | $213,580.21 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Affinity | Affinity Health Plan - Essential 1&2 | $214,935.24 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Affinity | Affinity Health Plan - MCD | $214,935.24 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| STATEN ISLAND UNIVERSITY HOSPITAL Inpatient | Affinity | Affinity Health Plan - CHP | $214,935.24 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Affinity | Affinity Health Plan - Essential 1&2 | $214,935.24 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Affinity | Affinity Health Plan - MCD | $214,935.24 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Affinity | Affinity Health Plan - CHP | $214,935.24 | — | $221,944.00 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Affinity | Affinity Health Plan - MCD | $214,935.24 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Affinity | Affinity Health Plan - Essential 1&2 | $214,935.24 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Affinity | Affinity Health Plan - MCD | $214,935.24 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Affinity | Affinity Health Plan - MCD | $214,935.24 | — | $243,317.21 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Affinity | Affinity Health Plan - Essential 1&2 | $214,935.24 | — | $243,317.21 | 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.