64496193 — Sipuleucel T 250ml Inj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SIPULEUCEL T 250ML INJ (CDM 64496193) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64496193?code_type=CDM
MLA (9th ed.)
“SIPULEUCEL T 250ML INJ (CDM 64496193) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64496193?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SIPULEUCEL T 250ML INJ (CDM 64496193) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64496193?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $117,112–$167,303 (25th–75th percentile) across 6 hospitals · 14 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 64496193 — 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 | GHI HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Emblem | HIP HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Emblem | HIP HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Emblem | Emblem - Exchange | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Exchange | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Emblem | Emblem - Exchange | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Emblem | Emblem - Exchange | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Emblem | GHI HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Emblem | HIP HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | Emblem - Essential 1&2 | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Emblem | HIP HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Emblem | Emblem - Essential 1&2 | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Emblem | HIP HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Emblem | Emblem - Exchange | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Emblem | GHI HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Emblem | GHI HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Emblem | Emblem - Exchange | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | GHI HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Emblem | Emblem - Essential 1&2 | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Emblem | GHI HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Emblem | HIP HMO | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Emblem | Emblem - Essential 1&2 | $66,921.12 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $83,651.40 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $83,651.40 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $83,651.40 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $83,651.40 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Fidelis | Fidelis - Exchange | $83,651.40 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $83,651.40 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Inpatient | Fidelis | Fidelis - Exchange | $83,651.40 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Inpatient | Fidelis | Fidelis - Exchange | $83,651.40 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Fidelis | Fidelis - Exchange | $83,651.40 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | HealthPlus | HealthPlus (CHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | HealthPlus | Blue Cross HealthPlus - Essential 1&2 | $83,651.40 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | HealthPlus | HealthPlus (FHP) Medicaid | $83,651.40 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Fidelis | Fidelis Medicaid - FHP | $90,343.51 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $90,343.51 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $90,343.51 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Fidelis | Fidelis Medicaid - FHP | $90,343.51 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Fidelis | Fidelis Medicaid - FHP | $90,343.51 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Fidelis | Fidelis Medicaid - FHP | $90,343.51 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Emblem | Emblem - Exchange | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Emblem | GHI HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Emblem | HIP HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Emblem | Emblem - Exchange | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Exchange | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | HIP HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Emblem | Emblem - Exchange | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Emblem | GHI HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Emblem | HIP HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Emblem | HIP HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Emblem | GHI HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Emblem | HIP HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Emblem | Emblem - Essential 1&2 | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Emblem | Emblem - Essential 1&2 | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Emblem | Emblem - Essential 1&2 | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Emblem | GHI HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Emblem | HIP HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | GHI HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Emblem | Emblem - Exchange | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Emblem | GHI HMO | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Emblem | Emblem - Essential 1&2 | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Emblem | Emblem - Exchange | $100,381.68 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Oxford | Oxford PPO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Oxford | Oxford Freedom HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | United | United PPO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | United | United - Exchange | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | United | United PPO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | United | United - Exchange | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Oxford | Oxford Freedom HMO | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Oxford | Oxford PPO | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United - Exchange | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Oxford | Oxford Liberty HMO | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Oxford | Oxford Liberty HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | United | United - Exchange | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | United | United HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Oxford | Oxford Liberty HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Oxford | Oxford PPO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Oxford | Oxford Freedom HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | United | United - Exchange | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | United | United PPO | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Oxford | Oxford PPO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Oxford | Oxford Liberty HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Oxford | Oxford PPO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Oxford | Oxford Liberty HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Oxford | Oxford Freedom HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | United | United HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | United | United PPO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | United | United HMO | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Oxford | Oxford Freedom HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | United | United PPO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Oxford | Oxford PPO | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | United | United HMO | $117,111.96 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Oxford | Oxford Freedom HMO | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Oxford | Oxford Liberty HMO | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | United | United PPO | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | United | United - Exchange | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | United | United HMO | $117,111.96 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Northwell Direct | Northwell Direct | $133,842.24 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Empire | Empire Medicare HMO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Empire | Empire Medicare HMO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Advantage Medicare PPO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Empire | Empire Advantage Medicare PPO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Empire | Empire Advantage Medicare PPO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Empire | Empire Advantage Medicare PPO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Northwell Direct | Northwell Direct | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Medicare HMO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Northwell Direct | Northwell Direct | $133,842.24 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Empire | Empire Medicare HMO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Northwell Direct | Northwell Direct | $133,842.24 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Empire | Empire Advantage Medicare PPO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Northwell Direct | Northwell Direct | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Empire | Empire Advantage Medicare PPO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Empire | Empire Medicare HMO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Northwell Direct | Northwell Direct | $133,842.24 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Empire | Empire Medicare HMO | $133,842.24 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Cigna | Cigna HMO | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Cigna | Cigna HMO | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | WellCare | WellCare MCR | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Cigna | Cigna HMO | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Cigna | Cigna HMO | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | WellCare | WellCare MCR | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Cigna | Cigna HMO | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | WellCare | WellCare MCR | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | WellCare | WellCare MCR | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Cigna | Cigna HMO | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | WellCare | WellCare MCR | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | WellCare | WellCare MCR | $150,572.52 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Aetna | Aetna HMO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Aetna | Aetna HMO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Aetna | Aetna Meritain PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Aetna | Aetna HMO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Outpatient | Aetna | Aetna PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna HMO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Aetna | Aetna PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Aetna | Aetna Meritain PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Aetna | Aetna PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Aetna | Aetna PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Aetna | Aetna HMO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Aetna | Aetna Meritain PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Aetna | Aetna Meritain PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Aetna | Aetna PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Aetna | Aetna HMO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Outpatient | Aetna | Aetna PPO | $152,948.22 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Affinity | Affinity Health Plan - Essential 1&2 | $153,918.58 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Affinity | Affinity Health Plan - CHP | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Affinity | Affinity Health Plan - CHP | $153,918.58 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Affinity | Affinity Health Plan - CHP | $153,918.58 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Affinity | Affinity Health Plan - MCD | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Affinity | Affinity Health Plan - MCD | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Affinity | Affinity Health Plan - Essential 1&2 | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Affinity | Affinity Health Plan - CHP | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Affinity | Affinity Health Plan - Essential 1&2 | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Affinity | Affinity Health Plan - Essential 1&2 | $153,918.58 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Affinity | Affinity Health Plan - MCD | $153,918.58 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Affinity | Affinity Health Plan - MCD | $153,918.58 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Affinity | Affinity Health Plan - Essential 1&2 | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Affinity | Affinity Health Plan - CHP | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Affinity | Affinity Health Plan - CHP | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Affinity | Affinity Health Plan - MCD | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTHWELL HOSPITAL GLEN COVE Inpatient | Affinity | Affinity Health Plan - Essential 1&2 | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Inpatient | Affinity | Affinity Health Plan - MCD | $153,918.58 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Empire | Empire Connection | $158,937.66 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Empire | Empire Blue Access Small Group | $158,937.66 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Blue Access Large Group | $158,937.66 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire HMO | $158,937.66 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $158,937.66 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Blue Access Small Group | $158,937.66 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Empire | Empire Indemnity | $158,937.66 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire - Exchange Small Group (Narrow Network) | $158,937.66 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Empire | Empire PPO | $158,937.66 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Empire | Empire Indemnity | $158,937.66 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Empire | Empire Indemnity | $158,937.66 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Empire | Empire HMO | $158,937.66 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Empire | Empire Blue Access Large Group | $158,937.66 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire Indemnity | $158,937.66 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Syosset Hospital Inpatient | Empire | Empire HMO | $158,937.66 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Empire | Empire Connection | $158,937.66 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| NORTH SHORE UNIVERSITY HOSPITAL Outpatient | Empire | Empire PPO | $158,937.66 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| Long Island Jewish Forest Hills Outpatient | Empire | Empire PPO | $158,937.66 | — | $158,937.66 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Empire | Empire Blue Access Small Group | $158,937.66 | — | $174,243.36 | 2026-03-31 | MRF ↗ |
| PLAINVIEW HOSPITAL Inpatient | Empire | Empire Connection | $158,937.66 | — | $174,243.36 | 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.