70552TC — MRI Brain Stem With Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MRI BRAIN STEM W/DYE (OTHER 70552TC) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70552TC?code_type=OTHER
MLA (9th ed.)
“MRI BRAIN STEM W/DYE (OTHER 70552TC) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70552TC?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“MRI BRAIN STEM W/DYE (OTHER 70552TC) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70552TC?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $223–$882 (25th–75th percentile) across 78 hospitals · 71 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 70552TC — 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 |
|---|---|---|---|---|---|---|---|
| Seymour Hospital Outpatient | Wellmed | Medicare Advantage | $65.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Aetna - Medicare Advantage | Medicare Advantage | $65.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | United Medicare Advantage | Medicare Advantage | $65.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Humana Medicare Advantage | Medicare Advantage | $65.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Inpatient | Aetna - HMO/PPO | HMO/PPO/POS | $70.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Inpatient | Aetna - Meritain | UNKNOWN | $70.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Inpatient | Cigna - HMO/PPO | HMO/PPO | $80.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Inpatient | BCBS - HMO/PPO/Blue Advantage | HMO/PPO/Blue Advantage | $80.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Inpatient | Galaxy Health Network | HMO/PPO/POS | $80.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | PPO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | HMO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | PPO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | HMO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $80.33 | — | — | 2026-01-02 | MRF ↗ |
| Seymour Hospital Outpatient | Firstcare Medicaid | UNKNOWN | $100.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Texas Medicaid | UNKNOWN | $100.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Wellpoint Medicaid | UNKNOWN | $100.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Aetna Medicaid | UNKNOWN | $100.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Inpatient | Aetna - Medicare Advantage | Medicare Advantage | $100.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Superior Health | Medicaid | $100.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Amerigroup Medicaid | UNKNOWN | $100.00 | $2,127.00 | $1,488.90 | 2026-01-12 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $141.96 | — | — | 2026-03-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products Non MD | $150.83 | — | — | 2026-03-27 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $168.58 | — | — | 2026-03-27 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $177.40 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $177.40 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $177.40 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $177.40 | — | — | 2025-09-05 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products MD | $177.45 | — | — | 2026-03-27 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Managed Medicaid | $178.48 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | HARP | $178.48 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $178.48 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | HARP | $178.48 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | HARP | $178.48 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $178.48 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | HARP | $178.48 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Managed Medicaid | $178.48 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Affinity | Essential Plans 1 & 2 | $178.48 | — | $850.94 | 2025-08-06 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | HMO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | PPO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | PPO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | HMO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $182.16 | — | — | 2026-01-02 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | MEDICARE ADV | $182.23 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | MEDICARE ADV | $182.23 | — | — | 2025-06-04 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $182.39 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $182.39 | — | — | 2026-03-20 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $184.05 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $184.05 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $184.05 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $184.05 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $184.05 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $184.05 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $185.17 | — | — | 2025-09-05 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $187.01 | — | — | 2025-07-22 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | All Products | $187.50 | — | $358.48 | 2025-12-02 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $194.17 | — | — | 2025-07-22 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | HMO_EPO | $197.40 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | Employees PPO_HMO_EPO | $197.40 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Hometown Health | Employees PPO_HMO_EPO | $197.40 | — | — | 2026-03-27 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | UNITED HEALTH CARE | Managed Medicare | $198.44 | — | — | 2025-07-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $199.58 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $199.58 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | CHP | $200.79 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | CHP | $200.79 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | CHP | $200.79 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Empire | HealthPlus Medicaid | $200.79 | — | $850.94 | 2025-08-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | CHP | $200.79 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $200.79 | — | $850.94 | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | CHP | $200.79 | — | $850.94 | 2025-08-06 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $204.69 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $204.69 | — | — | 2025-06-04 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | ROCKY MOUNTAIN | HMO | $206.64 | — | — | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | ROCKY MOUNTAIN | HMO | $206.64 | — | — | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER OutpatientFacility | ROCKY MOUNTAIN | HMO | $206.64 | — | — | 2026-03-26 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Multiplan (PHCS Medicaid network) | Managed Medicaid | $208.76 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $208.76 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $208.76 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Multiplan (PHCS Medicaid network) | Managed Medicaid | $208.76 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $210.82 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Healthy Blue | Managed Medicaid | $210.82 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $210.82 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Healthy Blue | Managed Medicaid | $210.82 | — | — | 2025-06-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage | $218.64 | — | $850.94 | 2025-08-06 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $220.61 | — | — | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $220.61 | — | — | 2025-12-31 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Amidacare | Managed Medicaid | $221.75 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $221.75 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $221.75 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $221.75 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $221.75 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Amidacare | Managed Medicaid | $221.75 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Amidacare | Managed Medicaid | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Amidacare | Managed Medicaid | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Medicare Advantage/ Health Exchange | $223.10 | — | $850.94 | 2025-08-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | HIP_GHI_CHP | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Amidacare | Managed Medicaid | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Amidacare | Managed Medicaid | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Managed Medicaid | $223.10 | — | $850.94 | 2025-08-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | HIP_GHI_CHP | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $223.10 | — | — | 2025-09-05 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Coventry Workers Comp | Managed WC | $227.36 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Corvel | Managed WC | $227.36 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Coventry Workers Comp | Managed WC | $227.36 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Corvel | Managed WC | $227.36 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Corvel | Managed WC | $227.36 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Coventry Workers Comp | Managed WC | $227.36 | — | — | 2026-02-06 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Products Facility | $232.62 | — | — | 2025-07-22 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | PPO | $235.00 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Hometown Health | PPO | $235.00 | — | — | 2026-03-27 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $235.77 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $235.77 | — | — | 2025-06-28 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UNITEDHEALTHCARE | ALL PRODUCTS | $238.18 | — | — | 2025-07-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $239.49 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $239.49 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $240.95 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $240.95 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $240.95 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $240.95 | — | — | 2025-09-05 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $255.06 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $255.06 | — | — | 2025-12-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Silver Summit | Managed Medicaid | $258.90 | — | — | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Anthem | Managed Medicaid | $258.90 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Managed Medicaid | $258.90 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield Healthcare Solutions | Managed Medicaid | $258.90 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Managed Medicaid | $258.90 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield Healthcare Solutions | Managed Medicaid | $258.90 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | SilverSummit Healthplan | Managed Medicaid | $258.90 | — | — | 2026-03-27 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | CareSource Network Partners | Managed Medicaid | $261.49 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | CareSource Network Partners | Managed Medicaid | $261.49 | — | — | 2026-03-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $269.00 | — | — | 2026-03-27 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $288.97 | — | — | 2025-09-05 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Align Networks | Work Comp | $297.54 | — | — | 2026-01-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $299.00 | — | $448.85 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $299.00 | — | $448.85 | 2025-08-30 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $300.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $300.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $300.00 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $300.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $300.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $300.00 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Fidelis | MAP | $319.32 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Fidelis | MAP | $319.32 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Fidelis | MAP | $321.26 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Fidelis | MAP | $321.26 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Fidelis | MAP | $321.26 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Fidelis | MAP | $321.26 | — | — | 2025-09-05 | 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.