73720TC — MRI Lwr Extremity W/O&with Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MRI LWR EXTREMITY W/O&W/DYE (OTHER 73720TC) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/73720TC?code_type=OTHER
MLA (9th ed.)
“MRI LWR EXTREMITY W/O&W/DYE (OTHER 73720TC) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/73720TC?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“MRI LWR EXTREMITY W/O&W/DYE (OTHER 73720TC) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/73720TC?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $259–$898 (25th–75th percentile) across 83 hospitals · 58 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 73720TC — 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 |
|---|---|---|---|---|---|---|---|
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | HMO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | HMO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | PPO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | PPO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $97.44 | — | — | 2026-01-02 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $179.02 | — | — | 2026-03-27 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | All Products | $187.50 | — | $358.48 | 2025-12-02 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products Non MD | $190.20 | — | — | 2026-03-27 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | UNITED HEALTH CARE | Managed Medicare | $198.44 | — | — | 2025-07-01 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $206.34 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $206.34 | — | — | 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 | $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 | $208.76 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | 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 ↗ |
| LABETTE HEALTH OutpatientFacility | Healthy Blue | Managed Medicaid | $210.82 | — | — | 2025-06-28 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $212.58 | — | — | 2026-03-27 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $217.62 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $217.62 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $222.86 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $222.86 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $222.86 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $222.86 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $222.86 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $222.86 | — | — | 2025-09-05 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products MD | $223.77 | — | — | 2026-03-27 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Affinity | Essential Plans 1 & 2 | $224.13 | — | $850.94 | 2025-08-06 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | HARP | $224.13 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $225.78 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $225.78 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $225.78 | — | — | 2025-09-05 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | PPO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | PPO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | HMO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | HMO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $228.95 | — | — | 2026-01-02 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $230.96 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $230.96 | — | — | 2026-03-20 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $231.21 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $231.21 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $231.21 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $231.21 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $231.21 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $231.21 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $231.21 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $231.21 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $231.21 | — | — | 2025-09-05 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | MEDICARE ADV | $231.88 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | MEDICARE ADV | $231.88 | — | — | 2025-06-04 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $232.53 | — | — | 2025-09-05 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $235.50 | — | — | 2025-07-22 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $244.83 | — | — | 2025-09-05 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $248.81 | — | — | 2025-07-22 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | Employees PPO_HMO_EPO | $248.90 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | HMO_EPO | $248.90 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Hometown Health | Employees PPO_HMO_EPO | $248.90 | — | — | 2026-03-27 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.71 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.71 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $250.71 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | CHP | $252.14 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | CHP | $252.15 | — | $850.94 | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $252.15 | — | $850.94 | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Empire | HealthPlus Medicaid | $252.15 | — | $850.94 | 2025-08-06 | MRF ↗ |
| METROPOLITAN 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 ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL 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 ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $259.35 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN 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 ↗ |
| ELMHURST HOSPITAL CENTER 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 ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $264.35 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $264.35 | — | — | 2025-06-04 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | ROCKY MOUNTAIN | HMO | $266.81 | — | — | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER OutpatientFacility | ROCKY MOUNTAIN | HMO | $266.81 | — | — | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | ROCKY MOUNTAIN | HMO | $266.81 | — | — | 2026-03-26 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Amidacare | Managed Medicaid | $272.03 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $272.03 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $272.03 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage | $274.56 | — | $850.94 | 2025-08-06 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $278.57 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Amidacare | Managed Medicaid | $278.57 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Amidacare | Managed Medicaid | $278.57 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $278.57 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $278.57 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $278.57 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $278.57 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Amidacare | Managed Medicaid | $278.57 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $278.57 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Amidacare | Managed Medicaid | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Amidacare | Managed Medicaid | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Amidacare | Managed Medicaid | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Managed Medicaid | $280.16 | — | $850.94 | 2025-08-06 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Amidacare | Managed Medicaid | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $280.16 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Medicare Advantage/ Health Exchange | $280.16 | — | $850.94 | 2025-08-06 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | EMBLEM | HIP_GHI_CHP | $280.16 | — | — | 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.