77371 — Srs Multisource
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SRS MULTISOURCE (CPT 77371) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/77371?code_type=CPT
MLA (9th ed.)
“SRS MULTISOURCE (CPT 77371) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/77371?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“SRS MULTISOURCE (CPT 77371) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/77371?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7,083–$20,901 (25th–75th percentile) across 1,391 hospitals · 2,633 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 77371 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $92,768.20 | $46,384.10 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $92,768.20 | $46,384.10 | 2024-12-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | IFP | $0.31 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | QHP | $0.32 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.46 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $0.55 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Humana | COMM | $0.71 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $0.78 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | Traditional | $1.02 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | City of McKinney | COMM | $1.03 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $1.15 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | ASA | $1.21 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $1.26 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $1.26 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Physicians Coop of TX | MGMCR | $1.26 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | WCOMP | $1.26 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $1.33 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $1.38 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Mega Life | MGMCRPPO | $1.61 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Multiplan PHCS | PrimaryNetwork | $1.61 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $1.61 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Jostens | WCOMP | $1.61 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $1.67 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | HealthSmart Preferred Care | PPO | $1.73 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $1.73 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $1.84 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $1.95 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $2.30 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $2.30 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | COMM | $2.30 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $24.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $24.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $25.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $25.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $31.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $31.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $33.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $33.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $38.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $38.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross HMO | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Essential Plan | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Medicaid | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Ambetter | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) HARP | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Child Health Plus | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Essential | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | New York State Office of Victim Services | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Cape Vincent Correctional Facility | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Well 4 Me | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Capital District Physicians' Health Plan (CDPHP) | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Essential Plan | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Child Health Plus | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Child Health Plus | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Family Health Plus | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $40.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $40.00 | $33,978.12 | $13,591.25 | 2024-12-15 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Commercial | $45.00 | $43,817.30 | $8,984.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Commercial | $45.00 | $43,817.30 | $8,984.00 | 2024-12-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $55.54 | — | — | 2026-02-19 | MRF ↗ |
| NYACK HOSPITAL Outpatient | HealthFirst | Essential Plan 3 & 4 | $57.91 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $63.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $63.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $63.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $63.08 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $63.08 | — | — | 2026-03-28 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $63.70 | — | — | 2025-07-23 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Family - Slw | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Bi | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Slw | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Snch | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Family - Tmsh | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Tmsh | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Tmsh | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Msq | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Family - Bi | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Bi | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Brook | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Msq | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Msq | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Brook | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Brook | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Slw | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MVP | Medicaid and CHP | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | CHILDHEALTHPLUS | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | HIV_SNP | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health Plus | HARP | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health Plus | MLTC | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health First | MEDICIAD | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | Medicaid | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Senior Whole Health | MEDICAID HMO ADVANTAGE PLUS | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health First | HARP | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health Plus | MEDICAID | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| St. Joseph's Hospital OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and CHP | $64.34 | — | — | 2026-03-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Elderplan Inc. | MEDICAID | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | MLTC | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Medicaid Managed Care | HMO OTHER | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | MEDICAID | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | HARP | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health First | MEDICAID | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Medicaid Managed Care | OUT OF STATE | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | Child_Health_Plus | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | HARP | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | ESSENTIALPLAN3 and 4 | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Affinity | Child Health Plus | $64.34 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Medicaid Managed Care | HEALTH EXCHANGE OTHER | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Affinity Health Plan | CHP | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Affinity Health Plan | MEDICAID | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | MLTC | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Senior Whole Health | MEDICAID HMO ADVANTAGE | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Medicaid Managed Care | HEALTH EXCHANGE OTHER | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Affinity Health Plan | HARP | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Medicaid Managed Care | HMO OTHER | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | BLUE CHOICE OPTION MEDICAID 170601 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health First | HARP | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | Gold_Goldcare2 | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health First | EP3 and 4 | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health First | MEDICAID | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Medicaid Managed Care | OUT OF STATE | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Affinity | Medicaid | $64.34 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | Essential_Plan_3_4 | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Empire | HARP | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Emblem | HIP Medicaid, FHP & CHP | $64.34 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Senior Whole Health | MEDICAID HMO ADVANTAGE | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Fidelis Care New York | MEDICAIDHMO | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Emblem | Essential Plan 3 & 4 | $64.34 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | MEDICAID | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Empire | Medicaid | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Senior Whole Health | MEDICAID HMO ADVANTAGE PLUS | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Elderplan Inc. | MEDICAID | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health First | MEDICAID | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health First | HARP | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Emblem | Essential_Plan_3_4 | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Emblem | HIP Medicaid including FHP and CHP | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | HARP | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP ESS PL 3&4 ALT | $64.34 | — | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health First | HARP | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Fidelis Care New York | MAP | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health Plus | MLTC | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health Plus | CHILDHEALTHPLUS | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Amidacare | HIV Primary Care and Care Management Services | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Cigna/MVP | Essential Medicaid 3-4 | $64.34 | — | — | 2025-01-28 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Managed Medicaid | $64.34 | — | — | 2025-01-28 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 1716 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Fidelis Care New York | MEDICAIDCHP | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Fidelis Care New York | HARP | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Fidelis | Medicaid | $64.34 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Fidelis | Child Health Plus | $64.34 | — | — | 2026-04-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 | HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Fidelis | HARP | $64.34 | — | — | 2026-04-01 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Fidelis | Managed Medicaid | $64.34 | — | — | 2025-01-28 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health Plus | HARP | $64.34 | — | — | 2024-12-13 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Fidelis | Child_Health_Plus | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Fidelis | Medicaid | $64.34 | — | — | 2025-06-27 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | BLUE CHOICE OPTION MEDICAID 170601 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Fidelis | Essential Plan 3 & 4 | $64.34 | — | — | 2026-04-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Medicaid | Medicaid | $64.34 | — | — | 2026-04-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $64.34 | — | — | 2026-01-01 | 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.