77372 — Srs Linear Based
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SRS LINEAR BASED (CPT 77372) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/77372?code_type=CPT
MLA (9th ed.)
“SRS LINEAR BASED (CPT 77372) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/77372?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“SRS LINEAR BASED (CPT 77372) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/77372?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,873–$17,332 (25th–75th percentile) across 1,773 hospitals · 5,384 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 77372 — 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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $32,782.88 | $16,391.44 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $32,782.88 | $16,391.44 | 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 | Healthcare Highways | NarrowNetwork | $0.56 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Evry Health | COMM | $0.59 | $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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $102,573.00 | $66,672.45 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $102,573.00 | $66,672.45 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | Traditional | $1.02 | $2.30 | $2.30 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Fidelis SecureCare | MGMCR | $1.03 | $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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $102,573.00 | $66,672.45 | 2025-11-26 | 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 | Physicians Coop of TX | MGMCR | $1.26 | $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 | Aetna | WCOMP | $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 | 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 | 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 | Multiplan PHCS | PrimaryNetwork | $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 ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | County Medical Services | County of San Diego | $1.68 | $44,964.00 | $33,723.00 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Community Health Group | Community Health Group - Medi-Cal | $1.68 | $44,964.00 | $33,723.00 | 2026-04-01 | 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 ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $29,634.00 | $19,262.10 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $29,634.00 | $19,262.10 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $22.94 | $29,491.00 | $20,643.70 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $22.94 | $29,491.00 | $20,643.70 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $22.94 | $29,491.00 | $20,643.70 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $22.94 | $29,491.00 | $20,643.70 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $22.94 | $29,491.00 | $20,643.70 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Medicaid Kentucky | Original | $29.77 | $22,396.75 | $13,400.96 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $27,508.00 | $22,556.56 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Ambetter | 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) HARP | 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 | Cape Vincent Correctional Facility | 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 | Blue Cross Child Health Plus | 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 | United Healthcare Essential Plan | 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 | Fidelis Child Health Plus | 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 | Blue Cross Essential | Managed Medicaid | $38.60 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross HMO | 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 | Blue Cross Family Health Plus | 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 ↗ |
| BAPTIST MEMORIAL HOSPITAL NORTH MS OutpatientFacility | UMS Athletic Dept | Commercial | $39.00 | $16,447.00 | $3,782.81 | 2026-02-27 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $42.20 | $17,364.00 | $4,688.28 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $42.20 | $17,364.00 | $4,688.28 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $42.20 | $17,364.00 | $4,688.28 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $42.20 | $17,364.00 | $4,688.28 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $42.20 | $17,364.00 | $4,688.28 | 2025-01-14 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Commercial | $45.00 | $23,223.70 | $8,984.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Commercial | $45.00 | $23,223.70 | $8,984.00 | 2024-12-19 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | CSMC HORIZON NJ HEALTH | $49.62 | $85,597.00 | $13,957.56 | 2026-04-01 | 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 ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| NYACK HOSPITAL Outpatient | HealthFirst | Essential Plan 3 & 4 | $57.91 | $36,000.00 | $9,193.98 | 2026-04-01 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $61.46 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $61.46 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $61.46 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $61.46 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $61.46 | — | — | 2026-03-28 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $62.19 | $34,552.00 | $8,443.63 | 2024-12-31 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $63.05 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $63.05 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $63.05 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $63.05 | $30,000.00 | $8,779.21 | 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 | Medicaid | $63.05 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $63.05 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $63.05 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE 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 | HARP | $63.05 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $63.05 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Tmsh | $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 WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Bi | $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 WEST OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Slw | $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 Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Family - Msq | $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 Behavioral Health Center OutpatientFacility | United Healthcare | United Medicaid Schip/Child - Msq | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | United Healthcare | United Medicaid Family - Slw | $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 SOUTH NASSAU OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Snch | $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 Healthcare - Essential Plan - Brook | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | United Healthcare | United Medicaid Family - Tmsh | $63.70 | — | — | 2026-04-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Fidelis Care New York | MEDICAIDCHP | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | HARP | $64.34 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | HIP Medicaid including FHP and CHP | $64.34 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Fidelis Care New York | HARP | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | MRF ↗ |
| St. Joseph's Hospital OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and CHP | $64.34 | — | — | 2026-03-27 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Affinity Health Plan | CHP | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | Essential_Plan_3_4 | $64.34 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | EP 3&4 | $64.34 | $65,636.00 | — | 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 ↗ |
| NYACK HOSPITAL Outpatient | UHC | NY Health and Recovery | $64.34 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | HARP | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | MEDICAID | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| F F THOMPSON 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 | Fidelis | Child Health Plus | $64.34 | $46,572.00 | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | NYCHIP | $64.34 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Affinity Health Plan | MEDICAID | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Affinity Health Plan | MEDICAID | $64.34 | $65,636.00 | — | 2026-02-19 | 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 ↗ |
| 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 ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Fidelis | HARP | $64.34 | $46,572.00 | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | MEDICAID | $64.34 | $65,636.00 | — | 2026-02-19 | 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 | Fidelis Care New York | MEDICAIDHMO | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | 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 ↗ |
| NYACK HOSPITAL Outpatient | UHC | NY Essential | $64.34 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | BH MCD Alternate | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Fidelis | Medicaid | $64.34 | $46,572.00 | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Independent Health | MEDICAID | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $64.34 | — | — | 2026-01-01 | 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 ↗ |
| NYACK HOSPITAL Outpatient | HealthFirst | Essential_Plan_1&2 | $64.34 | $30,000.00 | $8,779.21 | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Fidelis Care New York | HARP | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 | HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Mvp Health Plans | MEDICAID | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Fidelis Care New York | MEDICAID HMO | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | CHILD HEALTH PLUS | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL 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 | Child Health Plus | $64.34 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Affinity | Basic Health Plan | $64.34 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| ST JAMES 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 ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Affinity Health Plan | CHP | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | CHILDHEALTHPLUS | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | ESSENTIALPLAN3 and 4 | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Emblem | HIP Medicaid, FHP & CHP | $64.34 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | HealthFirst | Medicaid | $64.34 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | EP 3&4 | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Affinity Health Plan | MEDICAID | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $64.34 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | HealthFirst | Medicaid HARP | $64.34 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | MLTC | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Emblem | Essential Plan 3 & 4 | $64.34 | — | $9,193.98 | 2026-04-01 | 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 ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | MEDICAID | $64.34 | $65,636.00 | — | 2026-02-19 | 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 ST LUKE'S CORNWALL Outpatient | HealthFirst | Child Health Plus | $64.34 | — | $9,193.98 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | Essential Plan 3 & 4 | $64.34 | $46,572.00 | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Fidelis Care New York | MAP | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Fidelis Care New York | MEDICAID CHP | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health First | MEDICAID | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $64.34 | $16,646.86 | $13,317.49 | 2025-01-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | HARP | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | CHILD HEALTH PLUS | $64.34 | $65,636.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Affinity Health Plan | HARP | $64.34 | $65,636.00 | — | 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 ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health First | MEDICIAD | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | MEDICAID | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health First | EP3 and 4 | $64.34 | $62,510.00 | $62,510.00 | 2024-12-13 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $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.