81457 — So Neo Gsap DNA Mcrstl Ins
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SO NEO GSAP DNA MCRSTL INS (CPT 81457) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/81457?code_type=CPT
MLA (9th ed.)
“SO NEO GSAP DNA MCRSTL INS (CPT 81457) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/81457?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“SO NEO GSAP DNA MCRSTL INS (CPT 81457) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/81457?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $897–$2,548 (25th–75th percentile) across 1,556 hospitals · 2,406 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 81457 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$897
$1,318 typical
$2,548
The middle 50% of negotiated facility rates for this procedure, measured across 1,556 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,318 |
| Likely subtotal | $1,318 |
Facility charge (no separate professional fee)
$1,318
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $897–$2,548.
- Laboratory tests are priced under the Clinical Laboratory Fee Schedule (CLFS), not the PFS, so a separate professional fee is not estimable here — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $1,942.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $1,942.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $1,942.00 | — | 2025-05-02 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | POS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Gold Medicare | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Amerihealth | Caritas | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | BCBS of Louisiana | Blue Advantage HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Louisiana Health Care Connections | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Verity | Healthnet | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana Military | Tricare West | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Healthy Blue | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $1,942.00 | — | 2025-05-02 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Gilsbar | 360 Alliance PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | VA CCN Optum | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | Dual Managed MedicareMedicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | First Health | AllPlans | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Humana | Veterans | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Vantage Health Plan Inc. | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | VeteransAdministration | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | United Healthcare | VACCA | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Government Employees Health Association (Geha) | Geha | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Multiplan | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | Champus VA | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | Triwest | — | — | — | 2024-11-14 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | PFFS | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Celtic | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Cigna | HealthspringMGMCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Pyramid Life | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | BCBS | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Wellcare | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Coventry | MedicareAdvantage | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | United | VACCN | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Humana | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | $896.87 | 2026-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | MAP | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $0.21 | $1.05 | — | 2025-09-05 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | EXCHANGE | $0.26 | $1.05 | $896.87 | 2026-09-05 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Cigna | Ppo | $0.28 | $1.00 | $0.40 | 2026-09-11 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Cigna | Hmo | $0.28 | $1.00 | $0.40 | 2026-09-11 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Anthem Blue Cross Blue Shield | Hmo | $0.31 | $1.00 | $0.40 | 2026-09-11 | MRF ↗ |
| GEORGE WASHINGTON UNIV HOSPITAL Both | Anthem Blue Cross Blue Shield | Ppo | $0.31 | $1.00 | $0.40 | 2026-09-11 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| UP HEALTH SYSTEM PORTAGE Outpatient | Bcbs Of Mi | Blue Cross | $0.37 | $1.00 | $0.60 | 2026-07-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | $896.87 | 2026-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Centerlight | PACE | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OXFORD | Liberty | $0.53 | $1.05 | — | 2025-09-05 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| UP HEALTH SYSTEM PORTAGE Outpatient | Aetna | Aetna | $0.61 | $1.00 | $0.60 | 2026-07-15 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | $896.87 | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | $896.87 | 2026-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | OXFORD | Freedom | $0.63 | $1.05 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | EMBLEM | Essential Plan 3-4 | $0.63 | $1.05 | — | 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.