90750 — Varicella-zoster Glycoe Vacc-as01b Adj(pf) 50 Mcg/0.5 Ml IM Susp, Kit
Cite this view
HANK Price Transparency. (n.d.). VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT (HCPCS 90750) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90750?code_type=HCPCS
“VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT (HCPCS 90750) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90750?code_type=HCPCS. Accessed .
“VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT (HCPCS 90750) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90750?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $187–$432 (25th–75th percentile) across 2,026 hospitals · 5,050 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90750 — 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 |
|---|---|---|---|---|---|---|---|
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $0.01 | — | 2026-07-18 | MRF ↗ |
| CORDOVA COMMUNITY MEDICAL CENTER Both | Aetna | Default | — | $874.55 | $437.28 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $0.01 | — | 2026-07-18 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $234.00 | $198.90 | 2025-01-01 | MRF ↗ |
| KEARNY COUNTY HOSPITAL Outpatient | Bankers Fidelity Life Insuranc | — | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $175.00 | $122.50 | 2025-01-01 | MRF ↗ |
| CORDOVA COMMUNITY MEDICAL CENTER Both | Blue Cross Of Ak Premera | Default | — | $874.55 | $437.28 | 2026-07-31 | MRF ↗ |
| CORDOVA COMMUNITY MEDICAL CENTER Both | United Healthcare | Default | — | $874.55 | $437.28 | 2026-07-31 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $175.00 | $122.50 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $234.00 | $198.90 | 2025-01-01 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | $0.01 | $0.01 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | $0.01 | $0.01 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI Preferred Commercial | — | $0.01 | $0.01 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | $0.01 | $0.01 | 2026-02-28 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | 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 ↗ |
| 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 ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| SOUTH COUNTY HOSPITAL INC Outpatient | Blue Cross | Blue Cross Medicare | $0.50 | $586.86 | $352.12 | 2026-05-14 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.51 | $499.78 | $374.84 | 2026-03-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $603.01 | — | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $267.00 | $200.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $267.00 | $200.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $267.00 | $200.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $449.00 | $336.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $267.00 | $200.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $449.00 | $336.75 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $449.00 | $336.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $449.00 | $336.75 | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.31 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.31 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.31 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.31 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.31 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.31 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.34 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.34 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.38 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.38 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.41 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.41 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.73 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.73 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.73 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.73 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.76 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.76 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.83 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.83 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.91 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.91 | $352.80 | $335.16 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.17 | $304.80 | $304.80 | 2026-04-24 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Self-Pay - Cc 30% | Self-Pay - Cc 30 Percent | $4.20 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | United Healthcare | Uhc Compass | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Value Options | Value Options (Non-Hmo) | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Magnacare Standard | Magnacare Standard | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Emblem Ghi/Hip Ppo/Cbp | Emblem Ghi/Hip Ppo/Cbp | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Oxford | Oxford Exchange | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Magnacare Preferred | Magnacare Preferred | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Oxford | Uhc Commercial | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Oxford | Oxford Exchange | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Oxford | Uhc Commercial | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Ghi/Hip Hmo/Epo/Pos | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Cigna Ppo | Cigna Ppo | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Ghi/Hip Hmo/Epo/Pos | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Mvp | Mvp Exchange | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Cdphp | Cdphp | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Consolidated Health | Consolidated Health | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Aetna Employee | Aetna Employee | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Mvp Exchange | Mvp Exchange | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Ghi/Hip Ppo | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Ghi/Hip Cbp | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Emblem Ghi/Hip Ppo | Emblem Ghi/Hip Ppo | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Select Care (Exchange) | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Fidelis Exchange | Fidelis Exchange | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Blue Cross Commercial/Healthy Ny | Blue Cross Commercial/Healthy Ny | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Magnacare | Magnacare Preferred | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Blue Cross Small Group | Blue Cross Small Group | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Ghi/Hip Ppo | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Magnacare | Magnacare Standard | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Select Care (Exchange) | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | First Health | First Health | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Aetna | Aetna Hp Network | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Aetna | Aetna | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Value Options | Value Options Medicare (Chcs) | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Aetna Hp Network | Aetna Hp Network | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Mvp | Mvp Exchange | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Value Options | Value Options (Non-Hmo) | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Magnacare | Magnacare Standard | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Mvp | Mvp Hmo/Ppo | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Magnacare | Magnacare Preferred | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Aetna | Aetna Employee | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Blue Cross Access | Blue Cross Access | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | United Healthcare | Uhc Commercial | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Value Options | Value Options Comm (Chcs) | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | United Healthcare | Uhc Empire | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Leased Network | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Phcs | Phcs | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Emblem Ghi/Hip Hmo/Epo/Pos | Emblem Ghi/Hip Hmo/Epo/Pos | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Consolidated Health | Consolidated Health | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Aetna | Aetna | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Ghi/Hip Cbp | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Phcs | Phcs | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Aetna | Aetna | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Mvp Hmo/Ppo | Mvp Hmo/Ppo | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Value Options | Value Options Ghi Bmp | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Mvp | Mvp Hmo/Ppo | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Aetna | Aetna Hp Network | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Value Options | Value Options Ghi Bmp | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | United Healthcare | Uhc Empire | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | United Healthcare | Uhc Commercial | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | First Health | First Health | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Cdphp | Cdphp Medicare | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | United Healthcare | Uhc Compass | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Value Options | Value Options Comm (Chcs) | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Cdphp | Cdphp Medicare | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Value Options | Value Options Medicare (Chcs) | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Self-Pay | Self-Pay | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Aetna | Aetna Employee | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Cdphp | Cdphp | — | $14.00 | $8.40 | 2026-07-15 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Leased Network | — | $14.00 | $14.00 | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Uhc Compass | Uhc Compass | $4.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Uhc Exchange | Uhc Exchange | $4.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Uhc Commercial | Uhc Commercial | $4.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Oxford Exchange | Oxford Exchange | $4.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Uhc Empire | Uhc Empire | $4.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| FALL RIVER HOSPITAL - CAH Inpatient | UNITED MEDICAL RESOURCES 39026 [3081195] | UMR NRECA [308119501] | $5.01 | $6.00 | $6.00 | 2026-02-01 | MRF ↗ |
| FALL RIVER HOSPITAL - CAH Inpatient | NATIONAL TELEPHONE COOPERATIVE ASSN 52103 [3081149] | NTCA 52103 BENEFITS [30114902] | $5.01 | $6.00 | $6.00 | 2026-02-01 | MRF ↗ |
| FALL RIVER HOSPITAL - CAH Inpatient | UNITED MEDICAL RESOURCES 39026 [3081194] | UMR [308119401] | $5.01 | $6.00 | $6.00 | 2026-02-01 | MRF ↗ |
| FALL RIVER HOSPITAL - CAH Inpatient | NATIONAL TELEPHONE COOPERATIVE ASSN 52103 [3081149] | NTCA 39026 UNITED SHARED SERVICES [308114901] | $5.01 | $6.00 | $6.00 | 2026-02-01 | MRF ↗ |
| FALL RIVER HOSPITAL - CAH Inpatient | UNITED HEALTHCARE (COMMERCIAL) [3081199] | ALL SAVERS [308119915] | $5.01 | $6.00 | $6.00 | 2026-02-01 | MRF ↗ |
| FALL RIVER HOSPITAL - CAH Inpatient | UNITED HEALTHCARE (COMMERCIAL) [3081199] | GEHA 39026 UNITED HEALTH SHARED SERVICES [308119914] | $5.01 | $6.00 | $6.00 | 2026-02-01 | MRF ↗ |
| FALL RIVER HOSPITAL - CAH Inpatient | UNITED HEALTHCARE (COMMERCIAL) [3081199] | UNITED HEALTHCARE 87726 [308119901] | $5.01 | $6.00 | $6.00 | 2026-02-01 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Mvp Exchange | Mvp Exchange | $5.04 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Mvp Hmo/Ppo | Mvp Hmo/Ppo | $5.04 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| FALL RIVER HOSPITAL - CAH Inpatient | COVENTRY HEALTH CARE 25133 [3081067] | COVENTRY HEALTH CARE [308106701] | $5.22 | $6.00 | $6.00 | 2026-02-01 | MRF ↗ |
| Ventura County Medical Center - Santa Paula Hospital Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $5.43 | $14.00 | $7.00 | 2026-03-23 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Cdphp | Cdphp | $5.60 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| FALL RIVER HOSPITAL - CAH Inpatient | FIRST CHOICE COMMERCIAL [3081086] | FIRST CHOICE HEALTH ASI [308108602] | $5.70 | $6.00 | $6.00 | 2026-02-01 | MRF ↗ |
| FALL RIVER HOSPITAL - CAH Inpatient | FIRST CHOICE HEALTH ADMINISTRATORS 91131 [3081214] | FIRST CHOICE HEALTH MH EMPLOYEES HDHP [308121402] | $5.70 | $6.00 | $6.00 | 2026-02-01 | 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.