90935 — Hemodialysis One Evaluation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEMODIALYSIS ONE EVALUATION (CPT 90935) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90935?code_type=CPT
MLA (9th ed.)
“HEMODIALYSIS ONE EVALUATION (CPT 90935) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90935?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HEMODIALYSIS ONE EVALUATION (CPT 90935) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90935?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $672–$1,528 (25th–75th percentile) across 2,116 hospitals · 6,687 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90935 — 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 the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$672
$935 typical
$1,528
The middle 50% of negotiated facility rates for this procedure, measured across 2,116 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $935 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $61 × 1.22 commercial. | $75 |
| Likely subtotal | $1,010 |
Surgical episode (typical)
~$1,010
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,795
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,670.54 | $835.27 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,670.54 | $835.27 | 2024-12-15 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $0.22 | $1,981.61 | $933.68 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $10,688.30 | $6,947.39 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $10,688.30 | $6,947.39 | 2025-11-26 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Humana | Choice Care Network | $1.01 | $2,746.00 | $2,059.50 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - HMO/POS/EPO | $1.32 | $3,661.00 | $2,745.75 | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $1.84 | $1,138.00 | $796.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $1.84 | $1,138.00 | $796.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $1.84 | $1,138.00 | $796.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $1.84 | $1,138.00 | $796.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $1.84 | $1,138.00 | $796.60 | 2025-01-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | $3.51 | $2,746.00 | $2,059.50 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | $3.67 | $3,661.00 | $2,745.75 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | $3.94 | $2,746.00 | $2,059.50 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | $3.94 | $3,661.00 | $2,745.75 | 2026-04-01 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $4.16 | $243.00 | $243.00 | 2026-02-13 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.98 | $3,322.00 | $692.26 | 2024-12-31 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Molina | Molina - Cal Medi-Connect | $7.87 | $2,746.00 | $2,059.50 | 2026-04-01 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | WELLPOINT MEDICARE [450090] | HB MEDICARE ADVANTAGE WELLCARE/WELLPOINT - TN CONTRACT | — | $3,520.00 | $774.40 | 2026-03-19 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $10.13 | $75.00 | $56.25 | 2026-01-16 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.04 | $2,270.98 | $2,270.98 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.11 | $5,383.10 | $5,383.10 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.11 | $2,270.98 | $2,270.98 | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE MCAID | HLTH ALLIANCE MCAID | $11.79 | $243.00 | $243.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM CARE MCAID | BC COMM CARE MCAID | $11.79 | $243.00 | $243.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | MOLINA MCAID | MOLINA MCAID | $11.79 | $243.00 | $243.00 | 2026-02-13 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | AETNA BETTER HLTH | AETNA BETTER HLTH | $11.79 | $243.00 | $243.00 | 2026-02-13 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $12.40 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $12.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $12.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $12.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $12.40 | $3,296.00 | $1,977.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $12.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $12.40 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $12.40 | $3,343.00 | $2,005.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $12.40 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $12.40 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $12.40 | — | — | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $12.65 | $2,270.98 | $2,270.98 | 2026-03-18 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $12.70 | $1,731.00 | $865.50 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $12.70 | $1,731.00 | $865.50 | 2026-01-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $12.73 | $2,270.98 | $2,270.98 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $12.73 | $5,383.10 | $5,383.10 | 2026-03-18 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | $2,396.00 | $1,437.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | $3,343.00 | $2,005.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | $3,343.00 | $2,005.80 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | $2,396.00 | $1,437.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT MERCY Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | $3,296.00 | $1,977.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT SALEM Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $13.77 | $2,270.98 | $2,270.98 | 2026-03-18 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | $3,296.00 | $1,977.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $13.77 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $13.77 | $2,829.00 | $1,697.40 | 2026-01-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $13.86 | $2,270.98 | $2,270.98 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $13.86 | $5,383.10 | $5,383.10 | 2026-03-18 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $15.56 | $75.00 | $56.25 | 2026-01-16 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $16.10 | $44.73 | $28.18 | 2026-01-27 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Blue Community HMO (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | MPI Complementary Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PPO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | HealthSmart Preferred Care II | HealthSmart Workers' Compensation/Occupational Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicaid (State) | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Auto Medical Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare HMO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | HMO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare POS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | PHCS Primary Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | Indemnity | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | POS | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Molina Healthcare of New Mexico | Dual Options (Medicare-Medicaid Program (MMP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico Medicaid Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico CHIP Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | New Mexico Medicaid Managed Care | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Coventry Health Care | Auto Medical | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Prime | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Coventry Health Care | Workers' Compensation | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PAR | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Workers' Compensation Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Corvel Healthcare Corporation | CorCare PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA-PD Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Molina Healthcare of New Mexico | Molina Medicare Options (Medicare Advantage) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare PPO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare Network Private Fee-For-Service Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | UCare | Medicare Advantage/MSHO | — | $2,133.00 | $855.34 | 2026-02-06 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,636.00 | $1,063.40 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $1,636.00 | $1,063.40 | 2025-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $21.79 | $2,115.38 | $933.68 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | $21.79 | $2,115.38 | $933.68 | 2026-01-01 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED BEHAVORIAL HEALTH [120] | UNITED BEHAVORIAL HEALTH [12001] | — | $118.12 | $118.12 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $118.12 | $118.12 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $26.84 | $118.12 | $118.12 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | GENERIC CARRIER [107] | COMMERCIAL [10701] | — | $118.12 | $118.12 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $118.12 | $118.12 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | GENERIC MEDICARE HMO [125] | GENERIC MEDICARE HMO [12505] | — | $118.12 | $118.12 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $118.12 | $118.12 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $118.12 | $118.12 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $118.12 | $118.12 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK [11401] | — | $118.12 | $118.12 | 2024-12-30 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Outpatient | Blue_Cross_BlueJourney_Medicare | All_Plans | $27.81 | $158.00 | $126.40 | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Outpatient | Blue_Cross_BlueJourney_Medicare | All_Plans | $27.81 | $158.00 | $126.40 | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $3,516.00 | $2,637.00 | 2024-12-08 | MRF ↗ |
| HIGHLAND HOSPITAL Both | EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] | BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 | $28.95 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] | BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 | $28.95 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $3,516.00 | $2,637.00 | 2024-12-08 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Centivo | WI 2 Median | $31.20 | $104.00 | $57.20 | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Centivo | WI 2 Median | $32.40 | $108.00 | $59.40 | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | Centivo | WI 2 Median | $32.40 | $108.00 | $59.40 | 2025-12-31 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $3,387.00 | $2,540.25 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $3,387.00 | $2,540.25 | 2024-12-08 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $33.75 | $75.00 | $56.25 | 2026-01-16 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Children's Health Insurance Program | $34.00 | $140.00 | $140.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $34.00 | $140.00 | $140.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | Superior HealthPlan | Commercial | $34.00 | $140.00 | $140.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Outpatient | ChoiceCare Network | Commercial | $34.00 | $140.00 | $140.00 | 2025-07-03 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMBLEM] | [HIP_ESS_3_4_AMB_SURG] | $34.06 | $400.00 | $400.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | EMBLEM | HIP_ESS_3_4_MR/DD/TBI Pts | $34.06 | $400.00 | $400.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMBLEM] | [HIP_ESS_3_4_MR/DD/TBI Pts] | $34.06 | $400.00 | $400.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMBLEM] | [HIP_ESS_1_2_AMB_SURG] | $34.06 | $400.00 | $400.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | EMBLEM | HIP_ESS_3_4_AMB_SURG | $34.06 | $400.00 | $400.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | EMBLEM | HIP_ESS_3_4_HOSP_OP_DEPT | $34.06 | $400.00 | $400.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | EMBLEM | HIP_ESS_3_4_MR/DD/TBI Pts | $34.06 | $400.00 | $400.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | EMBLEM | HIP_ESS_3_4_AMB_SURG | $34.06 | $400.00 | $400.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | EMBLEM | HIP_ESS_3_4_HOSP_OP_DEPT | $34.06 | $400.00 | $400.00 | 2025-12-01 | MRF ↗ |
| HIGHLAND HOSPITAL Both | FIDELIS [5155], "FIDELIS MEDICAID [1708]""" | FIDELIS ESSENTIAL (W/ MEDICAID) [170804], FIDELIS ESSENTIAL (NO MEDICAID) [515503] | $34.06 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | FIDELIS [5155], "FIDELIS MEDICAID [1708]""" | FIDELIS ESSENTIAL (W/ MEDICAID) [170804], FIDELIS ESSENTIAL (NO MEDICAID) [515503] | $34.06 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Both | EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] | BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 | $34.06 | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | EMBLEM | HIP_ESS_3_4_AMB_SURG | $34.06 | $400.00 | $400.00 | 2025-12-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | FIDELIS [5155], "FIDELIS MEDICAID [1708]""" | FIDELIS MEDICAID [170801],FIDELIS CHILD HEALTH PLUS [515502] | $34.06 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Both | FIDELIS [5155], "FIDELIS MEDICAID [1708]""" | FIDELIS MEDICAID [170801],FIDELIS CHILD HEALTH PLUS [515502] | $34.06 | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | EMBLEM | HIP_ESS_3_4_HOSP_OP_DEPT | $34.06 | $400.00 | $400.00 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | EMBLEM | HIP_ESS_3_4_MR/DD/TBI Pts | $34.06 | $400.00 | $400.00 | 2025-12-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $34.06 | $1,575.00 | $1,030.05 | 2026-04-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMBLEM] | [HIP_ESS_3_4_HOSP_OP_DEPT] | $34.06 | $400.00 | $400.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMBLEM] | [HIP_ESS_1_2_HOSP_OP_DEPT] | $34.06 | $400.00 | $400.00 | 2024-09-15 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] | BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 | $34.06 | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Both | [EMBLEM] | [HIP_ESS_1_2_MR/DD/TBI Pts] | $34.06 | $400.00 | $400.00 | 2024-09-15 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Medical College of Wisconsin | Employee Plan | $34.32 | $104.00 | $57.20 | 2025-12-31 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Centivo | WI 1 Broad | $34.32 | $104.00 | $57.20 | 2025-12-31 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BSWNY ALTERNATE) [1720], HIGHMARK BC/BS OF WESTERN NY [5143] | HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (BSWNY ALTERNATE) [172001], COMMUNITY BLUE CHILD HEALTH PLUS [514306], BC/BS OF WNY ESSENTIAL (NO MEDICAID) [514307] | $34.39 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Both | HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BSWNY ALTERNATE) [1720], HIGHMARK BC/BS OF WESTERN NY [5143] | HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (BSWNY ALTERNATE) [172001], COMMUNITY BLUE CHILD HEALTH PLUS [514306], BC/BS OF WNY ESSENTIAL (NO MEDICAID) [514307] | $34.39 | — | — | 2026-04-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $2,659.00 | $1,994.25 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $2,659.00 | $1,994.25 | 2024-12-08 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $35.29 | $1,935.00 | $363.19 | 2026-03-04 | MRF ↗ |
| HIGHLAND HOSPITAL Both | EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] | BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 | $35.41 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] | BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH PLUS [220108],EXCELLUS HEALTHY NY [220110], EXCELLUS ESSENTIAL (NO MEDICAID) [220109], EXCELLUS ESSENTIAL (W/ MEDICAID) [170604], UNIVERA HEALTHY NY [220112], UNIVERA ESSENTIAL (NO MEDICAID) [220 | $35.41 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | UMR | MCW Employees | $35.64 | $108.00 | $59.40 | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND OutpatientFacility | Centivo | WI 1 Broad | $35.64 | $108.00 | $59.40 | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | UMR | MCW Employees | $35.64 | $108.00 | $59.40 | 2025-12-31 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL OutpatientFacility | Centivo | WI 1 Broad | $35.64 | $108.00 | $59.40 | 2025-12-31 | MRF ↗ |
| HIGHLAND HOSPITAL Both | FIDELIS [5155] | FIDELIS METAL TIERS [515501] | $35.76 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | FIDELIS [5155] | FIDELIS METAL TIERS [515501] | $35.76 | — | — | 2026-04-01 | MRF ↗ |
| NEWARK BETH ISRAEL MEDICAL CENTER OutpatientFacility | United Healthcare | Community Plan | $36.33 | $2,084.00 | $434.09 | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $37.37 | $3,213.00 | $542.99 | 2026-03-04 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $38.00 | $380.00 | $380.00 | 2026-04-15 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | County Care | Medicaid All Plans | $38.60 | $193.00 | $86.85 | 2026-03-27 | MRF ↗ |
| MIDWESTERN REGION MED CENTER, INC Outpatient | Meridian | Medicaid All Plans | $38.60 | $193.00 | $86.85 | 2026-03-27 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $39.24 | $2,270.98 | $2,270.98 | 2026-03-18 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | UPHG TPA - ALL PLANS | UPHG TPA - ALL PLANS | $40.26 | $44.73 | $28.18 | 2026-01-27 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | AETNA FUND ADV | AETNA FUND ADV | $40.26 | $44.73 | $28.18 | 2026-01-27 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Both | HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BSWNY ALTERNATE) [1720], HIGHMARK BC/BS OF WESTERN NY [5143] | HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (BSWNY ALTERNATE) [172001], COMMUNITY BLUE CHILD HEALTH PLUS [514306], BC/BS OF WNY ESSENTIAL (NO MEDICAID) [514307] | $40.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Both | HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BSWNY ALTERNATE) [1720], HIGHMARK BC/BS OF WESTERN NY [5143] | HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (BSWNY ALTERNATE) [172001], COMMUNITY BLUE CHILD HEALTH PLUS [514306], BC/BS OF WNY ESSENTIAL (NO MEDICAID) [514307] | $40.46 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Bcbs - Western Ny | Medicaid Managed Care Plan | $40.46 | — | — | 2026-04-01 | MRF ↗ |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL OutpatientFacility | Chorus Community Health Plan | All Contracted Commercial Plans | $40.56 | $104.00 | $57.20 | 2025-12-31 | MRF ↗ |
| COULEE MEDICAL CENTER OutpatientFacility | Regence | All | — | — | — | 2026-01-21 | 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.