Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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94618 — Pulmonary Stress Testing

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $185

Usually $120–$348 (25th–75th percentile) across 3,367 hospitals · 10,002 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 94618 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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 physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$120 $185 typical $348

The middle 50% of negotiated facility rates for this procedure, measured across 3,367 hospitals. The physician 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. $185
Physician fee Estimate national typical Medicare $37 × 1.22 commercial. $45
Likely subtotal $230
Complete-episode estimate (typical) ~$230

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 $120–$348.

How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)
Physician 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
NEWMAN MEMORIAL HOSPITAL Both United Healthcare Default — $0.01 $0.01 2026-07-10 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient — — — $1,032.51 $516.26 2024-12-15 MRF ↗
NEWMAN MEMORIAL HOSPITAL Both Medicare A OK JH Default — $0.01 $0.01 2026-07-10 MRF ↗
NEWMAN MEMORIAL HOSPITAL Both United Healthcare Default — $0.01 $0.01 2026-07-10 MRF ↗
NEWMAN MEMORIAL HOSPITAL Both Blue Cross Blue Shield of OK All Plans — $0.01 $0.01 2026-07-10 MRF ↗
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient — — — $1,032.51 $516.26 2024-12-15 MRF ↗
NEWMAN MEMORIAL HOSPITAL Both Medicare A OK JH Default — $0.01 $0.01 2026-07-10 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility Blue Cross Blue Shield of Vermont Managed Care $0.03 $0.03 $0.01 2026-02-12 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility Aetna of VT Commercial $0.03 $0.03 $0.01 2025-10-28 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility Multiplan Commercial $0.03 $0.03 $0.01 2025-10-28 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility MVP Health Care of NY Commercial $0.03 $0.03 $0.01 2025-10-28 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility Blue Cross Blue Shield of Vermont Managed Care $0.03 $0.03 $0.01 2025-10-28 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility MVP Health Care of NY Commercial $0.03 $0.03 $0.01 2026-02-12 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility United Healthcare Commercial $0.03 $0.03 $0.01 2026-02-12 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility Blue Cross Blue Shield of Vermont Commercial $0.03 $0.03 $0.01 2025-10-28 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility Aetna of VT Commercial $0.03 $0.03 $0.01 2026-02-12 MRF ↗
GIFFORD MEDICAL CENTER OutpatientFacility Blue Cross Blue Shield of New Hampshire SHOP Off Exchange $0.03 $0.03 $0.01 2026-02-12 MRF ↗
GIFFORD MEDICAL CENTER OutpatientFacility Blue Cross Blue Shield of New Hampshire Commercial $0.03 $0.03 $0.01 2026-02-12 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility Blue Cross Blue Shield of Vermont Commercial $0.03 $0.03 $0.01 2026-02-12 MRF ↗
GIFFORD MEDICAL CENTER OutpatientFacility Blue Cross Blue Shield of New Hampshire SHOP Off Exchange $0.03 $0.03 $0.01 2025-10-28 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility United Healthcare Commercial $0.03 $0.03 $0.01 2025-10-28 MRF ↗
GIFFORD MEDICAL CENTER InpatientFacility Multiplan Commercial $0.03 $0.03 $0.01 2026-02-12 MRF ↗
GIFFORD MEDICAL CENTER OutpatientFacility Blue Cross Blue Shield of New Hampshire Commercial $0.03 $0.03 $0.01 2025-10-28 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $720.00 $540.00 2026-09-01 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $0.26 $343.00 $257.25 2026-03-26 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $720.00 $540.00 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 — — 2026-09-01 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Healthplan Medicaid Wv Medicaid $0.33 — — 2026-05-06 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $720.00 $540.00 2026-09-01 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Wellpoint Wv Medicaid $0.35 — — 2026-05-06 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 $779.00 $584.25 2026-09-01 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.51 $137.00 $130.15 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.51 $137.00 $130.15 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.51 $137.00 $130.15 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.52 $137.00 $130.15 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $0.53 $137.00 $130.15 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $0.55 $137.00 $130.15 2026-02-20 MRF ↗
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $411.00 — 2026-07-01 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $0.65 $54.00 $10.26 2026-08-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility HUMANA HUMANA MEDICARE- MIDTOWN IMAGING $0.72 — — 2026-09-01 MRF ↗
CONEMAUGH MINERS MEDICAL CENTER Outpatient Bcbs Of Pa Highmark Medicare Advantage $0.73 $440.00 $176.00 2026-07-18 MRF ↗
CONEMAUGH MINERS MEDICAL CENTER Outpatient Bcbs Of Pa Highmark Medicare Advantage $0.73 $400.00 $160.00 2026-07-18 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility HUMANA HUMANA- MIDTOWN IMAGING $0.82 — — 2026-09-01 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $0.85 $82.05 $82.05 2026-04-24 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient First Choice Commercial $0.97 — — 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Hfn Hfn Workers Compensation $0.99 $270.00 $270.00 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $0.99 $270.00 $270.00 2026-07-15 MRF ↗
JACKSONVILLE MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $0.99 $557.00 $557.00 2026-07-15 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $483.00 $362.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $483.00 $362.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $483.00 $362.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $483.00 $362.25 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $483.00 $362.25 2026-05-20 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage — $1,074.29 $698.29 2025-11-26 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $483.00 $362.25 2026-05-20 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage — $1,074.29 $698.29 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage — $775.00 $635.50 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage — $775.00 $635.50 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered — $775.00 $635.50 2025-11-26 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $2,638.00 $1,978.50 2026-09-02 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $683.00 $512.25 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO — $775.00 $635.50 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage — $775.00 $635.50 2025-11-26 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $2,638.00 $1,978.50 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $2,638.00 $1,978.50 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $645.00 $483.75 2026-09-01 MRF ↗
Harper University Hospital BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $2,638.00 $1,978.50 2026-09-02 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $683.00 $512.25 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $2,638.00 $1,978.50 2026-09-02 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $2,638.00 $1,978.50 2026-09-02 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage — $775.00 $635.50 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare POS — $775.00 $635.50 2025-11-26 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Medicaid Medicaid $1.00 $558.00 $279.00 2026-07-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $720.00 $540.00 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare HMO — $775.00 $635.50 2025-11-26 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $645.00 $483.75 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage — $775.00 $635.50 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO — $775.00 $635.50 2025-11-26 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $1.01 $217.00 $80.29 2026-03-31 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Geisinger Family Plan Geisinger Family Plan - Managed Medicaid $1.07 $558.00 $279.00 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient AmeriHealth AmeriHealth Cartias - Managed Medicaid $1.10 $558.00 $279.00 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient UPMC For You UPMC For You - Managed Medicaid $1.18 $558.00 $279.00 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Jefferson Health Plan Jefferson Health Plan - Managed Medicaid $1.20 $558.00 $279.00 2026-07-01 MRF ↗
SPRINGHILL MEDICAL CENTER Outpatient Tricare Tdefic Standard — $360.85 $306.72 2026-07-15 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - Managed Medicaid $1.47 $558.00 $279.00 2026-07-01 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.62 $331.00 $314.45 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.62 $331.00 $314.45 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.66 $331.00 $314.45 2026-02-20 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $1.68 $935.00 $127.48 2024-12-31 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.72 $331.00 $314.45 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.79 $331.00 $314.45 2026-02-20 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $1.90 $245.00 $245.00 2026-02-13 MRF ↗
BAYSTATE WING HOSPITAL Both Serenity Pace Medicare Managed Care $2.10 $419.00 $419.00 2026-06-05 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - CHIP - Managed Medicare $2.50 $558.00 $279.00 2026-07-01 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $2.69 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $2.71 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $2.71 — — 2026-03-18 MRF ↗
BAYSTATE WING HOSPITAL Both Wellpoint All Commercial $2.72 $419.00 $419.00 2026-06-05 MRF ↗
FLUSHING HOSPITAL MEDICAL CENTER Outpatient United Healthcare Community Plan $2.90 $222.00 $222.00 2026-07-15 MRF ↗
MOUNT SINAI SOUTH NASSAU OutpatientFacility United Healthcare United Healthcare - Essential Plan - Snch $2.90 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility United Healthcare United Medicaid Schip/Child - Brook $2.90 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility United Healthcare United Healthcare - Essential Plan - Msq $2.90 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility United Healthcare United Medicaid Family - Msq $2.90 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility United Healthcare United Medicaid Family - Brook $2.90 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility United Healthcare United Medicaid Schip/Child - Msq $2.90 — — 2026-04-01 MRF ↗
Mount Sinai Behavioral Health Center OutpatientFacility United Healthcare United Healthcare - Essential Plan - Brook $2.90 — — 2026-04-01 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 $2.93 — — 2026-01-01 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient FIDELIS EXCHANGE [157] FIDELIS ESSENTIAL 1&2|FIDELIS ESSENTIAL 3&4 — $265.81 $172.78 2024-12-30 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 — $265.81 $172.78 2024-12-30 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $2.93 — — 2026-01-01 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient FIDELIS CARE NEW YORK [112] FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP — $265.81 $172.78 2024-12-30 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $2.93 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $2.93 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $2.93 — — 2026-01-01 MRF ↗
CANTON-POTSDAM HOSPITAL Outpatient FIDELIS CARE NEW YORK [112] FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP $2.93 $265.81 $172.78 2024-12-30 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $2.93 — — 2026-01-01 MRF ↗
BAYSTATE WING HOSPITAL Both Multiplan All Commercial Plans $2.93 $419.00 $419.00 2026-06-05 MRF ↗
ST JAMES HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $2.93 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $2.93 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $2.93 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $2.93 — — 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 $2.93 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $2.93 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $2.93 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $2.93 — — 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 $2.93 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $2.93 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $2.93 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $2.93 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $2.93 — — 2026-01-01 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 $2.93 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $2.93 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL 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 $2.93 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $2.93 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $2.93 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $2.93 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $2.93 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $2.93 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $2.93 — — 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $2.93 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $2.93 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNIVERA HEALTHCARE 1706 UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 $2.93 — — 2026-01-01 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Mohawk Valley Physician's Health Plan (MVP) Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Cape Vincent Correctional Facility Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $2.93 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $2.93 — — 2026-01-01 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross Family Health Plus Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Well 4 Me Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Essential Plan Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $2.93 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $2.93 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNIVERA HEALTHCARE 1706 UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 $2.93 — — 2026-01-01 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Child Health Plus Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $2.93 — — 2026-01-01 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Ambetter Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility New York State Office of Victim Services Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Child Health Plus Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $2.93 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $2.93 — — 2026-01-01 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Essential Plan Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $2.93 — — 2026-01-01 MRF ↗
ST JAMES HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $2.93 — — 2026-01-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $2.93 — — 2026-01-01 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 1716 UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 3-4 171602, UNITED HEALTHCARE CHILD HEALTH PLUS 515813 $2.93 — — 2026-01-01 MRF ↗
The Burdett Care Center BothFacility MVP MEDICAID ADVANTAGE MVP MEDICAID $2.93 $365.00 $237.25 2026-03-31 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $2.93 — — 2026-01-01 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross Child Health Plus Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $2.93 — — 2026-01-01 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Mohawk Valley Physician's Health Plan (MVP) HARP Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross HMO Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Medicaid Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross Essential Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 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 $2.93 — — 2026-01-01 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Capital District Physicians' Health Plan (CDPHP) Managed Medicaid $2.93 $105.04 $105.04 2025-06-20 MRF ↗
KENMORE MERCY HOSPITAL OutpatientFacility UNITED HEALTHCARE ESSENTIAL [100253] UHC ESSENTIAL 3 AND 4 [10025302] $2.99 $262.00 $262.00 2025-02-25 MRF ↗
KENMORE MERCY HOSPITAL OutpatientFacility UNITED HEALTHCARE MEDICAID [350101] UHC MEDICAID [35010101] $2.99 $262.00 $262.00 2025-02-25 MRF ↗
MOUNT ST. MARY'S HOSPITAL & HEALTH CENTER OutpatientFacility UNITED HEALTHCARE ESSENTIAL [100253] UHC ESSENTIAL 3 AND 4 [10025302] $2.99 $262.00 $262.00 2025-02-25 MRF ↗
MERCY HOSPITAL OF BUFFALO BothFacility UNITED HEALTHCARE MEDICAID [350101] UHC MEDICAID [35010101] $2.99 $343.00 $343.00 2026-04-01 MRF ↗
MOUNT ST. MARY'S HOSPITAL & HEALTH CENTER OutpatientFacility UNITED HEALTHCARE MEDICAID [350101] UHC MEDICAID [35010101] $2.99 $262.00 $262.00 2025-02-25 MRF ↗
KENMORE MERCY HOSPITAL BothFacility UNITED HEALTHCARE MEDICAID [350101] UHC MEDICAID [35010101] $2.99 $343.00 $343.00 2026-04-01 MRF ↗
UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility United Healthcare United Healthcare Child Health Plus $3.02 — — 2026-04-01 MRF ↗
CHENANGO MEMORIAL HOSPITAL OutpatientFacility United Healthcare United Healthcare Medicaid Managed Care Plan $3.02 — — 2026-04-01 MRF ↗
UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility United Healthcare United Healthcare Medicaid Managed Care Plan $3.02 — — 2026-04-01 MRF ↗
CHENANGO MEMORIAL HOSPITAL OutpatientFacility United Healthcare United Healthcare Child Health Plus $3.02 — — 2026-04-01 MRF ↗
CHENANGO MEMORIAL HOSPITAL OutpatientFacility United Healthcare United Healthcare Child Health Plus $3.02 — — 2026-04-01 MRF ↗
CHENANGO MEMORIAL HOSPITAL OutpatientFacility United Healthcare United Healthcare Medicaid Managed Care Plan $3.02 — — 2026-04-01 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $3.09 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $3.10 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $3.10 — — 2026-03-18 MRF ↗
BAYSTATE WING HOSPITAL Both United Healthcare All Commercial Plans $3.10 $419.00 $419.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS HMO Commercial $3.21 $419.00 $419.00 2026-06-05 MRF ↗
JAMAICA HOSPITAL MEDICAL CENTER Outpatient United Healthcare Community Plan $3.22 $222.00 $222.00 2026-07-15 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS PPO Commercial $3.23 $419.00 $419.00 2026-06-05 MRF ↗
BAYSTATE WING HOSPITAL Both BCBS Indemnity Commercial $3.23 $419.00 $419.00 2026-06-05 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $3.31 $165.50 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $3.31 $165.50 — 2026-03-31 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.