Price Transparency 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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94664 — Evaluation Of Use Of Breathing Device

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 $189

Usually $100–$265 (25th–75th percentile) across 2,909 hospitals · 10,210 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 94664 — 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
$100 $189 typical $265

The middle 50% of negotiated facility rates for this procedure, measured across 2,909 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. $189
Physician fee Estimate national typical Medicare $20 × 1.22 commercial. $24
Likely subtotal $213
Complete-episode estimate (typical) ~$213
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
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient None $297.38 $148.69 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient None $297.38 $148.69 2024-12-15 MRF ↗
HUNTSVILLE HOSPITAL Both CIGNA CIGNA COMMERCIAL-ALLEG $0.19 $0.81 $0.81 2026-03-27 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Blue Cross Blue Shield Of Florida Bcbs Medicare Ppo $0.19 $1.00 $1.00 2026-05-22 MRF ↗
HUNTSVILLE HOSPITAL Both CIGNA CIGNA COMMERCIAL-ALLEG $0.19 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both CIGNA CIGNA COMMERCIAL-PPO $0.19 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both CIGNA CIGNA COMMERCIAL-PPO $0.19 $0.81 $0.81 2026-03-27 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Health Options Inc Bcbs Health Options Medicare $0.19 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Careplus Careplus $0.24 $1.00 $1.00 2026-05-22 MRF ↗
HANCOCK COUNTY HEALTH SYSTEM Outpatient WELLMARK HMO-ALL OTHER PLANS WELLMARK HMO-ALL OTHER PLANS $0.26 $303.00 $227.25 2026-03-26 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Aetna Health Aetna Medicare $0.30 $1.00 $1.00 2026-05-22 MRF ↗
HUNTSVILLE HOSPITAL Both CIGNA CIGNA COMMERCIAL $0.39 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both CIGNA CIGNA_COMMERCIAL-GOOD $0.39 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both CIGNA CIGNA COMMERCIAL $0.39 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both CIGNA CIGNA_COMMERCIAL-GOOD $0.39 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both HUMANA HUMANA COMMERCIALEXCHHMO $0.41 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both VIVA VIVA HEALTH $0.41 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both HUMANA HUMANA COMMERCIALEXCHHMO $0.41 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both HUMANA HUMANA COMMERCIALEXCHPPO $0.41 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both VIVA VIVA HEALTH $0.41 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both HUMANA HUMANA COMMERCIALEXCHPPO $0.41 $0.81 $0.81 2026-03-27 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Msmc Cigna $0.42 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Humana Humana Humx $0.43 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Oscar Health (Hie) Oscar Health (Hie) $0.45 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Dimension Health Dimension Plus $0.45 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Aetna Health Aetna Workers Comp $0.47 $1.00 $1.00 2026-05-22 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $0.52 $355.38 $213.23 2025-08-11 MRF ↗
FIELD HEALTH SYSTEM Both United Healthcare Default $0.52 $204.00 $153.00 2025-03-07 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $0.52 $355.38 $213.23 2025-08-11 MRF ↗
HUNTSVILLE HOSPITAL Both AETNA AETNA COMMERCIAL $0.53 $0.81 $0.81 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both AETNA AETNA COMMERCIAL $0.53 $0.81 $0.81 2026-03-27 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $0.54 $274.00 $101.38 2026-03-31 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Blue Cross Blue Shield Of Florida Bcbs Traditional $0.55 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Blue Cross Blue Shield Of Florida Bcbs Ppo $0.55 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Blue Cross Blue Shield Of Florida Bcbs Network Blue $0.55 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Health Options Inc Bcbs Health Options Hmo $0.55 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Corvel Healthcare Corvel Healthcare $0.60 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Dimension Health Dimension International $0.60 $1.00 $1.00 2026-05-22 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $0.64 $61.25 $61.25 2026-04-24 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Aetna Health Aetna $0.65 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Care Management Network Care Management Network $0.65 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Workmans Compensation Workmans Compensation $0.65 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Cigna Behavioral Health Cigna Behavioral Health $0.70 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Corvel Healthcare Corvel Healthcare $0.70 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Dimension Health Dimension $0.70 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Behavioral Services Network Behavioral Services Network $0.70 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Beech Street Beech Street $0.70 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Coventry Coventry $0.71 $1.00 $1.00 2026-05-22 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $0.75 $639.15 $639.15 2026-03-18 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Multiplan Multiplan $0.75 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Beech Street Beech Street $0.75 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Seasons Hospice Seasons Hospice $0.75 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Workmans Compensation Workmans Compensation $0.75 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Blue Cross Blue Shield Of Florida Bcbs Workers Compensation $0.76 $1.00 $1.00 2026-05-22 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.77 $207.20 $196.84 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.77 $207.20 $196.84 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.77 $207.20 $196.84 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.79 $207.20 $196.84 2026-02-20 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Blue Cross Blue Shield Of Florida Bcbs Workers Compensation $0.80 $1.00 $1.00 2026-05-22 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $0.83 $207.20 $196.84 2026-02-20 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Aetna International Ppo Aetna International Ppo $0.85 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient First Health Network First Health $0.85 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Wellcare Wellcare $0.85 $1.00 $1.00 2026-05-22 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.86 $232.00 $220.40 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.86 $232.00 $220.40 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.86 $232.00 $220.40 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.88 $232.00 $220.40 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $0.90 $232.00 $220.40 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $0.93 $232.00 $220.40 2026-02-20 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $0.94 $639.15 $639.15 2026-03-18 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.95 $197.00 $187.15 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.95 $197.00 $187.15 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $0.97 $197.00 $187.15 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.99 $207.20 $196.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.99 $207.20 $196.84 2026-02-20 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage $611.00 $501.02 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered $611.00 $501.02 2025-11-26 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Vitas Healthcare Of Fl Vitas $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Nch Management Systems Nch Humana Medicare $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient New Directions Behavioral Health New Directions Behavioral Health $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Nch Management Systems Nch Careplus Medicare $1.00 $1.00 $1.00 2026-05-22 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage $620.00 $508.40 2025-11-26 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Nch Management Systems Nch Coventry Medicare $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Nch Devoted Medicare Nch Devoted Medicare Rad Onc $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Blue Cross Blue Shield Of Florida Bcbs Rehab Ppo $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Nch Devoted Medicare Nch Devoted Medicare Rad Onc $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Humana Behavioral Health Humana Behavioral Health $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Humana Behavioral Health Humana Behavioral Health Medicare $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Value Options Value Options Behavioral Health $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Magellan Behavioral Health Magellan Behavioral Health $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Nch Devoted Medicare Nch Devoted Medicare Med Onc $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Tricare Tricare $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Cenpatico Behavioral Health Cenpatico Behavioral Health $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Inpatient Miscellaneous Insurances Miscellaneous Insurances $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient United Healthcare United Behavioral $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient United Healthcare United Behavioral Medicaid $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient United Healthcare United Behavioral Medicare $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient University Of Miami Behavioral Health University Of Miami Behavioral Health $1.00 $1.00 $1.00 2026-05-22 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage $918.89 $597.28 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $918.89 $597.28 2025-11-26 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Mental Health Associates Mental Health Associates $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Nch Management Systems Nch Simply Medicare $1.00 $1.00 $1.00 2026-05-22 MRF ↗
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient Concordia Behavioral Health Concordia Behavioral Health $1.00 $1.00 $1.00 2026-05-22 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage $620.00 $508.40 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO $620.00 $508.40 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare POS $620.00 $508.40 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage $611.00 $501.02 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. HMO $611.00 $501.02 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare HMO $611.00 $501.02 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage $611.00 $501.02 2025-11-26 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.02 $207.20 $196.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.02 $207.20 $196.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.02 $207.20 $196.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.04 $207.20 $196.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.08 $207.20 $196.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.10 $225.00 $213.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.10 $225.00 $213.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.12 $225.00 $213.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.12 $207.20 $196.84 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.17 $225.00 $213.75 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.22 $225.00 $213.75 2026-02-20 MRF ↗
MERCY HOSPITAL COLUMBUS OutpatientFacility CENTIVO CONTRACTED [320505] HB MNCK CENTIVO 165% MEDICARE $1.31 $128.00 $83.20 2026-03-14 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Child Health Plus Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Capital District Physicians' Health Plan (CDPHP) Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Cape Vincent Correctional Facility Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross Essential Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Mohawk Valley Physician's Health Plan (MVP) HARP Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross Family Health Plus Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Essential Plan Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility New York State Office of Victim Services Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross HMO Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Ambetter Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Mohawk Valley Physician's Health Plan (MVP) Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross Child Health Plus Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Medicaid Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Well 4 Me Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Essential Plan Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Child Health Plus Managed Medicaid $1.82 $186.37 $186.37 2025-06-20 MRF ↗
EAST CARROLL PARISH HOSPITAL Outpatient UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $2.30 $17.00 $12.75 2026-01-16 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $265.00 $159.00 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $297.00 $178.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $265.00 $159.00 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $265.00 $159.00 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $297.00 $178.20 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $276.00 $165.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $276.00 $165.60 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $276.00 $165.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $276.00 $165.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $245.00 $147.00 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $297.00 $178.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $297.00 $178.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $179.00 $107.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $276.00 $165.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $276.00 $165.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $179.00 $107.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $276.00 $165.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $276.00 $165.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $167.00 $100.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $167.00 $100.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 2026-01-01 MRF ↗
ASCENSION ST VINCENT EVANSVILLE Both UHC SELF 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 $2.52 $265.00 $159.00 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9470_UNITED HEALTHCARE VEIN 20250101 $2.52 $245.00 $147.00 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $2.81 $265.00 $159.00 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $2.81 $297.00 $178.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT Both UHC 9397_UNITED HEALTHCARE VWIN 20250101 $2.81 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK Inpatient UHC 8493_UNITED HEALTHCARE SWIN 20240701 $2.81 $265.00 $159.00 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $2.81 $276.00 $165.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL Outpatient UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $2.81 $276.00 $165.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY Both UHC 9384_UNITED HEALTHCARE CLIN 20250101 $2.81 $245.00 $147.00 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL Outpatient UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $2.81 $276.00 $165.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH Both UHC 9395_UNITED HEALTHCARE VRIN 20250101 $2.81 $297.00 $178.20 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON Both UHC 9390_UNITED HEALTHCARE VAIN 20250101 $2.81 $179.00 $107.40 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO Both UHC 9393_UNITED HEALTHCARE VKIN 20250101 $2.81 $167.00 $100.20 2026-01-01 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Essentials Plan 3 & 4 $2.97 $1,050.00 $240.46 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity HARP $2.97 $1,050.00 $240.46 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Molina_HC_Aff_CHP $2.97 $1,050.00 $240.46 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Medicaid $2.97 $1,050.00 $240.46 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Essentials Plan 3 & 4 $2.97 $1,050.00 $240.46 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Medicaid $2.97 $1,050.00 $240.46 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity HARP $2.97 $686.00 $445.90 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Molina_HC_Aff_CHP $2.97 $1,050.00 $240.46 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity Molina_HC_Aff_CHP $2.97 $686.00 $445.90 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity HARP $2.97 $1,050.00 $240.46 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity Medicaid $2.97 $686.00 $445.90 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity HARP $2.97 $686.00 $445.90 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity Molina_HC_Aff_CHP $2.97 $686.00 $445.90 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity Medicaid $2.97 $686.00 $445.90 2025-06-27 MRF ↗
MOUNT SINAI HOSPITAL OutpatientFacility United Healthcare United Medicaid Schip/Child - Tmsh $3.00 2026-04-01 MRF ↗
MOUNT SINAI SOUTH NASSAU OutpatientFacility United Healthcare United Healthcare - Essential Plan - Snch $3.00 2026-04-01 MRF ↗
MOUNT SINAI HOSPITAL OutpatientFacility United Healthcare United Healthcare - Essential Plan - Tmsh $3.00 2026-04-01 MRF ↗

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