95706 — EEG Wo Vid 2-12hr Intmt Mntr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EEG WO VID 2-12HR INTMT MNTR (CPT 95706) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/95706?code_type=CPT
MLA (9th ed.)
“EEG WO VID 2-12HR INTMT MNTR (CPT 95706) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/95706?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“EEG WO VID 2-12HR INTMT MNTR (CPT 95706) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/95706?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $303–$965 (25th–75th percentile) across 1,607 hospitals · 4,200 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95706 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $2,037.06 | $1,018.53 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $2,037.06 | $1,018.53 | 2024-12-15 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.95 | $2,750.00 | $307.48 | 2024-12-31 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross HMO | $5.04 | $5,043.88 | $1,513.16 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $5.04 | $5,043.88 | $1,513.16 | 2026-04-01 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $5.04 | $5,043.88 | $1,513.16 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.40 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.44 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $6.44 | — | — | 2026-03-18 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | First Health Medicare | $6.60 | $3,203.00 | $2,402.25 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $7.33 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $7.38 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $7.38 | — | — | 2026-03-18 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Child Health Plus | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Family Health Plus | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Cape Vincent Correctional Facility | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Child Health Plus | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Capital District Physicians' Health Plan (CDPHP) | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Essential Plan | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Well 4 Me | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) HARP | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | New York State Office of Victim Services | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Child Health Plus | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Essential | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Essential Plan | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Ambetter | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross HMO | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Medicaid | Managed Medicaid | $7.82 | — | — | 2025-06-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.99 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.04 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $8.04 | — | — | 2026-03-18 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | Aetna Whole Health | $8.22 | $3,203.00 | $2,402.25 | 2026-04-01 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $12.77 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | UHC | NY CHIP | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | EP 3&4 | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MVP | Medicaid and CHP | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Medicaid Managed Care | HMO OTHER | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Elderplan Inc. | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | BLUE CHOICE OPTION MEDICAID 170601 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | HARP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Affinity Health Plan | MEDICAID | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Emblem | HIP Medicaid including FHP and CHP | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Medicaid Managed Care | OUT OF STATE | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health First | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP ESS PL 1&2 ALT 200-250 | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health First | HARP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | Medicaid | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Mvp Health Plans | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | 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 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Senior Whole Health | MEDICAID HMO ADVANTAGE | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and CHP | $13.03 | — | — | 2026-03-27 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | HealthFirst | Medicaid | $13.03 | — | $269.53 | 2026-04-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Senior Whole Health | MEDICAID HMO ADVANTAGE PLUS | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Centerlight Healthcare | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Affinity Health Plan | MEDICAID | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | CHILD HEALTH PLUS | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Affinity Health Plan | CHP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Emblem | HIP Medicaid, FHP & CHP | $13.03 | — | $269.53 | 2026-04-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Medicaid Managed Care | HEALTH EXCHANGE OTHER | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP ESS PL 3&4 ALT | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Affinity Health Plan | HARP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | Gold_Goldcare2 | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Fidelis Care New York | MEDICAID HMO | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | NYCHIP | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Fidelis Care New York | MEDICAID CHP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | NY Essential | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | NY Health and Recovery | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health Plus | CHILD HEALTH PLUS | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Medicaid | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Managed Medicaid | $13.03 | — | — | 2025-01-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Affinity Health Plan | CHP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health Plus | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Fidelis Care New York | HARP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | EP 3&4 | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Affinity | Basic Health Plan | $13.03 | — | $269.53 | 2026-04-01 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Fidelis Care New York | MAP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Emblem | Essential Plan 3 & 4 | $13.03 | — | $269.53 | 2026-04-01 | 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 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | HealthFirst | Child Health Plus | $13.03 | — | $269.53 | 2026-04-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | HealthFirst | Medicaid HARP | $13.03 | — | $269.53 | 2026-04-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | BLUE CHOICE OPTION MEDICAID 170601 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility | Fidelis | Managed Medicaid _ Aliessa_QHP | $13.03 | — | — | 2026-03-27 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Affinity Health Plan | HARP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility | Fidelis | Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP | $13.03 | — | — | 2026-03-27 | 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 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility | Molina | Managed Medicaid _HARP - CHP | $13.03 | — | — | 2026-03-27 | 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 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 | HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 | $13.03 | — | — | 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 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $13.03 | — | — | 2026-01-01 | 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 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Amidacare | HIV Primary Care and Care Management Services | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health First | HARP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Beacon Health Strategies | Medicaid | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health First | MEDICIAD | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health First | EP3 and 4 | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | CHP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Beacon Health Options | Medicaid | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | BH MCD Alternate | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Beacon Health Options | CHP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health First | MEDICAID | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Fidelis | Medicaid | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Affinity Health Plan | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health First | HARP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Independent Health | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Medicaid | Medicaid | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Affinity Health Plan | HARP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Fidelis Care New York | MEDICAIDHMO | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health First | EP3 and 4 | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Fidelis Care New York | HARP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Fidelis Care New York | MEDICAID CHP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | HARP | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | HARP | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP MCD CHP ALT | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | MEDICAID | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | CHILDHEALTHPLUS | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Fidelis | Medicaid | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Affinity | Child Health Plus | $13.03 | — | $269.53 | 2026-04-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health Plus | ESSENTIALPLAN3 and 4 | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health Plus | MEDICAID | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | MLTC | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Fidelis | HARP | $13.03 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Beacon Health Strategies | EP 3&4 | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Centerlight Healthcare | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Beacon Health Options | CHP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Affinity Health Plan | CHP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Beacon Health Options | Medicaid | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Affinity Health Plan | HARP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Affinity Health Plan | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Fidelis Care New York | MAP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Independent Health | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | MLTC | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Fidelis Care New York | MEDICAID HMO | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | BH MCD Alternate | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| St. Joseph's Hospital OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and CHP | $13.03 | — | — | 2026-03-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health Plus | HARP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Senior Whole Health | MEDICAID HMO ADVANTAGE | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Senior Whole Health | MEDICAID HMO ADVANTAGE PLUS | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Medicaid Managed Care | HMO OTHER | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Elderplan Inc. | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Medicaid Managed Care | HEALTH EXCHANGE OTHER | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Medicaid Managed Care | OUT OF STATE | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 | HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health Plus | MLTC | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health First | HARP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | CHP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 | HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Health First | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP ESS PL 3&4 ALT | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 | BLUE CHOICE OPTION MEDICAID 170601 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | HARP | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP MCD CHP ALT | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | CHILD HEALTH PLUS | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Beacon Health Strategies | Medicaid | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Fidelis Care New York | MEDICAIDCHP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Beacon Health Strategies | EP 3&4 | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Fidelis Care New York | MEDICAIDCHP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | CHILD HEALTH PLUS | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Fidelis Care New York | MAP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | HARP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Mvp Health Plans | MEDICAID | $13.03 | $2,050.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Fidelis Care New York | HARP | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | ESSENTIALPLAN3 and 4 | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Fidelis Care New York | MEDICAIDHMO | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $13.03 | — | — | 2026-01-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health Plus | MLTC | $13.03 | $2,050.00 | $2,050.00 | 2024-12-13 | 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.