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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95712 — Veeg 2-12 Hr Intmt Mntr

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

Typical negotiated price $591

Usually $361–$1,416 (25th–75th percentile) across 1,637 hospitals · 5,258 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95712 — 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 HOSPITAL MANSFIELD Inpatient None $985.43 $492.72 2024-12-15 MRF ↗
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient None $985.43 $492.72 2024-12-15 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility VNA Homecare Options Medicaid $751.00 $638.35 2025-01-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage $17,053.36 $11,084.68 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $17,053.36 $11,084.68 2025-11-26 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Health Net Health Net Individual - EPO $1.48 $4,311.00 $3,233.25 2026-04-01 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Health Net Health Net - Medi-Cal $2.66 $4,311.00 $3,233.25 2026-04-01 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 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 HMO $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 HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.44 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 ↗
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 ↗
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 ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Child Health Plus Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Essential Plan Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Ambetter Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross Family Health Plus Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility New York State Office of Victim Services Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare Well 4 Me Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Cape Vincent Correctional Facility Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Child Health Plus Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Essential Plan Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross HMO Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross Child Health Plus Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Mohawk Valley Physician's Health Plan (MVP) Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Blue Cross Essential Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Mohawk Valley Physician's Health Plan (MVP) HARP Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Capital District Physicians' Health Plan (CDPHP) Managed Medicaid $9.77 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Medicaid Managed Medicaid $9.77 2025-06-20 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $15.52 2026-03-18 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Medicaid $15.96 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity HARP $15.96 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Essentials Plan 3 & 4 $15.96 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity Molina_HC_Aff_CHP $15.96 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity HARP $15.96 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity HARP $15.96 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Molina_HC_Aff_CHP $15.96 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity Medicaid $15.96 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Essentials Plan 3 & 4 $15.96 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Molina_HC_Aff_CHP $15.96 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity HARP $15.96 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity Medicaid $15.96 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Medicaid $15.96 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Molina Healthcare of NY Affinity Molina_HC_Aff_CHP $15.96 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Empire HARP $16.29 2025-06-27 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Fidelis Care New York MEDICAID HMO $16.29 $2,250.00 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient Empire Medicaid $16.29 2025-06-27 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Senior Whole Health MEDICAID HMO ADVANTAGE PLUS $16.29 $2,250.00 2026-02-19 MRF ↗
MONTEFIORE ST LUKE'S CORNWALL Outpatient HealthFirst Medicaid $16.29 $465.81 2026-04-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health Plus MEDICAID $16.29 $2,250.00 2026-02-19 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 $16.29 2026-01-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health Plus HARP $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Independent Health MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health Plus MLTC $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health Plus CHILD HEALTH PLUS $16.29 $2,250.00 2026-02-19 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $16.29 2026-01-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Fidelis Care New York MAP $16.29 $2,250.00 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient Emblem Essential_Plan_3_4 $16.29 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient HealthFirst Essential_Plan_1&2 $16.29 2025-06-27 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Medicaid Managed Care HMO OTHER $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health First HARP $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Medicaid Managed Care OUT OF STATE $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health First MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York MEDICAIDHMO $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Medicaid Managed Care HEALTH EXCHANGE OTHER $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health EP 3&4 $16.29 $2,250.00 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus ESSENTIALPLAN3 and 4 $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York MAP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health First MEDICAID $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus CHILDHEALTHPLUS $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Senior Whole Health MEDICAID HMO ADVANTAGE $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Fidelis Care New York MEDICAID CHP $16.29 $2,250.00 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient Emblem HIP Medicaid including FHP and CHP $16.29 2025-06-27 MRF ↗
Claxton-hepburn Medical Center OutpatientFacility Fidelis Managed Medicaid $16.29 2025-01-28 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health HARP $16.29 $2,250.00 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health First HARP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Fidelis Care New York HARP $16.29 $2,250.00 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health First EP3 and 4 $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient Fidelis Child Health Plus $16.29 $4,982.00 2026-04-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Beacon Health Options CHP $16.29 $2,250.00 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health First HARP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $16.29 2026-01-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Beacon Health Options Medicaid $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Beacon Health Strategies Medicaid $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Beacon Health Strategies EP 3&4 $16.29 $2,250.00 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health First EP3 and 4 $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MONTEFIORE ST LUKE'S CORNWALL Outpatient HealthFirst Child Health Plus $16.29 $465.81 2026-04-01 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $16.29 2026-01-01 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Fidelis Child_Health_Plus $16.29 2025-06-27 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Beacon Health Strategies EP 3&4 $16.29 $2,250.00 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus MEDICAID $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus HARP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus MLTC $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST JAMES HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $16.29 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility United Healthcare MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $16.29 2026-01-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health CARELON BEACON HLTH HIP ESS PL 3&4 ALT $16.29 $2,250.00 2026-02-19 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 $16.29 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $16.29 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 $16.29 2026-01-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Elderplan Inc. MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $16.29 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Emblem Health CARELON BEACON HLTH HIP MCD CHP ALT $16.29 $2,250.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility United Healthcare CHP $16.29 $2,250.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Emblem Health CHILD HEALTH PLUS $16.29 $2,250.00 2026-02-19 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $16.29 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Beacon Health Strategies Medicaid $16.29 $2,250.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Beacon Health Options CHP $16.29 $2,250.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Beacon Health Options Medicaid $16.29 $2,250.00 2026-02-19 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $16.29 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $16.29 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $16.29 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $16.29 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $16.29 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $16.29 2026-01-01 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $16.29 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility United Healthcare BH MCD Alternate $16.29 $2,250.00 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus MEDICAID $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health CARELON BEACON HLTH HIP MCD CHP ALT $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Affinity Health Plan MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Affinity Health Plan CHP $16.29 $2,250.00 2026-02-19 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Amidacare HIV Primary Care and Care Management Services $16.29 2025-06-27 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility United Healthcare CHP $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Affinity Health Plan HARP $16.29 $2,250.00 2026-02-19 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Emblem Essential_Plan_3_4 $16.29 2025-06-27 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Affinity Health Plan MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility United Healthcare MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Centerlight Healthcare MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Empire Medicaid $16.29 2025-06-27 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus HARP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Emblem HIP Medicaid including FHP and CHP $16.29 2025-06-27 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Fidelis Care New York MAP $16.29 $2,250.00 2026-02-19 MRF ↗
MONTEFIORE ST LUKE'S CORNWALL Outpatient Medicaid Medicaid $16.29 $465.81 2026-04-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility United Healthcare BH MCD Alternate $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health CHILD HEALTH PLUS $16.29 $2,250.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Mvp Health Plans MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient Fidelis Child_Health_Plus $16.29 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus HARP $16.29 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus Essential_Plan_3_4 $16.29 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient UHC NY Health and Recovery $16.29 2025-06-27 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York MEDICAIDCHP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York MAP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus Medicaid $16.29 2025-06-27 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Health Plus HARP $16.29 $2,250.00 2026-02-19 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $16.29 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Senior Whole Health MEDICAID HMO ADVANTAGE $16.29 $2,250.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Health Plus CHILD HEALTH PLUS $16.29 $2,250.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Health Plus MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Health Plus MLTC $16.29 $2,250.00 2026-02-19 MRF ↗
ST JAMES HOSPITAL Outpatient INDEPENDENT HEALTH ASSOC MEDICAID 1710 INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 $16.29 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Fidelis Care New York HARP $16.29 $2,250.00 2026-02-19 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 $16.29 2026-01-01 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York MEDICAIDHMO $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $16.29 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Affinity Health Plan CHP $16.29 $2,250.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Centerlight Healthcare MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Mvp Health Plans MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $16.29 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Affinity Health Plan HARP $16.29 $2,250.00 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health First MEDICIAD $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient HealthFirst Medicaid HARP $16.29 $4,982.00 2026-04-01 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient Emblem Essential Plan 3 & 4 $16.29 $4,982.00 2026-04-01 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus ESSENTIALPLAN3 and 4 $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus MLTC $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient Emblem Medicaid FHP CHP $16.29 $4,982.00 2026-04-01 MRF ↗
ST JAMES HOSPITAL Outpatient MOLINA HEALTHCARE 1723 MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 $16.29 2026-01-01 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient Fidelis Medicaid $16.29 $4,982.00 2026-04-01 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient Medicaid Medicaid $16.29 $4,982.00 2026-04-01 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient Fidelis Essential Plan 3 & 4 $16.29 $4,982.00 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 $16.29 2026-01-01 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus CHILDHEALTHPLUS $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Senior Whole Health MEDICAID HMO ADVANTAGE PLUS $16.29 $2,250.00 2026-02-19 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus Child_Health_Plus $16.29 2025-06-27 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York MEDICAIDCHP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Independent Health MEDICAID $16.29 $2,250.00 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Affinity Health Plan MEDICAID $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient UHC HARP $16.29 2025-06-27 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Affinity Health Plan CHP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $16.29 2026-01-01 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Affinity Health Plan HARP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MVP Medicaid and CHP $16.29 2025-06-27 MRF ↗
ST JAMES HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $16.29 2026-01-01 MRF ↗
ARNOT OGDEN MEDICAL CENTER OutpatientFacility FIDELIS Managed Medicaid_Aliessa and CHP $16.29 2026-03-27 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient Fidelis HARP $16.29 $4,982.00 2026-04-01 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient HealthFirst Child Health Plus $16.29 $4,982.00 2026-04-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Fidelis Care New York MEDICAID CHP $16.29 $2,250.00 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York HARP $16.29 $2,250.00 $2,250.00 2024-12-13 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus HIV_SNP $16.29 2025-06-27 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Fidelis Care New York MEDICAID HMO $16.29 $2,250.00 2026-02-19 MRF ↗
St. Joseph's Hospital OutpatientFacility FIDELIS Managed Medicaid_Aliessa and CHP $16.29 2026-03-27 MRF ↗
ST JAMES HOSPITAL Outpatient AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 AMERIGROUP (BSWNY ALTERNATE) 172001 $16.29 2026-01-01 MRF ↗

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