95715 — Veeg Ea 12-26hr Intmt Mntr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). VEEG EA 12-26HR INTMT MNTR (CPT 95715) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/95715?code_type=CPT
MLA (9th ed.)
“VEEG EA 12-26HR INTMT MNTR (CPT 95715) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/95715?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“VEEG EA 12-26HR INTMT MNTR (CPT 95715) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/95715?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $543–$2,406 (25th–75th percentile) across 1,650 hospitals · 5,120 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95715 — 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 | — | — | $1,909.45 | $954.72 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,461.00 | $1,241.85 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,909.45 | $954.72 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,461.00 | $1,241.85 | 2025-01-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Medicare | Medicare | $0.50 | $5,738.00 | $4,303.50 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $3,503.00 | $2,872.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,503.00 | $2,872.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,503.00 | $2,872.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $3,503.00 | $2,872.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $3,503.00 | $2,872.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,503.00 | $2,872.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $3,503.00 | $2,872.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $3,503.00 | $2,872.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $3,503.00 | $2,872.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,503.00 | $2,872.46 | 2025-11-26 | MRF ↗ |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE Both | BLUE CROSS [10001] | Blue Cross PPO | $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 HMO | $5.04 | $5,043.88 | $1,513.16 | 2026-04-01 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Onenet Ppo | $5.44 | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $1,148.00 | $688.80 | 2026-05-23 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.94 | $3,300.00 | $530.77 | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $12.28 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $12.36 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $12.36 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $14.07 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $14.16 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $14.16 | — | — | 2026-03-18 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Child Health Plus | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Well 4 Me | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Essential | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Medicaid | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross HMO | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Family Health Plus | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Cape Vincent Correctional Facility | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | New York State Office of Victim Services | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Capital District Physicians' Health Plan (CDPHP) | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | United Healthcare Essential Plan | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Blue Cross Child Health Plus | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Child Health Plus | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Essential Plan | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Mohawk Valley Physician's Health Plan (MVP) HARP | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Fidelis Ambetter | Managed Medicaid | $15.11 | — | — | 2025-06-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $15.32 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $15.42 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $15.42 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | HARP | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Essentials Plan 3 & 4 | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Medicaid | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Molina Healthcare of NY Affinity | Molina_HC_Aff_CHP | $24.69 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | Gold_Goldcare2 | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | Essential_Plan_3_4 | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | EP 3&4 | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | HIV_SNP | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP MCD CHP ALT | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | Child_Health_Plus | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | CHILD HEALTH PLUS | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MetroPlus | Medicaid | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | BH MCD Alternate | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Empire | Medicaid | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Empire | HARP | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health First | HARP | $25.19 | $3,250.00 | $3,250.00 | 2024-12-13 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Emblem | HIP Medicaid including FHP and CHP | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Fidelis | Essential Plan 3 & 4 | $25.19 | $5,464.00 | — | 2026-04-01 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | HARP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Emblem | Essential_Plan_3_4 | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Emblem | Essential Plan 3 & 4 | $25.19 | — | $465.81 | 2026-04-01 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Amidacare | HIV Primary Care and Care Management Services | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Affinity Health Plan | CHP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Affinity | Medicaid | $25.19 | — | $465.81 | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Emblem | HIP Medicaid, FHP & CHP | $25.19 | — | $465.81 | 2026-04-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health First | MEDICIAD | $25.19 | $3,250.00 | $3,250.00 | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health First | EP3 and 4 | $25.19 | $3,250.00 | $3,250.00 | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Beacon Health Options | CHP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 | HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | CHP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Beacon Health Strategies | Medicaid | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Beacon Health Strategies | EP 3&4 | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301, MOLINA CHILD HEALTH PLUS 518901 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | MLTC | $25.19 | $3,250.00 | $3,250.00 | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | MEDICAID | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Beacon Health Options | Medicaid | $25.19 | $3,250.00 | — | 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 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | CHILD HEALTH PLUS | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health Plus | ESSENTIALPLAN3 and 4 | $25.19 | $3,250.00 | $3,250.00 | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | EP 3&4 | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health Plus | MLTC | $25.19 | $3,250.00 | $3,250.00 | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health Plus | HARP | $25.19 | $3,250.00 | $3,250.00 | 2024-12-13 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health Plus | HARP | $25.19 | $3,250.00 | $3,250.00 | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Health Plus | CHILDHEALTHPLUS | $25.19 | $3,250.00 | $3,250.00 | 2024-12-13 | 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 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | HealthFirst | Child Health Plus | $25.19 | — | $465.81 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | HealthFirst | Essential_Plan_1&2 | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | MEDICAID | $25.19 | $3,250.00 | — | 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 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Medicaid | Medicaid | $25.19 | — | $465.81 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | HIP Medicaid including FHP and CHP | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility | Molina | Managed Medicaid _HARP - CHP | $25.19 | — | — | 2026-03-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Fidelis | Medicaid | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Affinity | Child Health Plus | $25.19 | — | $465.81 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Emblem | Essential_Plan_3_4 | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Affinity Health Plan | MEDICAID | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Centerlight Healthcare | MEDICAID | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | Affinity | Basic Health Plan | $25.19 | — | $465.81 | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | HealthFirst | Medicaid HARP | $25.19 | — | $465.81 | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Fidelis | HARP | $25.19 | $5,464.00 | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Outpatient | HealthFirst | Medicaid | $25.19 | — | $465.81 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | NYCHIP | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | BH MCD Alternate | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP ESS PL 3&4 ALT | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP MCD CHP ALT | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | Medicaid | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility | Fidelis | Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP | $25.19 | — | — | 2026-03-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | CHILD HEALTH PLUS | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Empire | HARP | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility | Fidelis | Managed Medicaid _ Aliessa_QHP | $25.19 | — | — | 2026-03-27 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 | HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Independent Health | MEDICAID | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | UHC | HARP | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | United Healthcare | CHP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| NYACK HOSPITAL Outpatient | UHC | HARP | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Medicaid | Medicaid | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | UHC | NY Essential | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Beacon Health Options | Medicaid | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Fidelis | Managed Medicaid | $25.19 | — | — | 2025-01-28 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICAID 1708 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | UHC | NY CHIP | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP ESS PL 3&4 ALT | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and CHP | $25.19 | — | — | 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 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Fidelis Care New York | HARP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $25.19 | — | — | 2025-01-28 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Fidelis Care New York | MEDICAID CHP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH MEDICAID 171001, INDEPENDENT HEALTH CHILD HEALTH PLUS 515604 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health First | MEDICAID | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Fidelis | Child Health Plus | $25.19 | $5,464.00 | — | 2026-04-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health First | HARP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | UHC | New York Health and Recovery Plan | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | MVP | Medicaid and CHP | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Emblem Health | CARELON BEACON HLTH HIP ESS PL 1&2 ALT 200-250 | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Beacon Health Options | CHP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Elderplan Inc. | MEDICAID | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | MEDICAID | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Health First | HARP | $25.19 | $3,250.00 | $3,250.00 | 2024-12-13 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Health Plus | MLTC | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Cigna/MVP | Essential Medicaid 3-4 | $25.19 | — | — | 2025-01-28 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Fidelis | Child_Health_Plus | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Outpatient | Medicaid | Medicaid | $25.19 | — | — | 2025-06-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Mvp Health Plans | MEDICAID | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| St. Joseph's Hospital OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and CHP | $25.19 | — | — | 2026-03-27 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Affinity Health Plan | CHP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Affinity Health Plan | HARP | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ST CHARLES HOSPITAL OutpatientFacility | Affinity Health Plan | MEDICAID | $25.19 | $3,250.00 | — | 2026-02-19 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID 5158 | UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 | $25.19 | — | — | 2026-01-01 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Medicaid Managed Care | HEALTH EXCHANGE OTHER | $25.19 | $3,250.00 | — | 2026-02-19 | 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.