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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95716 — Veeg Ea 12-26hr Cont 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 $1,677

Usually $1,033–$3,606 (25th–75th percentile) across 1,620 hospitals · 5,053 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 95716 — 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
ST PETER'S HOSPITAL OutpatientFacility VNA Homecare Options Medicaid $2,626.00 $2,232.10 2025-01-01 MRF ↗
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient None $11,724.77 $5,862.38 2024-12-15 MRF ↗
SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility VNA Homecare Options Medicaid $2,626.00 $2,232.10 2025-01-01 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient None $11,724.77 $5,862.38 2024-12-15 MRF ↗
UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient VETERANS [99909] UVA HB VETERANS CHOICE $0.86 $21,542.43 $12,925.46 2026-03-24 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage $42,246.98 $27,460.54 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage $42,246.98 $27,460.54 2025-11-26 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Onenet Ppo $1.52 $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Cross Blue Shield Of Nc Commercial $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Managed Medicaid $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Medicare Advantage $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Commercial $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Tricare $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Cigna Commercial $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient First Carolina Care Medicare Advantage $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Medicare Advantage $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Medicare Advantage $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Longevity Medicare Advantage $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Commercial $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Medicare Partner Health Plan Medicare $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Healthy Blue Managed Medicaid $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Compass $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Nc State Health Plan Commercial $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient New Hanover Medicare Advantage $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Multiplan Commercial $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Commercial $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Medicare Advantage $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Liberty Advantage Medicare Advantage $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Troy Medicare Advantage $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Managed Medicaid $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Carolina Complete Health Managed Medicaid $2,218.00 $1,330.80 2026-05-23 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Medcost Commercial $2,218.00 $1,330.80 2026-05-23 MRF ↗
GROSSMONT HOSPITAL Inpatient Interplan Interplan $2.48 $6,312.00 $4,734.00 2026-04-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP GIC NAVIGATOR POS [10026312] $2.75 $3,423.00 $2,396.10 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] IRON CLAD INSURANCE [10026304] $2.75 $3,423.00 $2,396.10 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP HMO OUT IPA [10026302] $2.75 $3,423.00 $2,396.10 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP SELECT [10026309] $2.75 $3,423.00 $2,396.10 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP POS/EPO [10026306] $2.75 $3,423.00 $2,396.10 2025-01-01 MRF ↗
MONMOUTH MEDICAL CENTER OutpatientFacility Clover Managed Medicare $5.94 $3,300.00 $1,025.87 2024-12-31 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility United Healthcare 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 Blue Cross Essential 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 Blue Cross Family Health Plus 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 Child Health Plus 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 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 Mohawk Valley Physician's Health Plan (MVP) HARP 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 Fidelis Essential Plan Managed Medicaid $15.11 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Ambetter 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 Mohawk Valley Physician's Health Plan (MVP) Managed Medicaid $15.11 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Child Health Plus Managed Medicaid $15.11 2025-06-20 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, City of LA, Vivity $32,497.70 $21,123.51 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO $32,497.70 $21,123.51 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, Non-City of LA, Vivity $32,497.70 $21,123.51 2025-11-26 MRF ↗
CHILTON MEDICAL CENTER Outpatient UNTD HLTH MEDICARE [5035] CMC UNITED MEDICARE $16.80 $34,461.83 $3,304.45 2026-01-01 MRF ↗
CHILTON MEDICAL CENTER Outpatient AARP MEDICARE COMP [5039] CMC UNITED MEDICARE $16.80 $34,461.83 $3,304.45 2026-01-01 MRF ↗
CHILTON MEDICAL CENTER Outpatient UNTD HLTH MEDICARE IP SPLITS [5471] CMC UNITED MEDICARE $16.80 $34,461.83 $3,304.45 2026-01-01 MRF ↗
CHILTON MEDICAL CENTER Outpatient UNTD HLTH MEDICARE BEHAVIORAL [5409] CMC UNITED MEDICARE $16.80 $34,461.83 $3,304.45 2026-01-01 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $22.98 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $23.13 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $23.13 2026-03-18 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 Medicaid $24.69 2025-06-27 MRF ↗
NYACK HOSPITAL Outpatient Molina Healthcare of NY Affinity Medicaid $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 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 ↗
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 Essentials Plan 3 & 4 $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 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 ↗
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 ↗
MERCY MEDICAL CENTER OutpatientFacility Fidelis Care New York MAP $25.19 $3,550.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Fidelis Care New York MEDICAID HMO $25.19 $3,550.00 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 ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus MEDICAID $25.19 $3,550.00 $3,550.00 2024-12-13 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 ↗
ST CHARLES HOSPITAL OutpatientFacility Fidelis Care New York MEDICAID CHP $25.19 $3,550.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Affinity Health Plan CHP $25.19 $3,550.00 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus ESSENTIALPLAN3 and 4 $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Fidelis Care New York HARP $25.19 $3,550.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Fidelis Care New York MEDICAID HMO $25.19 $3,550.00 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus CHILDHEALTHPLUS $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $25.19 2026-01-01 MRF ↗
NYACK HOSPITAL Outpatient UHC NYCHIP $25.19 2025-06-27 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient Fidelis HARP $25.19 $7,731.00 2026-04-01 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus HARP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health HARP $25.19 $3,550.00 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus MEDICAID $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Beacon Health Options CHP $25.19 $3,550.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Beacon Health Options Medicaid $25.19 $3,550.00 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 CHARLES HOSPITAL OutpatientFacility Emblem Health MEDICAID $25.19 $3,550.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Affinity Health Plan MEDICAID $25.19 $3,550.00 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus ESSENTIALPLAN3 and 4 $25.19 $3,550.00 $3,550.00 2024-12-13 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 ↗
ST CHARLES HOSPITAL OutpatientFacility United Healthcare CHP $25.19 $3,550.00 2026-02-19 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $25.19 2026-01-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Beacon Health Strategies Medicaid $25.19 $3,550.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health EP 3&4 $25.19 $3,550.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Beacon Health Strategies EP 3&4 $25.19 $3,550.00 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 ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus Medicaid $25.19 2025-06-27 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus MLTC $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MVP Medicaid and CHP $25.19 2025-06-27 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $25.19 2026-01-01 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus HARP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Fidelis Essential Plan - Aliessa $25.19 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Fidelis Medicaid $25.19 2025-06-27 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 $25.19 2026-01-01 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient UHC NY CHIP $25.19 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Medicaid Medicaid $25.19 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Fidelis HARP $25.19 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient UHC NY Essential $25.19 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient UHC HARP $25.19 2025-06-27 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York MEDICAIDCHP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient UHC New York Health and Recovery Plan $25.19 2025-06-27 MRF ↗
Claxton-hepburn Medical Center OutpatientFacility United Healthcare Managed Medicaid $25.19 2025-01-28 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility United Healthcare MEDICAID $25.19 $3,550.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Affinity Health Plan HARP $25.19 $3,550.00 2026-02-19 MRF ↗
Claxton-hepburn Medical Center OutpatientFacility HUM Healthcare Systems Inc. (HHS)/Partners Health Plan Managed Medicaid $25.19 2025-01-28 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 HIGHMARK BCBS MEDICAID 170201 CHILD HEALTH PLUS 170204 $25.19 2026-01-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility United Healthcare BH MCD Alternate $25.19 $3,550.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Fidelis Care New York MEDICAID CHP $25.19 $3,550.00 2026-02-19 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus HARP $25.19 2025-06-27 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 ↗
Claxton-hepburn Medical Center OutpatientFacility Fidelis Managed Medicaid $25.19 2025-01-28 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health CARELON BEACON HLTH HIP MCD CHP ALT $25.19 $3,550.00 2026-02-19 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $25.19 2026-01-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health CARELON BEACON HLTH HIP ESS PL 3&4 ALT $25.19 $3,550.00 2026-02-19 MRF ↗
F F THOMPSON HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $25.19 2026-01-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Mvp Health Plans MEDICAID $25.19 $3,550.00 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient UHC NY Health and Recovery $25.19 2025-06-27 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Fidelis Care New York MAP $25.19 $3,550.00 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health First MEDICIAD $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Empire HARP $25.19 2025-06-27 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient HealthFirst Medicaid HARP $25.19 $7,731.00 2026-04-01 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health First EP3 and 4 $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
ST JAMES HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $25.19 2026-01-01 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Emblem Essential_Plan_3_4 $25.19 2025-06-27 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient Emblem Medicaid FHP CHP $25.19 $7,731.00 2026-04-01 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus Essential_Plan_3_4 $25.19 2025-06-27 MRF ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $25.19 2026-01-01 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus HIV_SNP $25.19 2025-06-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Empire Medicaid $25.19 2025-06-27 MRF ↗
ARNOT OGDEN MEDICAL CENTER OutpatientFacility FIDELIS Managed Medicaid_Aliessa and CHP $25.19 2026-03-27 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Emblem HIP Medicaid including FHP and CHP $25.19 2025-06-27 MRF ↗
MONTEFIORE MEDICAL CENTER Outpatient Medicaid Medicaid $25.19 $7,731.00 2026-04-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health Plus MEDICAID $25.19 $3,550.00 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health First HARP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health CHILD HEALTH PLUS $25.19 $3,550.00 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health Plus CHILD HEALTH PLUS $25.19 $3,550.00 2026-02-19 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus Gold_Goldcare2 $25.19 2025-06-27 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Medicaid Managed Care OUT OF STATE $25.19 $3,550.00 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 ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York MAP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility Fidelis Managed Medicaid _Fidelis Medicaid_ FamilyHealth Plus_CHP $25.19 2026-03-27 MRF ↗
NYACK HOSPITAL Outpatient Emblem HIP Medicaid including FHP and CHP $25.19 2025-06-27 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus MLTC $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Senior Whole Health MEDICAID HMO ADVANTAGE PLUS $25.19 $3,550.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Senior Whole Health MEDICAID HMO ADVANTAGE $25.19 $3,550.00 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York HARP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Medicaid Managed Care HMO OTHER $25.19 $3,550.00 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York MEDICAIDCHP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Fidelis Care New York MEDICAIDHMO $25.19 $3,550.00 $3,550.00 2024-12-13 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 ↗
MERCY MEDICAL CENTER OutpatientFacility Health Plus HARP $25.19 $3,550.00 2026-02-19 MRF ↗
F F THOMPSON HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $25.19 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Independent Health MEDICAID $25.19 $3,550.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Health Plus MEDICAID $25.19 $3,550.00 2026-02-19 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient MetroPlus Child_Health_Plus $25.19 2025-06-27 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Health Plus MLTC $25.19 $3,550.00 2026-02-19 MRF ↗
St. Joseph's Hospital OutpatientFacility FIDELIS Managed Medicaid_Aliessa and CHP $25.19 2026-03-27 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus CHILDHEALTHPLUS $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient Amidacare HIV Primary Care and Care Management Services $25.19 2025-06-27 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 ↗
NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $25.19 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Health Plus CHILD HEALTH PLUS $25.19 $3,550.00 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Medicaid Managed Care HEALTH EXCHANGE OTHER $25.19 $3,550.00 2026-02-19 MRF ↗
ST JAMES HOSPITAL Outpatient EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706 BLUE CHOICE OPTION MEDICAID 170601 $25.19 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Elderplan Inc. MEDICAID $25.19 $3,550.00 2026-02-19 MRF ↗
CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility Fidelis Managed Medicaid _ Aliessa_QHP $25.19 2026-03-27 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health First MEDICAID $25.19 $3,550.00 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient Emblem Essential_Plan_3_4 $25.19 2025-06-27 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health Plus HARP $25.19 $3,550.00 2026-02-19 MRF ↗
F F THOMPSON HOSPITAL Outpatient HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 5143 HIGHMARK BCBS ESSENTIAL 1-2 200-250 5143 $25.19 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 $25.19 2026-01-01 MRF ↗
Claxton-hepburn Medical Center OutpatientFacility Cigna/MVP Essential Medicaid 3-4 $25.19 2025-01-28 MRF ↗
F F THOMPSON HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $25.19 2026-01-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Beacon Health Options Medicaid $25.19 $3,550.00 2026-02-19 MRF ↗
CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility Molina Managed Medicaid _HARP - CHP $25.19 2026-03-27 MRF ↗

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