Price Transparencybeta 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 summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $1,747

Usually $1,027–$3,644 (25th–75th percentile) across 1,940 hospitals · 5,400 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 — — — $11,724.77 $5,862.38 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient — — — $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 ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 — — 2026-09-01 MRF ↗
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $4,224.00 — 2026-07-01 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 ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-05-20 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $10,278.00 $7,708.50 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-05-20 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $10,278.00 $7,708.50 2026-09-02 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 — — 2026-09-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Medicaid Medicaid $1.00 $3,213.00 $1,606.50 2026-07-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $10,278.00 $7,708.50 2026-09-02 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage — $42,246.98 $27,460.54 2025-11-26 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 — — 2026-09-01 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 ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-05-20 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $10,278.00 $7,708.50 2026-09-02 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $10,278.00 $7,708.50 2026-09-02 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Geisinger Family Plan Geisinger Family Plan - Managed Medicaid $1.07 $3,213.00 $1,606.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient AmeriHealth AmeriHealth Cartias - Managed Medicaid $1.10 $3,213.00 $1,606.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient UPMC For You UPMC For You - Managed Medicaid $1.18 $3,213.00 $1,606.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Jefferson Health Plan Jefferson Health Plan - Managed Medicaid $1.20 $3,213.00 $1,606.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - Managed Medicaid $1.47 $3,213.00 $1,606.50 2026-07-01 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient New Hanover Medicare Advantage — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Medicare Advantage — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Carolina Complete Health Managed Medicaid — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Cross Blue Shield Of Nc Commercial — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Troy Medicare Advantage — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Compass — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Nc State Health Plan Commercial — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Blue Medicare Partner Health Plan Medicare — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Commercial — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Longevity Medicare Advantage — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient First Carolina Care Medicare Advantage — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Aetna Medicare Advantage — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Managed Medicaid — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Managed Medicaid — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Medicare Advantage — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Choicecare Commercial — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Cigna Commercial — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Liberty Advantage Medicare Advantage — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Tricare — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient United Healthcare Onenet Ppo $1.52 $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Wellcare Medicare Advantage — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Medcost Commercial — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Healthy Blue Managed Medicaid — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Multiplan Commercial — $2,218.00 $1,330.80 2026-07-31 MRF ↗
CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient Humana Commercial — $2,218.00 $1,330.80 2026-07-31 MRF ↗
GROSSMONT HOSPITAL Inpatient Interplan Interplan $2.48 $6,312.00 $4,734.00 2026-04-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - CHIP - Managed Medicare $2.50 $3,213.00 $1,606.50 2026-07-01 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 HMO OUT IPA [10026302] $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 POS/EPO [10026306] $2.75 $3,423.00 $2,396.10 2025-01-01 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 ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $5.94 $3,300.00 $1,025.87 2024-12-31 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Child Health Plus 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 Child 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 Fidelis Essential Plan 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 Mohawk Valley Physician's Health Plan (MVP) HARP 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 Cape Vincent Correctional Facility 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 Mohawk Valley Physician's Health Plan (MVP) 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 United Healthcare Well 4 Me 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 Essential Plan Managed Medicaid $15.11 — — 2025-06-20 MRF ↗
RIVER HOSPITAL CLINICS OutpatientFacility Fidelis Medicaid 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, Non-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, 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 ↗
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 ↗
DECATUR MEMORIAL HOSPITAL Outpatient Hfn Hfn Workers Compensation $19.82 $3,725.00 $3,725.00 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $19.82 $3,725.00 $3,725.00 2026-07-15 MRF ↗
JACKSONVILLE MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $20.98 $3,944.00 $3,944.00 2026-07-15 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $22.98 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $23.13 — — 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 ↗
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 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 HARP $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 ↗
FLUSHING HOSPITAL MEDICAL CENTER Outpatient United Healthcare Community Plan $24.94 $1,814.00 $1,814.00 2026-07-15 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus MLTC $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS MEDICAID 1708 FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 $25.19 — — 2026-01-01 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility Fidelis Care New York MEDICAID CHP $25.19 $3,550.00 — 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility Fidelis Care New York MAP $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 ↗
JONES MEMORIAL HOSPITAL Outpatient FIDELIS 5155 FIDELIS METAL TIERS 515501 $25.19 — — 2026-01-01 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility Fidelis Care New York MEDICAID HMO $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 ↗
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 MAP $25.19 $3,550.00 — 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility United Healthcare CHP $25.19 $3,550.00 — 2026-02-19 MRF ↗
MONTEFIORE ST LUKE'S CORNWALL Outpatient Emblem HIP Medicaid, FHP & CHP $25.19 $4,830.00 $1,071.95 2026-04-01 MRF ↗
MONTEFIORE ST LUKE'S CORNWALL Outpatient Affinity Medicaid $25.19 $4,830.00 $1,071.95 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 ↗
NYACK HOSPITAL Outpatient Emblem HIP Medicaid including FHP and CHP $25.19 — — 2025-06-27 MRF ↗
ARNOT OGDEN MEDICAL CENTER OutpatientFacility FIDELIS Managed Medicaid_Aliessa and CHP $25.19 — — 2026-03-27 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus ESSENTIALPLAN3 and 4 $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus CHILDHEALTHPLUS $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Fidelis Care New York MEDICAID CHP $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 ↗
NYACK HOSPITAL Outpatient HealthFirst Essential_Plan_1&2 $25.19 — — 2025-06-27 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Emblem Health EP 3&4 $25.19 $3,550.00 — 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health First MEDICAID $25.19 $3,550.00 $3,550.00 2024-12-13 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 Health Plus MLTC $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MONTEFIORE ST LUKE'S CORNWALL Outpatient HealthFirst Medicaid HARP $25.19 $4,830.00 $1,071.95 2026-04-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Affinity Health Plan HARP $25.19 $3,550.00 — 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient Emblem Essential_Plan_3_4 $25.19 — — 2025-06-27 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility Mvp Health Plans MEDICAID $25.19 $3,550.00 — 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility Affinity Health Plan CHP $25.19 $3,550.00 — 2026-02-19 MRF ↗
JONES MEMORIAL 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 Affinity Health Plan MEDICAID $25.19 $3,550.00 — 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Beacon Health Strategies EP 3&4 $25.19 $3,550.00 — 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Beacon Health Options Medicaid $25.19 $3,550.00 — 2026-02-19 MRF ↗
MONTEFIORE ST LUKE'S CORNWALL Outpatient Affinity Basic Health Plan $25.19 $4,830.00 $1,071.95 2026-04-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Beacon Health Options CHP $25.19 $3,550.00 — 2026-02-19 MRF ↗
JONES 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 ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus HARP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MONTEFIORE ST LUKE'S CORNWALL Outpatient Emblem Essential Plan 3 & 4 $25.19 $4,830.00 $1,071.95 2026-04-01 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus HARP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Independent Health MEDICAID $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 OutpatientFacility Independent Health MEDICAID $25.19 $3,550.00 — 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility Health Plus HARP $25.19 $3,550.00 — 2026-02-19 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNITED HEALTHCARE MEDICAID 5158 UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158 $25.19 — — 2026-01-01 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Fidelis Care New York MAP $25.19 $3,550.00 — 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Affinity Health Plan MEDICAID $25.19 $3,550.00 — 2026-02-19 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 ↗
ST CHARLES HOSPITAL OutpatientFacility Fidelis Care New York MEDICAID HMO $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 ↗
NYACK HOSPITAL Outpatient Empire Medicaid $25.19 — — 2025-06-27 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Beacon Health Strategies Medicaid $25.19 $3,550.00 — 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Fidelis Care New York HARP $25.19 $3,550.00 — 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Health Plus MLTC $25.19 $3,550.00 — 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York MEDICAIDCHP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Affinity Health Plan CHP $25.19 $3,550.00 — 2026-02-19 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Health Plus MLTC $25.19 $3,550.00 — 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility Emblem Health EP 3&4 $25.19 $3,550.00 — 2026-02-19 MRF ↗
JONES MEMORIAL HOSPITAL Outpatient UNIVERA HEALTHCARE 1706 UNIVERA MEDICAID 170607, UNIVERA ESSENTIAL 3-4 170605, UNIVERA ESSENTIAL 1-2 200-250 2201, UNIVERA CHILD HEALTH PLUS 220118, UNIVERA HLTHY NY 220112 $25.19 — — 2026-01-01 MRF ↗
SCHUYLER HOSPITAL OutpatientFacility Fidelis Managed Medicaid_Aliessa and QHP $25.19 — — 2026-03-27 MRF ↗
NYACK HOSPITAL Outpatient Medicaid Medicaid $25.19 — — 2025-06-27 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Emblem Health CHILD HEALTH PLUS $25.19 $3,550.00 — 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient Fidelis Medicaid $25.19 — — 2025-06-27 MRF ↗
JONES MEMORIAL 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 UHC NY Health and Recovery $25.19 — — 2025-06-27 MRF ↗
CHSLI ST JOSEPH HOSPITAL OutpatientFacility Mvp Health Plans MEDICAID $25.19 $3,550.00 — 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL OutpatientFacility Centerlight Healthcare MEDICAID $25.19 $3,550.00 — 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient UHC NYCHIP $25.19 — — 2025-06-27 MRF ↗
MONTEFIORE ST LUKE'S CORNWALL Outpatient Affinity Child Health Plus $25.19 $4,830.00 $1,071.95 2026-04-01 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility United Healthcare BH MCD Alternate $25.19 $3,550.00 — 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient UHC HARP $25.19 — — 2025-06-27 MRF ↗
ST CHARLES HOSPITAL OutpatientFacility Mvp Health Plans MEDICAID $25.19 $3,550.00 — 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Emblem Health CARELON BEACON HLTH HIP ESS PL 1&2 ALT 200-250 $25.19 $3,550.00 — 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient UHC NY Essential $25.19 — — 2025-06-27 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Mvp Health Plans MEDICAID $25.19 $3,550.00 — 2026-02-19 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Health Plus MEDICAID $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Emblem Health EP 3&4 $25.19 $3,550.00 — 2026-02-19 MRF ↗
NYACK HOSPITAL Outpatient Fidelis Child_Health_Plus $25.19 — — 2025-06-27 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health First HARP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York MEDICAIDHMO $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Emblem Health CARELON BEACON HLTH HIP MCD CHP ALT $25.19 $3,550.00 — 2026-02-19 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility Emblem Health MEDICAID $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 ↗
MONTEFIORE ST LUKE'S CORNWALL Outpatient HealthFirst Medicaid $25.19 $4,830.00 $1,071.95 2026-04-01 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus MEDICAID $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 ↗
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 Affinity Health Plan CHP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
CHSLI ST JOSEPH HOSPITAL Outpatient Fidelis Care New York MAP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
MERCY MEDICAL CENTER OutpatientFacility United Healthcare MEDICAID $25.19 $3,550.00 — 2026-02-19 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Health Plus CHILDHEALTHPLUS $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗
ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient Affinity Health Plan HARP $25.19 $3,550.00 $3,550.00 2024-12-13 MRF ↗

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