99349 — Home/res Vst Est Mod Mdm 40
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HOME/RES VST EST MOD MDM 40 (CPT 99349) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99349?code_type=CPT
MLA (9th ed.)
“HOME/RES VST EST MOD MDM 40 (CPT 99349) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99349?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“HOME/RES VST EST MOD MDM 40 (CPT 99349) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99349?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $117–$314 (25th–75th percentile) across 1,100 hospitals · 3,267 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 99349 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the physician fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$117
$167 typical
$314
The middle 50% of negotiated facility rates for this procedure, measured across 1,100 hospitals. The physician fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $167 |
| Physician fee Estimate national typical Medicare $132 × 1.22 commercial. | $161 |
| Likely subtotal | $329 |
Complete-episode estimate (typical)
~$329
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Physician fee (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Provider Select | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Healthy Blue Louisiana | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $427.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Louisana Healthcare Connections | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas Louisiana | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $427.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Payer | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | PPOplus Llc | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Gilsbar Inc. | PPO | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $427.00 | — | 2025-05-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $427.00 | — | 2025-05-02 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | AmeriHealth Mercy LA LaCare | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | CHIP | — | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Louisiana Healthcare Connections, Inc. | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Amerigroup | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana | MGMCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | MCD | — | — | — | 2026-03-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Aetna | Advantage Freedom | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Blue Advantage | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | United Healthcare | Optum VA | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Geha | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Cigna | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-15 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $2.69 | $258.80 | $258.80 | 2026-04-24 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.63 | $193.00 | $36.67 | 2026-01-25 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $6.00 | $16.00 | $8.00 | 2025-06-11 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $6.00 | $16.00 | $8.00 | 2025-06-11 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $6.00 | $16.00 | $8.00 | 2025-06-11 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $6.62 | $331.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $6.62 | $331.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $6.62 | $331.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $6.62 | $331.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $6.62 | $331.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $6.62 | $331.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $6.62 | $331.00 | — | 2026-03-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $7.26 | $303.00 | $303.00 | 2026-02-13 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.34 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.34 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.34 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.34 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.34 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $7.34 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $7.34 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $7.34 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $7.34 | — | — | 2026-04-01 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $9.00 | $27.00 | $14.00 | 2025-06-11 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $9.57 | $142.57 | $142.57 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MEDICAID [5022] | NMC MEDICAID | $9.57 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $9.57 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MEDICAID [5022] | NMC MEDICAID | $9.57 | $142.57 | $142.57 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MEDICAID [5022] | NMC MEDICAID | $9.57 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $9.57 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | NMC UNITED HEALTH COMMUNITY | $10.52 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | NMC UNITED HEALTH COMMUNITY | $10.52 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | NMC UNITED HEALTH COMMUNITY | $10.52 | $142.57 | $142.57 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | NMC UNITED HEALTH COMMUNITY | $10.52 | $142.57 | $142.57 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | NMC UNITED HEALTH COMMUNITY | $10.52 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | NMC UNITED HEALTH COMMUNITY | $10.52 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $11.00 | $27.00 | $14.00 | 2025-06-11 | MRF ↗ |
| CIMARRON MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $11.00 | $27.00 | $14.00 | 2025-06-11 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT MANAGED MEDICAID | $11.01 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | FIDELIS CARE MEDICAID [5509] | NMC FEDELIS CARE MANAGED MEDICAID | $11.01 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT MANAGED MEDICAID | $11.01 | $142.57 | $142.57 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | FIDELIS CARE MEDICAID [5509] | NMC FEDELIS CARE MANAGED MEDICAID | $11.01 | $142.57 | $142.57 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICAID [5006] | NMC WELLPOINT MANAGED MEDICAID | $11.01 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | FIDELIS CARE MEDICAID [5509] | NMC FEDELIS CARE MANAGED MEDICAID | $11.01 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | NMC AETNA BETTER HEALTH | $11.48 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | NMC AETNA BETTER HEALTH | $11.48 | $142.57 | $142.57 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | NMC AETNA BETTER HEALTH | $11.48 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | MagnaCare | All Products | $13.61 | — | — | 2025-12-31 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HIGHMARK WHOLECARE HEALTH PLAN IP SPLITS [5464] | HMC HIGHMARK WHOLECARE / GATEWAY HEALTH PLAN INC | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CIGNA MEDICARE [5440] | HMC CIGNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | HMC HORIZON BRAVEN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HIGHMARK WHOLECARE HEALTH PLAN IP SPLITS [5464] | HMC HIGHMARK WHOLECARE / GATEWAY HEALTH PLAN INC | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CLAIMDOC [5434] | HMC CLAIMDOC PLAN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA MCARE SUPPLEMENTAL [5041] | HMC AETNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | HMC HORIZON BRAVEN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UPMC MEDICARE [5454] | HMC UPMCHP CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UPMC MEDICARE [5454] | HMC UPMCHP CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CIGNA MEDICARE [5440] | HMC CIGNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMERIHEALTH CARITAS VIP CARE IP SPLITS [5460] | HMC AMERIHEALTH CARITAS | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLCARE HEALTH PLANS [5269] | HMC WELLCARE/FEDELIS MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UNTD HLTH MEDICARE [5035] | HMC UNITED MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UNTD HLTH MEDICARE [5035] | HMC UNITED MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLCARE HEALTH PLANS [5269] | HMC WELLCARE/FEDELIS MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM MEDICARE PFFS [5052] | HMC HORIZON BRAVEN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM MEDICARE PFFS [5052] | HMC HORIZON BRAVEN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMERIHEALTH CARITAS VIP CARE [5313] | HMC AMERIHEALTH CARITAS | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMERIHEALTH CARITAS VIP CARE IP SPLITS [5460] | HMC AMERIHEALTH CARITAS | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UPMC [5455] | HMC UPMCHP CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMERIHEALTH CARITAS VIP CARE [5313] | HMC AMERIHEALTH CARITAS | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMERIHEALTH MEDIGAP [5049] | HMC AMERIHEALTH MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMERIHEALTH MEDIGAP [5049] | HMC AMERIHEALTH MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA MEDICARE [5003] | HMC AETNA NNJ PRIME | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CLAIM WATCHER/HOMESTEAD [5488] | HMC CLAIM WATCHER TIER 1 | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA MEDICARE [5003] | HMC AETNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LONGEVITY MEDICARE ADVANTAGE HMO [5428] | HMC LONGEVITY | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LONGEVITY MEDICARE ADVANTAGE HMO [5428] | HMC LONGEVITY | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CLAIM WATCHER/HOMESTEAD [5488] | HMC CLAIM WATCHER TIER 1 | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA MEDICARE [5003] | HMC AETNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | SPECIALTY IMAGING [5433] | HMC SELF PAY | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | HMC UNITED MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | HMC UNITED MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLCARE BEHAVIORAL HEALTH [5335] | HMC WELLCARE/FEDELIS MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLCARE BEHAVIORAL HEALTH [5335] | HMC WELLCARE/FEDELIS MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | HMC UNITED MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | HMC UNITED MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA MEDICARE [5003] | HMC AETNA NNJ PRIME | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MEDICAID [5022] | HMC MEDICAID | $13.76 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MEDICAID [5022] | HMC MEDICAID | $13.76 | $142.57 | $142.57 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA [5002] | HMC AETNA HTC | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CIGNA MEDICARE IP SPLITS [5478] | HMC CIGNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CLAIMDOC [5434] | HMC CLAIMDOC PLAN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CIGNA MEDICARE IP SPLITS [5478] | HMC CIGNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MEDICAID [5022] | HMC MEDICAID | $13.76 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA CENTRASTATE EMPLOYEE [5425] | HMC AETNA HTC | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA CENTRASTATE EMPLOYEE [5425] | HMC AETNA HTC | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | HMC HORIZON BRAVEN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA ASSURE PREMIER PLUS IP SPLITS [5466] | HMC AETNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KINDRED GIRALDA HOSPITAL [5341] | HMC KINDRED | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | HMC HORIZON BRAVEN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA [5002] | HMC AETNA HTC | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UPMC [5455] | HMC UPMCHP CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMBETTER [5432] | HMC AMBETTER WELLCARE OF NJ | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | US FAMILY HEALTH PLAN [5258] | HMC TRICARE CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA AHS EMPLOYEE [5306] | HMC AETNA AHS EMPLOYEE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | US FAMILY HEALTH PLAN [5258] | HMC TRICARE CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA AHS EMPLOYEE [5306] | HMC AETNA AHS EMPLOYEE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | TRICARE [5251] | HMC TRICARE CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | HMC HORIZON BRAVEN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | HMC HORIZON BRAVEN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHAMPVA [5354] | HMC TRICARE CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMERIHEALTH ADMINISTRATORS SUPPLEMENTAL [5512] | HMC AMERIHEALTH MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA ASSURE PREMIER PLUS IP SPLITS [5466] | HMC AETNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMERIHEALTH ADMINISTRATORS SUPPLEMENTAL [5512] | HMC AMERIHEALTH MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CHAMPVA [5354] | HMC TRICARE CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | TRICARE [5251] | HMC TRICARE-EAST (HUMANA MILITARY) | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLPOINT MANAGED MEDICARE IP SPLITS [5453] | HMC WELLPOINT MEDICARE ADVANTAGE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KINDRED GIRALDA HOSPITAL [5341] | HMC KINDRED | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLPOINT MANAGED MEDICARE IP SPLITS [5453] | HMC WELLPOINT MEDICARE ADVANTAGE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA MEDICARE IP SPLITS [5470] | HMC AETNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | HMC HORIZON BRAVEN | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | FAIROS [5491] | HMC FAIROS | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | SPECIALTY IMAGING [5433] | HMC SELF PAY | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AETNA MEDICARE IP SPLITS [5470] | HMC AETNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | UPMC MEDICARE IP SPLITS [5484] | HMC UPMCHP CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | TRICARE [5251] | HMC TRICARE CONTRACT | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CIGNA TOTALCARE (HMO D-SNP) [5419] | HMC CIGNA MEDICARE | — | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $13.76 | $142.57 | $142.57 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLCARE MEDICARE BY ALLWELL [5506] | HMC WELLCARE PHW | — | $142.57 | $142.57 | 2026-01-01 | 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.