C1604 — Grft, Trnsmurl/trnsvens Byps
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRFT, TRNSMURL/TRNSVENS BYPS (HCPCS C1604) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C1604?code_type=HCPCS
MLA (9th ed.)
“GRFT, TRNSMURL/TRNSVENS BYPS (HCPCS C1604) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C1604?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“GRFT, TRNSMURL/TRNSVENS BYPS (HCPCS C1604) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C1604?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,281–$53,551 (25th–75th percentile) across 495 hospitals · 1,104 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS C1604 — 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 |
|---|---|---|---|---|---|---|---|
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Medicare | — | — | — | 2026-01-08 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | Dual Managed MedicareMedicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | BCBS of Louisiana | Blue Advantage HMO | — | — | — | 2026-05-11 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Provider Select | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Gilsbar Inc. | PPO | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | PPOplus Llc | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Cigna | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Healthy Blue Louisiana | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Gold Medicare | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Louisiana Health Care Connections | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | POS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | HMOPPOPOS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana Military | Tricare West | — | — | — | 2026-05-11 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Louisana Healthcare Connections | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Verity | Healthnet | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Healthy Blue | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Gilsbar | 360 Alliance PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | VA CCN Optum | — | — | — | 2026-05-11 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas Louisiana | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Amerihealth | Caritas | — | — | — | 2026-05-11 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Payer | — | — | — | 2026-01-08 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Government Employees Health Association (Geha) | Geha | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Healthy Blue Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Vantage Health Plan Inc. | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | VeteransAdministration | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Tricare | Triwest | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Tricare | Veterans Administration | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | First Health | All Plans | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Community | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Humana | Veterans | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Veterans | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Geha | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | Triwest | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | VA CCA | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Tricare | Champus VA | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | First Health | AllPlans | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Centene | Louisiana Healthcare Connections Medicaid | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Tricare | ChampusVA | — | — | — | 2026-03-18 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | United Healthcare | VACCA | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER Outpatient | Multiplan | Commercial | — | — | — | 2024-11-14 | MRF ↗ |
| NATCHITOCHES REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-18 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Geha | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Humana | HMO Gold | — | — | — | 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 | Humana | Choice PPO | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | Aetna | Advantage Freedom | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | United Healthcare | HMO Other | — | — | — | 2026-03-15 | MRF ↗ |
| SAVOY MEDICAL CENTER OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Passe Ar Total Care Plan | Commercial | $0.09 | $87,500.00 | $65,625.00 | 2026-07-17 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Passe Empower Plan | Commercial | $0.09 | $87,500.00 | $65,625.00 | 2026-07-17 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.15 | $1.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.16 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $0.16 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $0.16 | $1.00 | — | 2025-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | IFP | $0.17 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | IFP | $0.17 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | IFP | $0.17 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $0.17 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $0.17 | $1.00 | — | 2025-12-31 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | IFP | $0.17 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.18 | $1.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.18 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.18 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.18 | $1.00 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.18 | $1.00 | — | 2025-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids | $0.20 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.20 | $1.00 | — | 2025-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna Better Health | Healthy Kids | $0.20 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.20 | $1.00 | — | 2024-12-31 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Aetna Better Health | Healthy Kids | $0.20 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.21 | $1.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $0.21 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.21 | $1.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.21 | $1.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.21 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.21 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.21 | $1.00 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.21 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.21 | $1.00 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.21 | $1.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.21 | $1.00 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.21 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.21 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.21 | $1.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $0.22 | $1.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $0.22 | $1.00 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | OPTUM HEALTH | MANAGED MEDICAID | $0.22 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $0.22 | $1.00 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | OPTUM HEALTH | MANAGED MEDICAID | $0.22 | $1.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $0.22 | $1.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $0.22 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $0.23 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $0.23 | $1.00 | — | 2024-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Managed Medicare | $0.23 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $0.23 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $0.23 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $0.23 | $1.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Seoul Medical Group | All Products | $0.23 | $1.00 | — | 2024-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna | Managed Medicare | $0.23 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna | Managed Medicare | $0.23 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Aetna | Managed Medicare | $0.23 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $0.26 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICARE ADVANTAGE | $0.26 | $1.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $0.29 | $1.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $0.29 | $1.00 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.29 | $1.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.29 | $1.00 | — | 2025-12-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.29 | $1.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $0.29 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.29 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $0.29 | $1.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $0.29 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $0.29 | $1.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.29 | $1.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.29 | $1.00 | — | 2025-12-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.29 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.29 | $1.00 | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.30 | $1.00 | — | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.30 | $1.00 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $0.32 | $1.00 | — | 2025-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Employers Health Network | Commercial | $0.32 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $0.32 | $1.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $0.32 | $1.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $0.32 | $1.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $0.32 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $0.32 | $1.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $0.32 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $0.32 | $1.00 | — | 2024-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Employers Health Network | Commercial | $0.32 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $0.32 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $0.32 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $0.32 | $1.00 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $0.32 | $1.00 | — | 2024-12-31 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Employers Health Network | Commercial | $0.32 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $0.32 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $0.32 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $0.32 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.32 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $0.32 | $1.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $0.32 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $0.32 | $1.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $0.32 | $1.00 | — | 2025-12-31 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Employers Health Network | Commercial | $0.33 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $0.34 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $0.35 | $1.00 | — | 2024-12-31 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | Health Value Management | Transplants - Medicare | $0.35 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Health Value Management | Transplants - Medicaid | $0.35 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | Health Value Management | Transplants - Medicaid | $0.35 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Health Value Management | Transplants - Medicare | $0.35 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.36 | $1.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $0.36 | $1.00 | — | 2024-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CIGNA | PPO | $0.36 | $1.00 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CIGNA | HMO | $0.36 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $0.36 | $1.00 | — | 2024-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CIGNA | PPO | $0.36 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | CIGNA | HMO | $0.36 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | CIGNA | PPO | $0.36 | $1.00 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CIGNA | HMO | $0.36 | $1.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.36 | $1.00 | — | 2024-12-31 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $0.37 | $4.50 | $2.70 | 2026-04-21 | MRF ↗ |
| TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F OutpatientFacility | Amerigroup | Managed Medicaid | $0.37 | $4.50 | $2.70 | 2026-04-21 | 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.