H2011 — Crisis Interven Svc, 15 Min
Cite this view
HANK Price Transparency. (n.d.). CRISIS INTERVEN SVC, 15 MIN (HCPCS H2011) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/H2011?code_type=HCPCS
“CRISIS INTERVEN SVC, 15 MIN (HCPCS H2011) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/H2011?code_type=HCPCS. Accessed .
“CRISIS INTERVEN SVC, 15 MIN (HCPCS H2011) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/H2011?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $63–$293 (25th–75th percentile) across 331 hospitals · 810 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS H2011 — 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 |
|---|---|---|---|---|---|---|---|
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | First Choice | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 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 | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | 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 ↗ |
| 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 | Vantage Health Plan Inc. | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $262.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $218.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $262.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $145.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $145.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $300.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $218.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $524.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $82.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $82.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $59.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $59.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $300.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $98.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $98.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $356.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $356.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $524.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Optum | Medicaid | $0.40 | $250.00 | — | 2026-02-27 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MULTIPLAN [50010] | CHA HB MULTIPLAN/PHCS | $0.70 | $20.40 | $20.40 | 2026-03-20 | MRF ↗ |
| CAMBRIDGE HEALTH ALLIANCE Both | MULTIPLAN [50010] | CHA HB MULTIPLAN/PHCS | $0.70 | $30.60 | $30.60 | 2026-03-20 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $3.06 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $3.06 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $3.06 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $3.06 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $3.06 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $3.59 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $3.59 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $5.05 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $5.05 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $5.10 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $5.10 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $5.10 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $5.10 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $5.10 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $5.78 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $5.78 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $5.78 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $5.78 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $5.78 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $5.98 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $5.98 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $6.07 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $6.77 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $6.77 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH MEDICARE [1305] | INDEPENDENT HEALTH MEDICARE [130501] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED BEHAVIORAL HEALTH [131701] | UNITED BEHAVIORAL HEALTH [131701] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED BEHAVIORAL HEALTH [5185] | UNITED BEHAVIORAL HEALTH [518501] | — | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $7.19 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $7.71 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $7.71 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $7.71 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $7.71 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $7.71 | — | — | 2026-04-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $82.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $59.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $145.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $59.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $262.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $524.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $218.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $218.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $82.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $262.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $218.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $262.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $145.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $524.00 | — | 2026-02-27 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $218.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $300.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $98.00 | — | 2026-02-27 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $356.00 | — | 2026-02-27 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $524.00 | — | 2026-02-27 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $356.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $145.00 | — | 2026-02-27 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $250.00 | — | 2026-02-27 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $98.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $300.00 | — | 2026-02-27 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $262.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $300.00 | — | 2026-02-27 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $82.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $98.00 | — | 2026-02-27 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $7.79 | $508.23 | — | 2025-09-05 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $145.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $82.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $98.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $59.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $300.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $524.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $356.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $250.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Gatekeeper/Non-Gatekeeper | $7.79 | $59.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Aetna | Government | $7.79 | $356.00 | — | 2026-02-27 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MOLINA HEALTHCARE [5189] | MOLINA ESSENTIAL PQ 1 AND 2 [518902], MOLINA ESSENTIAL PA 3 AND 4 [172302] | $7.83 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MOLINA HEALTHCARE [5189], MOLINA HEALTHCARE [1723] | MOLINA ESSENTIAL (NO MEDICAID) [518902], MOLINA ESSENTIAL PA 3 AND 4 [172302] | $7.83 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $8.14 | — | — | 2026-04-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Aetna_Better_Health_Kids | All_Plans | $8.28 | $46.00 | $36.80 | 2026-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS MEDICAID [1706] | EXCELLUS ESSENTIAL (W/ MEDICAID) [170604] | $8.62 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AMERIGROUP (BSWNY ALTERNATE) [1720] | AMERIGROUP (BSWNY ALTERNATE) [172001] | $8.62 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICAID [1716] | UNITED HEALTHCARE MEDICAID [171601] | $8.62 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS CHILD HEALTH PLUS [220108] | $8.62 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $8.62 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA [2700] | AETNA [270002] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $9.03 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $9.03 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus Health Plan | Health Exchange | $9.30 | $20.11 | $13.07 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus Health Plan | Health Exchange | $9.30 | $20.11 | $13.07 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | MVP | ADVANTAGE|ADVANTAGE PLUS | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | EMPIRE | HMO|EPO|BLUE ACCESS SMALL & LARGE GRPS|32BJ | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | EMBLEM | SELECT | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | UNITED | ADVANTAGE | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | PARTNERS HEALTH PLAN | MEDICAID | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | CENTERS PLAN FOR HEALTHY LIVING | MEDICARE ADVANTAGE|DUAL SPECIAL NEED|INSTITUTIONAL SPECIAL NEEDS|MEDICAID ADVANTAGE PLUS|MANAGED LONG TERM CARE | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | PARTNERS HEALTH PLAN | MEDICARE|FIDA DUAL ADVANTAGE | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | UNITED | COMMERCIAL|NYS Employees|POMCO | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | EMBLEM | MEDICARE ADVANTAGE | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | VNS | MEDICARE|DUAL|FIDA | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | WELLCARE | MEDICARE ADVANTAGE | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | EMBLEM HEALTH | HMO|PPO|EPO|POS|SELF-ADMINISTERED|NETWORK ACCESS | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | OXFORD | MEDICARE | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | FIDELIS | MEDICARE ADVANTAGE|ADVANTAGE PLUS|DUALS | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | AETNA | HMO|PPO | $9.97 | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | HEALTHFIRST | MEDICARE ADVANTAGE|MAP | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | AETNA | MEDICARE | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | EMPIRE | INDEMNITY|PPO | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER Outpatient | EMPIRE | MEDICARE | — | $314.00 | $88.00 | 2025-05-07 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH ASSOC MEDICAID [1710] | INDEPENDENT HEALTH ASSOC MEDICAID [171001] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE [5158] | UNITED HEALTHCARE (ATLANTA,GA) [515803] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220109],EXCELLUS HLTHY NY [220110], EXCELLUS ESSENTIAL PA 3 AND 4 [170604] | $10.09 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS [2201] | EXCELLUS ESSENTIAL (NO MEDICAID) [220109] | $10.09 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] | CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD [5143] | HIGHMARK BCBS [514301] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH [5156] | INDEPENDENT HEALTH (BUFFALO NY) [515601] | — | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH MEDICARE [1305] | INDEPENDENT HEALTH MEDICARE [130501] | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus Health Plan | Health Exchange HCRA | $10.20 | $20.11 | $13.07 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus Health Plan | Health Exchange HCRA | $10.20 | $20.11 | $13.07 | 2025-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $10.21 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $10.42 | — | — | 2026-04-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Outpatient | Aetna_Better_Health_Kids | All_Plans | $10.62 | $59.00 | $47.20 | 2026-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus Health Plan | All Products | $10.73 | $20.11 | $13.07 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus | All Products | $10.73 | $20.11 | $13.07 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus Health Plan | All Products | $10.73 | $20.11 | $13.07 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Excellus | All Products | $10.73 | $20.11 | $13.07 | 2025-01-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CAPITAL DISTRICT PHYSICIANS MEDICARE [132001] | $10.80 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $10.86 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | CDPHP | Medicare Advantage | $10.86 | $20.11 | $13.07 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | CDPHP | Medicare Advantage | $10.86 | $20.11 | $13.07 | 2025-01-01 | 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.