SUP-122194 — Defibrill Fortify Dr Dual - Cd2231-40q
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DEFIBRILL FORTIFY DR DUAL - CD2231-40Q (CDM SUP-122194) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/SUP-122194?code_type=CDM
MLA (9th ed.)
“DEFIBRILL FORTIFY DR DUAL - CD2231-40Q (CDM SUP-122194) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/SUP-122194?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“DEFIBRILL FORTIFY DR DUAL - CD2231-40Q (CDM SUP-122194) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/SUP-122194?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $53,324–$53,324 (25th–75th percentile) across 2 hospitals · 114 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM SUP-122194 — 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 |
|---|---|---|---|---|---|---|---|
| GENESIS HOSPITAL BothFacility | SELECT SPECIALTY HOSP OF SE OH (ALTERNATE) [9991013222] | HB SELECT SPECIALTY HOSPITAL OF SOUTHEAST OHIO | $567.18 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | SELECT SPECIALTY HOSPITAL OF SOUTHEAST OHIO [1013222] | HB SELECT SPECIALTY HOSPITAL OF SOUTHEAST OHIO | $567.18 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | MEDICAL MUTUAL MARKETPLACE [111107] | HB MMO Marketplace | $581.73 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | COMPASS ROSE HEALTH PLAN [10011209] | HB UNITED HEALTHCARE (UHC) | $714.89 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | UNITED HEALTHCARE [10012] | HB UNITED HEALTHCARE (UHC) | $714.89 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | UNITED MEDICAL RESOURCES [100153] | HB UNITED HEALTHCARE (UHC) | $714.89 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | EBS OF OHIO [1001108] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | BAC [1001100] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | BENEFIT SERVICES [100114] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | CENTRAL STATES [100118] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | EBMC [100119] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | EMPLOYEE BENEFITS [100120] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | ENTERPRISE GROUP PLANNING [1001171] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | HEALTHSCOPE [100117] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | HEALTHSMART BENEFIT SOLUTIONS [1001161] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | IBEW LOCAL [1001168] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | MEDICAL BENEFITS [100128] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | MMO [100129] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | MUTUAL HEALTH SERVICES [10011205] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | RESERVE NATIONAL [1001128] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | SELF FUNDED PLANS [100134] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | UPMC HEALTH PLAN [10011202] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | WESTERN SOUTHERN FINANCIAL GROUP [100190] | HB MEDICAL MUTUAL OF OHIO | $733.64 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | CHESTERFIELD RESOURCES [1001166] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | HEALTHSCOPE [100117] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | COVENTRY HEALTH CARE [1001106] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | GENERIC MERITAIN [1001119] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | TRUSTMARK [1001134] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | HEALTHSMART PAYORS ORGANIZATION [1001116] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | STARMARK [1001130] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | ASSURANT HEALTH [100198] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | NIPPON LIFE BENEFITS [1001169] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | AETNA [10011] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | ALLIED BENEFIT [100193] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | MERITAIN [1001118] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [1001163] | HB AETNA | $776.79 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | WOODMEN ASSURED LIFE [100171] | HB THE HEALTH PLAN OF THE UPPER OHIO VALLEY | $961.74 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | THP INSURANCE COMPANY [10045] | HB THE HEALTH PLAN OF THE UPPER OHIO VALLEY | $961.74 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | HEALTHPLAN UPPER OHIO VALLEY [10017] | HB THE HEALTH PLAN OF THE UPPER OHIO VALLEY | $961.74 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | EMPLOYEE BENEFITS [100120] | HB MULTIPLAN | $1,048.05 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | MULTIPLAN [1001120] | HB MULTIPLAN | $1,048.05 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | OHIO HEALTHY [1001179] | HB MULTIPLAN | $1,048.05 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | KEY BENEFIT ADMINISTRATORS INC [10011207] | HB MULTIPLAN | $1,048.05 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL BothFacility | GENERIC USA NETWORK [1001114] | HB USA HEALTH NETWORK INC | $1,048.05 | $1,233.00 | $739.80 | 2026-03-27 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE [100060] | UHC EXCHANGE [10006026] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE [100060] | UHC [10006006] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE [100060] | UMR [10006013] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CIGNA [100009] | CIGNA [10000901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CIGNA [100009] | NALC HEALTH BENEFIT PLAN [10000902] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | AETNA [100001] | AETNA [10000101] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA MEDICARE ADVANTAGE [450013] | HUMANA MEDICARE ADVANTAGE [45001301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE PART B ONLY [40000103] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE PART A & B [40000101] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE RAILROAD [40000104] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE PART A [40000102] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA [100052] | HUMANA [10005201] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MERITAIN [100063] | MERITAIN [10006301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRICARE [600001] | TRICARE FOR LIFE [60000103] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICARE [450021] | UHC MEDICARE ADVANTAGE [45002107] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WELLCARE MEDICARE [450023] | WELLCARE MEDICARE ADVANTAGE [45002301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GEHA [100039] | GEHA [10003901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID OUT OF STATE [309999] | MEDICAID OUT OF STATE [30999901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | AETNA MEDICARE ADVANTAGE [450001] | AETNA MEDICARE ADVANTAGE [45000105] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ESIS WORK COMP [700010] | WC ESIS [70001001] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GALLAGHER BASSETT WORK COMP [700013] | WC GALLAGHER BASSETT [70001301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL WORK COMP [700016] | WC LIBERTY MUTUAL [70001601] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | SEDGWICK [700027] | WC SEDGWICK [70002701] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS WORK COMP [700028] | WC TRAVELERS [70002801] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP [100257] | MVP PPO [10025703] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP [100257] | MVP HMO [10025702] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP [100257] | MVP EXCHANGE [10025701] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | OXFORD HEALTH [100258] | OXFORD HEALTH [10025801] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE ALTERNATE [100260] | UHC EMPIRE ALTERNATE [10026001] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP [100253] | CDPHP [10025301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP [100253] | CDPHP EXCHANGE [10025302] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS EXCHANGE [100254] | FIDELIS EXCHANGE [10025401] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ACCESS COMPLIANCE [109956] | ACCESS COMPLIANCE [10995601] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NON NYS [20004002] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EMPIRE [200040] | BCBS EMPIRE NYS [20004001] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS EXCHANGE [20004105] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | UNIVERA HEALTHCARE [20004106] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS CENTRAL NY [20004102] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS HMO/PPO [20004101] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS SEMC EMPLOYEES [20004104] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | BCBS MVHS EMPLOYEES [20004103] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS HEALTHY NY EPO [20004107] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS [200041] | EXCELLUS INDEMNITY [20004108] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY WESTERN NEW YORK [200042] | BCBS WESTERN NEW YORK [20004201] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE SHIELD NY NORTHEASTERN NEW YORK [200043] | BCBS NORTHEASTERN NEW YORK [20004301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS FEDERAL [200063] | BCBS FEDERAL PROGRAM [20006301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS OUT OF STATE [209999] | BCBS ANTHEM [20999901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS OUT OF STATE [209999] | BCBS OUT OF STATE [20999902] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID NY [300033] | MEDICAID [30003301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID PENDING [309998] | MEDICAID PENDING [30999801] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 3+4 [35001306] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC HMO MEDICAID / COMMUNITY [35001303] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC ESSENTIAL PLAN 1+2 [35001305] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICAID [350013] | UHC CHILD HEALTH PLUS [35001304] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WELLCARE MEDICAID [350022] | WELLCARE HMO MEDICAID [35002201] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS HEALTH LIFE/ESSENTIAL 3&4 [35005804] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS HMO MEDICAID [35005801] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS ESSENTIAL 1+2 [35005803] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS [350058] | FIDELIS CHILD HEALTH PLUS [35005802] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EMBLEM HEALTH MEDICAID [350059] | EMBLEM HMO MEDICAID [35005901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS ALTERNATE - FSLH [350060] | FIDELIS ALTERNATE - FSLH [35006001] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS ESSENTIAL [350062] | FIDELIS ESSENTIAL PLAN 1/2/5 [35006203] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS ESSENTIAL [350062] | FIDELIS ESSENTIAL PLAN 3&4 [35006204] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS HARP [350063] | FIDELIS HARP [35006301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID ALTERNATE [350064] | ADHC ALTERNATE PLAN [35006401] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID ALTERNATE [350064] | MEDICAID ALTERNATE [35006402] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CARELON BEHAVIORAL HEALTH MEDICAID [350075] | CARELON BEHAVIORAL HEALTH HMO MEDICAID [35007501] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP MEDICAID [350076] | CDPHP ESSENTIAL PLAN [35007603] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP MEDICAID [350076] | CDPHP HMO MEDICAID [35007601] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP MEDICAID [350076] | CDPHP CHILD HEALTH PLUS [35007602] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP MEDICAID [350080] | MVP HMO MEDICAID [35008003] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP MEDICAID [350080] | MVP ESSENTIAL PLAN 1+2+7 [35008001] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP MEDICAID [350080] | MVP CHILD HEALTH PLUS [7] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP MEDICAID [350080] | MVP ESSENTIAL PLAN 3+4 [35008002] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS ESSENTIAL PLAN [35008102] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS HMO MEDICAID [35008103] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICAID [350081] | EXCELLUS CHILD HEALTH PLUS [35008101] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS ESSENTIAL PLAN APG [35008202] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS HMO MEDICAID APG [35008201] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EXCELLUS HMO MEDICAID APG [350082] | EXCELLUS CHILD HEALTH PLUS APG [35008203] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MOLINA HEALTHCARE OF NEW YORK INC LTC [350084] | MOLINA HEALTHCARE OF NEW YORK LTC [35008401] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID HMO MISC. [359999] | UNIVERA HEALTHCARE [35999905] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICAID HMO MISC. [359999] | MEDICAID HMO MISC. [35999901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICARE [450052] | EXCELLUS MEDICARE ADVANTAGE APC [45005301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | BLUE CROSS NY EXCELLUS MEDICARE [450052] | EXCELLUS MEDICARE ADVANTAGE [45005201] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVP MEDICARE REPLACEMENT [450066] | MVP MEDICARE ADVANTAGE (GOLD) [45006601] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CARELON BEHAVIORIAL HEALTH MEDICARE [450115] | CARELON BEHAVIORAL MEDICARE [45011501] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CDPHP MEDICARE ADVANTAGE [450116] | CDPHP MEDICARE ADVANTAGE [45011601] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ADAP PLUS [500010] | ADAP PLUS [50001001] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CANCER SERVICES PROGRAM [500011] | CANCER SERVICES PROGRAM [50001101] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | VOUCHER [500013] | VOUCHER [50001301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYS DEPARTMENT OF CORRECTIONS [500014] | NYS DEPARTMENT OF CORRECTIONS [50001401] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ONEIDA COUNTY JAIL [500016] | ONEIDA COUNTY JAIL [50001601] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYS OFFICE OF MENTAL HEALTH [500015] | NYS OFFICE OF MENTAL HEALTH [50001501] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HERKIMER COUNTY JAIL [500017] | HERKIMER COUNTY JAIL [50001701] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ONEIDA COUNTY HEALTH DEPARTMENT [500019] | ONEIDA COUNTY HEALTH [50001901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ONEIDA COUNTY HEALTH RABIES CLINIC [500020] | ONEIDA COUNTY RABIES CLINIC [50002001] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA MILITARY [600003] | HUMANA MILITARY [60000301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WPS [600005] | TRICARE WPS [60000501] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CHARTIS WC [700029] | WC CHARTIS [70002901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PMA WORK COMP [700031] | WC PMA [70003101] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CORVEL CORP WC [700054] | WC CORVEL CORP [70005401] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HARTFORD INS WC [700055] | WC HARTFORD INS [70005501] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MADISON ONEIDA HERK WC [700056] | WC MADISON ONEIDA HERK [70005601] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NCA WC [700057] | WC NCA [70005701] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NYSIF [700058] | WC NY STATE INSURANCE FUND [70005801] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA FSLH EMPLOYEE [70005901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S MVHS EMPLOYEE [70005903] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC PMA SEMC EMPLOYEE [70005902] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MVHS WORKMANS COMPENSATION [700059] | WC TRAVELER'S SEMC EMPLOYEE [70005904] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STRATEGIC COMP SERVICES [700061] | WC STRATEGIC COMP SERVICES [70006101] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL WORKER'S COMP [700062] | WC UTICA NATIONAL INS [70006201] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WC MISC. [709999] | WC MISC. [70999901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ALLSTATE AUTO INSURANCE [800001] | NF ALLSTATE [80000101] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | ERIE INS NF [800002] | NF ERIE INS [80000201] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | GEICO AUTO INSURANCE [800003] | NF GEICO AUTO INSURANCE [80000301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NY CTRL MUTUAL NF [800004] | NF NY CTRL MUTUAL [80000401] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | PROGRESSIVE AUTO INSURANCE [800005] | NF PROGRESSIVE AUTO INSURANCE [80000501] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRAVELERS NO FAULT [800006] | NF TRAVELERS [80000601] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UTICA NATIONAL NO FAULT [800007] | NF UTICA NATIONAL INS [80000701] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | LIBERTY MUTUAL AUTO INSURANCE [800008] | NF LIBERTY MUTUAL AUTO INS [80000801] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MET LIFE AUTO INSURANCE [800009] | NF MET LIFE AUTO INS [80000901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | STATE FARM AUTO INSURANCE NF [800026] | NF STATE FARM AUTO INSURANCE [80002601] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | NF MISC. [809999] | NF MISC. [80999901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | EMBLEM HEALTH [100133] | EMBLEM [10013301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDIGOLD [450050] | MEDIGOLD [45005001] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | FIDELIS MEDICARE [450117] | FIDELIS MEDICARE ADVANTAGE [45011701] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | US FAMILY HEALTH PLAN [600002] | US FAMILY HEALTH PLAN [60000201] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MARTINS POINT US FAMILY HEALTH [600006] | MARTINS POINT US FAMILY HEALTH [60000601] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | SUREST [100070] | SUREST [10007000] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CARELON BEHAVIORAL HEALTH [100023] | CARELON BEHAVIORAL HEALTH [10002302] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | WELLPATH [500030] | WELLPATH [50003002] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | VETERANS ADMINISTRATION [600004] | VETERANS CHOICE [60000402] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | VETERANS ADMINISTRATION [600004] | VETERANS ADMINISTRATION [60000401] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE ALTERNATE [400002] | MEDICARE COVID-19 ALTERNATE [40000106] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE ALTERNATE [400002] | MEDICARE PART B ALTERNATE [40000201] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CHAMPVA [600007] | CHAMPVA [60000701] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRIWEST [600008] | TRIWEST [60000801] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | VACCN OPTUM [600009] | VACCN OPTUM [60000903] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE ADVANTAGE ALTERNATE [450120] | MEDICARE ADVANTAGE PART B ALTERNATE [45012001] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE ADVANTAGE MISC. [459999] | MEDICARE ADVANTAGE [45999901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE [100060] | UHC EXCHANGE [10006026] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE [100060] | UHC [10006006] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE [100060] | UMR [10006013] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CIGNA [100009] | NALC HEALTH BENEFIT PLAN [10000902] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | CIGNA [100009] | CIGNA [10000901] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | AETNA [100001] | AETNA [10000101] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA MEDICARE ADVANTAGE [450013] | HUMANA MEDICARE ADVANTAGE [45001301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE PART A & B [40000101] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE PART B ONLY [40000103] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE PART A [40000102] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MEDICARE [400001] | MEDICARE RAILROAD [40000104] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | HUMANA [100052] | HUMANA [10005201] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | MERITAIN [100063] | MERITAIN [10006301] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | TRICARE [600001] | TRICARE FOR LIFE [60000103] | — | $82,036.50 | $49,221.90 | 2025-01-17 | MRF ↗ |
| St Elizabeth Medical Center Outpatient | UNITED HEALTHCARE MEDICARE [450021] | UHC MEDICARE ADVANTAGE [45002107] | — | $82,036.50 | $49,221.90 | 2025-01-17 | 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.