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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$607.50 – $60,652

Negotiated median

$1,860.14

CPT 23472 Total shoulder arthroplasty · Showing 200 of 373 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Fredrick Ferris Thompson Hospital	NY	Chargemaster	N/A	both	gross	$59,846
Alice Hyde Medical Center	NY	Chargemaster	N/A	both	gross	$4,310.00
Fredrick Ferris Thompson Hospital	NY	Chargemaster	N/A	both	gross	$4,299.00
Westfield Memorial Hospital	NY	Chargemaster	N/A	outpatient	gross	$4,065.00
Fredrick Ferris Thompson Hospital	NY	Cash pay	N/A	outpatient	cash	$29,923
Alice Hyde Medical Center	NY	Cash pay	N/A	both	cash	$4,310.00
Fredrick Ferris Thompson Hospital	NY	Cash pay	N/A	both	cash	$2,563.49
Westfield Memorial Hospital	NY	Cash pay	N/A	outpatient	cash	$894.30
Fredrick Ferris Thompson Hospital	NY	[De-identified Min]	—	outpatient	min	$17,729
Nassau University Medical Center	NY	[De-identified Min]	—	outpatient	min	$2,976.72
Nassau University Medical Center	NY	[De-identified Min]	—	outpatient	min	$2,216.46
Nassau University Medical Center	NY	[De-identified Min]	—	both	min	$1,445.83
Alice Hyde Medical Center	NY	[De-identified Min]	—	both	min	$917.13
Fredrick Ferris Thompson Hospital	NY	[De-identified Min]	—	outpatient	min	$607.50
Westfield Memorial Hospital	NY	[De-identified Min]	—	outpatient	min	$117.12
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	EXCELLUS 220101, EXCELLUS SIMPLY BLUE 220106, EXCELLUS BLUE CHOICE 220107	outpatient	negotiated	$60,652
Westfield Memorial Hospital	NY	Aetna	Aetna Commercial	outpatient	negotiated	$41,783
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	EXCELLUS METAL TIERS 220102	outpatient	negotiated	$39,099
Fredrick Ferris Thompson Hospital	NY	mvp 2900	MVP HEALTH CARE 290001, MVP PREMIER GROUP 290003	outpatient	negotiated	$37,559
Fredrick Ferris Thompson Hospital	NY	Cigna	MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA HEALTHCARE (POB 182223) 514405	outpatient	negotiated	$37,559
Fredrick Ferris Thompson Hospital	NY	mvp 2900	MVP PREMIER INDIVIDUAL 290002	outpatient	negotiated	$37,559
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Community Blue	outpatient	negotiated	$36,086
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Indemnity	outpatient	negotiated	$36,086
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Managed Care	outpatient	negotiated	$36,086
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Connect Blue	outpatient	negotiated	$34,186
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Performance Blue	outpatient	negotiated	$31,699
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Performance Blue Enhanced	outpatient	negotiated	$31,699
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark My Blue Access	outpatient	negotiated	$26,591
Fredrick Ferris Thompson Hospital	NY	Medicare	MVP MEDICARE 130701	outpatient	negotiated	$24,076
Westfield Memorial Hospital	NY	Molina	Molina Ohio	outpatient	negotiated	$23,721
Fredrick Ferris Thompson Hospital	NY	Medicare	CDPHP MEDICARE 132001	outpatient	negotiated	$23,638
Westfield Memorial Hospital	NY	UnitedHealthcare	United Healthcare Medicare D-SNP	outpatient	negotiated	$23,503
Nassau University Medical Center	NY	fidelis care	Health Benefit Exchange	outpatient	negotiated	$23,285
Westfield Memorial Hospital	NY	UnitedHealthcare	United Healthcare Medicare I-SNP	outpatient	negotiated	$23,285
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Social Mission Indemnity	outpatient	negotiated	$23,168
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Social Mission Managed Care	outpatient	negotiated	$23,168
Westfield Memorial Hospital	NY	Humana	Humana Commercial	outpatient	negotiated	$23,068
Westfield Memorial Hospital	NY	amerihealth	Amerihealth Caritas D-SNP Medicare	outpatient	negotiated	$22,850
Westfield Memorial Hospital	NY	amerihealth	Amerihealth Medicare New York	outpatient	negotiated	$22,850
Westfield Memorial Hospital	NY	Aetna	Aetna Medicare	outpatient	negotiated	$22,633
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Community Blue Medicare HMO	outpatient	negotiated	$22,633
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Security Blue	outpatient	negotiated	$22,633
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Together Blue Medicare	outpatient	negotiated	$22,633
Westfield Memorial Hospital	NY	Medicare	Devoted Health Medicare Advantage	outpatient	negotiated	$22,415
Westfield Memorial Hospital	NY	UnitedHealthcare	United Healthcare Commercial	outpatient	negotiated	$22,415
Fredrick Ferris Thompson Hospital	NY	Humana	HUMANA MEDICARE 131201	outpatient	negotiated	$21,887
Fredrick Ferris Thompson Hospital	NY	elderplan 1316	ELDERPLAN 131601	outpatient	negotiated	$21,887
Fredrick Ferris Thompson Hospital	NY	Medicare	FIDELIS MEDICARE 131101	outpatient	negotiated	$21,887
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BCBS MEDICARE 130101	outpatient	negotiated	$21,887
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA MEDICARE 130001	outpatient	negotiated	$21,887
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	UNITED HEALTHCARE MEDICARE 130901	outpatient	negotiated	$21,887
Fredrick Ferris Thompson Hospital	NY	Medicare	WELLCARE MEDICARE 131001	outpatient	negotiated	$21,887
Nassau University Medical Center	NY	Aetna	Medicare Advantage	outpatient	negotiated	$21,762
Nassau University Medical Center	NY	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$21,762
Nassau University Medical Center	NY	centers plan for healthy living	Medicare Advantage	outpatient	negotiated	$21,762
Nassau University Medical Center	NY	fidelis care	Medicare Advantage	outpatient	negotiated	$21,762
Nassau University Medical Center	NY	Humana	Medicare Advantage	outpatient	negotiated	$21,762
Nassau University Medical Center	NY	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$21,762
Nassau University Medical Center	NY	UnitedHealthcare	VACCN	outpatient	negotiated	$21,762
Westfield Memorial Hospital	NY	american health plans	American Health Plans Medicare	outpatient	negotiated	$21,762
Westfield Memorial Hospital	NY	life pittsburgh	Life Pittsburgh Medicare	outpatient	negotiated	$21,762
Westfield Memorial Hospital	NY	martin's point	Martin's Point	outpatient	negotiated	$21,762
Nassau University Medical Center	NY	1199seiu national benefit funds	Commercial	outpatient	negotiated	$20,856
Nassau University Medical Center	NY	emblemhealth	Medicare Advantage	outpatient	negotiated	$20,674
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Freedom Blue	outpatient	negotiated	$20,239
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Community Blue Medicare PPO	outpatient	negotiated	$20,021
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Complete Blue Medicare	outpatient	negotiated	$20,021
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark My Direct Blue	outpatient	negotiated	$18,994
Fredrick Ferris Thompson Hospital	NY	Medicare	MEDICARE BLUE CHOICE 130601	outpatient	negotiated	$17,729
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Together Blue	outpatient	negotiated	$11,101
Nassau University Medical Center	NY	Aetna	Commercial	outpatient	negotiated	$4,524.61
Alice Hyde Medical Center	NY	Blue Cross Blue Shield	IND/FEP/PPO/HMO	both	negotiated	$4,223.80
Fredrick Ferris Thompson Hospital	NY	capital district physicians health plan (cdphp) 5149	CAPITAL DISTRICT PHYSICIANS (CDPHP) 514901	outpatient	negotiated	$3,525.15
Alice Hyde Medical Center	NY	magnacare	Commercial	both	negotiated	$3,448.00
Alice Hyde Medical Center	NY	UnitedHealthcare	Commercial	both	negotiated	$3,237.40
Alice Hyde Medical Center	NY	mvp	Small/Large Group Commercial	both	negotiated	$3,126.20
Nassau University Medical Center	NY	emblemhealth	Commercial	outpatient	negotiated	$2,976.72
Westfield Memorial Hospital	NY	UnitedHealthcare	United Healthcare Commercial	outpatient	negotiated	$2,803.92
Alice Hyde Medical Center	NY	st. regis	HMO	both	negotiated	$2,793.60
Westfield Memorial Hospital	NY	UnitedHealthcare	United Healthcare Navigate Nexus Commercial	outpatient	negotiated	$2,659.52
Nassau University Medical Center	NY	Aetna	Commercial	outpatient	negotiated	$2,646.71
Alice Hyde Medical Center	NY	UnitedHealthcare	Commercial PPO for NY State Employees	both	negotiated	$2,542.73
Nassau University Medical Center	NY	Aetna	Commercial	outpatient	negotiated	$2,216.46
Alice Hyde Medical Center	NY	capital district physicians' health plan	Commercial	both	negotiated	$2,195.45
Alice Hyde Medical Center	NY	UnitedHealthcare	Commercial PPO for NY State Employees	both	negotiated	$2,161.25
Fredrick Ferris Thompson Hospital	NY	independent health 5156	INDEPENDENT HEALTH (BUFFALO NY) 515601,NOVA HEALTHCARE ADMIN 515602	outpatient	negotiated	$2,074.85
Alice Hyde Medical Center	NY	Aetna	Commercial	both	negotiated	$2,073.75
Fredrick Ferris Thompson Hospital	NY	Cigna	MVP COMMERCIAL NON PPO FULLY INSURED 290001, MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA (DESMOINES IA) 514401, CIGNA HEALTHCARE (POB 182223) 514405, CIGNA INTERNATIONAL 514410, CIGNA HEALTHCARE (P	outpatient	negotiated	$2,032.20
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 514302, BC/BS OF WESTERN NY HEALTHY NY 514305, COMMUNITY BLUE CHILD HEALTH PLUS 514306, HIGHMARK BC/BS OF NORTHEASTERN NY 514308, HIGHMARK BC/BS	outpatient	negotiated	$2,016.08
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA MEDICAL MUTUAL PPO 270004,AETNA TRAVEL 270005	outpatient	negotiated	$1,916.46
Alice Hyde Medical Center	NY	mvp	Individual Group Commercial	both	negotiated	$1,910.46
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Blue High Performance	outpatient	negotiated	$1,881.30
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Community Blue	outpatient	negotiated	$1,881.30
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Connect Blue	outpatient	negotiated	$1,881.30
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Indemnity	outpatient	negotiated	$1,881.30
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Managed Care	outpatient	negotiated	$1,881.30
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark My Blue Access	outpatient	negotiated	$1,881.30
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark My Direct Blue	outpatient	negotiated	$1,881.30
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Performance Blue	outpatient	negotiated	$1,881.30
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Social Mission Indemnity	outpatient	negotiated	$1,881.30
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Social Mission Managed Care	outpatient	negotiated	$1,881.30
Alice Hyde Medical Center	NY	Blue Cross Blue Shield	Commercial	both	negotiated	$1,875.01
Nassau University Medical Center	NY	fidelis care	Health Benefit Exchange	both	negotiated	$1,871.08
Fredrick Ferris Thompson Hospital	NY	fidelis 5155	FIDELIS METAL TIERS 515501	outpatient	negotiated	$1,860.14
Alice Hyde Medical Center	NY	choicecare	Commercial	both	negotiated	$1,818.53
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENEFIT SOLUTIONS 220002,EXCELLUS 220101,EXCELLUS HIGH PERFORMANCE 220103,UNIVERA 220104,EXCELLUS UR 220105,EXCELLUS SIMPLY BLUE 220106,EXCELLUS	outpatient	negotiated	$1,798.13
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	UMR 514201,UNITED HEALTH CARE STUDENT RESOURCES 515801,UNITED HEALTHCARE - MEDICA 515802,UNITED HEALTHCARE 515803,UNITED HEALTHCARE (KINGSTON,NY) 515805,UNITED HEALTHCARE 31350 515807,UNITED HEALTHCAR	outpatient	negotiated	$1,797.58
Nassau University Medical Center	NY	fidelis care	Essential Plan	both	negotiated	$1,786.03
Westfield Memorial Hospital	NY	Blue Cross Blue Shield	Highmark Together Blue	outpatient	negotiated	$1,778.46
Nassau University Medical Center	NY	Humana	Medicare Advantage	both	negotiated	$1,777.58
Fredrick Ferris Thompson Hospital	NY	independent health 5156	INDEPENDENT HEALTH (BUFFALO NY) 515601,NOVA HEALTHCARE ADMIN 515602	outpatient	negotiated	$1,763.62
Fredrick Ferris Thompson Hospital	NY	Cigna	MVP COMMERCIAL NON PPO FULLY INSURED 290001, MVP COMMERCIAL PPO FULLY INSURED 290006, CIGNA (DESMOINES IA) 514401, CIGNA HEALTHCARE (POB 182223) 514405, CIGNA INTERNATIONAL 514410, CIGNA HEALTHCARE (P	outpatient	negotiated	$1,727.37
Westfield Memorial Hospital	NY	univera	Univera Commercial	outpatient	negotiated	$1,722.35
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	BC/BS OF WESTERN NY 514301, COMMUNITY BLUE (BUFFALO NY) 514302, BC/BS OF WESTERN NY HEALTHY NY 514305, COMMUNITY BLUE CHILD HEALTH PLUS 514306, HIGHMARK BC/BS OF NORTHEASTERN NY 514308, HIGHMARK BC/BS	outpatient	negotiated	$1,713.67
Nassau University Medical Center	NY	centers plan for healthy living	Medicare Advantage	both	negotiated	$1,700.98
Nassau University Medical Center	NY	fidelis care	Medicare Advantage	both	negotiated	$1,700.98
Nassau University Medical Center	NY	Aetna	Commercial	both	negotiated	$1,653.50
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA CHICKERING 270001,AETNA 270002,AETNA UR 270003,AETNA MEDICAL MUTUAL PPO 270004,AETNA TRAVEL 270005	outpatient	negotiated	$1,628.43
Fredrick Ferris Thompson Hospital	NY	fidelis 5155	FIDELIS METAL TIERS 515501	outpatient	negotiated	$1,584.56
Alice Hyde Medical Center	NY	fidelis care	Medicare Advantage	both	negotiated	$1,551.03
Fredrick Ferris Thompson Hospital	NY	Medicare	UNIVERA SENIOR CHOICE MEDICARE 130603	outpatient	negotiated	$1,538.76
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS MEDICARE 130101	outpatient	negotiated	$1,536.42
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS MEDICARE 130101	outpatient	negotiated	$1,534.80
Westfield Memorial Hospital	NY	univera	Univera Medicare	outpatient	negotiated	$1,533.78
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001	outpatient	negotiated	$1,532.68
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENEFIT SOLUTIONS 220002,EXCELLUS 220101,EXCELLUS HIGH PERFORMANCE 220103,UNIVERA 220104,EXCELLUS UR 220105,EXCELLUS SIMPLY BLUE 220106,EXCELLUS	outpatient	negotiated	$1,528.41
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	UMR 514201,UNITED HEALTH CARE STUDENT RESOURCES 515801,UNITED HEALTHCARE - MEDICA 515802,UNITED HEALTHCARE 515803,UNITED HEALTHCARE (KINGSTON,NY) 515805,UNITED HEALTHCARE 31350 515807,UNITED HEALTHCAR	outpatient	negotiated	$1,509.96
Alice Hyde Medical Center	NY	fidelis care	Health Benefit Exchange Products	both	negotiated	$1,483.59
Fredrick Ferris Thompson Hospital	NY	Medicare	MVP MEDICARE 130701, MVP MEDICARE DUAL ACCESS DSNP 132101	outpatient	negotiated	$1,474.34
Fredrick Ferris Thompson Hospital	NY	mvp 2900	MVP PREMIER INDIVIDUAL 290002, MVP PREMIER GROUP 290003	outpatient	negotiated	$1,472.35
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS ESSENTIAL (NO MEDICAID) 515503, FIDELIS ESSENTIAL (W/ MEDICAID) 170804	outpatient	negotiated	$1,446.77
Nassau University Medical Center	NY	Anthem BCBS	Essential	both	negotiated	$1,445.83
Nassau University Medical Center	NY	Anthem BCBS	Managed Medicaid	both	negotiated	$1,445.83
Nassau University Medical Center	NY	Molina	Managed Medicaid	both	negotiated	$1,445.83
Alice Hyde Medical Center	NY	Blue Cross Blue Shield	Medicare Advantage	both	negotiated	$1,419.11
Alice Hyde Medical Center	NY	fidelis care	Essential Plans	both	negotiated	$1,416.16
Alice Hyde Medical Center	NY	choicecare	Medicare Advantage	both	negotiated	$1,398.87
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502	outpatient	negotiated	$1,377.88
Fredrick Ferris Thompson Hospital	NY	Medicare	CDPHP MEDICARE 132001	outpatient	negotiated	$1,375.69
Alice Hyde Medical Center	NY	martins point	TRICARE Prime/Department of Defense	both	negotiated	$1,348.73
Alice Hyde Medical Center	NY	Aetna	Medicare Advantage	both	negotiated	$1,348.72
Alice Hyde Medical Center	NY	capital district physicians' health plan	Medicare Advantage	both	negotiated	$1,348.72
Alice Hyde Medical Center	NY	fidelis care	Managed Medicaid	both	negotiated	$1,348.72
Alice Hyde Medical Center	NY	mvp	Medicare Advantage	both	negotiated	$1,348.72
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006	outpatient	negotiated	$1,348.72
Fredrick Ferris Thompson Hospital	NY	excellus 2201	EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL 220113, UNIVERA METAL TIERS SMALL GROUP 220114	outpatient	negotiated	$1,348.72
Fredrick Ferris Thompson Hospital	NY	Medicare	MEDICARE BLUE CHOICE 130601, BLUE MEDICARE 130602, MEDICARE BLUE IB DUAL 130604	outpatient	negotiated	$1,348.72
Alice Hyde Medical Center	NY	UnitedHealthcare	Medicare Advantage	both	negotiated	$1,348.72
Alice Hyde Medical Center	NY	VA Health	Veterans Administration	both	negotiated	$1,348.72
Fredrick Ferris Thompson Hospital	NY	Medicaid	MOLINA MEDICAID 172301, MOLINA ESSENTIAL (W/MEDICAID) 172302, MOLINA CHILD HEALTH PLUS 518901, MOLINA ESSENTIAL (NO MEDICAID) 518902	outpatient	negotiated	$1,328.93
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$1,328.22
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	ENGINEERS JOINT WELFARE FUND (SYRACUSE) 220001,LIFETIME BENEFIT SOLUTIONS 220002,EXCELLUS 220101,EXCELLUS HIGH PERFORMANCE 220103,UNIVERA 220104,EXCELLUS UR 220105,EXCELLUS SIMPLY BLUE 220106,EXCELLUS	outpatient	negotiated	$1,315.88
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	UNITED HEALTHCARE MEDICARE 130901,SECUREHORIZONS DIRECT 130902,UNITED HEALTHCARE DUAL COMPLETE 130904,UHC MEDICARE COMPLETE 130905	outpatient	negotiated	$1,308.99
Fredrick Ferris Thompson Hospital	NY	Medicare	UNIVERA SENIOR CHOICE MEDICARE 130603	outpatient	negotiated	$1,307.95
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS MEDICARE 130101	outpatient	negotiated	$1,305.96
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS MEDICARE 130101	outpatient	negotiated	$1,304.58
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	EMPIRE PLAN 517901, EMPIRE PLAN UHC 518001	outpatient	negotiated	$1,302.74
Alice Hyde Medical Center	NY	Blue Cross Blue Shield	Managed Medicaid/Essential Plans	both	negotiated	$1,284.43
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$1,284.43
Fredrick Ferris Thompson Hospital	NY	Medicare	MVP MEDICARE 130701, MVP MEDICARE DUAL ACCESS DSNP 132101	outpatient	negotiated	$1,253.19
Fredrick Ferris Thompson Hospital	NY	mvp 2900	MVP PREMIER INDIVIDUAL 290002, MVP PREMIER GROUP 290003	outpatient	negotiated	$1,251.50
Westfield Memorial Hospital	NY	UnitedHealthcare	United Healthcare CHIP	outpatient	negotiated	$1,241.60
Westfield Memorial Hospital	NY	UnitedHealthcare	United Healthcare Medicaid	outpatient	negotiated	$1,241.60
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS ESSENTIAL (NO MEDICAID) 515503, FIDELIS ESSENTIAL (W/ MEDICAID) 170804	outpatient	negotiated	$1,226.31
Fredrick Ferris Thompson Hospital	NY	Medicaid	CAPITAL DISTRICT PHYSICIANS MEDICAID 170401	outpatient	negotiated	$1,213.85
Fredrick Ferris Thompson Hospital	NY	Medicaid	MVP OPTION MEDICAID 171201, MVP ESSENTIAL (W/ MEDICAID) 171204, MVP CHILD HEALTH PLUS 290004, MVP ESSENTIAL (NO MEDICAID) 290005	outpatient	negotiated	$1,203.38
Fredrick Ferris Thompson Hospital	NY	Medicaid	FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502	outpatient	negotiated	$1,171.20
Westfield Memorial Hospital	NY	univera	Univera Essential Plan	outpatient	negotiated	$1,171.20
Westfield Memorial Hospital	NY	univera	Univera Healthy New York	outpatient	negotiated	$1,171.20
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$1,169.75
Alice Hyde Medical Center	NY	fidelis care	Child Health Plus	both	negotiated	$1,146.41
Alice Hyde Medical Center	NY	Humana	TRICARE	both	negotiated	$1,146.41
Alice Hyde Medical Center	NY	mvp	Essential Plans	both	negotiated	$1,146.41
Alice Hyde Medical Center	NY	mvp	Managed Medicaid	both	negotiated	$1,146.41
Fredrick Ferris Thompson Hospital	NY	Aetna	AETNA MEDICARE 130001, AETNA SENIOR SUPPLEMENTAL 270006	outpatient	negotiated	$1,146.41
Fredrick Ferris Thompson Hospital	NY	excellus 2201	EXCELLUS METAL TIERS 220102, UNIVERA METAL TIERS INDIVIDUAL 220113, UNIVERA METAL TIERS SMALL GROUP 220114	outpatient	negotiated	$1,146.41
Fredrick Ferris Thompson Hospital	NY	Medicare	MEDICARE BLUE CHOICE 130601, BLUE MEDICARE 130602, MEDICARE BLUE IB DUAL 130604	outpatient	negotiated	$1,146.41
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$1,128.99
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$1,070.37
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	UNITED HEALTHCARE MEDICARE 130901,SECUREHORIZONS DIRECT 130902,UNITED HEALTHCARE DUAL COMPLETE 130904,UHC MEDICARE COMPLETE 130905	outpatient	negotiated	$1,060.97
Fredrick Ferris Thompson Hospital	NY	Medicaid	MVP OPTION MEDICAID 171201, MVP ESSENTIAL (W/ MEDICAID) 171204, MVP CHILD HEALTH PLUS 290004, MVP ESSENTIAL (NO MEDICAID) 290005	outpatient	negotiated	$1,022.87
Fredrick Ferris Thompson Hospital	NY	UnitedHealthcare	UNITED HEALTHCARE MEDICAID 171601,UNITED HEALTHCARE ESSENTIAL 3-4 171602,UNITED HEALTHCARE ESSENTIAL 1-2 515812, UNITED HEALTHCARE CHILD HEALTH PLUS 515813	outpatient	negotiated	$944.10
Alice Hyde Medical Center	NY	UnitedHealthcare	Managed Medicaid/Essential Plans	both	negotiated	$944.10
Alice Hyde Medical Center	NY	capital district physicians' health plan	Essential Plans	both	negotiated	$917.13
Alice Hyde Medical Center	NY	capital district physicians' health plan	Managed Medicaid	both	negotiated	$917.13
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, AMERIGROUP (BSWNY ALTERNATE) 172001, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307	outpatient	negotiated	$867.86
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, AMERIGROUP (BSWNY ALTERNATE) 172001, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307	outpatient	negotiated	$759.38
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307	outpatient	negotiated	$737.68
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$730.45
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	AMERIGROUP (BSWNY ALTERNATE) 172001	outpatient	negotiated	$694.29
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	HIGHMARK BC/BS OF WESTERN NY MEDICAID 170201, COMMUNITY CARE MEDICAID 170202, COMMUNITY BLUE CHILD HEALTH PLUS 514306, BCBSWNY-COMMUNITYBLUEESSENTIALPLAN1 514307	outpatient	negotiated	$645.47
Fredrick Ferris Thompson Hospital	NY	Medicaid	BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL (W/ MEDICAID) 170604, UNIVERA ESSENTIAL (W/ MEDICAID) 170605, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS ESSENTIAL (NO MEDICAID) 220109, EXCELLU	outpatient	negotiated	$620.88
Fredrick Ferris Thompson Hospital	NY	Blue Cross Blue Shield	AMERIGROUP (BSWNY ALTERNATE) 172001	outpatient	negotiated	$607.50
Fredrick Ferris Thompson Hospital	NY	[De-identified Max]	—	outpatient	max	$60,652
Westfield Memorial Hospital	NY	[De-identified Max]	—	outpatient	max	$41,783
Nassau University Medical Center	NY	[De-identified Max]	—	outpatient	max	$23,285
Alice Hyde Medical Center	NY	[De-identified Max]	—	both	max	$4,223.80
Fredrick Ferris Thompson Hospital	NY	[De-identified Max]	—	outpatient	max	$3,525.15
Nassau University Medical Center	NY	[De-identified Max]	—	outpatient	max	$2,646.71
Nassau University Medical Center	NY	[De-identified Max]	—	both	max	$1,871.08

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).