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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

Hospitals

Payers

Negotiated range

$80.06 – $180.14

Negotiated median

$87.72

CPT 99213 Office visit, established patient, 20-29 minutes · Showing 200 of 659 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 3 AND 4 [10016702]	inpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY MOLINA ESSENTIAL PLAN 3 AND 4 [10016704]	inpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY BY MOLINA ESSENTIAL 200-250 [10016705]	inpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 200-250 [10016706]	inpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY MOLINA ESSENTIAL PLAN 3 AND 4 [10016704]	outpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY MOLINA ESSENTIAL PLAN 1 AND 2 [10016703]	outpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 1 AND 2 [10016701]	outpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 3 AND 4 [10016702]	outpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 200-250 [10016706]	outpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY MOLINA ESSENTIAL PLAN 1 AND 2 [10016703]	inpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	AFFINITY BY MOLINA ESSENTIAL 200-250 [10016705]	outpatient	negotiated	$180.14
MARY BLACK MEMORIAL HOSPITAL	SC	Molina	MOLINA ESSENTIAL PLAN 1 AND 2 [10016701]	inpatient	negotiated	$180.14
COLLETON MEDICAL CENTER	SC	sc state employees	COMM	outpatient	negotiated	$175.95
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA GREAT WEST [10000902]	outpatient	negotiated	$127.2
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA [10000901]	outpatient	negotiated	$127.2
EAST COOPER REGIONAL MEDICAL CENTER	SC	Blue Cross Blue Shield	State Health Plan	outpatient	negotiated	$108.5
COASTAL CAROLINA MEDICAL CENTER	SC	Blue Cross Blue Shield	State Health Plan	outpatient	negotiated	$108.5
HILTON HEAD HOSPITAL	SC	Blue Cross Blue Shield	State Health Plan	outpatient	negotiated	$108.5
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA [10000901]	inpatient	negotiated	$108.12
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA GREAT WEST [10000902]	inpatient	negotiated	$108.12
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PPO B/C [10015111]	outpatient	negotiated	$106
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA TRADITIONAL B/C [10015104]	outpatient	negotiated	$106
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	EMPIRE B/C PPO-YLS [10015108]	outpatient	negotiated	$106
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	FEDERAL BC UNDER 65 [10015112]	outpatient	negotiated	$106
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	BCBS OF MICH [10015110]	outpatient	negotiated	$106
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA PPO B/C [10015105]	outpatient	negotiated	$106
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE PPO [10015115]	outpatient	negotiated	$106
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	BLUE CROSS/BLUE SHIELD [10015101]	outpatient	negotiated	$106
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	EMPIRE B/C -YLS [10015107]	outpatient	negotiated	$106
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis essential [100163]	FIDELIS ESSENTIAL PLAN 200-250 [10016303]	inpatient	negotiated	$105.27
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis essential [100163]	FIDELIS ESSENTIAL PLAN 200-250 [10016303]	outpatient	negotiated	$105.27
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis essential [100163]	FIDELIS ESSENTIAL PLAN 1 AND 2 [10016301]	inpatient	negotiated	$105.27
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis essential [100163]	FIDELIS ESSENTIAL PLAN 1 AND 2 [10016301]	outpatient	negotiated	$105.27
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis exchange [100164]	FIDELIS EXCHANGE [10016401]	inpatient	negotiated	$105.27
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis exchange [100164]	FIDELIS EXCHANGE [10016401]	outpatient	negotiated	$105.27
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	PPO UNIVERA [10016903]	outpatient	negotiated	$97.53
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	ASO [10016905]	outpatient	negotiated	$97.53
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	HMO FOR INDIVIDUALS [10016901]	outpatient	negotiated	$97.53
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	UNIVERA ARTICLE 43 [10016906]	outpatient	negotiated	$97.53
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	LIFETIME BENEFIT SOLUTIONS [10016902]	outpatient	negotiated	$97.53
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	TRADITIONAL [10016904]	outpatient	negotiated	$97.53
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	UNIVERA ARTICLE 44 [10016907]	outpatient	negotiated	$97.53
COLLETON MEDICAL CENTER	SC	Blue Cross Blue Shield	PreferredBlue	outpatient	negotiated	$96.85
COLLETON MEDICAL CENTER	SC	Blue Cross Blue Shield	BlueChoice	outpatient	negotiated	$96.85
MARY BLACK MEMORIAL HOSPITAL	SC	ghi [100153]	GHI [10015301]	outpatient	negotiated	$96.5
MARY BLACK MEMORIAL HOSPITAL	SC	ghi [100153]	GHI [10015301]	inpatient	negotiated	$96.5
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE LIBERTY [45012902]	outpatient	negotiated	$96.49
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE HMO [45012901]	outpatient	negotiated	$96.49
COLLETON MEDICAL CENTER	SC	Blue Cross Blue Shield	COMM	outpatient	negotiated	$95
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	CHOICE PLUS [10016505]	outpatient	negotiated	$94.79
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	NOVA [10016506]	outpatient	negotiated	$94.79
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA ENCOMPASS [10016503]	outpatient	negotiated	$94.79
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	COMMERCIAL IHA 44 [10016501]	outpatient	negotiated	$94.79
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA PASSPORT [10016507]	outpatient	negotiated	$94.79
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA ARTICLE 43 [10016502]	outpatient	negotiated	$94.79
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	SELF FUNDED IHA [10016504]	outpatient	negotiated	$94.79
MARY BLACK MEMORIAL HOSPITAL	SC	iha first choice [800001]	IHA NON -CH FIRST CHOICE [80000102]	outpatient	negotiated	$94.79
MARY BLACK MEMORIAL HOSPITAL	SC	iha first choice [800001]	IHA CH FIRST CHOICE [80000101]	outpatient	negotiated	$94.79
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE POS [10017313]	outpatient	negotiated	$92.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA HMO/POS/BC [10017303]	outpatient	negotiated	$92.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	COMMUNITY BLUE POS [10017310]	outpatient	negotiated	$92.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	HEALTHY NEW YORK BC [10015103]	outpatient	negotiated	$92.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	AQUA [10017301]	outpatient	negotiated	$92.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	POS ALIGN SELECT [10017312]	outpatient	negotiated	$92.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE TIERED [10017314]	outpatient	negotiated	$92.22
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	HMO ALIGN SELECT [10017311]	outpatient	negotiated	$92.22
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis dual advantage [450120]	FIDELIS DUAL ADVANTAGE [45012001]	outpatient	negotiated	$92.11
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE FIDELIS DUAL ACCESS [45045102]	outpatient	negotiated	$92.11
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	KALOS MEDICARE ADVANTAGE [45012601]	inpatient	negotiated	$92.11
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE FIDELIS DUAL DSNP [45045103]	outpatient	negotiated	$92.11
MARY BLACK MEMORIAL HOSPITAL	SC	fidelis dual advantage [450120]	FIDELIS DUAL ADV FLEX [45012002]	outpatient	negotiated	$92.11
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE FIDELIS DUAL PLUS [45045101]	outpatient	negotiated	$92.11
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	FIDELIS MEDICARE ADVANTAGE [45012101]	outpatient	negotiated	$92.11
HILTON HEAD HOSPITAL	SC	Multiplan	Commercial	outpatient	negotiated	$90
EAST COOPER REGIONAL MEDICAL CENTER	SC	Multiplan	Commercial	outpatient	negotiated	$90
COLLETON MEDICAL CENTER	SC	novanet	COMM	outpatient	negotiated	$90
HILTON HEAD HOSPITAL	SC	phcs	Commercial	outpatient	negotiated	$90
EAST COOPER REGIONAL MEDICAL CENTER	SC	phcs	Commercial	outpatient	negotiated	$90
COLLETON MEDICAL CENTER	SC	Humana	PPO	outpatient	negotiated	$90
COASTAL CAROLINA MEDICAL CENTER	SC	Multiplan	Commercial	outpatient	negotiated	$90
COLLETON MEDICAL CENTER	SC	galaxy health network	COMM	outpatient	negotiated	$90
COASTAL CAROLINA MEDICAL CENTER	SC	phcs	Commercial	outpatient	negotiated	$90
COLLETON MEDICAL CENTER	SC	First Health	PPO	outpatient	negotiated	$90
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	CARE IMPROVEMENT PLUS [45011702]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Aetna	AETNA OTHER COMMERCIAL [10000109]	inpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Aetna	AETNA MEDICARE HMO [45011201]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Aetna	AETNA HMO [10000107]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Aetna	AETNA HMO [10000107]	inpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	TRICARE	TRICARE [60010002]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	covid19 hrsa [45013]	COVID19 HRSA [4501301]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	CENTERS PLAN FOR HEALTHY LIVING [45011703]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART A AND B [40000101]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	CATHOLIC HEALTH LIFE PACE MEDICAID [30000501]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	fallon health [450115]	FALLON HEALTH [45011501]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	KALOS MEDICARE ADVANTAGE [45012601]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE COVID VAC ALT [4000010102]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	magnacare [100142]	MAGNACARE [10014201]	inpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	magnacare [100142]	MAGNACARE [10014201]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	TRICARE	USFHP MARTINS POINT HEALTH CARE [60010003]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE HMO OTHER [45011701]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UHC MEDICARE HMO [45002110]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UHC MEDICARE ADVANTAGE [45002107]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	EXCELLUS ROCHESTER MEDICARE [45012801]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART A [40000102]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Humana	HUMANA MEDICARE PPO [45013003]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	catholic health life pace [400005]	CATHOLIC HEALTH LIFE PACE [40000501]	inpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Meritain Health	MERITAIN [10006301]	inpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE RAILROAD [40000104]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UHC DUAL COMPLETE LP SNP 2018 [45002112]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART B [40000103]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	hospice [550001]	ERIE [55000101]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UHC DUAL COMPLETE RPPO-SNP [45002109]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	hospice [550001]	NIAGARA [55000102]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PART B ALTERNATE [88801]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Humana	HUMANA MEDICARE PFFS [45013002]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	COMPLETE SENIOR CARE [45011704]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UHC DUAL COMPLETE [45002101]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Cigna	CIGNA MEDICARE HMO [45011301]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	CATHOLIC HEALTH LIFE PACE MEDICAID [30000501]	inpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	catholic health life pace [400005]	CATHOLIC HEALTH LIFE PACE [40000501]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Humana	HUMANA MEDICARE HMO/POS [45013001]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Aetna	AETNA MEDICARE HMO [45011201]	inpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UHC CARE IMPROVEMENT PLUS [45002105]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Meritain Health	MERITAIN [10006301]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Aetna	AETNA OTHER COMMERCIAL [10000109]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Aetna	AETNA PPO [10000101]	inpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	VA Health	VA CCN OPTUM [70000103]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	TRICARE	WPS TRICARE FOR LIFE [60010001]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	VA Health	VA BATAVIA [70000104]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	VA Health	VA [70000101]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	seneca nation [450119]	SENECA NATION [45011901]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	champ va [700002]	CHAMP VA [70000201]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Aetna	AETNA PPO [10000101]	outpatient	negotiated	$87.72
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MCR PASSPORT ADVANTAGE [45012204]	outpatient	negotiated	$86.28
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	FAMILY CHOICE [45012203]	outpatient	negotiated	$86.28
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	MEDICARE PPO IHA [45012202]	outpatient	negotiated	$86.28
MARY BLACK MEMORIAL HOSPITAL	SC	Medicare	ENCOMPASS 65 [45012201]	outpatient	negotiated	$86.28
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	EMPIRE PLAN OF UNITED HEALTHCARE [10015401]	outpatient	negotiated	$85.09
COLLETON MEDICAL CENTER	SC	prime health	COMM	outpatient	negotiated	$85
COLLETON MEDICAL CENTER	SC	north american administrators	COMM	outpatient	negotiated	$85
COLLETON MEDICAL CENTER	SC	Multiplan	COMM	outpatient	negotiated	$85
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	HMO FOR INDIVIDUALS [10016901]	inpatient	negotiated	$82.9
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	ASO [10016905]	inpatient	negotiated	$82.9
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	LIFETIME BENEFIT SOLUTIONS [10016902]	inpatient	negotiated	$82.9
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	UNIVERA ARTICLE 43 [10016906]	inpatient	negotiated	$82.9
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	UNIVERA ARTICLE 44 [10016907]	inpatient	negotiated	$82.9
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	PPO UNIVERA [10016903]	inpatient	negotiated	$82.9
MARY BLACK MEMORIAL HOSPITAL	SC	univera healthcare [100169]	TRADITIONAL [10016904]	inpatient	negotiated	$82.9
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE LIBERTY [45012902]	inpatient	negotiated	$82.02
MARY BLACK MEMORIAL HOSPITAL	SC	WellCare	WELLCARE HMO [45012901]	inpatient	negotiated	$82.02
MARY BLACK MEMORIAL HOSPITAL	SC	mvp healthcare [100168]	MVP [10016801]	outpatient	negotiated	$81.19
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE TIERED [10017314]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE POS [10017313]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA PPO B/C [10015105]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PPO B/C [10015111]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	POS ALIGN SELECT [10017312]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA TRADITIONAL B/C [10015104]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	OUT OF AREA HMO/POS/BC [10017303]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	HMO ALIGN SELECT [10017311]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	HEALTHY NEW YORK BC [10015103]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	FEDERAL BC UNDER 65 [10015112]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	COMMUNITY BLUE POS [10017310]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	BLUE CROSS/BLUE SHIELD [10015101]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	BCBS OF MICH [10015110]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	AQUA [10017301]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	PREFERRED CHOICE PPO [10015115]	outpatient	negotiated	$80.96
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UNITED HEALTHCARE [10015402]	outpatient	negotiated	$80.71
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UHC OTHER COMMERCIAL [10015403]	outpatient	negotiated	$80.71
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UNITED HEALTHCARE ALT [10018401]	outpatient	negotiated	$80.71
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	EMPIRE B/C PPO-YLS [10015108]	outpatient	negotiated	$80.71
MARY BLACK MEMORIAL HOSPITAL	SC	Blue Cross Blue Shield	EMPIRE B/C -YLS [10015107]	outpatient	negotiated	$80.71
MARY BLACK MEMORIAL HOSPITAL	SC	UnitedHealthcare	UNITED HEALTHCARE UMR [10018501]	outpatient	negotiated	$80.71
MARY BLACK MEMORIAL HOSPITAL	SC	iha first choice [800001]	IHA NON -CH FIRST CHOICE [80000102]	inpatient	negotiated	$80.57
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA PASSPORT [10016507]	inpatient	negotiated	$80.57
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	CHOICE PLUS [10016505]	inpatient	negotiated	$80.57
MARY BLACK MEMORIAL HOSPITAL	SC	iha first choice [800001]	IHA CH FIRST CHOICE [80000101]	inpatient	negotiated	$80.57
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA ENCOMPASS [10016503]	inpatient	negotiated	$80.57
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	IHA ARTICLE 43 [10016502]	inpatient	negotiated	$80.57
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	NOVA [10016506]	inpatient	negotiated	$80.57
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	COMMERCIAL IHA 44 [10016501]	inpatient	negotiated	$80.57
MARY BLACK MEMORIAL HOSPITAL	SC	independent health [100165]	SELF FUNDED IHA [10016504]	inpatient	negotiated	$80.57
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	CHILD HEALTH PLUS IHA NON MEDICAID [35010602]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	MEDICAID FLORIDA [30999905]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	CHILD HEALTH PLUS UNIVERA NON MEDICAID [35010803]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	MEDICAID EPISODIC [30000103]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	MEDICAID MAINE [30999907]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	MEDICAID CALIFORNIA [30999904]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	CHILD HEALTH PLUS IHA MEDICAID [35010603]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	SCHOOL MEDICAID ALT [30000201]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	UNIVERA MCD MYHEALTH [35010802]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	MEDICAID MASSACHUSETTS [30999906]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	NYS MEDICAL ASSISTANCE [30000102]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	independent health essential [100166]	IHA ESSENTIAL PLAN 1 AND 2 [10016601]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	KALOS MLTC [35011101]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	CHILD HEALTH PLUS UNIVERA MEDICAID [35010801]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	AMERIGROUP MEDICAID [35000201]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	MEDICAID HMO OTHER NYS [35010401]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	MEDISOURCE [35010601]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	MEDICAID OHIO [30999910]	outpatient	negotiated	$80.06
MARY BLACK MEMORIAL HOSPITAL	SC	Medicaid	EXCELLUS ROCHESTER MEDICAID [35011201]	outpatient	negotiated	$80.06

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).