104515 — Suture Mnitape Wht39.5/6
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SUTURE MNITAPE WHT39.5/6 (CDM 104515) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/104515?code_type=CDM
MLA (9th ed.)
“SUTURE MNITAPE WHT39.5/6 (CDM 104515) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/104515?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SUTURE MNITAPE WHT39.5/6 (CDM 104515) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/104515?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $529–$7,229 (25th–75th percentile) across 8 hospitals · 95 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 104515 — 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 |
|---|---|---|---|---|---|---|---|
| Davie Medical Center OutpatientFacility | Aetna | Behavioral Health | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna North Carolina Preferred | Behavioral Health | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Health Blue | Medicaid Managed Care | $2.49 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Carolina Complete | Medicaid Managed Care | $2.49 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Partners | Medicaid Tailored Plan | $2.49 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Wellcare | Medicaid Managed Care | $2.52 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Vaya | Medicaid Tailored Plan | $2.52 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Alliance | Medicaid Tailored Plan | $2.54 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Trillium | Medicaid Tailored Plan | $2.57 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Managed Care | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Adult) | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Partners | Medicaid Tailored Plan | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Behavioral Health | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HMO/PPO | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Vaya | Medicaid Tailored Plan | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Transplant Services | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Trillium | Medicaid Tailored Plan | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Evernorth | Behavioral Health | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare/Optum Behavioral Health | Behavioral Health | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Value | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Ambetter | Managed Care | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna Healthsprings | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Medicaid Managed Care | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Optum Transplant | Transplant Services | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Local Individual | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Magellan | Behavioral Health | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | HealthTeam | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Behavioral Health | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | IEX Individual Managed Care | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Liberty | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Behavioral Health | Behavioral Health | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Apex | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alliance | Medicaid Tailored Plan | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | HPN | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna LifeSource | Transplant Services | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cigna | Managed Care (Pediatrics) | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Amerihealth | Managed Care | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Devoted | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Humana | Transplant Services | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Carolina Complete | Medicaid Managed Care | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Health Blue | Medicaid Managed Care | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Wellcare | Medicaid Managed Care | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Alignment Medicare | Medicare Advantage | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | United Healthcare | Medicaid Managed Care | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Blue Cross Blue Shield | Blue Distinctions Transplant Services | — | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Amerihealth | Managed Care | $2.97 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Ambetter | Managed Care | $2.98 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna Whole Health | Managed Care | $3.23 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Oscar | Managed Care | $3.31 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | Blue Value | $3.53 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna Whole Health | Managed Care | $3.54 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna North Carolina Preferred | Managed Care | $3.59 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Blue Cross Blue Shield | HMO/PPO | $3.71 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Cigna | Managed Care (Adult) | $3.86 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Oscar | Managed Care | $3.97 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Aetna | Broad Network | $4.42 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Aetna | Broad Network | $4.52 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Humana ChoiceCare | Managed Care | $6.03 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | DirectNet | Managed Care | $6.51 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center OutpatientFacility | Cigna LifeSource | Transplant Services | $6.61 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Healthgram | Managed Care | $7.71 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Cone Health | Managed Care | $7.71 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Carolina Care | Managed Care | $8.82 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Private Healthcare Systems | Managed Care | $9.04 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | First Health (Aetna) | Managed Care | $9.37 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Davie Medical Center InpatientFacility | Multiplan | Managed Care | $9.92 | $11.02 | $5.51 | 2025-10-21 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARPLUS | $124.44 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $124.44 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $124.44 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $124.44 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $124.44 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STAR | $124.44 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARKids | $124.44 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $124.44 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHPFC | $124.44 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHIP | $124.44 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | MCR | $137.51 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | MCR | $137.51 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $269.62 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR+PLUS | $269.62 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR | $269.62 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $269.62 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIPPerinatal | $269.62 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $269.62 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $269.62 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIP | $269.62 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MCDCHIPBH | $290.36 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MGMCD | $290.36 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $290.36 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $290.36 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | Premier | $300.00 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | Premier | $300.00 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | CSN | $306.95 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | CSN | $306.95 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | OpenAccessPlus | $331.84 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | OpenAccessPlus | $331.84 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | MyBlueHealth | $338.06 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | MyBlueHealth | $338.06 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | CHIP | $344.28 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | CHIP | $344.28 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | HMO | $362.95 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | EPO | $362.95 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | EPO | $362.95 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | HMO | $362.95 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | OptionsPPO | $365.02 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $370.90 | $7,418.00 | $7,418.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $370.90 | $7,418.00 | $7,418.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $370.90 | $7,418.00 | $7,418.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $370.90 | $7,418.00 | $7,418.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | BAV | $373.32 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | BAV | $373.32 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | PPO | $394.06 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | PPO | $394.06 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Oscar | HIX | $404.43 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Oscar | HIX | $404.43 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | ValueHMO | $410.65 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | ValueHMO | $410.65 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | OptionsPPO | $418.95 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | HMO | $466.65 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | HMO | $466.65 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | EPOSOA | $477.02 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | EPOSOA | $477.02 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | PPO | $485.32 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | PPO | $485.32 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STARKIDS | $491.54 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STARKIDS | $491.54 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STAR | $491.54 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STAR | $491.54 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Workforce Commission | WCOMP | $497.76 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | IPA Management Services | COMM | $518.50 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Healthcare Highways | NarrowNetwork | $528.87 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Healthcare Highways | NarrowNetwork | $528.87 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | QHPExchange | $549.61 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | QHPExchange | $549.61 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Molina Healthcare | HIX | $559.98 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Molina Healthcare | HIX | $559.98 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Evry Health | BroadNetwork | $566.20 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Evry Health | BroadNetwork | $566.20 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | CHC Harris Health | Indigent | $622.20 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Humana | PPO | $661.81 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Humana | HMO | $661.81 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Humana | PPO | $661.81 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Humana | HMO | $661.81 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBPOS | $665.75 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBPPO | $665.75 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBHMO | $665.75 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBPOS | $665.75 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBPPO | $665.75 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBHMO | $665.75 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMPPO | $709.31 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMHMO | $709.31 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMPOS | $709.31 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMPOS | $709.31 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMHMO | $709.31 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMPPO | $709.31 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | Traditional | $725.90 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | Traditional | $725.90 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Imagine Health | PPO | $725.90 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Kelsey Care (Boon-Chapman) | COMM | $725.90 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Imagine Health | PPO | $725.90 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Curative Administrators | COMM | $829.60 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Christus (USFHP) | TRICARE | $829.60 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Christus (USFHP) | TRICARE | $829.60 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Curative Administrators | COMM | $829.60 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONPOS | $831.67 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONPPO | $831.67 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONPOS | $831.67 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONPPO | $831.67 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONHMO | $831.67 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONHMO | $831.67 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | ACCEL | $891.82 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | ACCEL | $891.82 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAPOS | $898.04 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAPPO | $898.04 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAPPO | $898.04 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAHMO | $898.04 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAHMO | $898.04 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAPOS | $898.04 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | GlobalAppendix | $933.30 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Averde Health | Commercial | $933.30 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Fidelis SecureCare of TX | MGMCR | $933.30 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | GlobalAppendix | $933.30 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Averde Health | Commercial | $933.30 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Fidelis SecureCare of TX | MGMCR | $933.30 | $2,074.00 | $2,074.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $936.75 | $18,735.00 | $18,735.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $936.75 | $18,735.00 | $18,735.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $936.75 | $18,735.00 | $18,735.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $936.75 | $18,735.00 | $18,735.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STAR | $949.86 | $15,831.00 | $15,831.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARPLUS | $949.86 | $15,831.00 | $15,831.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHIP | $949.86 | $15,831.00 | $15,831.00 | 2026-03-01 | 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.