10555 — Endoocular Probe 102-5
Cite this view
HANK Price Transparency. (n.d.). ENDOOCULAR PROBE 102-5 (CDM 10555) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/10555?code_type=CDM
“ENDOOCULAR PROBE 102-5 (CDM 10555) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/10555?code_type=CDM. Accessed .
“ENDOOCULAR PROBE 102-5 (CDM 10555) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/10555?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $119–$7,678 (25th–75th percentile) across 5 hospitals · 50 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 10555 — 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 |
|---|---|---|---|---|---|---|---|
| METHODIST HOSPITAL Outpatient | Superior Health | STARPLUS | $19.32 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHPFC | $19.32 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHIP | $19.32 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARKids | $19.32 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STAR | $19.32 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCDBH | $45.08 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | MCDSTAR | $45.08 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | CHIP | $45.08 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCD | $45.08 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIPBH | $45.08 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIP | $45.08 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRSNP | $61.18 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRHMO | $61.18 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPOS | $61.18 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPFFS | $61.18 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPPO | $61.18 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | DualEligible | $61.18 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | PPO | $64.40 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | POS | $64.40 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | BroadNetworkHIX | $64.40 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | EPO | $64.40 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Molina | QHP | $80.50 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | United | OptionsPPO | $83.08 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | QHPHIX | $85.97 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna | NBN | $95.63 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna Lifesource | COMM | $99.82 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First Health Plans | COMM | $99.82 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | MBH | $100.14 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Healthcare Highways | NarrowNetwork | $101.11 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | TRAD | $102.72 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Focus Health Solutions | COMM | $103.04 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna | OpenAccessPlus | $107.23 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | HMO | $108.26 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | PPO | $108.26 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterValueHMO | $112.70 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Valenz | COMM | $112.70 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NarrowNetwork | $117.21 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | HPN | $121.07 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | EPO | $121.07 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | BAV | $121.39 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Evry Health | Broad | $121.72 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterEPO | $122.36 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterHMO | $122.36 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NewBusinessRates | $125.90 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna | PPO | $129.77 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | CommercialBaseNetwork | $129.77 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | First Health | COMM | $142.97 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Fidelis SecureCare | MGMCR | $144.90 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | HMO | $147.15 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | OON | $152.31 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | EPOSOA | $153.92 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Emerging Therapy Solutions | MCR | $154.56 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | PPO | $160.36 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TX Healthcare Foundation | PPO | $161.00 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Texas Healthcare Foundation HEB | HEBEmployee | $161.00 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | National ChoiceCare | WORKERSCOMP | $161.00 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | ASA | $164.86 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Independent Medical Systems | PPO | $177.10 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Physician Cooperative of Texas | WORKERSCOMP | $177.10 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | HealthSmart Preferred Care | Accel | $177.10 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | HAA Preferred Partners | LOGOV | $193.20 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | San Antonio Employers Health Alliance | PPO | $193.20 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | National Healthcare Solutions | PPO | $209.30 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $209.30 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | PHCS | PrimaryPPO | $215.74 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | MultiPlan, Inc. | PRIMARYPPO | $215.74 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TML Intergovernmental EBP | PPO | $225.40 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Emerging Therapy Solutions | COMM | $231.84 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | MultiPlan, Inc. | COMPLEMENTARYPPO | $241.50 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $241.50 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $241.50 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | PHCS | Complimentary | $241.50 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | DirectCare America | PPO | $257.60 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Admar Corporation | PPO | $257.60 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Admar Corporation | EPO | $257.60 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | United Payors United Providers | PPO | $257.60 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | USA Managed Care | PPO | $257.60 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Blue Bell | PPO | $257.60 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Galaxy Health Network | COMM | $273.70 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | MedicalControl | PPO | $273.70 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Managed Healthcare | PPO | $273.70 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Optum | MCD | $322.00 | $322.00 | $322.00 | 2025-01-01 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $579.19 | $567.61 | 2025-03-17 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Devoted | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Anderson County Employees/EBMS | Commercial | $3,745.55 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Edison Health/Claim Doc | Commercial | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Health Exchange | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Health Exchange | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Centene | Managed Medicaid | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Humana | Managed Medicaid | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Cigna | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Cigna | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Edison Health/Claim Doc | Commercial | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Anderson County Employees/EBMS | Commercial | $3,745.55 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Devoted | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Magellan Behavioral Health | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Health Exchange | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Innovation | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | State | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Aetna | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Humana | Managed Medicaid | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Managed Medicaid | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Health Exchange | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Centene | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Innovation | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | State | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Preferred Blue | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Health Exchange | $3,839.18 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Innovation | $6,621.59 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | State | $6,688.48 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Preferred Blue | $7,116.54 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | Cigna | Commercial | $7,464.34 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $7,638.24 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice PCN | $7,678.37 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $7,678.37 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Cigna | Commercial | $7,852.27 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial | $7,999.42 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | MedCost Ultra | Commercial | $8,026.17 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | First Health | Commercial | $8,400.72 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | MedCost | Commercial | $9,002.69 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Aetna | HMO/POS/PPO | $9,912.32 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $9,923.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | WellMed | Medicare Advantage | $9,923.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $9,923.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Medicare Advantage | $10,022.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | Aetna | HMO/POS/PPO | $10,313.63 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $11,745.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | First Health | Commercial | $11,905.49 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| ANMED HEALTH InpatientFacility | MedCost | Commercial | $12,039.26 | $13,376.95 | $6,688.48 | 2024-11-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $13,163.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | FirstCare | Baylor Scott Health Plan | $13,163.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | PPO | $13,163.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $17,213.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $18,225.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |
| COGDELL MEMORIAL HOSPITAL Outpatient | FirstCare | Commercial | $18,225.00 | $20,250.00 | $20,250.00 | 2026-01-21 | MRF ↗ |