183862 — Sut Ethilon 10-0 Bv75-4
Cite this view
HANK Price Transparency. (n.d.). SUT ETHILON 10-0 BV75-4 (CDM 183862) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/183862?code_type=CDM
“SUT ETHILON 10-0 BV75-4 (CDM 183862) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/183862?code_type=CDM. Accessed .
“SUT ETHILON 10-0 BV75-4 (CDM 183862) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/183862?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $39–$120 (25th–75th percentile) across 2 hospitals · 39 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 183862 — 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 |
|---|---|---|---|---|---|---|---|
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHIP | $12.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STAR | $12.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARKids | $12.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARPLUS | $12.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHPFC | $12.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | MCR | $13.26 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIPPerinatal | $26.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR+PLUS | $26.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | STAR | $26.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Community Health Choice MCD | CHIP | $26.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MCDCHIPBH | $28.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Amerigroup | MGMCD | $28.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | CSN | $29.60 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | OpenAccessPlus | $32.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | MyBlueHealth | $32.60 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | EPO | $35.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | HMO | $35.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | United | OptionsPPO | $35.20 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | BAV | $36.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Cigna | PPO | $38.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Oscar | HIX | $39.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior | ValueHMO | $39.60 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | CHIP | $40.80 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | HMO | $45.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | EPOSOA | $46.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | PPO | $46.80 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | STAR | $47.40 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Childrens Health Plans | STARKIDS | $47.40 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | TX Workforce Commission | GVT | $48.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Healthcare Highways | NarrowNetwork | $51.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | QHPExchange | $53.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Molina Healthcare | HIX | $54.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Evry Health | BroadNetwork | $54.60 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Humana | PPO | $63.82 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Humana | HMO | $63.82 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | NBPOS | $64.20 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | NBPPO | $64.20 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | NBHMO | $64.20 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | COMMPOS | $68.40 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | COMMPPO | $68.40 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | COMMHMO | $68.40 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Imagine Health | PPO | $70.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | BCBS | Traditional | $70.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Curative Administrators | COMM | $80.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Christus (USFHP) | TRICARE | $80.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | OONHMO | $80.20 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | OONPOS | $80.20 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | OONPPO | $80.20 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | HealthSmart Preferred Care | ACCEL | $86.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | ASAPOS | $86.60 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | ASAPPO | $86.60 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | ASAHMO | $86.60 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Averde Health | Commercial | $90.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Fidelis SecureCare of TX | MGMCR | $90.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | United | GlobalAppendix | $90.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Multiplan | SAVILITYNETWORK | $100.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Coventry National First Health | COMM | $106.60 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Physicians Cooperative of Texas | WC | $110.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Rockport Workers Comp | COMM | $110.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Independent Medical System | COMM | $120.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | SouthWest Medical | WORKERSCOMP | $120.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Beech Street | WCOMP | $120.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | National Healthcare Solutions | COMM | $120.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Coastal Comp | COMM | $130.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | HealthSmart Preferred Care | PPO | $164.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Physicians, INC | COMM | $170.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $170.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Multiplan | COMPLEMENTARYPPO | $180.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Affiliated PPO | COMM | $180.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Beech Street | COMMPPO | $184.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | Premier | $300.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $200.00 | $200.00 | 2026-03-01 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Tricare | Commercial | $2,672.00 | $16,303.00 | $16,303.00 | 2026-11-06 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Healthy Blue Kansas | Medicare Advantage | $6,847.00 | $16,303.00 | $16,303.00 | 2026-11-06 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Ambetter | Commercial | $15,325.00 | $16,303.00 | $16,303.00 | 2026-11-06 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Midlands Choice | Commercial | $15,325.00 | $16,303.00 | $16,303.00 | 2026-11-06 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Cigna | Commercial | $15,325.00 | $16,303.00 | $16,303.00 | 2026-11-06 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Medica | Commercial | $15,488.00 | $16,303.00 | $16,303.00 | 2026-11-06 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Blue Cross Blue Shield | Commercial | $15,488.00 | $16,303.00 | $16,303.00 | 2026-11-06 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Aetna | Commercial | $15,651.00 | $16,303.00 | $16,303.00 | 2026-11-06 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Coventry | Commercial | $15,651.00 | $16,303.00 | $16,303.00 | 2026-11-06 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Meritain | Commercial | $15,651.00 | $16,303.00 | $16,303.00 | 2026-11-06 | MRF ↗ |