500328 — US Dvc Plc Brst Add
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). US DVC PLC BRST ADD (CDM 500328) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/500328?code_type=CDM
MLA (9th ed.)
“US DVC PLC BRST ADD (CDM 500328) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/500328?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“US DVC PLC BRST ADD (CDM 500328) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/500328?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,279–$5,999 (25th–75th percentile) across 2 hospitals · 38 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 500328 — 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 CLEAR LAKE Outpatient | Texas Athletic Network | Premier | $300.00 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $827.44 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $827.44 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $827.44 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $827.44 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $827.44 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | MCR | $914.32 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $1,792.79 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $1,792.79 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $1,792.79 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $1,792.79 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $1,930.70 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $1,930.70 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | CSN | $2,041.02 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | OpenAccessPlus | $2,206.51 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | MyBlueHealth | $2,247.88 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | CHIP | $2,289.25 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | EPO | $2,413.37 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | HMO | $2,413.37 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | OptionsPPO | $2,427.16 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | BAV | $2,482.32 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $2,549.40 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | PPO | $2,620.23 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Oscar | HIX | $2,689.18 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | ValueHMO | $2,730.55 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | MOLINA MEDICARE-ALL PLANS | MOLINA MEDICARE-ALL PLANS | $3,079.69 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | COORDINATED CARE-ALL PLANS | COORDINATED CARE-ALL PLANS | $3,079.69 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | HMO | $3,102.90 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CASCADE-ALL PLANS | CASCADE-ALL PLANS | $3,127.81 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | EPOSOA | $3,171.86 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | PPO | $3,227.02 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STARKIDS | $3,268.39 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STAR | $3,268.39 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Workforce Commission | WCOMP | $3,309.76 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Healthcare Highways | NarrowNetwork | $3,516.62 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Molina Healthcare | HIX | $3,723.48 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Evry Health | BroadNetwork | $3,764.86 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | HEALTH CARE AUTHORITY-ALL PLANS | HEALTH CARE AUTHORITY-ALL PLANS | $3,849.61 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $4,090.21 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA ACN | PREMERA ACN | $4,090.21 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA COMMERCIAL-ALL OTHER PLANS | PREMERA COMMERCIAL-ALL OTHER PLANS | $4,090.21 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | CHC Harris Health | Indigent | $4,137.20 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $4,210.51 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $4,330.81 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Humana | PPO | $4,400.61 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Humana | HMO | $4,400.61 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $4,571.41 | $4,812.01 | $4,812.01 | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Kelsey Care (Boon-Chapman) | COMM | $4,826.74 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | Traditional | $4,826.74 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Christus (USFHP) | TRICARE | $5,516.27 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Curative Administrators | COMM | $5,516.27 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | ACCEL | $5,929.99 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | GlobalAppendix | $6,205.81 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Fidelis SecureCare of TX | MGMCR | $6,205.81 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Multiplan | SAVILITYNETWORK | $6,895.34 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Coventry National First Health | COMM | $7,350.43 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Rockport Workers Comp | COMM | $7,584.87 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Physicians Cooperative of Texas | WC | $7,584.87 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | SouthWest Medical | WORKERSCOMP | $8,274.41 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Independent Medical System | COMM | $8,274.41 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Beech Street | WCOMP | $8,274.41 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | National Healthcare Solutions | COMM | $8,274.41 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Coastal Comp | COMM | $8,963.94 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Beech Street | COMMPPO | $11,032.54 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | TriWest Healthcare Alliance | Veterans | $11,032.54 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | PPO | $11,308.36 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Physicians, INC | COMM | $11,722.08 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $11,722.08 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Affiliated PPO | COMM | $12,411.61 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Multiplan | COMPLEMENTARYPPO | $12,411.61 | $13,790.68 | $13,790.68 | 2026-03-01 | MRF ↗ |