600091 — Graft Evas 16cm 23mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRAFT EVAS 16CM 23MM (CDM 600091) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/600091?code_type=CDM
MLA (9th ed.)
“GRAFT EVAS 16CM 23MM (CDM 600091) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/600091?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GRAFT EVAS 16CM 23MM (CDM 600091) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/600091?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $110–$16,847 (25th–75th percentile) across 6 hospitals · 41 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 600091 — 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 |
|---|---|---|---|---|---|---|---|
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $14.82 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $14.82 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $14.82 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $14.82 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $14.82 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIPPerinatal | $32.11 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR | $32.11 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIP | $32.11 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR+PLUS | $32.11 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MGMCD | $34.58 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MCDCHIPBH | $34.58 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | MyBlueHealth | $40.26 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | HMO | $43.22 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | EPO | $43.22 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | BAV | $44.45 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Oscar | HIX | $48.16 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | CSN | $48.65 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | ValueHMO | $48.90 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | OpenAccessPlus | $51.86 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | HMO | $55.57 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | EPOSOA | $56.80 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | PPO | $57.79 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | STARKIDS | $58.53 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | STAR | $58.53 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | United | OptionsPPO | $60.01 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | QHPExchange | $60.75 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | PPO | $62.48 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Healthcare Highways | NarrowNetwork | $62.98 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | CHIP | $64.46 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Molina Healthcare | HIX | $66.68 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Evry Health | BroadNetwork | $67.42 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Humana | PPO | $78.81 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Humana | HMO | $78.81 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Kelsey Care (Boon-Chapman) | COMM | $86.44 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Imagine Health | PPO | $86.44 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | Traditional | $86.44 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | COMM | $95.08 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Curative Administrators | COMM | $98.79 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Christus (USFHP) | TRICARE | $98.79 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | ACCEL | $106.20 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | ASA | $110.40 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Averde Health | Commercial | $111.14 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Fidelis SecureCare of TX | MGMCR | $111.14 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | United | GlobalAppendix | $111.14 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | OON | $111.63 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Multiplan | SAVILITYNETWORK | $123.48 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Coventry National First Health | COMM | $131.64 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Physicians Cooperative of Texas | WC | $135.83 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Rockport Workers Comp | COMM | $135.83 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | SouthWest Medical | WORKERSCOMP | $148.18 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Independent Medical System | COMM | $148.18 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Beech Street | WCOMP | $148.18 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | National Healthcare Solutions | COMM | $148.18 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Coastal Comp | COMM | $160.53 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Fiesta Mart, Inc | COMM | $185.23 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Affiliated PPO | COMM | $185.23 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Beech Street | COMMPPO | $197.58 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | PPO | $202.52 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Physicians, INC | COMM | $209.92 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $209.92 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| COX MONETT HOSPITAL OutpatientFacility | None | — | — | $220.38 | $67.22 | 2026-04-24 | MRF ↗ |
| COX MEDICAL CENTERS OutpatientFacility | None | — | — | $220.38 | $55.54 | 2026-04-24 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Multiplan | COMPLEMENTARYPPO | $222.27 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $246.97 | $246.97 | 2026-03-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $3,495.89 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | MOLINA MEDICARE-ALL PLANS | MOLINA MEDICARE-ALL PLANS | $4,223.04 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | COORDINATED CARE-ALL PLANS | COORDINATED CARE-ALL PLANS | $4,223.04 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CASCADE-ALL PLANS | CASCADE-ALL PLANS | $4,289.03 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | MCR | $4,712.94 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | MCR | $4,712.94 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | HEALTH CARE AUTHORITY-ALL PLANS | HEALTH CARE AUTHORITY-ALL PLANS | $5,278.80 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA COMMERCIAL-ALL OTHER PLANS | PREMERA COMMERCIAL-ALL OTHER PLANS | $5,608.73 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA ACN | PREMERA ACN | $5,608.73 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $5,608.73 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $5,773.69 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $5,938.65 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $6,268.58 | $6,598.50 | $6,598.50 | 2026-03-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $9,241.05 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIP | $9,241.05 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIPPerinatal | $9,241.05 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $9,241.05 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $9,241.05 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $9,241.05 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR | $9,241.05 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR+PLUS | $9,241.05 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $9,951.90 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MGMCD | $9,951.90 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $9,951.90 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MCDCHIPBH | $9,951.90 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | CSN | $10,520.58 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | CSN | $10,520.58 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | OpenAccessPlus | $11,373.60 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | OpenAccessPlus | $11,373.60 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | MyBlueHealth | $11,586.85 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | MyBlueHealth | $11,586.85 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | CHIP | $11,800.11 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | CHIP | $11,800.11 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | EPO | $12,439.88 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | HMO | $12,439.88 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | HMO | $12,439.88 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | EPO | $12,439.88 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | OptionsPPO | $12,510.96 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | BAV | $12,795.30 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | BAV | $12,795.30 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | PPO | $13,506.15 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | PPO | $13,506.15 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | ValueHMO | $14,074.83 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | ValueHMO | $14,074.83 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | OptionsPPO | $14,359.17 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | HMO | $15,994.13 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | HMO | $15,994.13 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | EPOSOA | $16,349.55 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | EPOSOA | $16,349.55 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | PPO | $16,633.89 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | PPO | $16,633.89 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STARKIDS | $16,847.15 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STAR | $16,847.15 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STARKIDS | $16,847.15 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STAR | $16,847.15 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | IPA Management Services | COMM | $17,771.25 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Molina Healthcare | HIX | $19,192.95 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Molina Healthcare | HIX | $19,192.95 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | CHC Harris Health | Indigent | $21,325.50 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | Traditional | $24,879.75 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | Traditional | $24,879.75 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Christus (USFHP) | TRICARE | $28,434.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Christus (USFHP) | TRICARE | $28,434.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | ACCEL | $30,566.55 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | ACCEL | $30,566.55 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | GlobalAppendix | $31,988.25 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | GlobalAppendix | $31,988.25 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Coventry National First Health | COMM | $37,888.31 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Coventry National First Health | COMM | $37,888.31 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Physicians Cooperative of Texas | WC | $39,096.75 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Rockport Workers Comp | COMM | $39,096.75 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Physicians Cooperative of Texas | WC | $39,096.75 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Rockport Workers Comp | COMM | $39,096.75 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Beech Street | WCOMP | $42,651.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | SouthWest Medical | WORKERSCOMP | $42,651.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Beech Street | WCOMP | $42,651.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | National Healthcare Solutions | COMM | $42,651.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Independent Medical System | COMM | $42,651.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | SouthWest Medical | WORKERSCOMP | $42,651.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Independent Medical System | COMM | $42,651.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | National Healthcare Solutions | COMM | $42,651.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Beech Street | COMMPPO | $56,868.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna Behavioral Health | COMMBH | $56,868.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Beech Street | COMMPPO | $56,868.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | TriWest Healthcare Alliance | Veterans | $56,868.00 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | PPO | $58,289.70 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | PPO | $58,289.70 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Physicians, INC | COMM | $60,422.25 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Physicians, INC | COMM | $60,422.25 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $60,422.25 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $60,422.25 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Multiplan | COMPLEMENTARYPPO | $63,976.50 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Affiliated PPO | COMM | $63,976.50 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Multiplan | COMPLEMENTARYPPO | $63,976.50 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Affiliated PPO | COMM | $63,976.50 | $71,085.00 | $71,085.00 | 2026-03-01 | MRF ↗ |