600109 — Graft Evas 14cm 26mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GRAFT EVAS 14CM 26MM (CDM 600109) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/600109?code_type=CDM
MLA (9th ed.)
“GRAFT EVAS 14CM 26MM (CDM 600109) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/600109?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“GRAFT EVAS 14CM 26MM (CDM 600109) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/600109?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28–$13,328 (25th–75th percentile) across 8 hospitals · 44 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 600109 — 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 | STARKids | $2.24 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $2.24 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $2.24 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $2.24 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $2.24 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR+PLUS | $4.85 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIPPerinatal | $4.85 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | CHIP | $4.85 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Community Health Choice MCD | STAR | $4.85 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MCDCHIPBH | $5.22 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Amerigroup | MGMCD | $5.22 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | MyBlueHealth | $6.08 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | EPO | $6.53 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | HMO | $6.53 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | BAV | $6.71 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Oscar | HIX | $7.27 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | CSN | $7.35 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior | ValueHMO | $7.39 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | OpenAccessPlus | $7.83 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | HMO | $8.39 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | EPOSOA | $8.58 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | PPO | $8.73 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | STAR | $8.84 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | STARKIDS | $8.84 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | United | OptionsPPO | $9.06 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | QHPExchange | $9.18 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Cigna | PPO | $9.44 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Healthcare Highways | NarrowNetwork | $9.51 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Childrens Health Plans | CHIP | $9.74 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Molina Healthcare | HIX | $10.07 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Evry Health | BroadNetwork | $10.18 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Humana | PPO | $11.90 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Humana | HMO | $11.90 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Imagine Health | PPO | $13.05 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | BCBS | Traditional | $13.05 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Kelsey Care (Boon-Chapman) | COMM | $13.05 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | COMM | $14.36 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Curative Administrators | COMM | $14.92 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Christus (USFHP) | TRICARE | $14.92 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | ACCEL | $16.04 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | ASA | $16.67 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | United | GlobalAppendix | $16.78 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Fidelis SecureCare of TX | MGMCR | $16.78 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Averde Health | Commercial | $16.78 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Aetna | OON | $16.86 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Multiplan | SAVILITYNETWORK | $18.65 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Coventry National First Health | COMM | $19.88 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Rockport Workers Comp | COMM | $20.52 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Physicians Cooperative of Texas | WC | $20.52 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | SouthWest Medical | WORKERSCOMP | $22.38 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Independent Medical System | COMM | $22.38 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | National Healthcare Solutions | COMM | $22.38 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Beech Street | WCOMP | $22.38 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Coastal Comp | COMM | $24.25 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Fiesta Mart, Inc | COMM | $27.98 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Affiliated PPO | COMM | $27.98 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Beech Street | COMMPPO | $29.84 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | PPO | $30.59 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Physicians, INC | COMM | $31.70 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $31.70 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Multiplan | COMPLEMENTARYPPO | $33.57 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | STARPLUS | $143.49 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | CHPFC | $143.49 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | STARKids | $143.49 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | STAR | $143.49 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior Health Plan | CHIP | $143.49 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | MCR | $158.56 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Texas Athletic Network | Premier | $300.00 | $37.30 | $37.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Community Health Choice MCD | CHIPPerinatal | $310.89 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Community Health Choice MCD | STAR | $310.89 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Community Health Choice MCD | STAR+PLUS | $310.89 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Community Health Choice MCD | CHIP | $310.89 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Cigna | CSN | $353.94 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Cigna | OpenAccessPlus | $382.64 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | MyBlueHealth | $389.81 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Texas Childrens Health Plans | CHIP | $396.99 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | United | OptionsPPO | $401.77 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior | EPO | $418.51 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior | HMO | $418.51 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | BAV | $430.47 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Cigna | PPO | $454.38 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Oscar | HIX | $466.34 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Superior | ValueHMO | $473.52 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | HMO | $538.09 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | EPOSOA | $550.04 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | PPO | $559.61 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Texas Childrens Health Plans | STAR | $566.79 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Texas Childrens Health Plans | STARKIDS | $566.79 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Healthcare Highways | NarrowNetwork | $609.83 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | QHPExchange | $633.75 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Molina Healthcare | HIX | $645.71 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Evry Health | BroadNetwork | $652.88 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Humana | PPO | $763.13 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Humana | HMO | $763.13 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | NBPOS | $767.67 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | NBPPO | $767.67 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | NBHMO | $767.67 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | COMMHMO | $817.89 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | COMMPOS | $817.89 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | COMMPPO | $817.89 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | BCBS | Traditional | $837.02 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Christus (USFHP) | TRICARE | $956.60 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Curative Administrators | COMM | $956.60 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | OONPOS | $958.99 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | OONHMO | $958.99 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | OONPPO | $958.99 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | ASAPPO | $1,035.52 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | ASAPOS | $1,035.52 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Aetna | ASAHMO | $1,035.52 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | United | GlobalAppendix | $1,076.17 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Coventry National First Health | COMM | $1,274.67 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL Outpatient | Western Growers | Commercial|All Plans | $1,615.00 | $3,230.00 | $1,198.33 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | TriWest Healthcare Alliance | Veterans | $1,913.20 | $2,391.50 | $2,391.50 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL Outpatient | CHN Sun View | Commercial|All Plans | $2,099.50 | $3,230.00 | $1,198.33 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Inpatient | First Health | Commercial|All Plans | $2,261.00 | $3,230.00 | $1,198.33 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Inpatient | Healthsmart | Commercial|All Plans | $2,454.80 | $3,230.00 | $1,198.33 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | United | Commercial|All Other Plans | $2,519.40 | $3,230.00 | $1,198.33 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | United | Commercial|Options PPO | $2,519.40 | $3,230.00 | $1,198.33 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Outpatient | United | Commercial|Non-Options PPO | $2,551.70 | $3,230.00 | $1,198.33 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $2,584.00 | $3,230.00 | $1,198.33 | 2026-02-28 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $2,852.97 | $5,385.00 | $5,385.00 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL Outpatient | United | Commercial|HMO | $3,036.20 | $3,230.00 | $1,198.33 | 2026-02-28 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | MOLINA MEDICARE-ALL PLANS | MOLINA MEDICARE-ALL PLANS | $3,446.40 | $5,385.00 | $5,385.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | COORDINATED CARE-ALL PLANS | COORDINATED CARE-ALL PLANS | $3,446.40 | $5,385.00 | $5,385.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CASCADE-ALL PLANS | CASCADE-ALL PLANS | $3,500.25 | $5,385.00 | $5,385.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | HEALTH CARE AUTHORITY-ALL PLANS | HEALTH CARE AUTHORITY-ALL PLANS | $4,308.00 | $5,385.00 | $5,385.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $4,577.25 | $5,385.00 | $5,385.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA COMMERCIAL-ALL OTHER PLANS | PREMERA COMMERCIAL-ALL OTHER PLANS | $4,577.25 | $5,385.00 | $5,385.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA ACN | PREMERA ACN | $4,577.25 | $5,385.00 | $5,385.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $4,711.88 | $5,385.00 | $5,385.00 | 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 | UHC-ALL PLANS | UHC-ALL PLANS | $4,846.50 | $5,385.00 | $5,385.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $5,115.75 | $5,385.00 | $5,385.00 | 2026-03-12 | MRF ↗ |
| COX MONETT HOSPITAL OutpatientFacility | None | — | — | $7,787.50 | $2,375.19 | 2026-04-24 | MRF ↗ |
| COX MEDICAL CENTERS OutpatientFacility | None | — | — | $7,787.50 | $1,962.45 | 2026-04-24 | MRF ↗ |
| Galveston Co Mem Hosp 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 | 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 ↗ |
| Galveston Co Mem Hosp 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 | STAR | $9,241.05 | $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 ↗ |
| 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 ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MCDCHIPBH | $9,951.90 | $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 | 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 ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | BAV | $12,795.30 | $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 | 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 ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STAR | $16,847.15 | $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 | 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 ↗ |
| 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 | 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 ↗ |
| 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 | Christus (USFHP) | TRICARE | $28,434.00 | $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 ↗ |
| 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 | 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 | 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 | SouthWest Medical | WORKERSCOMP | $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 | Beech Street | WCOMP | $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 ↗ |
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.