629201 — Stylet Ld 53cm .016in Kt
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). STYLET LD 53CM .016IN KT (CDM 629201) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/629201?code_type=CDM
MLA (9th ed.)
“STYLET LD 53CM .016IN KT (CDM 629201) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/629201?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“STYLET LD 53CM .016IN KT (CDM 629201) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/629201?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $110–$285 (25th–75th percentile) across 3 hospitals · 44 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 629201 — 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 | CHPFC | $26.34 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior Health | STARKids | $26.34 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior Health | STARPLUS | $26.34 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | CHIP | $26.34 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARPLUS | $26.34 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STARKids | $26.34 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior Health | STAR | $26.34 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior Health | STAR | $26.34 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior Health | CHPFC | $26.34 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior Health | CHIP | $26.34 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Amerigroup | CHIP | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Amerigroup | MCD | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Amerigroup | MCDBH | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | CHIP | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCD | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIPBH | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCDBH | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIP | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Community First | CHIP | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Community First | MCDSTAR | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First | MCDSTAR | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Amerigroup | CHIPBH | $61.46 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | MCRPPO | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | MCRSNP | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | MCRHMO | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | MCRPFFS | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | DualEligible | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Imperial Insurance | MCRPOS | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPOS | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPPO | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | DualEligible | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRHMO | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRSNP | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Imperial Insurance | MCRPFFS | $83.41 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | PPO | $87.80 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Oscar | EPO | $87.80 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Oscar | PPO | $87.80 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Oscar | BroadNetworkHIX | $87.80 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Oscar | POS | $87.80 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | EPO | $87.80 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | BroadNetworkHIX | $87.80 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Oscar | POS | $87.80 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Molina | QHP | $109.75 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Molina | QHP | $109.75 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | United | OptionsPPO | $111.07 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | United | OptionsPPO | $113.26 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | QHPHIX | $117.21 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | QHPHIX | $117.21 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Cigna | NBN | $130.38 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna | NBN | $130.38 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna Lifesource | COMM | $136.09 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Community First Health Plans | COMM | $136.09 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Community First Health Plans | COMM | $136.09 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | MBH | $136.53 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | BCBS | MBH | $136.53 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Healthcare Highways | NarrowNetwork | $137.85 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Healthcare Highways | NarrowNetwork | $137.85 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | TRAD | $140.04 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | BCBS | TRAD | $140.04 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Focus Health Solutions | COMM | $140.48 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Focus Health Solutions | COMM | $140.48 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna | OpenAccessPlus | $146.19 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Cigna | OpenAccessPlus | $146.19 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | PPO | $147.59 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | HMO | $147.59 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | HMO | $147.59 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | PPO | $147.59 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Valenz | COMM | $153.65 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Valenz | COMM | $153.65 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterValueHMO | $153.65 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior | AmbetterValueHMO | $153.65 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NarrowNetwork | $159.80 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | NarrowNetwork | $159.80 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | HPN | $165.06 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | BCBS | HPN | $165.06 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | BCBS | EPO | $165.06 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | EPO | $165.06 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | BAV | $165.50 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | BCBS | BAV | $165.50 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Evry Health | Broad | $165.94 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Evry Health | Broad | $165.94 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterHMO | $166.82 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior | AmbetterEPO | $166.82 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Superior | AmbetterHMO | $166.82 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterEPO | $166.82 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | NewBusinessRates | $171.65 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | NewBusinessRates | $171.65 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Cigna | PPO | $176.92 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | CommercialBaseNetwork | $176.92 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna | PPO | $176.92 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | CommercialBaseNetwork | $176.92 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | First Health | COMM | $194.92 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | First Health | COMM | $194.92 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Fidelis SecureCare | MGMCR | $197.55 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Fidelis SecureCare | MGMCR | $197.55 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | United | GlobalBenefitPlan | $197.55 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | BCBS | HMO | $200.62 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | HMO | $200.62 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | OON | $207.65 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | OON | $207.65 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | EPOSOA | $209.84 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | BCBS | EPOSOA | $209.84 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Emerging Therapy Solutions | MCR | $210.72 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | PPO | $218.62 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | BCBS | PPO | $218.62 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TX Healthcare Foundation | PPO | $219.50 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Evernorth Behavioral Health | COMM | $219.50 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TX Healthcare Foundation | PPO | $219.50 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Texas Healthcare Foundation HEB | HEBEmployee | $219.50 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | National ChoiceCare | WORKERSCOMP | $219.50 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | ASA | $224.77 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Aetna | ASA | $224.77 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Independent Medical Systems | PPO | $241.45 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | HealthSmart Preferred Care | Accel | $241.45 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | HealthSmart Preferred Care | Accel | $241.45 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Physician Cooperative of Texas | WORKERSCOMP | $241.45 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Independent Medical Systems | PPO | $241.45 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | HAA Preferred Partners | LOGOV | $263.40 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Magellan | MedicaidSTAR+PLUS | $263.40 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Magellan | MedicaidCHIP | $263.40 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Magellan | MedicaidSTAR | $263.40 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Magellan | NavigatorNetworksMedicare | $263.40 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | HAA Preferred Partners | LOGOV | $263.40 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Magellan Behavioral Health | COMM | $263.40 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | San Antonio Employers Health Alliance | PPO | $263.40 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | San Antonio Employers Health Alliance | PPO | $263.40 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | National Healthcare Solutions | PPO | $285.35 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $285.35 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $285.35 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Beacon Health Options | COMMNon-HMO | $285.35 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | National Healthcare Solutions | PPO | $285.35 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | BHCOMM | $285.35 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | MultiPlan, Inc. | PRIMARYPPO | $294.13 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | PHCS | PrimaryPPO | $294.13 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | MultiPlan, Inc. | PRIMARYPPO | $294.13 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | PHCS | PrimaryPPO | $294.13 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TML Intergovernmental EBP | PPO | $307.30 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Emerging Therapy Solutions | COMM | $316.08 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $329.25 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | USA Managed Care | PPO | $329.25 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest VA PCCC | FEDERAL | $329.25 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | MultiPlan, Inc. | COMPLEMENTARYPPO | $329.25 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | PHCS | Complimentary | $329.25 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest Health Alliance | TRICARE | $329.25 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | PHCS | Complimentary | $329.25 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | MultiPlan, Inc. | COMPLEMENTARYPPO | $329.25 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $329.25 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Admar Corporation | EPO | $351.20 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | United Payors United Providers | PPO | $351.20 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | United Payors United Providers | PPO | $351.20 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Blue Bell | PPO | $351.20 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Admar Corporation | PPO | $351.20 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | DirectCare America | PPO | $351.20 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Blue Bell | PPO | $351.20 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Admar Corporation | PPO | $351.20 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Admar Corporation | EPO | $351.20 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | DirectCare America | PPO | $351.20 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | MedicalControl | PPO | $373.15 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Galaxy Health Network | COMM | $373.15 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Managed Healthcare | PPO | $373.15 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | MedicalControl | PPO | $373.15 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Galaxy Health Network | COMM | $373.15 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Optum | MCD | $439.00 | $439.00 | $439.00 | 2025-01-01 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Ambetter | Commercial | $5,159.00 | $11,438.00 | $9,150.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Healthscope | Commercial | $6,863.00 | $11,438.00 | $9,150.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Anthem | Commercial | $8,716.00 | $11,438.00 | $9,150.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Humana | Commercial | $8,807.00 | $11,438.00 | $9,150.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | MultiPlan | Commercial | $9,150.00 | $11,438.00 | $9,150.00 | 2026-06-22 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Centene | Commercial | $11,438.00 | $11,438.00 | $9,150.00 | 2026-06-22 | MRF ↗ |