695 — Portex Trach Tube
Cite this view
HANK Price Transparency. (n.d.). PORTEX TRACH TUBE (CDM 695) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/695?code_type=CDM
“PORTEX TRACH TUBE (CDM 695) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/695?code_type=CDM. Accessed .
“PORTEX TRACH TUBE (CDM 695) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/695?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13–$396 (25th–75th percentile) across 3 hospitals · 46 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 695 — 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 |
|---|---|---|---|---|---|---|---|
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Summacare | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Molina | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Medical Mutual | Medicare|All Plans | $5.98 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $6.04 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Humana | Medicare|All Plans | $6.04 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $6.10 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $6.10 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $6.10 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aetna | Medicare|All Plans | $6.10 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $6.10 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | United | Medicare|MMP | $6.10 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | CareSource | Medicare|All Plans | $6.10 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Buckeye | Medicare|All Plans | $6.10 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|Select PPO | $6.86 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|Select PPO | $6.86 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|All Other Plans | $8.44 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Aultcare | Commercial|All Other Plans | $8.44 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Humana | Commercial|All Plans | $8.79 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Humana | Commercial|All Plans | $8.79 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Workers Comp | $9.67 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Workers Comp | $9.67 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|PPO POS HMO | $12.14 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|PPO POS HMO | $12.14 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Health Choice | Commercial|All Plans | $12.31 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Health Choice | Commercial|All Plans | $12.31 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|Trad | $12.84 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Medical Mutual | Commercial|Trad | $12.84 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Preferred Network | Commercial|All Plans | $13.19 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Ohio Preferred Network | Commercial|All Plans | $13.19 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Commercial|Self Funded | $13.47 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | The Health Plan | Commercial|Self Funded | $13.47 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Exchange | $13.58 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Exchange | $13.58 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Coventry | Commercial|All Plans | $13.72 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Coventry | Commercial|All Plans | $13.72 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Blue Access | $14.72 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Blue Access | $14.72 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Trad | $14.72 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | BCBS - Anthem | Commercial|Trad | $14.72 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|HPO | $14.95 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | $14.95 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Auto | $14.95 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Summacare | Commercial|All Plans | $14.95 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Accel PPO | $14.95 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Auto | $14.95 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|Accel PPO | $14.95 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Healthsmart | Commercial|HPO | $14.95 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | Summacare | Commercial|All Plans | $14.95 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Ohio Preferred Network | Commercial|All Plans | $14.95 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $15.30 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $15.30 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|All Other Plans | $15.30 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Cigna | Commercial|PPO | $15.30 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Non-Options | $16.00 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Options | $16.00 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Non-Options | $16.00 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Inpatient | United | Commercial|Options | $16.00 | $17.58 | $8.72 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STAR | $74.07 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARPLUS | $74.07 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARKids | $74.07 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHIP | $74.07 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHPFC | $74.07 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | MCR | $81.85 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Humana (Choice Care) | Commercial | $159.00 | $227.00 | $148.00 | 2025-06-26 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | STAR | $160.49 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | STAR+PLUS | $160.49 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | CHIP | $160.49 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | CHIPPerinatal | $160.49 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $172.00 | $227.00 | $148.00 | 2025-06-26 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Amerigroup | MCDCHIPBH | $172.83 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Amerigroup | MGMCD | $172.83 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | PPO | $182.00 | $227.00 | $148.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | HMO | $182.00 | $227.00 | $148.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Blue Cross and Blue Shield | Traditional | $182.00 | $227.00 | $148.00 | 2025-06-26 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Cigna | CSN | $182.71 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $183.00 | $227.00 | $148.00 | 2025-06-26 | MRF ↗ |
| ROLLING PLAINS MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $193.00 | $227.00 | $148.00 | 2025-06-26 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Cigna | OpenAccessPlus | $197.52 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | MyBlueHealth | $201.22 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Childrens Health Plans | CHIP | $204.93 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | United | OptionsPPO | $207.40 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior | HMO | $216.04 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior | EPO | $216.04 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | BAV | $222.21 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Cigna | PPO | $234.56 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Oscar | HIX | $240.73 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior | ValueHMO | $244.43 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | HMO | $277.76 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | EPOSOA | $283.94 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | PPO | $288.87 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Childrens Health Plans | STAR | $292.58 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Childrens Health Plans | STARKIDS | $292.58 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | Premier | $300.00 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Healthcare Highways | NarrowNetwork | $314.80 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | QHPExchange | $327.14 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Molina Healthcare | HIX | $333.31 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Evry Health | BroadNetwork | $337.02 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | CHC Harris Health | Indigent | $370.35 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Humana | HMO | $393.93 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Humana | PPO | $393.93 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | NBPOS | $396.27 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | NBPPO | $396.27 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | NBHMO | $396.27 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | COMMHMO | $422.20 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | COMMPOS | $422.20 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | COMMPPO | $422.20 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Imagine Health | PPO | $432.07 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | Traditional | $432.07 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Kelsey Care (Boon-Chapman) | COMM | $432.07 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Christus (USFHP) | TRICARE | $493.80 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Curative Administrators | COMM | $493.80 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | OONPOS | $495.03 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | OONHMO | $495.03 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | OONPPO | $495.03 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | HealthSmart Preferred Care | ACCEL | $530.84 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | ASAPPO | $534.54 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | ASAPOS | $534.54 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | ASAHMO | $534.54 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Averde Health | Commercial | $555.52 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | United | GlobalAppendix | $555.52 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Fidelis SecureCare of TX | MGMCR | $555.52 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Multiplan | SAVILITYNETWORK | $617.25 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Coventry National First Health | COMM | $657.99 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Physicians Cooperative of Texas | WC | $678.98 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Rockport Workers Comp | COMM | $678.98 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Independent Medical System | COMM | $740.70 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | National Healthcare Solutions | COMM | $740.70 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Beech Street | WCOMP | $740.70 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | SouthWest Medical | WORKERSCOMP | $740.70 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Coastal Comp | COMM | $802.42 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Beech Street | COMMPPO | $987.60 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | TriWest Healthcare Alliance | Veterans | $987.60 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | HealthSmart Preferred Care | PPO | $1,012.29 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | USA Managed Care | COMM | $1,049.33 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Physicians, INC | COMM | $1,049.33 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,049.33 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Affiliated PPO | COMM | $1,111.05 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Multiplan | COMPLEMENTARYPPO | $1,111.05 | $1,234.50 | $1,234.50 | 2026-03-01 | MRF ↗ |