72194 — CT Pelvis With + Without Contrast
Cite this view
HANK Price Transparency. (n.d.). CT PELVIS W/ + W/O CONTRAST (CDM 72194) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/72194?code_type=CDM
“CT PELVIS W/ + W/O CONTRAST (CDM 72194) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/72194?code_type=CDM. Accessed .
“CT PELVIS W/ + W/O CONTRAST (CDM 72194) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/72194?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $358–$1,078 (25th–75th percentile) across 168 hospitals · 108 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 72194 — 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 TOMBALL Outpatient | Superior Health Plan | CHPFC | $26.07 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARPLUS | $26.07 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHIP | $26.07 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARKids | $26.07 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STAR | $26.07 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | MCR | $28.81 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STAR | $30.18 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARPLUS | $30.18 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARKids | $30.18 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHIP | $30.18 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHPFC | $30.18 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | MCR | $33.35 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STARKids | $33.48 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STARPLUS | $33.48 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | CHPFC | $33.48 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STAR | $33.48 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | CHIP | $33.48 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIP | $56.48 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR | $56.48 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIPPerinatal | $56.48 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR+PLUS | $56.48 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Community Health Choice MCD | STAR | $61.03 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Community Health Choice MCD | CHIP | $61.03 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Community Health Choice MCD | CHIPPerinatal | $61.03 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Community Health Choice MCD | STAR+PLUS | $61.03 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | CSN | $64.31 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | STAR+PLUS | $65.39 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | CHIPPerinatal | $65.39 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | CHIP | $65.39 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Community Health Choice MCD | STAR | $65.39 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Cigna | CSN | $69.49 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | OpenAccessPlus | $69.52 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Amerigroup | MCDCHIPBH | $70.42 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Amerigroup | MGMCD | $70.42 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | MyBlueHealth | $70.82 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $70.93 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Community Health Choice MCD | STAR | $72.54 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Community Health Choice MCD | CHIPPerinatal | $72.54 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Community Health Choice MCD | STAR+PLUS | $72.54 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Community Health Choice MCD | CHIP | $72.54 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | United | OptionsPPO | $73.00 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Cigna | CSN | $74.44 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Cigna | OpenAccessPlus | $75.12 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | EPO | $76.04 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | HMO | $76.04 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | BCBS | MyBlueHealth | $76.53 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $78.02 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | BAV | $78.21 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Cigna | OpenAccessPlus | $80.48 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $81.92 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | MyBlueHealth | $81.99 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | PPO | $82.56 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Cigna | CSN | $82.58 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Childrens Health Plans | CHIP | $83.50 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | United | OptionsPPO | $84.50 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | BCBS | BAV | $84.51 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Oscar | HIX | $84.73 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $85.12 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $85.12 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | ValueHMO | $86.03 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $87.48 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $87.48 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior | EPO | $88.03 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior | HMO | $88.03 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Cigna | PPO | $89.20 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Cigna | OpenAccessPlus | $89.28 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $89.37 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | BAV | $90.54 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | BCBS | MyBlueHealth | $90.95 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Oscar | HIX | $91.55 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Texas Childrens Health Plans | CHIP | $92.63 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | United | OptionsPPO | $93.74 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | United | OptionsPPO | $94.84 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Cigna | PPO | $95.57 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $96.23 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | QHPExchange | $97.33 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior | EPO | $97.65 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior | HMO | $97.65 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | HMO | $97.76 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Oscar | HIX | $98.08 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior | ValueHMO | $99.59 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | EPOSOA | $99.94 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | BCBS | BAV | $100.44 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | PPO | $101.67 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | BCBS | HMO | $105.64 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Cigna | PPO | $106.02 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | BCBS | EPOSOA | $107.98 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Oscar | HIX | $108.81 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | BCBS | PPO | $109.86 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior | ValueHMO | $110.48 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Healthcare Highways | NarrowNetwork | $110.80 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | HMO | $113.17 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | EPOSOA | $115.69 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Molina Healthcare | HIX | $117.31 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | PPO | $117.70 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | NBHMO | $118.62 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | NBPPO | $118.62 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Evry Health | BroadNetwork | $118.62 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | NBPOS | $118.62 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Childrens Health Plans | STAR | $119.21 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Childrens Health Plans | STARKIDS | $119.21 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Healthcare Highways | NarrowNetwork | $119.72 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | QHPExchange | $124.42 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | BCBS | HMO | $125.55 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | COMMPPO | $125.57 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | COMMHMO | $125.57 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | COMMPOS | $125.57 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Molina Healthcare | HIX | $126.77 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Evry Health | BroadNetwork | $128.17 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Healthcare Highways | NarrowNetwork | $128.26 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | BCBS | EPOSOA | $128.34 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | CHC Harris Health | Indigent | $130.35 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | BCBS | PPO | $130.57 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Texas Childrens Health Plans | STARKIDS | $132.25 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Texas Childrens Health Plans | STAR | $132.25 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $132.40 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | QHPExchange | $133.29 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | QHPExchange | $134.48 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $134.76 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Molina Healthcare | HIX | $135.81 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Evry Health | BroadNetwork | $137.32 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Humana | PPO | $138.65 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Humana | HMO | $138.65 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | CHC Harris Health | Indigent | $140.85 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $141.86 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Healthcare Highways | NarrowNetwork | $142.29 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | OONPPO | $148.16 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | OONHMO | $148.16 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | OONPOS | $148.16 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Molina Healthcare | HIX | $150.66 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | NBPPO | $150.71 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | NBHMO | $150.71 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | NBPOS | $150.71 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | CHC Harris Health | Indigent | $150.90 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | Traditional | $152.07 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Evry Health | BroadNetwork | $152.33 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Coventry National First Health | COMM | $158.16 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | ASAHMO | $159.90 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | ASAPOS | $159.90 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | ASAPPO | $159.90 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Humana | HMO | $160.51 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Humana | PPO | $160.51 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | COMMPOS | $160.57 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | COMMHMO | $160.57 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | COMMPPO | $160.57 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | NBPPO | $161.46 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | NBHMO | $161.46 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | NBPOS | $161.46 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | NBHMO | $162.94 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | NBPOS | $162.94 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | NBPPO | $162.94 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | BCBS | Traditional | $164.32 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | COMMPPO | $172.03 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | COMMHMO | $172.03 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | COMMPOS | $172.03 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $172.59 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | COMMHMO | $173.54 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | COMMPOS | $173.54 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | COMMPPO | $173.54 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Curative Administrators | COMM | $173.80 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Christus (USFHP) | TRICARE | $173.80 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Imagine Health | PPO | $176.05 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | BCBS | Traditional | $176.05 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Kelsey Care (Boon-Chapman) | COMM | $176.05 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Humana | PPO | $178.06 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Humana | HMO | $178.06 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Christus (USFHP) | TRICARE | $187.80 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Curative Administrators | COMM | $187.80 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | OONPOS | $188.27 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | OONHMO | $188.27 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | OONPPO | $188.27 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $189.14 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | BCBS | Traditional | $195.30 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | United | GlobalAppendix | $195.53 | $434.50 | $434.50 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Christus (USFHP) | TRICARE | $201.20 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Curative Administrators | COMM | $201.20 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | OONHMO | $201.70 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | OONPOS | $201.70 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | OONPPO | $201.70 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | ASAHMO | $203.29 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | ASAPPO | $203.29 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Aetna | ASAPOS | $203.29 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | OONHMO | $204.23 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | OONPPO | $204.23 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | OONPOS | $204.23 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $208.05 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | United | GlobalAppendix | $211.28 | $469.50 | $469.50 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | HealthSmart Preferred Care | ACCEL | $216.29 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | ASAPOS | $217.80 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | ASAPPO | $217.80 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Aetna | ASAHMO | $217.80 | $503.00 | $503.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | ASAHMO | $220.97 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | ASAPPO | $220.97 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Aetna | ASAPOS | $220.97 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Curative Administrators | COMM | $223.20 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Christus (USFHP) | TRICARE | $223.20 | $558.00 | $558.00 | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $224.60 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $224.60 | $236.42 | $137.13 | 2026-02-28 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $230.16 | $225.56 | 2025-08-04 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Averde Health | Commercial | $226.35 | $503.00 | $503.00 | 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.