900059 — Surg Level Ii Ea Add 15m
Cite this view
HANK Price Transparency. (n.d.). SURG LEVEL II EA ADD 15M (CDM 900059) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/900059?code_type=CDM
“SURG LEVEL II EA ADD 15M (CDM 900059) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/900059?code_type=CDM. Accessed .
“SURG LEVEL II EA ADD 15M (CDM 900059) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/900059?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $33–$954 (25th–75th percentile) across 3 hospitals · 27 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 900059 — 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 |
|---|---|---|---|---|---|---|---|
| DOMINION HOSPITAL Outpatient | CareFirst | HMO | $15.82 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | CareFirst | RPN | $16.84 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Value Options | COMM | $20.20 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Aetna | BHCOMM | $20.20 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Aetna | BHMGMCR | $20.20 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Greenvbrier Sporting Club | COMM | $20.20 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Virginia Health Network | ULTRA | $23.91 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Virginia Health Network | COMM | $23.91 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Virginia Health Network | WC | $23.91 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | CorVel | WorkersComp | $24.24 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | PHCS | COMM | $25.25 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Multiplan | PHCS | $30.30 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | 4Most Health Network | COMM | $30.30 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | United Behavioral Health | VACCN | $33.67 | $33.67 | $33.67 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $201.18 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | STARKids | $201.18 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $201.18 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $201.18 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $201.18 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | STAR | $435.89 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | CHIP | $435.89 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | STAR+PLUS | $435.89 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | CHIPPerinatal | $435.89 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Cigna | CSN | $496.24 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Cigna | OpenAccessPlus | $536.48 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $546.53 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | United | OptionsPPO | $563.30 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior | HMO | $586.77 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior | EPO | $586.77 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | BAV | $603.53 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Cigna | PPO | $637.06 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Oscar | HIX | $653.83 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior | ValueHMO | $663.89 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | HMO | $754.42 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | EPOSOA | $771.18 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | PPO | $784.59 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Healthcare Highways | NarrowNetwork | $855.01 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Molina Healthcare | HIX | $905.30 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Evry Health | BroadNetwork | $915.36 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Humana | PPO | $1,069.93 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Humana | HMO | $1,069.93 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | Traditional | $1,173.54 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Curative Administrators | COMM | $1,341.19 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Christus (USFHP) | TRICARE | $1,341.19 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | United | GlobalAppendix | $1,508.84 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Coventry National First Health | COMM | $1,787.13 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | FED | $2,682.38 | $3,352.97 | $3,352.97 | 2026-03-01 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Medicare Advantage | $4,094.00 | $8,530.00 | $8,530.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Midlands Choice | Commercial | $6,824.00 | $8,530.00 | $8,530.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Commercial | $8,018.00 | $8,530.00 | $8,530.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Medica | Commercial | $8,018.00 | $8,530.00 | $8,530.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Commercial | $8,104.00 | $8,530.00 | $8,530.00 | 2026-06-09 | MRF ↗ |