900091 — Trocar Lapscp 5mm 100mm
Cite this view
HANK Price Transparency. (n.d.). TROCAR LAPSCP 5MM 100MM (CDM 900091) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/900091?code_type=CDM
“TROCAR LAPSCP 5MM 100MM (CDM 900091) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/900091?code_type=CDM. Accessed .
“TROCAR LAPSCP 5MM 100MM (CDM 900091) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/900091?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $144–$1,731 (25th–75th percentile) across 3 hospitals · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 900091 — 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 FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MCRPPO | $39.95 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MCRHMO | $39.95 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MCRPPO | $43.13 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | MCR | $43.13 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MCRHMO | $43.13 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | MCR | $46.90 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Optimum Healthcare | MGMCR | $48.64 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Optimum Healthcare | MGMCR | $52.50 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MBN | $63.11 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MBN | $66.25 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HIX | $75.00 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Oscar | HIX | $75.27 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HIX | $75.27 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | HMO | $78.74 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | HIX | $79.38 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United | OptionsPPO | $80.00 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United | OptionsPPO | $81.64 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | SBN | $83.13 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | HMO | $83.13 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | PPONWB | $83.38 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Bright Health | HIX | $86.85 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | NWB | $87.50 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | PPO | $87.50 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | MGMCR | $92.64 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | MGMCR | $96.25 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Oscar | HIX | $100.00 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | QHP | $104.22 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | QHP | $107.50 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | HMO | $110.59 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | PPO | $110.59 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | HMO | $121.88 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | PPO | $121.88 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Positive Healthcare | MCR | $127.38 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Positive Healthcare | MCR | $137.50 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HMOFI | $138.96 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HMOFI | $143.75 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | BSELNonPar | $144.17 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | PHS | $144.17 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | NBN | $148.80 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | NBN | $149.38 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | PHS | $150.63 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | BSLNON-PAR | $150.63 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $153.44 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Molina Healthcare | HIX | $156.33 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $159.38 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | ASOEO | $162.12 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Centurion | PRISN | $166.75 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Humana | PPO | $167.91 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Humana | HMO | $167.91 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Molina Healthcare | HIX | $168.75 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Centurion | PRISN | $173.06 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Corizon | COMM | $173.70 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | ASOEO | $175.00 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | PPO | $176.88 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | OAP | $176.88 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Humana | HMO | $181.25 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Humana | PPO | $181.25 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Corizon | COMM | $187.50 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | ASA | $187.50 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | OAP | $193.97 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United | GlobalBenefitPlanAppendix | $281.25 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Cigna | PPO | $285.45 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Plotkin Health | WORKERSCOMP | $289.50 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Beacon Health Options | COMM | $289.50 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Plotkin Health | COMM | $312.50 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | MultiPlan | PRIMARYNETWORK | $451.62 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evernorth | COMM | $463.20 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $463.20 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | MultiPlan | PRIMARYNETWORK | $487.50 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $492.15 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | PPO Next | PPO | $492.15 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | PPO Next | COMM | $492.15 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | MultiPlan | COMPLEMENTARYNETWORK | $492.15 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $500.00 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evernorth | COMM | $500.00 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | NovaNet | COMM | $521.10 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $531.25 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | PPO Next | PPO | $531.25 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | PPO Next | COMM | $531.25 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | MultiPlan | COMPLEMENTARYNETWORK | $531.25 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $561.66 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $561.66 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | NovaNet | COMM | $562.50 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna | MCR | $577.05 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna | MCR | $577.05 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $579.00 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Beacon Health Options | MCR | $579.00 | $579.00 | $579.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United Behavioral Health | VACCN | $625.00 | $625.00 | $625.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $692.46 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $692.46 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Absolute Total Care | MCD | $692.46 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Absolute Total Care | MCD | $692.46 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Pruitt Health | MCR | $730.93 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $730.93 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Pruitt Health | MCR | $730.93 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $730.93 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $819.41 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $819.41 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $819.41 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $819.41 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | FI | $1,100.24 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | FI | $1,100.24 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWULTRA | $1,469.55 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWULTRA | $1,469.55 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | OptionsPPO | $1,538.80 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | OptionsPPO | $1,538.80 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Select Health | HIX | $1,654.21 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Select Health | HIX | $1,654.21 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Employers Health Network | COMM | $1,731.15 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | GlobalBenefit | $1,731.15 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Employers Health Network | COMM | $1,731.15 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | GlobalBenefit | $1,731.15 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | SI | $1,819.63 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | SI | $1,819.63 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | OccuNet | COMM | $1,923.50 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | OccuNet | COMM | $1,923.50 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWPAYER | $2,069.69 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWPAYER | $2,069.69 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Vocational Rehab | MCR | $2,077.38 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Vocational Rehab | MCR | $2,077.38 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | STANDARD | $2,162.01 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | STANDARD | $2,162.01 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Humana BH | COMM | $2,500.55 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Humana BH | COMM | $2,500.55 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | First Health | PPO | $2,808.31 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | First Health | PPO | $2,808.31 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | MHNet | COMM | $2,885.25 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Humana Choicecare | PPO | $2,885.25 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | MHNet | COMM | $2,885.25 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Humana Choicecare | PPO | $2,885.25 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Evernorth | BHCOMM | $3,077.60 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Evernorth | BHCOMM | $3,077.60 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Prime Health | COMM | $3,269.95 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Multiplan | COMM | $3,269.95 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Prime Health | COMM | $3,269.95 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Multiplan | COMM | $3,269.95 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | NovaNet | COMM | $3,462.30 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | NovaNet | COMM | $3,462.30 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | BCBS | COMM | $3,654.65 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | BCBS | COMM | $3,654.65 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Medicare Advantage | $3,778.00 | $7,870.00 | $7,870.00 | 2026-06-09 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $3,847.00 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $3,847.00 | $3,847.00 | $3,847.00 | 2026-03-01 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Midlands Choice | Commercial | $6,296.00 | $7,870.00 | $7,870.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Medica | Commercial | $7,398.00 | $7,870.00 | $7,870.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Commercial | $7,398.00 | $7,870.00 | $7,870.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Commercial | $7,477.00 | $7,870.00 | $7,870.00 | 2026-06-09 | MRF ↗ |