900093 — Declot Throm Imp Vad Cth
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DECLOT THROM IMP VAD CTH (CDM 900093) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/900093?code_type=CDM
MLA (9th ed.)
“DECLOT THROM IMP VAD CTH (CDM 900093) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/900093?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“DECLOT THROM IMP VAD CTH (CDM 900093) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/900093?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $421–$1,928 (25th–75th percentile) across 3 hospitals · 28 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 900093 — 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 ORANGE PARK HOSPITAL Outpatient | BCBS | MCRPPO | $120.20 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MCRHMO | $120.20 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MCRPPO | $120.20 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MCRHMO | $120.20 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHIP | $157.79 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARKids | $157.79 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARPLUS | $157.79 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STAR | $157.79 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHPFC | $157.79 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | MCR | $174.35 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United | OptionsPPO | $272.16 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | HIX | $272.16 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | HIX | $294.84 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United | OptionsPPO | $297.11 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR+PLUS | $341.87 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR | $341.87 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIPPerinatal | $341.87 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIP | $341.87 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | CSN | $389.21 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | OpenAccessPlus | $420.76 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | MyBlueHealth | $428.65 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | United | OptionsPPO | $441.80 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | HMO | $460.21 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | EPO | $460.21 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | BAV | $473.36 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | PPO | $499.66 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Oscar | HIX | $512.81 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | ValueHMO | $520.69 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | HMOFI | $521.64 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | HMOFI | $544.32 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | HMO | $591.70 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | EPOSOA | $604.85 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | PPO | $615.37 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | ASOEO | $635.04 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | ASOEO | $635.04 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Healthcare Highways | NarrowNetwork | $670.59 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Aetna | ASA | $680.40 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Molina Healthcare | HIX | $710.04 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Evry Health | BroadNetwork | $717.93 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | CHC Harris Health | Indigent | $788.93 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Humana | HMO | $839.16 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Humana | PPO | $839.16 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | Traditional | $920.42 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Coventry National First Health | COMM | $957.24 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United | GlobalBenefitPlanAppendix | $1,020.60 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Christus (USFHP) | TRICARE | $1,051.91 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Curative Administrators | COMM | $1,051.91 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Plotkin Health | COMM | $1,134.00 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Plotkin Health | WORKERSCOMP | $1,134.00 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Beacon Health Options | COMM | $1,134.00 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | United | GlobalAppendix | $1,183.40 | $2,629.77 | $2,629.77 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | MultiPlan | PRIMARYNETWORK | $1,769.04 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | MultiPlan | PRIMARYNETWORK | $1,769.04 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $1,814.40 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evernorth | COMM | $1,814.40 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $1,814.40 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evernorth | COMM | $1,814.40 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | PPO Next | PPO | $1,927.80 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | PPO Next | COMM | $1,927.80 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | MultiPlan | COMPLEMENTARYNETWORK | $1,927.80 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $1,927.80 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | PPO Next | PPO | $1,927.80 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | PPO Next | COMM | $1,927.80 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | MultiPlan | COMPLEMENTARYNETWORK | $1,927.80 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $1,927.80 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | NovaNet | COMM | $2,041.20 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | NovaNet | COMM | $2,041.20 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United Behavioral Health | VACCN | $2,268.00 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Beacon Health Options | MCR | $2,268.00 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United Behavioral Health | VACCN | $2,268.00 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Medicare Advantage | $3,979.00 | $8,290.00 | $8,290.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Midlands Choice | Commercial | $6,632.00 | $8,290.00 | $8,290.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Commercial | $7,793.00 | $8,290.00 | $8,290.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Medica | Commercial | $7,793.00 | $8,290.00 | $8,290.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Commercial | $7,876.00 | $8,290.00 | $8,290.00 | 2026-06-09 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | American Health Plan | MCR | $15,000.00 | $2,268.00 | $2,268.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | American Health Plan | MCR | $15,000.00 | $2,268.00 | $2,268.00 | 2026-03-01 | MRF ↗ |