900094 — Sleeve Lapscp 12mm 100mm
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SLEEVE LAPSCP 12MM 100MM (CDM 900094) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/900094?code_type=CDM
MLA (9th ed.)
“SLEEVE LAPSCP 12MM 100MM (CDM 900094) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/900094?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SLEEVE LAPSCP 12MM 100MM (CDM 900094) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/900094?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $126–$1,700 (25th–75th percentile) across 6 hospitals · 52 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 900094 — 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 | MCRHMO | $7.74 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MCRPPO | $7.74 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MCRPPO | $8.32 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MCRHMO | $8.32 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Optimum Healthcare | MGMCR | $12.26 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Optimum Healthcare | MGMCR | $13.19 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MBN | $15.91 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MBN | $16.64 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United | OptionsPPO | $18.84 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | HIX | $18.84 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | HIX | $18.98 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Oscar | HIX | $18.98 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United | OptionsPPO | $19.13 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | HMO | $19.86 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Simply Healthcare | HIX | $19.94 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | SBN | $20.88 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | HMO | $20.88 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | PPONWB | $21.02 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Bright Health | HIX | $21.90 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | NWB | $21.98 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | PPO | $21.98 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Simply Healthcare | MGMCR | $23.36 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Simply Healthcare | MGMCR | $24.18 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Oscar | HIX | $25.12 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Aetna | QHP | $26.28 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Aetna | QHP | $27.00 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Aetna | PPO | $27.89 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Aetna | HMO | $27.89 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Aetna | PPO | $30.61 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Aetna | HMO | $30.61 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Positive Healthcare | MCR | $32.12 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Positive Healthcare | MCR | $34.54 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | HMOFI | $35.04 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | HMOFI | $36.11 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | BSELNonPar | $36.35 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | PHS | $36.35 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Cigna | NBN | $37.52 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Cigna | NBN | $37.52 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | PHS | $37.84 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | BSLNON-PAR | $37.84 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $38.69 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Molina Healthcare | HIX | $39.42 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $40.03 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | ASOEO | $40.88 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Molina Healthcare | HIX | $42.39 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | ASOEO | $43.96 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Cigna | PPO | $44.43 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Cigna | OAP | $44.43 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Aetna | ASA | $47.10 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Cigna | OAP | $48.91 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Humana | HMO | $59.86 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Humana | PPO | $59.86 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Cigna | PPO | $62.20 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Humana | PPO | $64.37 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Humana | HMO | $64.37 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | MD Medicare Choice | MCRHMO | $65.70 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United | GlobalBenefitPlanAppendix | $70.65 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | MD Medicare Choice | MCRHMO | $70.65 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Plotkin Health | WORKERSCOMP | $73.00 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Beacon Health Options | COMM | $73.00 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Plotkin Health | COMM | $78.50 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | MultiPlan | PRIMARYNETWORK | $113.88 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evernorth | COMM | $116.80 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $116.80 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | MultiPlan | PRIMARYNETWORK | $122.46 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | MultiPlan | COMPLEMENTARYNETWORK | $124.10 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | PPO Next | COMM | $124.10 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | PPO Next | PPO | $124.10 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $124.10 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evernorth | COMM | $125.60 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $125.60 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | NovaNet | COMM | $131.40 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | PPO Next | COMM | $133.45 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | PPO Next | PPO | $133.45 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | MultiPlan | COMPLEMENTARYNETWORK | $133.45 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $133.45 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | NovaNet | COMM | $141.30 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United Behavioral Health | VACCN | $146.00 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Beacon Health Options | MCR | $146.00 | $146.00 | $146.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United Behavioral Health | VACCN | $157.00 | $157.00 | $157.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Aetna | MCR | $173.55 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $175.86 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Molina | HIX | $208.26 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Absolute Total Care | MCD | $208.26 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $219.83 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Pruitt Health | MCR | $219.83 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Apex Health | MCR | $219.83 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Aetna | MCR | $374.81 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $379.81 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHPFC | $386.74 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STAR | $386.74 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHIP | $386.74 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARPLUS | $386.74 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARKids | $386.74 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | CIGNA | IFP | $394.80 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $424.57 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $424.57 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Aetna | MCR | $427.35 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna | MCR | $436.20 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna | MCR | $436.20 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | $449.77 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Absolute Total Care | MCD | $449.77 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Absolute Total Care | HIX | $472.75 | $3,238.00 | $3,238.00 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $474.76 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Apex Health | MCR | $474.76 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Pruitt Health | MCR | $474.76 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Aetna | MCR | $485.70 | $3,238.00 | $3,238.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | United | GlobalBenefit | $520.65 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Employers Health Network | COMM | $520.65 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $523.44 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $523.44 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Absolute Total Care | MCD | $523.44 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Absolute Total Care | MCD | $523.44 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Pruitt Health | MCR | $552.52 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $552.52 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Pruitt Health | MCR | $552.52 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $552.52 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | SC State Employees | COMM | $578.50 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Value Option | COMM | $578.50 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Molina | HIX | $582.84 | $3,238.00 | $3,238.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Absolute Total Care | MCD | $582.84 | $3,238.00 | $3,238.00 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | CIGNA | NewBusiness | $607.20 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Pruitt Health | MCR | $615.22 | $3,238.00 | $3,238.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $615.22 | $3,238.00 | $3,238.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $619.40 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $619.40 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $619.40 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $619.40 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Vocational Rehab | MCR | $624.78 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | United | OptionsPPO | $631.72 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Medcost | NEWULTRA | $658.33 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Aetna SC | FI | $687.26 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Aetna SC | AFA | $687.26 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Aetna SC | SI | $687.26 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Aetna SC | NB | $739.63 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Humana BH | COMM | $752.05 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | NaphCare | PRISN | $752.05 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Aetna SC | AFA | $767.12 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Cigna | PPO | $783.29 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Cigna | NewBusiness | $783.29 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Cigna | HMO | $783.29 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | FI | $831.69 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | FI | $831.69 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR+PLUS | $837.93 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | STAR | $837.93 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIPPerinatal | $837.93 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Community Health Choice MCD | CHIP | $837.93 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Medcost | STANDARD | $852.71 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | CIGNA | HMO | $854.57 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | MHNet | COMM | $867.75 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $925.60 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Evernorth | BHCOMM | $925.60 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | CSN | $953.95 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Aetna SC | FI | $982.01 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | North American Administrators | COMM | $983.45 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Multiplan | COMM | $983.45 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Prime Health | COMM | $983.45 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | OpenAccessPlus | $1,031.30 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Humana Choicecare | PPO | $1,041.30 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | First Health | PPO | $1,041.30 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Galaxy Health Network | COMM | $1,041.30 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | NovaNet | COMM | $1,041.30 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | MyBlueHealth | $1,050.64 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | United | OptionsPPO | $1,082.87 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $1,094.45 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | BCBS | COMM | $1,099.15 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWULTRA | $1,110.86 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWULTRA | $1,110.86 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefit | $1,124.44 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | HMO | $1,127.99 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | EPO | $1,127.99 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $1,157.00 | $1,157.00 | $1,157.00 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | BAV | $1,160.21 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | OptionsPPO | $1,163.20 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | OptionsPPO | $1,163.20 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Aetna SC | SI | $1,221.89 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Cigna | PPO | $1,224.67 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | OccuNet | COMM | $1,249.38 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Select Health | HIX | $1,250.44 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Select Health | HIX | $1,250.44 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Oscar | HIX | $1,256.90 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Medcost | NEWULTRA | $1,264.37 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior | ValueHMO | $1,276.23 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Employers Health Network | COMM | $1,308.60 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | GlobalBenefit | $1,308.60 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | United | GlobalBenefit | $1,308.60 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Employers Health Network | COMM | $1,308.60 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Vocational Rehab | MCR | $1,349.33 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| GRAND STRAND REGIONAL MEDICAL CENTER Outpatient | Employers Health Network | COMM | $1,374.31 | $2,498.75 | $2,498.75 | 2024-10-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | SI | $1,375.48 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | SI | $1,375.48 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Select Health | HIX | $1,392.34 | $3,238.00 | $3,238.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | HMO | $1,450.27 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | OccuNet | COMM | $1,454.00 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | OccuNet | COMM | $1,454.00 | $2,908.00 | $2,908.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Employers Health Network | COMM | $1,457.10 | $3,238.00 | $3,238.00 | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | United | GlobalBenefit | $1,457.10 | $3,238.00 | $3,238.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | EPOSOA | $1,482.49 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | BCBS | PPO | $1,508.28 | $6,445.63 | $6,445.63 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Medcost | NEWPAYER | $1,564.50 | $2,908.00 | $2,908.00 | 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.