900124 — Splnt Bks Trctn 8113-01
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SPLNT BKS TRCTN 8113-01 (CDM 900124) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/900124?code_type=CDM
MLA (9th ed.)
“SPLNT BKS TRCTN 8113-01 (CDM 900124) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/900124?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“SPLNT BKS TRCTN 8113-01 (CDM 900124) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/900124?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $63–$197 (25th–75th percentile) across 4 hospitals · 41 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 900124 — 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 CLEAR LAKE Outpatient | Superior Health Plan | STAR | $19.68 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $19.68 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $19.68 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $19.68 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $19.68 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARKids | $19.74 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARPLUS | $19.74 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STAR | $19.74 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHIP | $19.74 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHPFC | $19.74 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | MCR | $21.75 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | MCR | $21.81 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $42.64 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $42.64 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $42.64 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $42.64 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR+PLUS | $42.77 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR | $42.77 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIPPerinatal | $42.77 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIP | $42.77 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $45.92 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $45.92 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MGMCD | $46.06 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MCDCHIPBH | $46.06 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | CSN | $48.54 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | CSN | $48.69 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | OpenAccessPlus | $52.48 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | OpenAccessPlus | $52.64 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | MyBlueHealth | $53.46 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | MyBlueHealth | $53.63 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | CHIP | $54.45 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | CHIP | $54.61 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | EPO | $57.40 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | HMO | $57.40 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | EPO | $57.58 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | HMO | $57.58 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | OptionsPPO | $57.73 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | BAV | $59.04 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | BAV | $59.22 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | PPO | $62.32 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | PPO | $62.51 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Oscar | HIX | $63.96 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Oscar | HIX | $64.16 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | ValueHMO | $64.94 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | ValueHMO | $65.14 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | OptionsPPO | $66.46 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | HMO | $73.80 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | HMO | $74.03 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | EPOSOA | $75.44 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | EPOSOA | $75.67 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | PPO | $76.75 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | PPO | $76.99 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STARKIDS | $77.74 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STAR | $77.74 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STARKIDS | $77.97 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STAR | $77.97 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Workforce Commission | WCOMP | $78.72 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | IPA Management Services | COMM | $82.25 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Healthcare Highways | NarrowNetwork | $83.64 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Healthcare Highways | NarrowNetwork | $83.89 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | QHPExchange | $86.92 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | QHPExchange | $87.19 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Molina Healthcare | HIX | $88.56 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Molina Healthcare | HIX | $88.83 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Evry Health | BroadNetwork | $89.54 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Evry Health | BroadNetwork | $89.82 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | CHC Harris Health | Indigent | $98.40 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Humana | PPO | $104.66 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Humana | HMO | $104.66 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Humana | HMO | $104.98 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Humana | PPO | $104.98 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBPOS | $105.29 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBHMO | $105.29 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBPPO | $105.29 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBPOS | $105.61 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBPPO | $105.61 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBHMO | $105.61 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMPOS | $112.18 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMPPO | $112.18 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMHMO | $112.18 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMHMO | $112.52 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMPOS | $112.52 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMPPO | $112.52 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Imagine Health | PPO | $114.80 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | Traditional | $114.80 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Kelsey Care (Boon-Chapman) | COMM | $114.80 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | Traditional | $115.15 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Imagine Health | PPO | $115.15 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Christus (USFHP) | TRICARE | $131.20 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Curative Administrators | COMM | $131.20 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONPPO | $131.53 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONHMO | $131.53 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONPOS | $131.53 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Christus (USFHP) | TRICARE | $131.60 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Curative Administrators | COMM | $131.60 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONPOS | $131.93 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONPPO | $131.93 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONHMO | $131.93 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | ACCEL | $141.04 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | ACCEL | $141.47 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAHMO | $142.02 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAPOS | $142.02 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAPPO | $142.02 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAHMO | $142.46 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAPPO | $142.46 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAPOS | $142.46 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Fidelis SecureCare of TX | MGMCR | $147.60 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | GlobalAppendix | $147.60 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Averde Health | Commercial | $147.60 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | GlobalAppendix | $148.05 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Fidelis SecureCare of TX | MGMCR | $148.05 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Averde Health | Commercial | $148.05 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Multiplan | SAVILITYNETWORK | $164.00 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Multiplan | SAVILITYNETWORK | $164.50 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Coventry National First Health | COMM | $174.82 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Coventry National First Health | COMM | $175.36 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Physicians Cooperative of Texas | WC | $180.40 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Rockport Workers Comp | COMM | $180.40 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Rockport Workers Comp | COMM | $180.95 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Physicians Cooperative of Texas | WC | $180.95 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | SouthWest Medical | WORKERSCOMP | $196.80 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Independent Medical System | COMM | $196.80 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | National Healthcare Solutions | COMM | $196.80 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Beech Street | WCOMP | $196.80 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Beech Street | WCOMP | $197.40 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Independent Medical System | COMM | $197.40 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | National Healthcare Solutions | COMM | $197.40 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | SouthWest Medical | WORKERSCOMP | $197.40 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Coastal Comp | COMM | $213.20 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Coastal Comp | COMM | $213.85 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Beech Street | COMMPPO | $262.40 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | TriWest Healthcare Alliance | Veterans | $262.40 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Beech Street | COMMPPO | $263.20 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna Behavioral Health | COMMBH | $263.20 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | PPO | $268.96 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | PPO | $269.78 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $278.80 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Physicians, INC | COMM | $278.80 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Physicians, INC | COMM | $279.65 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $279.65 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Affiliated PPO | COMM | $295.20 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Multiplan | COMPLEMENTARYPPO | $295.20 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Affiliated PPO | COMM | $296.10 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Multiplan | COMPLEMENTARYPPO | $296.10 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | Premier | $300.00 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | Premier | $300.00 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $329.00 | $329.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $328.00 | $328.00 | 2026-03-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Christian Health Aid | Commercial | $1,051.00 | $1,401.00 | $981.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $1,166.00 | $1,401.00 | $981.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Health Partners of Kansas | Commercial | $1,191.00 | $1,401.00 | $981.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $1,261.00 | $1,401.00 | $981.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | ChoiceCare | Commercial | $1,401.00 | $1,401.00 | $981.00 | 2025-10-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $1,429.00 | $1,401.00 | $981.00 | 2025-10-24 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Medicare Advantage | $4,325.00 | $9,010.00 | $9,010.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Midlands Choice | Commercial | $7,208.00 | $9,010.00 | $9,010.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Medica | Commercial | $8,469.00 | $9,010.00 | $9,010.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | United Healthcare | Commercial | $8,469.00 | $9,010.00 | $9,010.00 | 2026-06-09 | MRF ↗ |
| GORDON MEMORIAL HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Commercial | $8,560.00 | $9,010.00 | $9,010.00 | 2026-06-09 | MRF ↗ |