913505 — Acetazolamide Sa 500 Cap
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ACETAZOLAMIDE SA 500 CAP (CDM 913505) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/913505?code_type=CDM
MLA (9th ed.)
“ACETAZOLAMIDE SA 500 CAP (CDM 913505) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/913505?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“ACETAZOLAMIDE SA 500 CAP (CDM 913505) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/913505?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27–$15,000 (25th–75th percentile) across 10 hospitals · 71 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 913505 — 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 |
|---|---|---|---|---|---|---|---|
| Memorial Satilla Health Outpatient | Peach State (Ambetter) | HIX | $2.76 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Amerigroup | MCD | $3.25 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Aetna | MCR | $3.64 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Friday Health | HIX | $3.64 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Pruitt Health | MCR | $4.61 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | NHC Advantage | MGMCR | $4.61 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Peach State | MGMCD | $4.85 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Wellcare | MCD | $4.85 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Cigna | LocalPlus | $5.19 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Aetna | QualifiedHealthPlan | $5.23 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Cigna | HMO | $5.77 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Cigna | PPO | $5.77 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Cigna | OAP | $5.77 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Amerigroup | MCD | $5.84 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Peach State (Ambetter) | HIX | $6.01 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | MCR | $6.17 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | OptionsPPO | $6.42 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Centurion | PRISN | $6.71 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Aetna | PPO | $6.98 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Aetna | POS | $6.98 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Aetna | HMO | $6.98 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Aetna | OpenAccess | $6.98 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Friday Health | HIX | $7.00 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | United | OptionsPPO | $7.28 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Absolute Total Care | MCD | $7.41 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | NHC Advantage | MGMCR | $7.82 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Pruitt Health | MCR | $7.82 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Wellcare | MCD | $8.23 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Peach State | MGMCD | $8.23 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | QualifiedHealthPlan | $8.80 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Cigna | HMO | $9.43 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Cigna | OAP | $9.43 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Cigna | PPO | $9.43 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Amerigroup | MCD | $9.95 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Peach State (Ambetter) | HIX | $10.84 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | United | GlobalBenefitPlan | $10.91 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Aetna | MCR | $11.14 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Friday Health | HIX | $11.14 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Health One Alliance | COMMHIX | $11.15 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Centurion | PRISN | $11.40 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Americas 1st Choice | MCR | $11.52 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | PPO | $11.77 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | OpenAccess | $11.77 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | POS | $11.77 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | HMO | $11.77 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Value Option | COMM | $12.13 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Aetna | NAP | $13.37 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Pruitt Health | MCR | $14.11 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | NHC Advantage | MGMCR | $14.11 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Wellcare | MCD | $14.85 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Peach State | MGMCD | $14.85 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Health Services Coalition | COMM | $16.32 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | MultiPlan | Complementary | $16.32 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | MultiPlan | Primary | $16.32 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Memorial Health Plan | EMPLOYEEPLAN | $16.34 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Imperial NV | MCR | $18.00 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | United | OptionsPPO | $18.34 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | GlobalBenefitPlan | $18.52 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Health One Alliance | COMMHIX | $18.93 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Aetna | QualifiedHealthPlan | $19.20 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Cigna BH | COMM | $19.40 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Cigna | LocalPlus | $20.20 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Centurion | PRISN | $20.56 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Medcost | NEWULTRA | $20.62 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Americas 1st Choice | MCR | $20.79 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | NovaNet | COMM | $21.82 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Leavitt Risk Partners | COMM | $22.27 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Kaiser Permanente | HMO | $22.49 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | NAP | $22.69 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | United Behavioral Health | VACCN | $24.25 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | PPO | $24.60 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | HMO | $24.60 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | MultiPlan | Primary | $24.70 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Centene | HIX | $25.20 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Memorial Health Plan | HEALTHGRAM | $25.25 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Aetna | PPO | $25.54 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Aetna | POS | $25.54 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Aetna | OpenAccess | $25.54 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Aetna | HMO | $25.54 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Select Health | HIX | $25.92 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | United | OptionsPPO | $26.16 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Medcost | STANDARD | $26.30 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | CIGNA | OAP | $26.88 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Cigna | HMO | $26.95 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Cigna | PPO | $26.95 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Cigna | OAP | $26.95 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Memorial Health Plan | COMM | $27.47 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Select Health | COMM | $27.66 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Performax | COMM | $27.99 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | First Health | PPO | $30.87 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Memorial Health Plan | CORECOMMUNITYCARE | $32.67 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Employer's Health Network | WCOMP | $32.93 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Memorial Health Plan | COASTALHEALTHPLAN | $33.41 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | United | GlobalBenefitPlan | $33.41 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Health One Alliance | COMMHIX | $34.16 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Prominence HealthFirst | COMM | $36.00 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | NovaNet | COMM | $37.04 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | MultiPlan | Complementary | $37.04 | $41.16 | $41.16 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Dodge County Hospital | COMM | $37.13 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Aetna | NAP | $40.93 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | CMN Global | COMM | $50.40 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Evernorth | COMM | $60.00 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Hometown Health Providers | HMO/PPO/POS | $60.00 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Hometown Health Providers | ThirdPartyAdministratior(TPA) | $60.00 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | City of Eastman | COMM | $63.11 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Dodge Co Board of Commissioners | COMM | $63.11 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Graham Brothers Construction | COMM | $63.11 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | American Steel Products | COMM | $63.11 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | MultiPlan | Primary | $66.83 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | MultiPlan | Complementary | $66.83 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | NovaNet | COMM | $66.83 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | NV Health & Welfare Trust | COMM | $72.00 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | MultiPlan | PRIMARY | $75.60 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | MultiPlan | INTERNATIONAL | $75.60 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | First Health | COMMPPO | $79.20 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | MultiPlan | COMPLEMENTARY | $87.60 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Olympus MedSave USA | COMM | $90.00 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | MedCare International | COMM | $90.00 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | First Health | WC | $96.00 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Elevance (Anthem BCBS) | MCR | $120.00 | $120.00 | $120.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | MCR | — | $23.55 | $23.55 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | NovaNet | COMM | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Freedom Health | MCR | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | NaphCare | PRISN | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Simply | MGMCR | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Pensacola Christian | PPO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | PPO Next | PPO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | PPO Next | COMM | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | United | OptionsPPO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | United | GlobalBenefitPlan | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Sunshine State Health Plan | QHP | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Oscar | HIX | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | NBN | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | ManagedCareHMO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | PPO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Multiplan | Primary | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Multiplan | Complementary | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | PPO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | PHS | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MCRHMO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | NWB | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MCRPPO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | HMO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MBN | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | BSLNON-PAR | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | SBN | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Evernorth | BHCOMM | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Molina Healthcare | HIX | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Molina Healthcare | MGMCR | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Beacon Health Options | COMM | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Beacon Health Options | MCR | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health | COMM | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | American Health Plan | MCR | $15,000.00 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | HIXOON | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | ASOEO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | HMOFI | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Plotkin Health | WC | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health Sheriff | COMM | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Sunshine State | MCR | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | PPO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | HMO | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | QHP | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | MCR | — | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | AvMed | HMOFI | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Evolutions | COMM | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Plotkin Health | WC | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Prime Health Sheriff | COMM | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Sunshine State | MCR | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Aetna | MCR | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Aetna | PPO | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Aetna | HMO | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Aetna | QHP | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | NovaNet | COMM | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Simply | MGMCR | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | PPO Next | COMM | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | PPO Next | PPO | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Prime Health | COMM | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | United | OptionsPPO | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Sunshine State Health Plan | QHP | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Oscar | HIX | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Cigna | ManagedCareHMO | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Cigna | NBN | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Cigna | PPO | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Multiplan | Primary | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Multiplan | Complementary | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | BSL | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | MCRHMO | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | SBN | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | HMO | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | PPO | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | NWB | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | PHS | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | MCRPPO | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | MBN | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Molina Healthcare | MGMCR | — | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Molina Healthcare | HIX | — | $35.70 | $35.70 | 2024-10-01 | 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.