913505 — Acetazolamide Sa 500 Cap
Cite this view
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
“ACETAZOLAMIDE SA 500 CAP (CDM 913505) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/913505?code_type=CDM. Accessed .
“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 $4–$26 (25th–75th percentile) across 9 hospitals · 65 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 |
|---|---|---|---|---|---|---|---|
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MCRPPO | $0.45 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MCRHMO | $0.45 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | MCR | $0.48 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MCRPPO | $0.48 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MCRHMO | $0.49 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Oscar | HIX | $0.52 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | MCR | $0.53 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MBN | $0.77 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Oscar | HIX | $0.77 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MBN | $0.86 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Freedom Health | MCR | $0.89 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Freedom Health | MCR | $0.89 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | PPO | $1.01 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | NWB | $1.01 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | QHP | $1.02 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | HMO | $1.03 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Simply | MGMCR | $1.04 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | PPO | $1.04 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | NWB | $1.04 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | HMO | $1.06 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | QHP | $1.06 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Amerigroup | MCD | $1.06 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | SBN | $1.08 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Simply | MGMCR | $1.08 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | SBN | $1.10 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Simply Healthcare | HIX | $1.17 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | NBN | $1.18 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | NBN | $1.22 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State (Ambetter) | HIX | $1.24 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Molina Healthcare | MGMCR | $1.24 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Friday Health | HIX | $1.25 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | MCR | $1.25 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Molina Healthcare | MGMCR | $1.33 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | PPO | $1.34 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | HMO | $1.34 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | HMO | $1.40 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | PPO | $1.40 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | PPO | $1.48 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | HMO | $1.48 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | United | OptionsPPO | $1.50 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | United | OptionsPPO | $1.53 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Pruitt Health | MCR | $1.58 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | HMOFI | $1.63 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | HMOFI | $1.68 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | PHS | $1.70 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | BSLNON-PAR | $1.70 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRHMO | $1.76 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | MCR | $1.76 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRPPO | $1.76 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $1.78 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $1.79 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | BSLNON-PAR | $1.80 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | PHS | $1.81 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | ASOEO | $1.82 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | ASOEO | $1.96 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MCRPPO | $2.00 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MCRHMO | $2.01 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Molina Healthcare | HIX | $2.08 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | ASA | $2.10 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | MCRHMO | $2.11 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | MCRPPO | $2.11 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MCRPPO | $2.20 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MCRHMO | $2.21 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Molina Healthcare | HIX | $2.24 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | United | OptionsPPO | $2.27 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Pensacola Christian | PPO | $2.60 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Peach State (Ambetter) | HIX | $2.76 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Pensacola Christian | PPO | $2.80 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | ManagedCareHMO | $2.85 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | PPO | $2.85 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Aetna | MCR | $2.89 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | ManagedCareHMO | $2.90 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Cigna | PPO | $2.90 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | United | GlobalBenefitPlan | $2.92 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MBN | $2.93 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | BSL | $2.93 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | SBN | $2.93 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | United | GlobalBenefitPlan | $3.15 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Aetna | MCR | $3.16 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Cigna | OAP | $3.17 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Cigna | PPO | $3.17 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Cigna | HMO | $3.17 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | HIXOON | $3.25 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Beacon Health Options | COMM | $3.25 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Plotkin Health | WC | $3.25 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health Sheriff | COMM | $3.25 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | $3.25 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Amerigroup | MCD | $3.25 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Oscar | HIX | $3.31 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Aetna | MCR | $3.38 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health Sheriff | COMM | $3.50 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health Sheriff | WORKERSCOMP | $3.50 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Plotkin Health | COMM | $3.50 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | AvMed | HIXOON | $3.50 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Oscar | HIX | $3.57 | $35.70 | $35.70 | 2024-10-01 | 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 ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | PPO | $3.72 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | HMO | $3.72 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | NWB | $3.72 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | United | GlobalBenefitPlan | $3.75 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Health One Alliance | COMMHIX | $3.84 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Memorial Health Plan-Core Community Care | COMM | $3.84 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | QHP | $3.87 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | NaphCare | PRISN | $3.90 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Simply | MGMCR | $3.92 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Oscar | HIX | $4.17 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Industry Buying Group | COMM | $4.17 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | NaphCare | PRISN | $4.20 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $4.22 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | SBN | $4.25 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | MBN | $4.25 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | BSL | $4.25 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Simply Healthcare | HIX | $4.25 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Cigna | NBN | $4.43 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $4.55 | $7.00 | $7.00 | 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 ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Molina Healthcare | MGMCR | $4.84 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | BSL | $4.84 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | SBN | $4.84 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MBN | $4.84 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Wellcare | MCD | $4.85 | $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 ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | BSL | $5.04 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MBN | $5.04 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | SBN | $5.04 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Multiplan | Primary | $5.07 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | United | OptionsPPO | $5.17 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Evernorth | BHCOMM | $5.20 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Aetna | QualifiedHealthPlan | $5.23 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | HMO | $5.37 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | PPO | $5.37 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | NWB | $5.43 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | PPO | $5.43 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | HMO | $5.43 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Multiplan | Primary | $5.46 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $5.53 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Multiplan | Complementary | $5.53 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Prime Health | COMM | $5.53 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | PPO Next | COMM | $5.53 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | PPO Next | PPO | $5.53 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Aetna | QHP | $5.60 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Evernorth | BHCOMM | $5.60 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Simply | MGMCR | $5.71 | $35.70 | $35.70 | 2024-10-01 | 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 ↗ |
| Memorial Satilla Health Outpatient | Cigna | HMO | $5.77 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | NovaNet | COMM | $5.85 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | PPO Next | COMM | $5.95 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $5.95 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Multiplan | Complementary | $5.95 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | PPO Next | PPO | $5.95 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Oscar | HIX | $5.96 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | AvMed | HMOFI | $6.11 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | PPO | $6.16 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | NovaNet | COMM | $6.30 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | PHS | $6.44 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $6.49 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Cigna | NBN | $6.50 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Beacon Health Options | MCR | $6.50 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | PPO | $6.51 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | NWB | $6.51 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | HMO | $6.63 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Simply | MGMCR | $6.67 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Centurion | PRISN | $6.71 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Molina Healthcare | MGMCR | $6.78 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Sunshine State | MCR | $6.83 | $6.50 | $6.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | PPO | $6.83 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | NWB | $6.83 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | HMO | $6.92 | $45.85 | $45.85 | 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 | HMO | $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 | OpenAccess | $6.98 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Beacon Health Options | MCR | $7.00 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Simply | MGMCR | $7.06 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | AvMed | ASOEO | $7.13 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | United | OptionsPPO | $7.28 | $24.25 | $24.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Aetna | HMO | $7.35 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Aetna | PPO | $7.35 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | MultiPlan | Complementary | $7.51 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | MultiPlan | Primary | $7.51 | $8.34 | $8.34 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Cigna | NBN | $7.59 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | ASA | $7.63 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Simply Healthcare | HIX | $7.66 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Molina Healthcare | MGMCR | $7.92 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Cigna | NBN | $7.98 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Molina Healthcare | HIX | $8.14 | $25.45 | $25.45 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Molina Healthcare | MGMCR | $8.71 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | AvMed | HMOFI | $8.93 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | PHS | $9.32 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | United | OptionsPPO | $9.45 | $45.85 | $45.85 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | United | OptionsPPO | $9.47 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | United | OptionsPPO | $9.53 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Sunshine State Health Plan | QHP | $9.82 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Amerigroup | MCD | $9.95 | $74.25 | $74.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | AvMed | ASOEO | $10.00 | $35.70 | $35.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | AvMed | HMOFI | $10.43 | $41.70 | $41.70 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Cigna | ManagedCareHMO | $10.56 | $25.45 | $25.45 | 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.