921626 — Kit Wnd Drn Cls 12x1/8in
Cite this view
HANK Price Transparency. (n.d.). KIT WND DRN CLS 12X1/8IN (CDM 921626) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/921626?code_type=CDM
“KIT WND DRN CLS 12X1/8IN (CDM 921626) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/921626?code_type=CDM. Accessed .
“KIT WND DRN CLS 12X1/8IN (CDM 921626) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/921626?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $122–$438 (25th–75th percentile) across 11 hospitals · 66 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 921626 — 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 |
|---|---|---|---|---|---|---|---|
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Vail Health | COMM | $8.51 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | KPIF | $11.20 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | CommercialSmallGroupPlans | $11.20 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | KPSelect | $11.20 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | United | OptionsPPO | $11.59 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-SBP | $12.10 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | SureFit | $14.22 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-NSBP | $14.50 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | MCRADVPPO | $16.80 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | MCRADVHMO | $16.80 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Bright Health | OON | $16.80 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | NBR | $18.26 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | HMO | $19.88 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Broad | $19.88 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | PPO | $19.88 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | ExistingBusiness | $22.23 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Colorado Program for Children with Special Needs | HCP | $23.52 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | United | GlobalBenefit | $25.20 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | ASA | $26.71 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Evernorth (Cigna Behavioral Health) | COMM | $28.00 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | Cofinity | $29.57 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Vail Health | COMM | $34.35 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | SureFitLeanBenefitPlans | $35.84 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $35.84 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $35.84 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | BroadLeanBenefitPlans | $35.84 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Western Plains Community Health | COMM | $36.40 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Physician Health Partners | MCR | $39.20 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | NorthCare | COMM | $39.20 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $39.20 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Vail Health | COMM | $40.58 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Anthem | PAR | $41.44 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $42.00 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Medical Development International | COMM | $44.80 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | TriWest Health Alliance | FED | $44.80 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Kaiser | KPSelect | $45.20 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Kaiser | KPIF | $45.20 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Kaiser | CommercialSmallGroupPlans | $45.20 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | United | OptionsPPO | $46.78 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $47.60 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | Connect-SBP | $49.13 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Prime Health | WORKERSCOMP | $50.40 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Multiplan | BeechStreetCOMMPPO | $50.40 | $56.00 | $56.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Kaiser | CommercialSmallGroupPlans | $53.40 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Kaiser | KPIF | $53.40 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Connect-SBP | $53.56 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | United | OptionsPPO | $55.27 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRPPO | $57.20 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | SureFit | $57.40 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRHMO | $57.45 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Connect-NSBP | $58.53 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | MCR | $61.82 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRPPO | $61.82 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MCRHMO | $62.09 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Kaiser | HMO | $63.01 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Kaiser | HMO | $66.44 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | MCR | $67.15 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | MCRADVHMO | $67.80 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Bright Health | OON | $67.80 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | MCRADVPPO | $67.80 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | SureFit | $67.82 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Vail Health | COMM | $68.70 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | Connect-NSBP | $69.15 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Kaiser | PPO | $69.42 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Vail Health | COMM | $70.83 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Kaiser | PPO | $73.00 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | NBR | $73.68 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | MCRPPO | $78.18 | $1,325.00 | $1,325.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | MCRHMO | $78.44 | $1,325.00 | $1,325.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | BCBS | MCRPPO | $78.79 | $1,608.00 | $1,608.00 | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Aetna | MCRADVHMO | $80.10 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Aetna | MCRADVPPO | $80.10 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Bright Health | OON | $80.10 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Broad | $80.23 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Oscar | HIX | $82.90 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Amerigroup | MCD | $84.20 | $663.00 | $663.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | BCBS | MCRHMO | $85.22 | $1,608.00 | $1,608.00 | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Aetna | NBR | $87.04 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | BCBS | MCRHMO | $89.46 | $1,688.00 | $1,688.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | ExistingBusiness | $89.72 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Kaiser | KPSelect | $90.40 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Kaiser | KPIF | $90.40 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Kaiser | CommercialSmallGroupPlans | $90.40 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Kaiser | CommercialSmallGroupPlans | $93.20 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Kaiser | KPSelect | $93.20 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Kaiser | KPIF | $93.20 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | United | OptionsPPO | $93.56 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | Broad | $94.78 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | United | OptionsPPO | $96.46 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | BSL | $98.65 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MBN | $98.65 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | SBN | $98.65 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State (Ambetter) | HIX | $98.79 | $663.00 | $663.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Colorado Program for Children with Special Needs | HCP | $99.44 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | MCR | $99.45 | $663.00 | $663.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Friday Health | HIX | $99.45 | $663.00 | $663.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | United | GlobalBenefit | $101.70 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | BSL | $103.04 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | MBN | $103.04 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | SBN | $103.04 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Aetna | ExistingBusiness | $106.00 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Kaiser | HMO | $106.67 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Aetna | MCR | $107.33 | $1,325.00 | $1,325.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | ASA | $107.80 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-SBP | $109.04 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | SureFit | $114.81 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Aetna | MCR | $116.47 | $1,688.00 | $1,688.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Oscar | HIX | $116.48 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | Connect-NSBP | $117.07 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Kaiser | PPO | $117.52 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | SureFit | $118.36 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Aetna | Cofinity | $119.33 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Colorado Program for Children with Special Needs | HCP | $120.15 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | United | GlobalBenefit | $120.15 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Aetna | MCR | $120.60 | $1,608.00 | $1,608.00 | 2024-10-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Connect-NSBP | $120.69 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Pruitt Health | MCR | $125.97 | $663.00 | $663.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | NWB | $126.01 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | HMO | $126.01 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | PPO | $126.01 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Aetna | ASA | $127.36 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | QHP | $130.15 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | NWB | $130.82 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | HMO | $130.82 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | BCBS | PPO | $130.82 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna Transplant | COMM | $131.08 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Oscar | HIX | $132.50 | $1,325.00 | $1,325.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $132.60 | $663.00 | $663.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Simply | MGMCR | $132.64 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Capital Health Plan | HMO | $135.13 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Bright Health | OON | $135.60 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | MCRADVHMO | $135.60 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | MCRADVPPO | $135.60 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | QHP | $136.19 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Simply | MGMCR | $137.98 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Bright Health | OON | $139.80 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | MCRADVHMO | $139.80 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | MCRADVPPO | $139.80 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Capital Health Plan | HIX | $140.10 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Aetna | Cofinity | $140.98 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $144.64 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | BroadLeanBenefitPlans | $144.64 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | SureFitLeanBenefitPlans | $144.64 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $144.64 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Optimum | MGMCR | $145.17 | $1,688.00 | $1,688.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Freedom Health | MGMCR | $145.17 | $1,688.00 | $1,688.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Western Plains Community Health | COMM | $146.90 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | NBR | $147.35 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Optimum | MGMCR | $149.54 | $1,608.00 | $1,608.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Freedom Health | MGMCR | $149.54 | $1,608.00 | $1,608.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Simply Healthcare | HIX | $149.63 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Cigna | NBN | $150.88 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | NBR | $151.92 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Cigna | NBN | $155.90 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Molina Healthcare | MGMCR | $157.51 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | MBN | $157.68 | $1,325.00 | $1,325.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | BSL | $157.68 | $1,325.00 | $1,325.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | SBN | $157.68 | $1,325.00 | $1,325.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | NorthCare | COMM | $158.20 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Physician Health Partners | MCR | $158.20 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $158.20 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | Broad | $160.46 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Cigna | Broad | $165.43 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Kaiser | HMO | $165.43 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Kaiser | PPO | $165.43 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Humana | PPO | $165.80 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Humana | HMO | $165.80 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Anthem | PAR | $167.24 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $169.50 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Molina Healthcare | MGMCR | $170.24 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | HMO | $170.77 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | PPO | $170.77 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | BroadLeanBenefitPlans | $170.88 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $170.88 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | SureFitLeanBenefitPlans | $170.88 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $170.88 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | BCBS | MBN | $172.06 | $1,608.00 | $1,608.00 | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Western Plains Community Health | COMM | $173.55 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | BCBS | MBN | $173.86 | $1,688.00 | $1,688.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Cigna | Connect-SBP | $175.83 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Humana | HMO | $179.20 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Humana | PPO | $179.20 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | Aetna | ExistingBusiness | $179.44 | $452.00 | $452.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | United | OptionsPPO | $180.34 | $663.00 | $663.00 | 2024-10-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Medical Development International | COMM | $180.80 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | TriWest Health Alliance | FED | $180.80 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | United | OptionsPPO | $181.89 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | United | OptionsPPO | $184.87 | $829.00 | $829.00 | 2024-10-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Aetna | ExistingBusiness | $185.00 | $466.00 | $466.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | NorthCare | COMM | $186.90 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Physician Health Partners | MCR | $186.90 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $186.90 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | HMO | $189.06 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Aetna | PPO | $189.06 | $896.00 | $896.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $192.10 | $226.00 | $226.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | AvMed | HIX | $192.96 | $1,608.00 | $1,608.00 | 2024-10-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Anthem | PAR | $197.58 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $200.25 | $267.00 | $267.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | NWB | $201.40 | $1,325.00 | $1,325.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | HMO | $201.40 | $1,325.00 | $1,325.00 | 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.