955645 — Rmv Icd W Rplc Sgl Ld
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RMV ICD W RPLC SGL LD (CDM 955645) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/955645?code_type=CDM
MLA (9th ed.)
“RMV ICD W RPLC SGL LD (CDM 955645) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/955645?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“RMV ICD W RPLC SGL LD (CDM 955645) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/955645?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $708–$86,063 (25th–75th percentile) across 14 hospitals · 63 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 955645 — 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 | STARPLUS | $98.76 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $98.76 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARPLUS | $98.76 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $98.76 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARKids | $98.76 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $98.76 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $98.76 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHIP | $98.76 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STAR | $98.76 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHPFC | $98.76 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | MCR | $109.13 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | MCR | $109.13 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Outpatient | CIGNA IFP | 1616_CIGNA IFP (SA) 20231001 | $110.10 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Inpatient | UHC | 1672_UHC (BO,GO,HN,LG) 20231001 | $161.48 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Outpatient | BCBS HMO | 1723_BLUE CROSS BLUE SHIELD HMO (SA) 20240101 | $183.50 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Outpatient | CIGNA LOCAL PLUS | 1714_CIGNA LOCAL PLUS (AB,SA) 20240101 | $183.50 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Outpatient | BCBS PPO | 1726_BLUE CROSS BLUE SHIELD PPO (SA) 20240101 | $183.50 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Outpatient | PHCS | 637_PHCS (AB,SA) 20180101 | $183.50 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Both | UHC | 1711_UHC (AB,SA) 20240101 | $183.50 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Outpatient | AETNA HMO | 1717_AETNA HMO (AB,SA) 20240101 | $187.17 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Inpatient | AETNA PPO | 1720_AETNA PPO (AB,SA) 20240101 | $187.17 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Inpatient | CIGNA | 1614_CIGNA (AB,SA) 20231001 | $201.85 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $213.98 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR | $213.98 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $213.98 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIP | $213.98 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $213.98 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $213.98 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR+PLUS | $213.98 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIPPerinatal | $213.98 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $230.44 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MGMCD | $230.44 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $230.44 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MCDCHIPBH | $230.44 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | CSN | $243.61 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | CSN | $243.61 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | OpenAccessPlus | $263.36 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | OpenAccessPlus | $263.36 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | MyBlueHealth | $268.30 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | MyBlueHealth | $268.30 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | CHIP | $273.24 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | CHIP | $273.24 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | HMO | $288.05 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | HMO | $288.05 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | EPO | $288.05 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | EPO | $288.05 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | OptionsPPO | $289.70 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | BAV | $296.28 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | BAV | $296.28 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | Premier | $300.00 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | Premier | $300.00 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | PPO | $312.74 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | PPO | $312.74 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Oscar | HIX | $320.97 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Oscar | HIX | $320.97 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | ValueHMO | $325.91 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | ValueHMO | $325.91 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | OptionsPPO | $332.49 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| ST ALEXIUS MEDICAL CENTER Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $367.00 | $367.00 | $121.11 | 2026-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | HMO | $370.35 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | HMO | $370.35 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | EPOSOA | $378.58 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | EPOSOA | $378.58 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | PPO | $385.16 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | PPO | $385.16 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STARKIDS | $390.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STAR | $390.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STAR | $390.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STARKIDS | $390.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Workforce Commission | WCOMP | $395.04 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | IPA Management Services | COMM | $411.50 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Healthcare Highways | NarrowNetwork | $419.73 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Healthcare Highways | NarrowNetwork | $419.73 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | QHPExchange | $436.19 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | QHPExchange | $436.19 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Molina Healthcare | HIX | $444.42 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Molina Healthcare | HIX | $444.42 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Evry Health | BroadNetwork | $449.36 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Evry Health | BroadNetwork | $449.36 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | CHC Harris Health | Indigent | $493.80 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Humana | PPO | $525.24 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Humana | HMO | $525.24 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Humana | PPO | $525.24 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Humana | HMO | $525.24 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBPOS | $528.37 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBHMO | $528.37 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBPOS | $528.37 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBPPO | $528.37 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBHMO | $528.37 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBPPO | $528.37 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Anthem MissouriCare | MissouriCareMGMCD | $531.94 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMHMO | $562.93 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMPPO | $562.93 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMPPO | $562.93 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMPOS | $562.93 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMPOS | $562.93 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMHMO | $562.93 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Kelsey Care (Boon-Chapman) | COMM | $576.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Imagine Health | PPO | $576.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | Traditional | $576.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Imagine Health | PPO | $576.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | Traditional | $576.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Christus (USFHP) | TRICARE | $658.40 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Christus (USFHP) | TRICARE | $658.40 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Curative Administrators | COMM | $658.40 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Curative Administrators | COMM | $658.40 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONHMO | $660.05 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONPOS | $660.05 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONPPO | $660.05 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONPPO | $660.05 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONPOS | $660.05 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONHMO | $660.05 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | CHIPPerinatal | $684.45 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | CHIP | $684.45 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | STAR+PLUS | $684.45 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Community Health Choice MCD | STAR | $684.45 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | ACCEL | $707.78 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | ACCEL | $707.78 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAPPO | $712.72 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAHMO | $712.72 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAPOS | $712.72 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAPOS | $712.72 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAPPO | $712.72 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAHMO | $712.72 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | GlobalAppendix | $740.70 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Averde Health | Commercial | $740.70 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | GlobalAppendix | $740.70 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Fidelis SecureCare of TX | MGMCR | $740.70 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Fidelis SecureCare of TX | MGMCR | $740.70 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Averde Health | Commercial | $740.70 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | NHC Advantage | MGMCD | $777.45 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $777.45 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Cigna | CSN | $779.22 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $818.37 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Multiplan | SAVILITYNETWORK | $823.00 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Multiplan | SAVILITYNETWORK | $823.00 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Cigna | OpenAccessPlus | $842.40 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | MyBlueHealth | $858.20 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Coventry National First Health | COMM | $877.32 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Coventry National First Health | COMM | $877.32 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | United | OptionsPPO | $884.52 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Coventry | MedicareAdvantage | $900.21 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Physicians Cooperative of Texas | WC | $905.30 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Rockport Workers Comp | COMM | $905.30 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Physicians Cooperative of Texas | WC | $905.30 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Rockport Workers Comp | COMM | $905.30 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior | HMO | $921.38 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior | EPO | $921.38 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | FreedomNetworkSelect | $941.13 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | BAV | $947.70 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Independent Medical System | COMM | $987.60 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | National Healthcare Solutions | COMM | $987.60 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Independent Medical System | COMM | $987.60 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Beech Street | WCOMP | $987.60 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | SouthWest Medical | WORKERSCOMP | $987.60 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | National Healthcare Solutions | COMM | $987.60 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | SouthWest Medical | WORKERSCOMP | $987.60 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Beech Street | WCOMP | $987.60 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Cigna | PPO | $1,000.35 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Cigna | SureFit/LocalPlus | $1,014.78 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $1,027.05 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Superior | ValueHMO | $1,042.47 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Coastal Comp | COMM | $1,069.90 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Coastal Comp | COMM | $1,069.90 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | HMO | $1,184.63 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Cigna | LocalKC | $1,207.91 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | EPOSOA | $1,210.95 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $1,227.56 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | BCBS | PPO | $1,232.01 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | TriWest Healthcare Alliance | Veterans | $1,316.80 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Beech Street | COMMPPO | $1,316.80 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna Behavioral Health | COMMBH | $1,316.80 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Beech Street | COMMPPO | $1,316.80 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna | KCCarePlus | $1,346.22 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | PPO | $1,349.72 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | PPO | $1,349.72 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,399.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Physicians, INC | COMM | $1,399.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | ACCOUNTABLEPPO | $1,399.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Physicians, INC | COMM | $1,399.10 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Molina Healthcare | HIX | $1,421.55 | $5,265.00 | $5,265.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Universal Healthcare | MCR | $1,432.15 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | FreedomNetwork | $1,473.07 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | PC | $1,473.07 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Multiplan | COMPLEMENTARYPPO | $1,481.40 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Multiplan | COMPLEMENTARYPPO | $1,481.40 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Affiliated PPO | COMM | $1,481.40 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Affiliated PPO | COMM | $1,481.40 | $1,646.00 | $1,646.00 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Cigna | Comm | $1,509.89 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna Coventry | FamilyHealthPlanMCD | $1,513.98 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna | Local | $1,608.10 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Aetna | FHMedicalRental | $1,644.92 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Coventry | WCOMP | $1,644.92 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Coventry KC MO | WCOMP | $1,677.66 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | Participating | $1,677.66 | $4,091.85 | $4,091.85 | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | Traditional | $1,677.66 | $4,091.85 | $4,091.85 | 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.