999865 — Hemostat Abs Nwvn 4x4in
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEMOSTAT ABS NWVN 4X4IN (CDM 999865) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/999865?code_type=CDM
MLA (9th ed.)
“HEMOSTAT ABS NWVN 4X4IN (CDM 999865) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/999865?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HEMOSTAT ABS NWVN 4X4IN (CDM 999865) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/999865?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $205–$932 (25th–75th percentile) across 11 hospitals · 69 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 999865 — 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 |
|---|---|---|---|---|---|---|---|
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHIP | $31.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $31.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $31.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHPFC | $31.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STAR | $31.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $31.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $31.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARKids | $31.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $31.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARPLUS | $31.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | MCR | $35.07 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | MCR | $35.07 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Vail Health | COMM | $63.38 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR+PLUS | $68.77 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIPPerinatal | $68.77 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $68.77 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR | $68.77 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $68.77 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $68.77 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIP | $68.77 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $68.77 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MGMCD | $74.06 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $74.06 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MCDCHIPBH | $74.06 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $74.06 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | CSN | $78.29 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | CSN | $78.29 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | KPSelect | $83.40 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | KPIF | $83.40 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | CommercialSmallGroupPlans | $83.40 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | OpenAccessPlus | $84.64 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | OpenAccessPlus | $84.64 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | MyBlueHealth | $86.23 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | MyBlueHealth | $86.23 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | United | OptionsPPO | $86.32 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | CHIP | $87.81 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | CHIP | $87.81 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-SBP | $90.07 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | EPO | $92.58 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | EPO | $92.58 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | HMO | $92.58 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | HMO | $92.58 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | OptionsPPO | $93.10 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | BAV | $95.22 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | BAV | $95.22 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Cigna | PPO | $100.51 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Cigna | PPO | $100.51 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Oscar | HIX | $103.16 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Oscar | HIX | $103.16 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior | ValueHMO | $104.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior | ValueHMO | $104.74 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | SureFit | $105.92 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | OptionsPPO | $106.86 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-NSBP | $108.00 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | HMO | $119.03 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | HMO | $119.03 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | EPOSOA | $121.67 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | EPOSOA | $121.67 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | PPO | $123.79 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | PPO | $123.79 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | MCRADVHMO | $125.10 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | MCRADVPPO | $125.10 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Bright Health | OON | $125.10 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STAR | $125.37 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STARKIDS | $125.37 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | STAR | $125.37 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | STARKIDS | $125.37 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Workforce Commission | WCOMP | $126.96 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | IPA Management Services | COMM | $132.25 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Healthcare Highways | NarrowNetwork | $134.90 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Healthcare Highways | NarrowNetwork | $134.90 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | NBR | $135.94 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Anthem MissouriCare | MissouriCareMGMCD | $136.24 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Anthem MissouriCare | MissouriCareMGMCD | $139.88 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | QHPExchange | $140.19 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | QHPExchange | $140.19 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Molina Healthcare | HIX | $142.83 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Molina Healthcare | HIX | $142.83 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Evry Health | BroadNetwork | $144.42 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Evry Health | BroadNetwork | $144.42 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Broad | $148.03 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | PPO | $148.03 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Kaiser | HMO | $148.03 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | CHC Harris Health | Indigent | $158.70 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | ExistingBusiness | $165.55 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Humana | HMO | $168.80 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Humana | PPO | $168.80 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Humana | PPO | $168.80 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Humana | HMO | $168.80 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBPOS | $169.81 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBPOS | $169.81 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBHMO | $169.81 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBPPO | $169.81 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | NBPPO | $169.81 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | NBHMO | $169.81 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Colorado Program for Children with Special Needs | HCP | $175.14 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMPPO | $180.92 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMPOS | $180.92 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMPOS | $180.92 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMPPO | $180.92 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | COMMHMO | $180.92 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | COMMHMO | $180.92 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | BCBS | Traditional | $185.15 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | BCBS | Traditional | $185.15 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Imagine Health | PPO | $185.15 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Imagine Health | PPO | $185.15 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Kelsey Care (Boon-Chapman) | COMM | $185.15 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | United | GlobalBenefit | $187.65 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Ambetter | Commercial-Exchange | $194.93 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | ASA | $198.91 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Oscar | HIX | $199.12 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | NHC Advantage | MGMCD | $199.12 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $199.12 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Ambetter | Commercial-Exchange | $200.14 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Oscar | HIX | $204.44 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | NHC Advantage | MGMCD | $204.44 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | NHC Advantage | MGMCR | $204.44 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Evernorth (Cigna Behavioral Health) | COMM | $208.50 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $209.60 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | WPPA ProviDrs Care Network | UnifiedHealthPlan | $209.60 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Christus (USFHP) | TRICARE | $211.60 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Christus (USFHP) | TRICARE | $211.60 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Curative Administrators | COMM | $211.60 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Curative Administrators | COMM | $211.60 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONPOS | $212.13 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONPPO | $212.13 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONHMO | $212.13 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | OONPPO | $212.13 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONPOS | $212.13 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | OONHMO | $212.13 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | WPPA ProviDrs Care Network | UnifiedHealthPlan | $215.20 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | HealthyBlue | MGMCD | $215.20 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Aetna | Cofinity | $220.18 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Humana | EPO | $221.13 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Humana | HMO | $221.13 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Humana | ASO | $221.13 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Humana | ASO | $227.04 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Humana | HMO | $227.04 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Humana | EPO | $227.04 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | HealthSmart Preferred Care | ACCEL | $227.47 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | HealthSmart Preferred Care | ACCEL | $227.47 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAHMO | $229.06 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAPOS | $229.06 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAHMO | $229.06 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAPPO | $229.06 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Aetna | ASAPOS | $229.06 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | ASAPPO | $229.06 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Coventry | MedicareAdvantage | $230.56 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Coventry | MedicareAdvantage | $236.72 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Aetna Coventry | FamilyHealthPlanMCD | $236.72 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | FreedomNetworkSelect | $236.72 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Fidelis SecureCare of TX | MGMCR | $238.05 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | United | GlobalAppendix | $238.05 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | GlobalAppendix | $238.05 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Averde Health | Commercial | $238.05 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Averde Health | Commercial | $238.05 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Fidelis SecureCare of TX | MGMCR | $238.05 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Aetna Coventry | FamilyHealthPlanMCD | $241.04 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Outpatient | Vail Health | COMM | $242.44 | $1,595.00 | $1,595.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Cigna | SureFit/LocalPlus | $259.90 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | United | OptionsPPO | $263.05 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Multiplan | SAVILITYNETWORK | $264.50 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Multiplan | SAVILITYNETWORK | $264.50 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Cigna | SureFit/LocalPlus | $266.85 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | BroadLeanBenefitPlans | $266.88 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $266.88 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $266.88 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Cigna | SureFitLeanBenefitPlans | $266.88 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | United | OptionsPPO | $270.08 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Western Plains Community Health | COMM | $271.05 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Humana | POS | $277.72 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Humana | PPO | $277.72 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Coventry National First Health | COMM | $281.96 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Coventry National First Health | COMM | $281.96 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | FreedomNetworkSelect | $282.96 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Humana | POS | $285.14 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | Humana | PPO | $285.14 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE ROSE Outpatient | Vail Health | COMM | $287.58 | $1,892.00 | $1,892.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Rockport Workers Comp | COMM | $290.95 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Physicians Cooperative of Texas | WC | $290.95 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Rockport Workers Comp | COMM | $290.95 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Physicians Cooperative of Texas | WC | $290.95 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | NorthCare | COMM | $291.90 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Physician Health Partners | MCR | $291.90 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $291.90 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Athletic Network | Premier | $300.00 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Athletic Network | Premier | $300.00 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Anthem | PAR | $308.58 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Cigna | LocalKC | $309.37 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | FreedomNetwork | $312.04 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | PC | $312.04 | $1,076.00 | $1,076.00 | 2026-03-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $312.75 | $417.00 | $417.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | Blue-Care(HMO) | $314.40 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | Preferred-CareBlue(PPO) | $314.40 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | Aetna Better Health | MCD | $314.40 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | BlueAccess | $314.40 | $1,048.00 | $1,048.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Beech Street | WCOMP | $317.40 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | National Healthcare Solutions | COMM | $317.40 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Independent Medical System | COMM | $317.40 | $529.00 | $529.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | SouthWest Medical | WORKERSCOMP | $317.40 | $529.00 | $529.00 | 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.