HCA Healthcare (HCA) Options Chain

NYSE: HCAHealth CareHospital/Nursing ManagementUSD

451.09+6.08 (+1.37%)

At close: Oct 9, 4:00 PM ET · Delayed 15 min

Expiration date

Expiration: Nov 20, 2026
Days to expiration: 40
Share price: $451.09
Put/call ratio (OI): 1.12
Put/call ratio (volume): 1.17
ATM implied volatility: 38.1%
Expected move: ±$56.92
Open interest (C / P): 2.67K / 3.00K

HCA options summary

The HCA options chain for the November 20, 2026 expiration lists 35 call and 32 put contracts, with 40 days until expiration. Open interest stands at 2,668 calls and 2,999 puts, a put/call ratio of 1.12, which is fairly balanced between calls and puts. At-the-money implied volatility near the $450.00 strike is 38.1%, which implies the market expects a move of about ±$56.92 (12.6%) in HCA Healthcare stock by expiration.

The most open interest sits at the $480.00 call (683 contracts) and the $390.00 put (1.16K contracts).

Summary generated from market data by MetaCap's automated system. Methodology

HCA options chain · November 20, 2026

HCA calls and puts by strike price. Shaded cells are in the money.
Calls							Puts
OI	Vol	IV	Last	Bid	Ask	Strike	Bid	Ask	Last	IV	Vol	OI
—	—	—	—	—	—	290.00	0.00	0.00	0.78	25.0%	—	0
—	—	—	—	—	—	310.00	0.00	2.50	0.50	63.6%	3	4
0	—	—	90.50	0.00	0.00	320.00	—	—	—	—	—	—
—	—	—	—	—	—	325.00	0.25	2.25	0.50	56.7%	5	7
—	—	—	—	—	—	330.00	0.00	1.90	2.65	51.8%	1	1
2	—	55.7%	75.50	116.00	119.60	335.00	0.35	1.55	0.70	54.6%	58	58
—	—	—	—	—	—	340.00	0.00	1.00	1.80	48.0%	1	0
6	—	52.4%	63.60	106.20	109.80	345.00	0.00	3.70	1.60	52.1%	33	44
—	—	—	—	—	—	350.00	0.00	1.80	2.00	49.5%	1	15
—	—	—	—	—	—	355.00	0.60	2.15	3.85	49.2%	1	9
1	—	56.7%	51.80	91.60	95.50	360.00	0.00	1.95	2.40	45.9%	1	5
4	1	55.2%	78.62	86.90	90.80	365.00	0.40	2.20	2.20	44.9%	2	7
—	—	—	—	—	—	370.00	1.50	2.40	1.68	43.6%	2	207
2	2	51.7%	68.64	77.60	81.30	375.00	0.20	3.60	1.95	46.1%	7	3
—	—	—	—	—	—	380.00	0.90	4.50	2.85	46.8%	1	15
—	—	—	—	—	—	385.00	1.60	4.70	4.84	44.9%	6	11
0	—	—	35.50	0.00	0.00	390.00	3.00	3.90	5.90	39.8%	2	1,160
1	—	44.5%	47.96	60.50	62.50	395.00	2.15	6.00	4.50	43.4%	1	33
16	9	45.4%	46.48	56.40	59.00	400.00	2.75	6.50	7.16	42.0%	2	20
6	10	44.9%	25.60	51.60	55.00	405.00	3.80	7.50	6.45	41.6%	2	19
3	—	43.0%	42.20	47.60	50.50	410.00	5.60	7.70	6.80	39.2%	11	17
9	2	42.3%	24.00	44.00	46.60	415.00	6.70	9.50	8.80	40.2%	10	3
11	10	41.9%	43.07	40.20	43.00	420.00	8.30	10.70	9.30	39.5%	4	47
20	5	40.5%	34.40	36.70	39.00	425.00	9.40	12.00	13.20	38.8%	2	655
17	10	40.8%	35.77	33.40	36.00	430.00	11.20	13.90	24.00	38.9%	10	550
24	1	39.8%	24.28	29.70	32.50	435.00	13.00	15.50	17.22	38.3%	6	38
474	5	39.5%	26.60	26.90	29.50	440.00	14.30	17.30	24.40	37.6%	1	12
146	1	39.8%	23.00	23.90	27.00	445.00	16.40	19.50	20.50	37.4%	3	3
131	9	39.6%	21.72	21.30	24.40	450.00	18.70	21.50	20.00	36.6%	2	1
HCA $451.09
4	2	39.5%	20.67	18.90	22.00	455.00	21.20	24.00	35.10	36.3%	—	1
37	2	38.8%	17.90	16.10	19.40	460.00	—	—	—	—	—	—
7	42	38.9%	14.62	14.50	17.50	465.00	—	—	—	—	—	—
17	6	38.6%	14.45	12.70	15.50	470.00	—	—	—	—	—	—
333	55	38.9%	11.20	11.00	14.00	475.00	—	—	—	—	—	—
683	37	37.9%	9.10	8.60	11.90	480.00	36.70	39.80	39.80	36.1%	52	7
206	2	37.9%	7.70	8.00	10.50	485.00	40.30	43.50	56.70	36.2%	35	42
13	2	38.4%	8.55	7.30	9.50	490.00	—	—	—	—	—	—
435	3	37.9%	6.20	4.70	8.10	495.00	47.90	51.00	67.90	35.7%	—	5
28	3	37.6%	4.88	4.00	7.00	500.00	—	—	—	—	—	—
6	3	38.1%	3.78	3.00	6.30	505.00	—	—	—	—	—	—
2	2	36.9%	3.90	2.40	5.00	510.00	—	—	—	—	—	—
1	1	40.0%	5.40	1.80	5.50	515.00	—	—	—	—	—	—
3	1	40.5%	3.25	2.95	5.00	520.00	—	—	—	—	—	—
19	1	41.4%	1.50	0.80	4.70	525.00	—	—	—	—	—	—
1	—	42.9%	2.00	0.40	4.60	530.00	—	—	—	—	—	—

In-the-money callsIn-the-money puts. IV = implied volatility, OI = open interest (contracts). Each contract covers 100 shares. Quotes delayed at least 15 minutes.

Frequently asked questions

What is the HCA put/call ratio?

For the November 20, 2026 expiration, the HCA put/call ratio based on open interest is 1.12 (2,999 puts vs 2,668 calls), and 1.17 based on today's volume. A ratio above 1 means more puts than calls.

What is HCA's implied volatility?

At-the-money implied volatility for HCA options expiring November 20, 2026 is about 38.1%, an annualized estimate of how much the market expects HCA Healthcare stock to move.

How many HCA option expiration dates are there?

HCA has 9 listed expiration dates, from Oct 16, 2026 to Jan 19, 2029.

What does "in the money" mean?

A call is in the money when the strike price is below the current share price; a put is in the money when the strike is above it. In-the-money contracts have intrinsic value and are shaded in the table.