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Intracranial hemorrhage/CVA w MCC

MS-DRG 064 · negotiated-rate distribution across hospitals in TX

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Hospitals
52
Min
$1,809.00
Median
$17,598
Max
$73,048
Range multiplier
40.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield49246$1,000.00$22,172$73,95574.0×
baylor scott & white health plan23134$12,830$18,331$33,0982.6×
UnitedHealthcare41111$11,958$27,451$70,4345.9×
Humana4281$2,778.00$14,763$70,43425.4×
Cigna3356$65.00$19,868$63,190972.2×
Aetna3851$11,958$27,740$70,4345.9×
healthsmart2040$2,804.00$14,964$27,1259.7×
Medicare731$11,040$14,454$17,7431.6×
american health plan2525$14,181$16,040$73,0485.2×
procare advantage2424$14,181$16,040$73,0485.2×
university of mary hardin-baylor2323$17,117$17,117$17,1171.0×
prime health services2022$14,149$16,175$94,7856.7×
superior health plan2222$1,809.00$15,479$42,23123.3×
triwest2121$13,506$15,276$18,3881.4×
corvel2121$14,149$16,156$121,0258.6×
Ambetter2020$21,159$32,206$63,1903.0×
healthspring1919$14,181$15,501$18,9071.3×
employers health network1414$20,389$20,389$20,3891.0×
baylor scott and white39$21,161$28,993$70,4343.3×
commercial | entrust | all plans88$27,667$31,837$38,0131.4×
sedgwick88$17,174$21,154$86,4055.0×
Molina57$15,777$18,907$102,1296.5×
commercial | community health choice | exchange77$15,915$18,449$22,2051.4×
wellmed77$14,838$14,838$70,4344.7×
wellpoint66$20,032$20,032$57,3732.9×
commercial | phcs | all plans66$34,643$34,643$35,4571.0×
amerigroup66$15,541$23,019$74,3074.8×
injury management organization55$19,198$22,838$86,4054.5×
careworks fka rockport55$19,154$22,838$86,4054.5×
commercial | harris health | ers55$17,585$21,680$22,2051.3×
commercial | independent med system | all plans55$23,475$23,475$23,4751.0×
commercial | kelseycare | exchange55$15,827$19,512$19,9841.3×
commercial | nxhealth | all plans55$38,999$47,425$48,0551.2×
commercial | renaissance | all plans55$8,440.92$10,407$10,6581.3×
commercial | superior health plan | all plans55$17,585$21,680$22,2051.3×
wellpoint (fka amerigroup)55$15,476$16,741$18,5461.2×
90 degree benefits44$37,096$37,096$37,0961.0×
caprock44$37,096$37,096$37,0961.0×
care improvement44$14,838$14,838$14,8381.0×
city of san angelo44$10,533$10,533$10,5331.0×
commercial | healthsmart | ap344$14,325$14,325$14,3251.0×
insurance management services44$19,587$19,587$19,5871.0×
insurance services of lubbock44$19,587$19,587$19,5871.0×
kempton group44$29,677$29,677$29,6771.0×
pdh/texas trust44$23,741$23,741$23,7411.0×
scott & white44$14,163$14,163$14,1631.0×
superior24$21,161$23,548$26,1211.2×
bluebell creameries33$10,941$10,941$10,9411.0×
WellCare33$57,373$63,190$73,9551.3×
coordinated care12$29,989$32,331$34,6741.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baylor Scott & White Continuing CareTempleTX8$2,804.00$73,048$86,405
Texas Spine And Joint HospitalTylerTX8$2,804.00$73,048$86,405
Tchd D/B/A Jps Health NetworkFort WorthTX13$20,103$70,434$102,129
Corpus Christi Specialty HospitalCorpus ChristiTX17$63,190$63,190$94,785
Acuity Hospital Of South TexasSan AntonioTX20$57,373$57,373$86,059
Hospitals Of Providence East CampusEl PasoTX14$70.00$29,989$60,966
Wilson N Jones Regional Medical CtrShermanTX2$24,854$26,274$27,695
Covenant Hospital LevellandLevellandTX8$13,597$25,169$41,471
Scott & White Hospital BrenhamBrenhamTX8$2,778.00$22,219$27,740
Scott And White Memorial HospitalTempleTX19$2,778.00$21,871$37,095
Hillcrest Baptist Medical CenterWacoTX15$2,778.00$21,422$33,870
River Crest HospitalSan AngeloTX15$10,533$21,273$37,096
San Angelo Community Medical CenterSan AngeloTX15$10,533$21,273$37,096
Big Spring State HospitalBig SpringsTX15$10,533$21,273$37,096
Shannon Medical CenterSan AngeloTX15$10,533$21,273$37,096
Covenant Hospital PlainviewPlainviewTX11$65.00$21,161$37,760
Baylor Scott & White - Marble FallsMarble FallsTX17$2,778.00$19,390$33,870
Baylor S&W Medical Center - IrvingIrvingTX18$2,778.00$19,261$42,370
Round Rock HospitalRound RockTX19$2,778.00$19,198$37,095
College Station HospitalCollege StationTX17$2,778.00$19,154$33,870
Baylor University Medical CtrDallasTX19$2,778.00$19,084$42,370
Baylor S&W All Saints Medical CenterFort WorthTX18$2,778.00$18,692$42,370
Tyler Continuecare HospitalTylerTX7$161,367$161,367$1,000.00$1,809.00$145,230
Baylor Scott & White Wmc - BrenhamBrenhamTX17$2,778.00$17,949$66,966
The Heart Hospital Baylor PlanoPlanoTX17$2,778.00$17,949$66,966
Baylor Scott & White Mc- Lake PointeRowlettTX19$2,778.00$17,721$45,354
Baylor S&W Medical Center - MckinneyMckinneyTX17$2,778.00$17,598$42,370
Baylor Heart And Vascular HospitalDallasTX12$2,778.00$17,481$42,370
Centennial Medical CenterFriscoTX19$2,778.00$17,481$45,354
Trinity Regional Hospital SachseSachseTX8$15,201$17,422$27,695
Scott And White Hospital TaylorTaylorTX12$2,778.00$17,359$37,095
Mid Coast Medical Center-CentralLlanoTX12$2,778.00$17,359$37,095
Bsw Medical Center - AustinAustinTX12$2,778.00$17,359$37,095
Chi St Lukes Health Baylor Med CtrHoustonTX16$10,407$17,243$46,974
The Heart Hospital Baylor DentonDentonTX17$2,778.00$17,242$66,966
Baylor S&W Medical Center - PlanoPlanoTX17$2,778.00$17,175$42,370
Baylor Scott & White PflugervillePflugervilleTX16$2,778.00$17,174$37,095
Baylor Scott & White - BudaBudaTX12$2,778.00$17,117$37,095
Baylor Medical Center-GrapevineGrapevineTX17$2,778.00$17,033$42,370
St Lukes Hospital At The VintageHoustonTX16$10,646$16,565$48,055
Grimes St. Joseph Health CenterNavasotaTX2$12,330$16,443$25,826
Madison St. Joseph Health CenterMadisonvilleTX2$12,330$16,443$25,826
College Station Medical CenterCollege StationTX8$12,330$16,443$47,425
St. Joseph Regional Health CenterBryanTX8$12,330$16,443$47,425
Scott & White Cedar ParkCedar ParkTX1$16,231$16,231$16,231
St. Lukes Sugar Land HospitalSugar LandTX14$10,658$15,821$34,936
St. Lukes Patients Medical CenterPasadenaTX8$12,300$15,739$35,457
Burleson St. Joseph Health CenterCaldwellTX1$12,330$15,577$17,308
Brazosport Regional Health SystemLake JacksonTX8$10,257$15,105$36,411
St. Lukes The Woodlands HospitalThe WoodlandsTX15$8,639.82$14,951$38,999
St. Lukes Lakeside HospitalThe WoodlandsTX15$8,440.92$14,304$34,643
Childrens Medical Center Of PlanoPlanoTX4$12,099$12,099$12,099

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.