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Respiratory infections & inflammations w MCC

MS-DRG 177 · negotiated-rate distribution across hospitals in TX

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Hospitals
69
Min
$1,500.00
Median
$15,433
Max
$66,199
Range multiplier
44.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield55274$1,000.00$18,418$69,50969.5×
baylor scott & white health plan23134$10,426$14,907$27,5312.6×
UnitedHealthcare47121$10,801$22,515$66,1996.1×
Humana4691$2,778.00$12,562$66,19923.8×
Cigna3865$65.00$16,146$49,546762.2×
Aetna4255$6,032.66$21,582$66,19911.0×
healthsmart2141$1,800.00$2,804.00$22,04312.2×
Medicare933$10,649$13,988$17,2201.6×
american health plan2525$11,524$13,053$41,3353.6×
procare advantage2424$11,524$13,044$41,3353.6×
university of mary hardin-baylor2323$13,910$13,910$13,9101.0×
superior health plan2222$1,809.00$12,756$32,81718.1×
prime health services2022$11,498$13,354$59,0665.1×
triwest2121$10,975$12,414$15,2951.4×
corvel2121$11,498$13,335$122,11710.6×
Ambetter2020$20,498$26,372$39,3771.9×
healthspring1919$11,524$12,783$15,8551.4×
Anthem BCBS214$11,641$15,894$19,8671.7×
employers health network1414$17,268$17,268$17,2681.0×
baylor scott and white39$17,698$23,562$66,1993.7×
commercial | entrust | all plans88$26,688$30,851$36,7881.4×
sedgwick88$13,956$17,657$48,8933.5×
Molina57$13,053$15,855$95,9887.4×
commercial | community health choice | exchange77$15,466$17,778$21,5311.4×
wellmed77$12,268$12,268$66,1995.4×
commercial | phcs | all plans66$34,168$34,946$34,9461.0×
amerigroup66$12,629$19,718$69,8405.5×
wellpoint66$16,561$16,561$35,7522.2×
commercial | nxhealth | all plans55$37,619$45,944$46,6371.2×
commercial | kelseycare | exchange55$15,267$18,884$19,3781.3×
commercial | independent med system | all plans55$23,119$23,119$23,1191.0×
commercial | harris health | ers55$16,963$20,982$21,5311.3×
wellpoint (fka amerigroup)55$12,804$13,823$15,5531.2×
careworks fka rockport55$15,601$18,996$48,8933.1×
injury management organization55$15,601$18,996$48,8933.1×
commercial | superior health plan | all plans55$16,963$20,982$21,5311.3×
commercial | renaissance | all plans55$8,142.20$10,071$10,3351.3×
care improvement44$12,268$12,268$12,2681.0×
unified group services24$18,572$19,237$19,9011.1×
commercial | healthsmart | ap344$14,991$14,991$14,9911.0×
caprock44$30,669$30,669$30,6691.0×
advantage 36024$11,500$11,850$12,2001.1×
suburban/sho24$7,939.93$7,939.93$7,939.931.0×
kempton group44$24,535$24,535$24,5351.0×
superior24$17,854$20,165$22,6621.3×
insurance management services44$16,193$16,193$16,1931.0×
prohealth24$7,939.93$7,939.93$7,939.931.0×
city of san angelo44$8,559.37$8,559.37$8,559.371.0×
insurance services of lubbock44$16,193$16,193$16,1931.0×
scott & white44$11,509$11,509$11,5091.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Tchd D/B/A Jps Health NetworkFort WorthTX13$18,752$66,199$95,988
Childrens Medical Center Of PlanoPlanoTX4$6,032.66$6,032.66$6,032.66
Baylor Scott & White Continuing CareTempleTX8$2,804.00$41,335$48,893
Texas Spine And Joint HospitalTylerTX8$2,804.00$41,335$48,893
Corpus Christi Specialty HospitalCorpus ChristiTX17$39,377$39,377$59,066
Acuity Hospital Of South TexasSan AntonioTX20$35,752$35,752$53,628
Hospitals Of Providence East CampusEl PasoTX14$70.00$23,578$49,546
Wilson N Jones Regional Medical CtrShermanTX2$20,459$21,628$22,797
Covenant Hospital LevellandLevellandTX8$11,050$21,582$35,123
Scott & White Hospital BrenhamBrenhamTX8$2,778.00$18,678$23,493
Tyler Continuecare HospitalTylerTX7$162,822$162,822$1,000.00$1,809.00$146,540
Covenant Hospital PlainviewPlainviewTX11$65.00$17,854$31,980
Hillcrest Baptist Medical CenterWacoTX15$2,778.00$17,773$27,524
Scott And White Memorial HospitalTempleTX19$2,778.00$17,773$30,144
San Angelo Community Medical CenterSan AngeloTX15$8,559.37$17,287$30,669
Shannon Medical CenterSan AngeloTX15$8,559.37$17,287$30,669
Big Spring State HospitalBig SpringsTX15$8,559.37$17,287$30,669
River Crest HospitalSan AngeloTX15$8,559.37$17,287$30,669
St Lukes Hospital At The VintageHoustonTX16$10,332$17,252$46,637
College Station Medical CenterCollege StationTX8$12,903$17,207$45,944
St. Joseph Regional Health CenterBryanTX8$12,903$17,207$45,944
Grimes St. Joseph Health CenterNavasotaTX2$12,903$17,207$24,912
Madison St. Joseph Health CenterMadisonvilleTX2$12,903$17,207$24,912
Chi St Lukes Health Baylor Med CtrHoustonTX16$10,071$16,786$45,461
Burleson St. Joseph Health CenterCaldwellTX1$12,903$16,301$18,113
Baylor Scott & White - Marble FallsMarble FallsTX17$2,778.00$16,155$27,524
Baylor S&W Medical Center - IrvingIrvingTX18$2,778.00$16,146$34,431
Baylor University Medical CtrDallasTX19$2,778.00$16,000$34,431
Baylor Orthopedic And Spine HospitalArlingtonTX2$13,511$15,923$18,334
St. Lukes Sugar Land HospitalSugar LandTX14$10,335$15,790$34,946
College Station HospitalCollege StationTX17$2,778.00$15,783$27,524
Round Rock HospitalRound RockTX19$2,778.00$15,601$30,144
Baylor S&W All Saints Medical CenterFort WorthTX18$2,778.00$15,433$34,431
St. Lukes The Woodlands HospitalThe WoodlandsTX15$8,334.06$15,309$37,619
St. Lukes Patients Medical CenterPasadenaTX8$11,852$15,182$34,168
Continuecare Hospital At Medical CenOdessaTX6$85,441$85,441$850.00$1,500.00$3,166.00
St. Lukes Lakeside HospitalThe WoodlandsTX15$8,142.20$14,968$34,946
Baylor Scott & White Mc- Lake PointeRowlettTX19$2,778.00$14,681$36,856
St Lukes Health Memorial San AugustSan AugustineTX2$12,548$14,664$16,781
Brazosport Regional Health SystemLake JacksonTX8$10,734$14,660$35,087
Baylor Scott & White Wmc - BrenhamBrenhamTX17$2,778.00$14,586$54,419
The Heart Hospital Baylor PlanoPlanoTX17$2,778.00$14,586$54,419
Baylor S&W Medical Center - MckinneyMckinneyTX17$2,778.00$14,407$34,431
Centennial Medical CenterFriscoTX19$2,778.00$14,296$36,856
Baylor Heart And Vascular HospitalDallasTX12$2,778.00$14,206$34,431
Trinity Regional Hospital SachseSachseTX8$12,365$14,164$22,797
Mid Coast Medical Center-CentralLlanoTX12$2,778.00$14,107$30,144
Bsw Medical Center - AustinAustinTX12$2,778.00$14,107$30,144
Scott And White Hospital TaylorTaylorTX12$2,778.00$14,107$30,144
The Heart Hospital Baylor DentonDentonTX17$2,778.00$14,011$54,419
Baylor S&W Medical Center - PlanoPlanoTX17$2,778.00$13,957$34,431
Baylor Scott & White PflugervillePflugervilleTX16$2,778.00$13,956$30,144
Baylor Scott & White - BudaBudaTX12$2,778.00$13,910$30,144
Baylor Medical Center-GrapevineGrapevineTX17$2,778.00$13,842$34,431
Ascension Seton Shoal CreekAustinTX16$7,939.93$13,833$19,901
Ascension Seton BastropBastropTX16$7,939.93$13,833$19,901
Chi St Lukes Health Mem LivingstonLivingstonTX6$12,548$13,789$16,373
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$10,487$13,400$22,574
Scott & White Cedar ParkCedar ParkTX1$13,190$13,190$13,190
Chi St Lukes Health Memorial LufkinLufkinTX6$11,408$12,008$16,373
Heritage Park Surgical HospitalShermanTX2$10,487$11,446$19,970
Northwest Texas HospitalAmarilloTX0
Longview Regional Medical CenterLongviewTX0
Texoma Medical CenterDenisonTX0
The Medical Ctr Of Southeast TexasPort ArthurTX0
Navarro Regional HospitalCorsicanaTX0
Laredo Medical CenterLaredoTX0
St Joseph Medical CenterHoustonTX0
Northwest Texas Surgery CenterAmarilloTX0

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.