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PCI w drug-eluting stent w MCC

MS-DRG 246 · negotiated-rate distribution across hospitals in TX

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Hospitals
26
Min
$19,168
Median
$29,848
Max
$69,116
Range multiplier
3.6×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield24106$17,649$28,276$86,0644.9×
Aetna1433$13,508$31,899$71,5905.3×
UnitedHealthcare1533$18,238$29,278$78,6054.3×
Medicare933$18,038$22,600$27,3501.5×
Humana1219$19,155$22,792$59,2843.1×
Cigna913$65.00$20,026$91,8091412.4×
commercial | entrust | all plans88$45,207$49,544$59,9431.3×
commercial | community health choice | exchange77$23,958$30,039$34,2661.4×
commercial | phcs | all plans66$57,731$58,627$58,6271.0×
commercial | superior health plan | all plans55$28,733$33,899$34,2661.2×
commercial | harris health | ers55$28,733$33,899$34,2661.2×
commercial | kelseycare | exchange55$25,860$30,510$30,8391.2×
commercial | nxhealth | all plans55$63,722$73,959$74,0741.2×
commercial | renaissance | all plans55$13,792$16,272$16,4471.2×
commercial | independent med system | all plans55$45,194$45,194$45,1941.0×
commercial | kelseycare | all plans55$1,808.20$1,808.20$1,808.201.0×
commercial | healthsmart | ap344$26,003$26,003$26,0031.0×
Ambetter33$32,451$32,997$32,9971.0×
commercial | ellwood | all plans22$68,269$68,269$68,2691.0×
wellpoint11$38,940$38,940$38,9401.0×
capstar11$72.00$72.00$72.001.0×
commercial | employerdirect | all plans11$31,640$31,640$31,6401.0×
commercial | healthsmart | ppo11$26,003$26,003$26,0031.0×
commercial | motiva | all plans11$37,082$37,082$37,0821.0×
commercial | tch | transplant11$21,182$21,182$21,1821.0×
first choice11$69,715$69,715$69,7151.0×
First Health11$70.00$70.00$70.001.0×
omni11$85.00$85.00$85.001.0×
Oscar Health11$31,533$31,533$31,5331.0×
providence health plan11$65,610$65,610$65,6101.0×
superior health plan11$62,903$62,903$62,9031.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hospitals Of Providence East CampusEl PasoTX7$70.00$69,116$91,809
Covenant Hospital LevellandLevellandTX2$13,508$45,028$62,019
Shannon Medical CenterSan AngeloTX1$36,227$38,377$38,377
River Crest HospitalSan AngeloTX1$36,227$38,377$38,377
San Angelo Community Medical CenterSan AngeloTX1$36,227$38,377$38,377
Big Spring State HospitalBig SpringsTX1$36,227$38,377$38,377
Tchd D/B/A Jps Health NetworkFort WorthTX4$33,334$38,321$62,903
Chi St Lukes Health Baylor Med CtrHoustonTX18$1,808.20$31,035$74,074
Covenant Hospital PlainviewPlainviewTX5$65.00$30,096$56,469
St. Joseph Regional Health CenterBryanTX8$22,382$29,848$73,959
College Station Medical CenterCollege StationTX8$22,382$29,848$73,959
Madison St. Joseph Health CenterMadisonvilleTX2$22,382$29,848$42,197
Grimes St. Joseph Health CenterNavasotaTX2$22,382$29,848$42,197
St. Lukes Patients Medical CenterPasadenaTX8$20,026$29,360$57,731
St Lukes Hospital At The VintageHoustonTX17$1,808.20$28,777$73,449
Burleson St. Joseph Health CenterCaldwellTX1$22,382$28,276$31,419
St. Lukes Sugar Land HospitalSugar LandTX15$1,808.20$27,256$58,627
St. Lukes The Woodlands HospitalThe WoodlandsTX16$1,808.20$26,863$63,722
St. Lukes Lakeside HospitalThe WoodlandsTX16$1,808.20$25,965$58,627
St Lukes Health Memorial San AugustSan AugustineTX2$21,255$24,704$28,152
Brazosport Regional Health SystemLake JacksonTX8$18,620$23,052$59,284
Chi St Lukes Health Mem LivingstonLivingstonTX6$21,024$22,130$27,734
Baylor Orthopedic And Spine HospitalArlingtonTX3$10,955$19,720$31,533
Chi St Lukes Health Memorial LufkinLufkinTX6$18,238$19,198$27,734
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$17,649$19,168$28,606
Heritage Park Surgical HospitalShermanTX1$17,649$19,168$28,606

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.