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PCI w drug-eluting stent w/o MCC

MS-DRG 247 · negotiated-rate distribution across hospitals in TX

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Hospitals
26
Min
$12,219
Median
$19,670
Max
$44,060
Range multiplier
3.6×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield24106$11,251$18,634$54,8644.9×
Aetna1433$9,884.00$31,899$45,6374.6×
UnitedHealthcare1533$12,170$18,623$50,1094.1×
Medicare933$11,474$14,971$18,3251.6×
Humana1219$12,184$15,271$37,4413.1×
Cigna913$65.00$17,641$58,526900.4×
commercial | entrust | all plans88$28,755$32,756$39,3731.4×
commercial | community health choice | exchange77$16,414$18,971$22,9531.4×
commercial | phcs | all plans66$36,461$37,597$37,5971.0×
commercial | superior health plan | all plans55$18,277$22,456$22,9531.3×
commercial | harris health | ers55$18,277$22,456$22,9531.3×
commercial | kelseycare | exchange55$16,449$20,210$20,6571.3×
commercial | nxhealth | all plans55$40,532$49,070$49,6291.2×
commercial | renaissance | all plans55$8,772.73$10,779$11,0171.3×
commercial | independent med system | all plans55$28,984$28,984$28,9841.0×
commercial | kelseycare | all plans55$1,808.20$1,808.20$1,808.201.0×
commercial | healthsmart | ap344$17,136$17,136$17,1361.0×
Ambetter33$21,698$21,893$21,8931.0×
commercial | ellwood | all plans22$45,296$45,296$45,2961.0×
wellpoint11$24,824$24,824$24,8241.0×
capstar11$72.00$72.00$72.001.0×
commercial | employerdirect | all plans11$21,379$21,379$21,3791.0×
commercial | healthsmart | ppo11$17,136$17,136$17,1361.0×
commercial | motiva | all plans11$24,316$24,316$24,3161.0×
commercial | tch | transplant11$13,584$13,584$13,5841.0×
first choice11$44,442$44,442$44,4421.0×
First Health11$70.00$70.00$70.001.0×
omni11$85.00$85.00$85.001.0×
Oscar Health11$20,223$20,223$20,2231.0×
providence health plan11$41,437$41,437$41,4371.0×
superior health plan11$40,100$40,100$40,1001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hospitals Of Providence East CampusEl PasoTX7$70.00$44,060$58,526
Covenant Hospital LevellandLevellandTX2$9,884.00$28,704$39,535
Tchd D/B/A Jps Health NetworkFort WorthTX4$22,914$26,626$40,100
Shannon Medical CenterSan AngeloTX1$23,043$24,411$24,411
River Crest HospitalSan AngeloTX1$23,043$24,411$24,411
San Angelo Community Medical CenterSan AngeloTX1$23,043$24,411$24,411
Big Spring State HospitalBig SpringsTX1$23,043$24,411$24,411
Chi St Lukes Health Baylor Med CtrHoustonTX18$1,808.20$20,419$48,654
Covenant Hospital PlainviewPlainviewTX5$65.00$19,822$35,998
St. Joseph Regional Health CenterBryanTX8$14,750$19,670$49,070
College Station Medical CenterCollege StationTX8$14,750$19,670$49,070
Madison St. Joseph Health CenterMadisonvilleTX2$14,750$19,670$26,841
Grimes St. Joseph Health CenterNavasotaTX2$14,750$19,670$26,841
St Lukes Hospital At The VintageHoustonTX17$1,808.20$19,510$49,629
Baylor Orthopedic And Spine HospitalArlingtonTX3$10,955$19,172$23,540
St. Lukes Patients Medical CenterPasadenaTX8$12,648$18,675$36,461
Burleson St. Joseph Health CenterCaldwellTX1$14,750$18,634$20,705
St. Lukes Sugar Land HospitalSugar LandTX15$1,808.20$18,623$37,597
St. Lukes The Woodlands HospitalThe WoodlandsTX16$1,808.20$17,880$40,532
St. Lukes Lakeside HospitalThe WoodlandsTX16$1,808.20$17,111$37,597
St Lukes Health Memorial San AugustSan AugustineTX2$13,520$15,787$18,054
Brazosport Regional Health SystemLake JacksonTX8$12,270$15,523$37,441
Chi St Lukes Health Mem LivingstonLivingstonTX6$13,520$14,720$17,641
Chi St Lukes Health Memorial LufkinLufkinTX6$12,170$12,811$17,641
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$11,251$12,219$18,236
Heritage Park Surgical HospitalShermanTX1$11,251$12,219$18,236

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.