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Hip hemiarthroplasty

CPT 27125 · negotiated-rate distribution across hospitals in TX

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Hospitals
35
Min
$975.49
Median
$5,388.00
Max
$12,553
Range multiplier
12.9×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield31155$386.80$2,121.91$18,98949.1×
UnitedHealthcare2563$286.15$7,148.00$18,40364.3×
Medicare931$11,060$12,693$14,7961.3×
Aetna2230$891.94$8,187.00$16,72118.7×
Cigna1628$713.55$6,442.50$12,45417.5×
Humana1825$891.94$10,526$12,33013.8×
Anthem BCBS323$787.94$1,461.90$9,357.0011.9×
Medicaid39$787.94$787.94$975.491.2×
commercial | entrust | all plans88$24,494$29,091$32,4091.3×
commercial | community health choice | exchange66$18,484$18,490$18,4951.0×
commercial | kelseycare | exchange55$16,636$16,646$16,6461.0×
commercial | nxhealth | all plans55$39,802$40,049$40,0731.0×
commercial | renaissance | all plans55$8,872.48$8,877.80$8,877.801.0×
commercial | harris health | ers55$18,484$18,495$18,4951.0×
commercial | superior health plan | all plans55$18,484$18,495$18,4951.0×
commercial | kelseycare | all plans55$2,404.80$2,404.80$2,404.801.0×
mhs care connect24$787.94$787.94$787.941.0×
patoka valley tier 224$1,461.90$1,461.90$1,461.901.0×
patoka valley tier 124$1,461.90$1,461.90$1,461.901.0×
Ambetter33$17,758$17,758$17,8681.0×
health partners open network22$2,123.87$2,123.87$2,123.871.0×
encore exclusive22$1,461.90$1,461.90$1,461.901.0×
commercial | ellwood | all plans22$36,740$36,740$36,7401.0×
wellmed11$891.94$891.94$891.941.0×
amerivantage11$1,013.18$1,013.18$1,013.181.0×
commercial | employerdirect | all plans11$17,262$17,262$17,2621.0×
cook children's11$5,380.00$5,380.00$5,380.001.0×
First Health11$1,808.00$1,808.00$1,808.001.0×
healthcare highways11$1,808.00$1,808.00$1,808.001.0×
iowa health11$1,063.84$1,063.84$1,063.841.0×
Multiplan11$2,109.00$2,109.00$2,109.001.0×
oklahoma complete health11$975.49$975.49$975.491.0×
prime health11$2,712.00$2,712.00$2,712.001.0×
provider select11$2,561.00$2,561.00$2,561.001.0×
rightcare scott and white11$7,602.00$7,602.00$7,602.001.0×
scott and white11$8,772.00$8,772.00$8,772.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens Medical Center Of PlanoPlanoTX4$975.49$975.49$975.49
Glen Rose Medical CenterGlen RoseTX8$11,696$11,696$5,380.00$8,187.00$11,111
Baylor Orthopedic And Spine HospitalArlingtonTX3$4,760.00$2,856.00$1,483.00$8,006.00$18,989
Chi St Lukes Health Memorial LufkinLufkinTX6$739.57$7,117.06$11,060
Baylor University Medical CtrDallasTX4$1,886.14$6,546.00$16,721
Baylor S&W All Saints Medical CenterFort WorthTX4$1,886.14$6,546.00$16,721
Hillcrest Baptist Medical CenterWacoTX5$1,744.68$5,388.00$13,933
Scott And White Memorial HospitalTempleTX5$1,744.68$5,388.00$13,933
Shannon Medical CenterSan AngeloTX1$3,194.66$3,359.69$3,359.69
River Crest HospitalSan AngeloTX1$3,194.66$3,359.69$3,359.69
San Angelo Community Medical CenterSan AngeloTX1$3,194.66$3,359.69$3,359.69
Big Spring State HospitalBig SpringsTX1$3,194.66$3,359.69$3,359.69
Wilson N Jones Regional Medical CtrShermanTX8$6,968.00$5,574.40$1,013.18$2,208.30$3,483.37
Trinity Regional Hospital SachseSachseTX6$6,968.00$5,574.40$1,013.18$2,208.30$3,483.37
North Texas Medical CenterGainsvilleTX9$3,013.00$753.00$1,205.00$1,868.00$11,593
Madison St. Joseph Health CenterMadisonvilleTX2$1,537.84$1,784.36$18,403
Grimes St. Joseph Health CenterNavasotaTX2$1,537.84$1,784.36$18,403
Golden Plains Community HospitalBorgerTX6$3,878.00$2,714.60$713.55$1,697.53$2,637.04
Burleson St. Joseph Health CenterCaldwellTX1$1,537.84$1,690.44$1,878.27
St Lukes Health Memorial San AugustSan AugustineTX2$739.57$1,690.44$2,826.00
Ascension Seton Shoal CreekAustinTX7$286.15$1,461.90$2,043.94
Ascension Seton BastropBastropTX7$286.15$1,461.90$2,043.94
St. Joseph Regional Health CenterBryanTX8$1,537.84$12,553$39,802
College Station Medical CenterCollege StationTX8$1,537.84$12,553$39,802
St Lukes Hospital At The VintageHoustonTX14$408.78$12,454$40,073
Chi St Lukes Health Baylor Med CtrHoustonTX13$386.80$12,446$40,049
St. Lukes Sugar Land HospitalSugar LandTX12$408.78$12,330$29,099
St. Lukes Lakeside HospitalThe WoodlandsTX13$408.78$12,330$29,099
Brazosport Regional Health SystemLake JacksonTX8$1,173.92$12,323$29,082
St. Lukes The Woodlands HospitalThe WoodlandsTX13$408.78$12,323$40,049
St. Lukes Patients Medical CenterPasadenaTX7$408.78$12,323$18,484
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$5,570.00$3,342.00$6,931.00$10,719$15,999
Heritage Park Surgical HospitalShermanTX1$7,568.00$10,719$15,999
Acuity Hospital Of South TexasSan AntonioTX1$1,057.88$1,057.88$1,057.88
Chi St Lukes Health Mem LivingstonLivingstonTX6$739.57$10,507$11,392

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.