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Knee revision arthroplasty single component

CPT 27486 · negotiated-rate distribution across hospitals in TX

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Hospitals
47
Min
$1,209.12
Median
$5,388.00
Max
$12,553
Range multiplier
10.4×

By payer (35 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield42217$869.75$2,498.36$18,98921.8×
UnitedHealthcare3686$362.11$12,541$17,08647.2×
Cigna2751$1,374.00$6,339.00$12,4549.1×
Aetna3339$1,209.12$12,569$16,72113.8×
Medicare931$11,060$12,693$14,7961.3×
Humana2431$1,209.12$7,006.00$14,32011.8×
Anthem BCBS323$981.19$1,887.30$12,05912.3×
Medicaid39$981.19$981.19$1,209.121.2×
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 | all plans55$2,404.80$2,404.80$2,404.801.0×
commercial | kelseycare | exchange55$16,636$16,646$16,6461.0×
commercial | renaissance | all plans55$8,872.48$8,877.80$8,877.801.0×
commercial | superior health plan | all plans55$18,484$18,495$18,4951.0×
commercial | nxhealth | all plans55$39,802$40,049$40,0731.0×
commercial | harris health | ers55$18,484$18,495$18,4951.0×
mhs care connect24$981.19$981.19$981.191.0×
patoka valley tier 224$1,887.30$1,887.30$1,887.301.0×
patoka valley tier 124$1,887.30$1,887.30$1,887.301.0×
Ambetter33$17,758$17,758$17,8681.0×
commercial | ellwood | all plans22$36,740$36,740$36,7401.0×
health partners open network22$2,646.99$2,646.99$2,646.991.0×
encore exclusive22$1,887.30$1,887.30$1,887.301.0×
cook children's11$6,934.00$6,934.00$6,934.001.0×
Multiplan11$2,405.00$2,405.00$2,405.001.0×
oklahoma complete health11$1,209.12$1,209.12$1,209.121.0×
commercial | employerdirect | all plans11$17,262$17,262$17,2621.0×
prime health11$3,092.00$3,092.00$3,092.001.0×
provider select11$2,920.00$2,920.00$2,920.001.0×
rightcare scott and white11$9,798.00$9,798.00$9,798.001.0×
scott and white11$11,306$11,306$11,3061.0×
healthcare highways11$2,061.00$2,061.00$2,061.001.0×
amerivantage11$1,254.09$1,254.09$1,254.091.0×
iowa health11$1,316.79$1,316.79$1,316.791.0×
First Health11$2,061.00$2,061.00$2,061.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baylor Orthopedic And Spine HospitalArlingtonTX3$3,762.00$2,257.20$2,069.10$8,427.00$18,989
Chi St Lukes Health Memorial LufkinLufkinTX6$917.96$8,006.06$11,060
Baylor S&W Medical Center - MckinneyMckinneyTX4$2,337.65$6,546.00$16,721
Centennial Medical CenterFriscoTX4$1,724.02$6,546.00$16,721
Baylor University Medical CtrDallasTX4$2,337.65$6,546.00$16,721
Baylor S&W All Saints Medical CenterFort WorthTX4$2,337.65$6,546.00$16,721
Baylor S&W Medical Center - PlanoPlanoTX4$2,337.65$6,546.00$16,721
Baylor Medical Center-GrapevineGrapevineTX4$2,337.65$6,546.00$16,721
Baylor Scott & White Mc- Lake PointeRowlettTX4$1,724.02$6,546.00$16,721
Scott And White Memorial HospitalTempleTX5$2,162.32$5,388.00$17,086
Hillcrest Baptist Medical CenterWacoTX5$2,162.32$5,388.00$13,933
Big Spring State HospitalBig SpringsTX1$3,959.39$4,163.94$4,163.94
Shannon Medical CenterSan AngeloTX1$3,959.39$4,163.94$4,163.94
River Crest HospitalSan AngeloTX1$3,959.39$4,163.94$4,163.94
San Angelo Community Medical CenterSan AngeloTX1$3,959.39$4,163.94$4,163.94
Trinity Regional Hospital SachseSachseTX6$8,660.00$6,928.00$1,254.09$3,137.60$11,191
Wilson N Jones Regional Medical CtrShermanTX8$8,660.00$6,928.00$1,254.09$2,733.90$4,329.42
College Station HospitalCollege StationTX5$2,162.32$2,629.85$13,375
Scott And White Hospital TaylorTaylorTX5$2,162.32$2,629.85$17,086
Mid Coast Medical Center-CentralLlanoTX5$2,162.32$2,629.85$17,086
Round Rock HospitalRound RockTX5$2,162.32$2,629.85$17,086
Baylor Scott & White - Marble FallsMarble FallsTX5$2,162.32$2,629.85$13,933
Baylor Scott & White PflugervillePflugervilleTX5$2,162.32$2,629.85$17,086
Bsw Medical Center - AustinAustinTX5$2,162.32$2,629.85$17,086
Grimes St. Joseph Health CenterNavasotaTX2$1,908.77$2,214.77$15,273
Madison St. Joseph Health CenterMadisonvilleTX2$1,908.77$2,214.77$15,273
North Texas Medical CenterGainsvilleTX9$3,435.00$859.00$1,374.00$2,130.00$14,368
St Lukes Health Memorial San AugustSan AugustineTX2$917.96$2,098.20$2,826.00
Burleson St. Joseph Health CenterCaldwellTX1$1,908.77$2,098.20$2,331.33
Ascension Seton Shoal CreekAustinTX7$362.11$1,887.30$2,586.47
Ascension Seton BastropBastropTX7$362.11$1,887.30$2,586.47
Acuity Hospital Of South TexasSan AntonioTX1$1,310.41$1,310.41$1,310.41
St. Joseph Regional Health CenterBryanTX8$1,908.77$12,553$39,802
College Station Medical CenterCollege StationTX8$1,908.77$12,553$39,802
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$21,911$13,147$7,568.00$12,541$15,999
St Lukes Hospital At The VintageHoustonTX14$919.17$12,454$40,073
Chi St Lukes Health Baylor Med CtrHoustonTX13$869.75$12,446$40,049
St. Lukes Lakeside HospitalThe WoodlandsTX13$919.17$12,330$29,099
St. Lukes Sugar Land HospitalSugar LandTX12$919.17$12,330$29,099
Brazosport Regional Health SystemLake JacksonTX8$1,457.08$12,323$29,082
St. Lukes Patients Medical CenterPasadenaTX7$919.17$12,323$18,484
St. Lukes The Woodlands HospitalThe WoodlandsTX13$919.17$12,323$40,049
Childrens Medical Center Of PlanoPlanoTX4$1,209.12$1,209.12$1,209.12
Heritage Park Surgical HospitalShermanTX1$13,500$8,100.00$7,568.00$10,719$15,999
Glen Rose Medical CenterGlen RoseTX8$15,074$15,074$6,934.00$10,552$14,320
Chi St Lukes Health Mem LivingstonLivingstonTX6$917.96$10,507$11,392
Longview Regional Medical CenterLongviewTX0$228,381$41,109

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.