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Heart failure & shock w MCC

MS-DRG 291 · negotiated-rate distribution across hospitals in TX

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Hospitals
68
Min
$1,809.00
Median
$12,593
Max
$63,564
Range multiplier
35.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield54271$1,000.00$14,242$66,74366.7×
baylor scott & white health plan23134$8,416.01$12,120$22,8752.7×
UnitedHealthcare47121$8,291.98$18,102$63,5647.7×
Humana4691$2,778.00$10,262$63,56422.9×
Cigna3865$65.00$13,032$39,995615.3×
Aetna4255$7,405.54$17,525$63,5648.6×
healthsmart2040$2,804.00$10,298$17,7926.3×
Medicare933$7,738.23$10,520$13,3201.7×
american health plan2525$9,301.91$10,646$38,9874.2×
procare advantage2424$9,301.91$10,584$38,9874.2×
university of mary hardin-baylor2323$11,228$11,228$11,2281.0×
superior health plan2222$1,809.00$10,493$26,96014.9×
prime health services2022$9,280.65$11,017$56,0716.0×
triwest2121$8,858.96$10,020$12,7081.4×
corvel2121$9,280.65$10,976$86,7249.3×
Ambetter2020$15,113$21,494$37,3812.5×
healthspring1919$9,301.91$10,510$13,3031.4×
Anthem BCBS214$11,641$15,894$19,8671.7×
employers health network1414$13,069$13,069$13,0691.0×
baylor scott and white39$14,428$19,533$63,5644.4×
commercial | entrust | all plans88$19,393$23,039$27,6671.4×
sedgwick88$11,265$14,732$46,1164.1×
Molina57$10,775$13,223$92,1688.6×
commercial | community health choice | exchange77$12,121$12,617$16,6501.4×
wellmed77$10,118$10,118$63,5646.3×
commercial | phcs | all plans66$23,436$24,868$24,8681.1×
amerigroup66$10,194$17,665$67,0606.6×
wellpoint66$13,659$13,659$33,9392.5×
commercial | nxhealth | all plans55$27,336$34,907$36,0751.3×
commercial | kelseycare | exchange55$11,094$14,202$14,9851.4×
commercial | independent med system | all plans55$16,897$16,897$16,8971.0×
commercial | harris health | ers55$12,326$15,780$16,6501.4×
wellpoint (fka amerigroup)55$10,570$11,382$13,0501.2×
careworks fka rockport55$12,593$15,784$46,1163.7×
injury management organization55$12,593$15,784$46,1163.7×
commercial | superior health plan | all plans55$12,326$15,780$16,6501.4×
commercial | renaissance | all plans55$5,916.59$7,574.26$7,991.941.4×
care improvement44$10,118$10,118$10,1181.0×
unified zionsville24$13,965$14,464$14,9631.1×
commercial | healthsmart | ap344$11,955$11,955$11,9551.0×
caprock44$25,294$25,294$25,2941.0×
advantage 36024$11,500$11,850$12,2001.1×
superior24$15,797$18,060$20,5091.3×
kempton group44$20,236$20,236$20,2361.0×
insurance management services44$13,355$13,355$13,3551.0×
suburban/sho24$7,939.93$7,939.93$7,939.931.0×
prohealth24$7,939.93$7,939.93$7,939.931.0×
city of san angelo44$6,908.92$6,908.92$6,908.921.0×
insurance services of lubbock44$13,355$13,355$13,3551.0×
scott & white44$9,290.18$9,290.18$9,290.181.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$7,540.58$9,852.61$17,085
Chi St Lukes Health Memorial LufkinLufkinTX6$8,717.03$9,175.82$11,898
Heritage Park Surgical HospitalShermanTX2$7,540.58$8,447.39$15,114
Childrens Medical Center Of PlanoPlanoTX4$7,405.54$7,405.54$7,405.54
Tchd D/B/A Jps Health NetworkFort WorthTX13$13,999$63,564$92,168
Baylor Scott & White Continuing CareTempleTX8$2,804.00$38,987$46,116
Texas Spine And Joint HospitalTylerTX8$2,804.00$38,987$46,116
Corpus Christi Specialty HospitalCorpus ChristiTX17$37,381$37,381$56,071
Acuity Hospital Of South TexasSan AntonioTX20$33,939$33,939$50,909
Hospitals Of Providence East CampusEl PasoTX14$70.00$19,589$39,995
Covenant Hospital LevellandLevellandTX8$8,920.30$19,533$26,686
Tyler Continuecare HospitalTylerTX7$115,632$115,632$1,000.00$1,809.00$104,069
Wilson N Jones Regional Medical CtrShermanTX2$16,783$17,742$18,701
Covenant Hospital PlainviewPlainviewTX11$65.00$15,797$26,924
Scott & White Hospital BrenhamBrenhamTX8$2,778.00$14,242$18,006
Hillcrest Baptist Medical CenterWacoTX15$2,778.00$14,242$22,217
Scott And White Memorial HospitalTempleTX19$2,778.00$14,242$24,332
San Angelo Community Medical CenterSan AngeloTX15$6,908.92$13,954$25,294
Shannon Medical CenterSan AngeloTX15$6,908.92$13,954$25,294
Big Spring State HospitalBig SpringsTX15$6,908.92$13,954$25,294
River Crest HospitalSan AngeloTX15$6,908.92$13,954$25,294
Ascension Seton Shoal CreekAustinTX16$7,939.93$13,833$19,901
Ascension Seton BastropBastropTX16$7,939.93$13,833$19,901
Madison St. Joseph Health CenterMadisonvilleTX2$10,290$13,722$18,102
Grimes St. Joseph Health CenterNavasotaTX2$10,290$13,722$18,102
St. Joseph Regional Health CenterBryanTX8$10,290$13,722$34,907
College Station Medical CenterCollege StationTX8$10,290$13,722$34,907
Baylor Scott & White - Marble FallsMarble FallsTX17$2,778.00$13,331$22,217
Baylor University Medical CtrDallasTX19$2,778.00$13,303$28,633
Burleson St. Joseph Health CenterCaldwellTX1$10,290$13,000$14,445
Baylor S&W Medical Center - IrvingIrvingTX18$2,778.00$12,916$27,799
College Station HospitalCollege StationTX17$2,778.00$12,865$22,217
St Lukes Hospital At The VintageHoustonTX16$7,991.94$12,780$36,075
Chi St Lukes Health Baylor Med CtrHoustonTX16$7,574.26$12,624$34,189
Round Rock HospitalRound RockTX19$2,778.00$12,593$24,332
Baylor S&W All Saints Medical CenterFort WorthTX18$2,778.00$12,346$27,792
Baylor Orthopedic And Spine HospitalArlingtonTX2$9,875.24$12,337$14,799
St. Lukes Sugar Land HospitalSugar LandTX14$7,927.20$11,955$25,984
The Heart Hospital Baylor PlanoPlanoTX17$2,778.00$11,774$43,926
Baylor Scott & White Wmc - BrenhamBrenhamTX17$2,778.00$11,774$43,926
Baylor S&W Medical Center - MckinneyMckinneyTX17$2,778.00$11,761$27,792
St. Lukes The Woodlands HospitalThe WoodlandsTX15$6,056.01$11,637$27,336
Centennial Medical CenterFriscoTX19$2,778.00$11,484$29,749
Baylor Scott & White Mc- Lake PointeRowlettTX19$2,778.00$11,484$29,749
Baylor Heart And Vascular HospitalDallasTX12$2,778.00$11,467$27,792
Trinity Regional Hospital SachseSachseTX8$9,992.66$11,439$18,701
Scott And White Hospital TaylorTaylorTX12$2,778.00$11,387$24,332
Bsw Medical Center - AustinAustinTX12$2,778.00$11,387$24,332
Mid Coast Medical Center-CentralLlanoTX12$2,778.00$11,387$24,332
The Heart Hospital Baylor DentonDentonTX17$2,778.00$11,309$43,926
Baylor S&W Medical Center - PlanoPlanoTX17$2,778.00$11,266$27,792
Baylor Scott & White PflugervillePflugervilleTX16$2,778.00$11,265$24,332
Baylor Scott & White - BudaBudaTX12$2,778.00$11,228$24,332
Baylor Medical Center-GrapevineGrapevineTX17$2,778.00$11,173$27,792
Brazosport Regional Health SystemLake JacksonTX8$8,560.22$11,140$24,597
St. Lukes Lakeside HospitalThe WoodlandsTX15$5,916.59$11,033$24,868
St. Lukes Patients Medical CenterPasadenaTX8$8,129.39$11,032$23,436
Scott & White Cedar ParkCedar ParkTX1$10,646$10,646$10,646
St Lukes Health Memorial San AugustSan AugustineTX2$9,118.12$10,530$11,941
Chi St Lukes Health Mem LivingstonLivingstonTX6$9,118.12$10,503$11,898
Northwest Texas Surgery CenterAmarilloTX0
St Joseph Medical CenterHoustonTX0
Navarro Regional HospitalCorsicanaTX0
Texoma Medical CenterDenisonTX0
Northwest Texas HospitalAmarilloTX0
Laredo Medical CenterLaredoTX0
Longview Regional Medical CenterLongviewTX0
The Medical Ctr Of Southeast TexasPort ArthurTX0

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.