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Shoulder arthroscopy with rotator cuff repair

CPT 29827 · negotiated-rate distribution across hospitals in TX

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Hospitals
53
Min
$1,001.98
Median
$6,891.76
Max
$15,494
Range multiplier
15.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield45266$977.26$8,853.29$20,21920.7×
UnitedHealthcare41128$280.16$7,148.00$18,74766.9×
Aetna3873$869.63$6,394.46$18,50621.3×
baylor scott & white health plan1872$5,992.96$7,996.57$11,1231.9×
Humana4165$869.63$6,399.17$21,02724.2×
Cigna3059$695.70$6,641.00$15,49422.3×
Medicaid1839$429.86$1,105.89$3,153.257.3×
Medicare1136$3,321.81$6,427.73$7,527.412.3×
superior health plan1935$2,398.52$2,518.45$6,891.762.9×
Anthem BCBS325$746.72$1,294.10$17,70723.7×
american health plan1919$6,623.80$6,869.86$7,078.561.1×
procare advantage1818$6,623.80$6,869.86$7,078.561.1×
triwest1818$6,308.38$6,542.72$6,741.491.1×
Ambetter1717$3,321.81$13,543$14,4224.3×
healthspring1515$6,623.80$6,869.86$6,891.761.0×
prime health services1414$6,608.66$6,854.15$7,062.381.1×
healthsmart1414$11,621$11,621$11,6211.0×
corvel1414$6,608.66$6,854.15$7,062.381.1×
wellpoint (fka amerigroup)510$2,398.52$4,568.76$6,760.492.8×
wellpoint59$2,614.39$6,816.00$9,055.563.5×
Molina89$2,518.45$6,816.00$7,498.003.0×
commercial | entrust | all plans88$12,461$14,799$16,4881.3×
commercial | community health choice | exchange77$6,288.96$9,403.62$9,409.261.5×
sedgwick66$9,431.03$9,675.90$10,0791.1×
wellmed66$869.63$6,707.82$6,816.007.8×
commercial | phcs | all plans66$7,270.00$7,270.00$7,270.001.0×
commercial | beechstreet | all plans66$2,731.00$2,731.00$2,731.001.0×
Medicare Advantage26$3,321.81$3,321.81$3,321.811.0×
90 degree benefits55$6,816.00$16,770$16,7702.5×
commercial | harris health | ers55$9,403.62$9,409.26$9,409.261.0×
commercial | kelseycare | all plans55$2,404.80$2,404.80$2,404.801.0×
commercial | kelseycare | exchange55$8,463.26$8,468.33$8,468.331.0×
commercial | nxhealth | all plans55$20,249$20,375$20,3871.0×
commercial | renaissance | all plans55$4,513.74$4,516.44$4,516.441.0×
commercial | superior health plan | all plans55$9,403.62$9,409.26$9,409.261.0×
optum24$17,531$17,531$17,5311.0×
commercial | healthsmart | ap344$2,177.00$2,177.00$2,177.001.0×
mhs care connect24$746.72$746.72$746.721.0×
care improvement44$6,707.82$6,707.82$6,707.821.0×
pdh/texas trust44$13,416$13,416$13,4161.0×
patoka valley tier 224$1,294.10$1,294.10$1,294.101.0×
kempton group44$13,416$13,416$13,4161.0×
patoka valley tier 124$1,294.10$1,294.10$1,294.101.0×
scott & white44$10,733$10,733$10,7331.0×
caprock44$16,770$16,770$16,7701.0×
insurance management services44$10,934$10,934$10,9341.0×
insurance services of lubbock44$10,934$10,934$10,9341.0×
careworks fka rockport33$9,566.76$9,919.55$10,0791.1×
health partners open network23$1,992.48$1,992.48$11,3115.7×
injury management organization33$7,947.77$8,129.11$8,240.861.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Scott And White Memorial HospitalTempleTX16$2,398.52$8,240.86$12,483
Hillcrest Baptist Medical CenterWacoTX15$2,398.52$8,129.11$12,483
Baylor S&W Medical Center - PlanoPlanoTX16$2,398.52$8,069.00$20,219
Heritage Park Surgical HospitalShermanTX2$8,199.00$4,919.40$5,689.00$8,059.00$12,028
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$34,214$20,528$5,689.00$8,059.00$12,028
College Station HospitalCollege StationTX15$5,645.00$8,030.40$11,621
Baylor S&W Medical Center - MckinneyMckinneyTX15$2,398.52$7,851.26$20,219
Round Rock HospitalRound RockTX17$2,398.52$7,813.39$12,483
Baylor Medical Center-GrapevineGrapevineTX15$2,398.52$7,712.21$20,219
Baylor University Medical CtrDallasTX18$2,398.52$7,687.70$20,219
Scott And White Hospital TaylorTaylorTX11$2,398.52$7,679.00$12,483
Bsw Medical Center - AustinAustinTX11$2,398.52$7,679.00$12,483
Baylor Scott & White PflugervillePflugervilleTX15$2,398.52$7,679.00$12,483
Mid Coast Medical Center-CentralLlanoTX11$2,398.52$7,679.00$12,483
Baylor Orthopedic And Spine HospitalArlingtonTX3$4,760.00$2,856.00$2,618.00$7,584.00$14,275
Baylor S&W Medical Center - IrvingIrvingTX16$2,398.52$7,524.13$20,219
Baylor Scott & White - BudaBudaTX11$2,398.52$7,519.03$12,483
Baylor Scott & White Mc- Lake PointeRowlettTX17$2,398.52$7,058.70$15,605
Centennial Medical CenterFriscoTX17$2,398.52$7,058.70$15,605
Baylor Scott & White - Marble FallsMarble FallsTX15$2,398.52$7,006.82$12,483
Baylor S&W All Saints Medical CenterFort WorthTX17$2,398.52$6,891.76$20,219
St. Joseph Regional Health CenterBryanTX9$1,073.68$6,880.85$20,249
College Station Medical CenterCollege StationTX9$1,073.68$6,880.85$20,249
North Texas Medical CenterGainsvilleTX17$2,593.00$648.00$1,037.00$6,816.00$7,498.00
Scott & White Cedar ParkCedar ParkTX1$6,719.13$6,719.13$6,719.13
St. Lukes Sugar Land HospitalSugar LandTX16$1,121.47$6,398.30$14,804
St Lukes Hospital At The VintageHoustonTX18$1,121.47$6,398.30$20,387
St. Lukes The Woodlands HospitalThe WoodlandsTX17$1,121.47$6,394.46$20,375
St. Lukes Lakeside HospitalThe WoodlandsTX17$1,121.47$6,335.57$14,804
Chi St Lukes Health Baylor Med CtrHoustonTX17$1,121.47$6,331.77$20,375
Brazosport Regional Health SystemLake JacksonTX10$1,121.47$6,288.96$14,795
St. Lukes Patients Medical CenterPasadenaTX10$1,065.40$6,269.08$9,403.62
Chi St Lukes Health Mem LivingstonLivingstonTX8$429.86$5,626.68$8,970.27
Chi St Lukes Health Memorial LufkinLufkinTX7$1,028.60$5,486.02$8,970.27
Madison St. Joseph Health CenterMadisonvilleTX3$1,073.68$4,235.89$18,403
Grimes St. Joseph Health CenterNavasotaTX3$1,073.68$4,235.89$18,403
Trinity Regional Hospital SachseSachseTX8$6,590.00$5,272.00$958.10$3,294.92$18,747
Childrens Medical Center Of PlanoPlanoTX5$920.50$2,518.45$3,153.25
Pam Squared At Corpus ChristiCorpus ChrstiTX2$2,398.52$2,398.52$2,398.52
St Lukes Health Memorial San AugustSan AugustineTX4$1,073.68$2,329.70$8,970.27
Wilson N Jones Regional Medical CtrShermanTX8$6,590.00$5,272.00$958.10$2,083.80$3,294.92
Golden Plains Community HospitalBorgerTX6$3,781.00$2,646.70$695.70$1,777.07$2,571.08
Glen Rose Medical CenterGlen RoseTX8$22,134$22,134$10,182$15,494$21,027
Ascension Seton Shoal CreekAustinTX18$280.16$1,294.10$3,321.81
Ascension Seton BastropBastropTX18$280.16$1,294.10$3,321.81
Burleson St. Joseph Health CenterCaldwellTX3$1,073.68$1,127.36$8,970.27
Big Spring State HospitalBig SpringsTX14$2,518.45$10,934$17,049
Shannon Medical CenterSan AngeloTX14$2,518.45$10,934$17,049
River Crest HospitalSan AngeloTX14$2,518.45$10,934$17,049
San Angelo Community Medical CenterSan AngeloTX14$2,518.45$10,934$17,049
Acuity Hospital Of South TexasSan AntonioTX1$1,001.98$1,001.98$1,001.98
Laredo Medical CenterLaredoTX0$139,334$33,440
Longview Regional Medical CenterLongviewTX0$156,886$28,239

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.