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Laparoscopic cholecystectomy w/o CDE w/o CC/MCC

MS-DRG 420 · negotiated-rate distribution across hospitals in TX

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Hospitals
67
Min
$13,833
Median
$31,518
Max
$83,621
Range multiplier
6.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield53267$19,215$35,506$91,9654.8×
baylor scott & white health plan23134$22,765$31,907$56,1052.5×
UnitedHealthcare47121$18,509$42,593$118,8216.4×
Humana4691$6,182.00$24,907$83,62113.5×
Cigna3865$65.00$35,253$108,1701664.2×
Aetna4255$11,231$43,787$84,3487.5×
healthsmart2040$6,368.00$27,248$48,1287.6×
Medicare933$20,280$25,102$30,5551.5×
american health plan2525$25,162$27,879$38,7211.5×
procare advantage2424$25,162$27,765$38,7211.5×
university of mary hardin-baylor2323$30,371$30,371$30,3711.0×
prime health services2022$25,104$28,564$52,3992.1×
superior health plan2121$24,134$27,033$71,5493.0×
triwest2121$23,964$26,335$31,1701.3×
corvel2020$25,104$28,395$38,6321.5×
Ambetter2020$31,716$54,611$67,8392.1×
healthspring1919$25,162$26,769$31,5181.3×
Anthem BCBS214$11,641$15,894$19,8671.7×
employers health network1414$32,581$32,581$32,5811.0×
baylor scott and white39$31,458$51,442$83,6212.7×
sedgwick88$30,472$35,608$45,8011.5×
commercial | entrust | all plans88$50,743$55,401$66,9661.3×
wellmed77$25,462$25,462$83,6213.3×
commercial | community health choice | exchange77$26,533$33,809$38,1941.4×
Molina57$27,033$31,518$121,2514.5×
wellpoint66$31,716$34,374$44,2921.4×
amerigroup66$27,574$33,030$88,2203.2×
commercial | phcs | all plans66$63,468$63,468$64,9781.0×
wellpoint (fka amerigroup)55$26,518$28,803$30,9181.2×
commercial | nxhealth | all plans55$71,640$82,457$82,7531.2×
commercial | harris health | ers55$32,303$37,653$38,1941.2×
commercial | renaissance | all plans55$15,506$18,074$18,3331.2×
commercial | superior health plan | all plans55$32,303$37,653$38,1941.2×
commercial | independent med system | all plans55$49,085$49,085$49,0851.0×
injury management organization55$34,064$38,713$45,8011.3×
careworks fka rockport55$32,977$38,713$45,8011.4×
commercial | kelseycare | exchange55$29,073$33,888$34,3741.2×
90 degree benefits44$63,656$63,656$63,6561.0×
advantage 36024$11,500$11,850$12,2001.1×
caprock44$63,656$63,656$63,6561.0×
city of san angelo44$18,689$18,689$18,6891.0×
pdh/texas trust44$40,740$40,740$40,7401.0×
commercial | healthsmart | ap344$32,872$32,872$32,8721.0×
unified zionsville24$13,965$14,464$14,9631.1×
unified group services24$18,572$19,237$19,9011.1×
prohealth24$7,939.93$7,939.93$7,939.931.0×
insurance services of lubbock44$33,610$33,610$33,6101.0×
scott & white44$25,130$25,130$25,1301.0×
superior24$31,458$34,084$36,8941.2×
suburban/sho24$7,939.93$7,939.93$7,939.931.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Tchd D/B/A Jps Health NetworkFort WorthTX13$32,029$83,621$121,251
Hospitals Of Providence East CampusEl PasoTX14$70.00$49,953$108,170
Wilson N Jones Regional Medical CtrShermanTX2$43,019$45,477$47,935
Texas Spine And Joint HospitalTylerTX8$6,368.00$38,721$48,128
Baylor Scott & White Continuing CareTempleTX8$6,368.00$38,721$48,128
San Angelo Community Medical CenterSan AngeloTX15$18,689$37,744$63,656
Shannon Medical CenterSan AngeloTX15$18,689$37,744$63,656
Big Spring State HospitalBig SpringsTX15$18,689$37,744$63,656
River Crest HospitalSan AngeloTX15$18,689$37,744$63,656
Madison St. Joseph Health CenterMadisonvilleTX2$28,294$37,732$47,440
Grimes St. Joseph Health CenterNavasotaTX2$28,294$37,732$47,440
Covenant Hospital LevellandLevellandTX8$24,126$36,982$66,271
St. Joseph Regional Health CenterBryanTX8$25,371$36,267$82,457
College Station Medical CenterCollege StationTX8$25,371$36,267$82,457
Burleson St. Joseph Health CenterCaldwellTX1$28,294$35,746$39,719
Scott & White Hospital BrenhamBrenhamTX8$6,182.00$35,506$48,707
Hillcrest Baptist Medical CenterWacoTX15$6,182.00$35,506$60,097
Scott And White Memorial HospitalTempleTX19$6,182.00$35,506$65,818
Corpus Christi Specialty HospitalCorpus ChristiTX17$34,932$34,932$52,399
Baylor Scott & White - Marble FallsMarble FallsTX17$6,182.00$33,234$60,097
Round Rock HospitalRound RockTX19$6,182.00$33,234$65,818
Baylor Orthopedic And Spine HospitalArlingtonTX2$25,819$32,925$40,032
St Lukes Hospital At The VintageHoustonTX16$18,074$32,894$81,582
Chi St Lukes Health Baylor Med CtrHoustonTX16$18,333$32,872$82,753
College Station HospitalCollege StationTX17$6,182.00$32,779$60,097
St. Lukes Sugar Land HospitalSugar LandTX14$18,302$32,775$63,468
Acuity Hospital Of South TexasSan AntonioTX20$31,716$31,716$47,575
The Heart Hospital Baylor PlanoPlanoTX17$6,182.00$31,586$118,821
Baylor Scott & White Wmc - BrenhamBrenhamTX17$6,182.00$31,586$118,821
Baylor University Medical CtrDallasTX19$6,182.00$31,518$75,178
St. Lukes The Woodlands HospitalThe WoodlandsTX15$15,871$31,474$71,640
Covenant Hospital PlainviewPlainviewTX11$65.00$31,458$66,085
Baylor S&W Medical Center - IrvingIrvingTX18$6,182.00$31,017$75,178
Baylor Heart And Vascular HospitalDallasTX12$6,182.00$31,017$75,178
Baylor S&W All Saints Medical CenterFort WorthTX18$6,182.00$31,017$75,178
Trinity Regional Hospital SachseSachseTX8$26,923$30,887$47,935
Mid Coast Medical Center-CentralLlanoTX12$6,182.00$30,801$65,818
Scott And White Hospital TaylorTaylorTX12$6,182.00$30,801$65,818
Bsw Medical Center - AustinAustinTX12$6,182.00$30,801$65,818
Baylor S&W Medical Center - MckinneyMckinneyTX17$6,182.00$30,665$75,178
The Heart Hospital Baylor DentonDentonTX17$6,182.00$30,592$118,821
Baylor S&W Medical Center - PlanoPlanoTX17$6,182.00$30,475$75,178
Baylor Scott & White PflugervillePflugervilleTX16$6,182.00$30,472$65,818
Centennial Medical CenterFriscoTX19$6,182.00$30,371$80,473
Baylor Scott & White Mc- Lake PointeRowlettTX19$6,182.00$30,371$80,473
Baylor Scott & White - BudaBudaTX12$6,182.00$30,371$65,818
Baylor Medical Center-GrapevineGrapevineTX17$6,182.00$30,223$75,178
St. Lukes Lakeside HospitalThe WoodlandsTX15$15,506$29,623$63,468
St. Lukes Patients Medical CenterPasadenaTX8$22,540$28,912$64,978
Scott & White Cedar ParkCedar ParkTX1$28,798$28,798$28,798
St Lukes Health Memorial San AugustSan AugustineTX2$23,896$27,186$30,477
Brazosport Regional Health SystemLake JacksonTX8$23,538$26,094$66,726
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$19,215$24,866$42,593
Chi St Lukes Health Mem LivingstonLivingstonTX6$23,428$24,661$31,181
Chi St Lukes Health Memorial LufkinLufkinTX6$20,310$21,379$31,181
Heritage Park Surgical HospitalShermanTX2$19,215$21,286$37,680
Childrens Medical Center Of PlanoPlanoTX4$14,244$14,244$14,244
Ascension Seton Shoal CreekAustinTX16$7,939.93$13,833$19,901
Ascension Seton BastropBastropTX16$7,939.93$13,833$19,901
Longview Regional Medical CenterLongviewTX0
Northwest Texas Surgery CenterAmarilloTX0
Texoma Medical CenterDenisonTX0
Laredo Medical CenterLaredoTX0
Northwest Texas HospitalAmarilloTX0
Navarro Regional HospitalCorsicanaTX0
The Medical Ctr Of Southeast TexasPort ArthurTX0
St Joseph Medical CenterHoustonTX0

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.