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Laparoscopic appendectomy

CPT 44970 · negotiated-rate distribution across hospitals in TX

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Hospitals
59
Min
$574.47
Median
$6,283.65
Max
$12,439
Range multiplier
21.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield51277$55.00$7,181.89$16,338297.1×
UnitedHealthcare44122$131.40$6,759.00$18,403140.1×
baylor scott & white health plan2080$4,833.51$6,449.49$8,971.431.9×
Aetna4177$483.69$5,276.92$15,11431.2×
Cigna3668$386.95$6,038.00$31,00680.1×
Humana4162$483.69$5,276.92$16,98635.1×
Medicare932$4,544.88$5,215.69$6,080.181.3×
Anthem BCBS324$414.09$673.00$14,30434.5×
american health plan2121$5,342.31$5,540.77$5,709.091.1×
triwest2020$5,087.91$5,276.92$5,437.231.1×
procare advantage2020$5,342.31$5,540.77$5,709.091.1×
superior health plan2020$5,087.91$5,489.00$5,558.431.1×
prime health services1717$5,330.09$5,528.10$20,1543.8×
Ambetter1717$7,297.14$10,923$11,7781.6×
healthspring1717$5,342.31$5,540.77$5,558.431.0×
corvel1616$5,330.09$5,528.10$5,696.041.1×
Medicaid39$414.09$414.09$519.291.3×
commercial | entrust | all plans88$10,065$11,954$13,3181.3×
commercial | community health choice | exchange77$5,081.79$7,595.67$7,600.231.5×
wellmed77$483.69$5,478.35$5,498.0011.4×
sedgwick66$7,606.43$7,803.93$8,128.661.1×
commercial | harris health | ers55$7,595.67$7,600.23$7,600.231.0×
90 degree benefits55$5,498.00$13,696$13,6962.5×
commercial | kelseycare | all plans55$6,466.50$6,466.50$6,466.501.0×
commercial | kelseycare | exchange55$6,836.10$6,840.21$6,840.211.0×
wellpoint55$5,498.00$7,395.77$7,395.771.3×
Molina45$5,498.00$5,540.77$6,047.001.1×
commercial | renaissance | all plans55$3,645.92$3,648.11$3,648.111.0×
commercial | superior health plan | all plans55$7,595.67$7,600.23$7,600.231.0×
wellpoint (fka amerigroup)55$5,435.23$5,435.23$5,452.551.0×
commercial | nxhealth | all plans55$16,356$16,457$16,4671.0×
pdh/texas trust44$10,957$10,957$10,9571.0×
caprock44$13,696$13,696$13,6961.0×
care improvement44$5,478.35$5,478.35$5,478.351.0×
insurance management services44$8,929.71$8,929.71$8,929.711.0×
insurance services of lubbock44$8,929.71$8,929.71$8,929.711.0×
kempton group44$10,957$10,957$10,9571.0×
mhs care connect24$414.09$414.09$414.091.0×
patoka valley tier 124$673.00$673.00$673.001.0×
patoka valley tier 224$673.00$673.00$673.001.0×
scott & white44$8,765.36$8,765.36$8,765.361.0×
careworks fka rockport33$7,715.90$8,000.43$8,128.661.1×
injury management organization33$6,410.14$6,556.39$6,646.511.0×
health partners open network23$1,111.40$1,111.40$9,238.128.3×
prominence health13$5,498.00$5,772.00$5,772.001.0×
prime health12$1,373.00$3,435.50$5,498.004.0×
encore exclusive22$673.00$673.00$673.001.0×
cook children's12$7,790.00$8,007.50$8,225.001.1×
Multiplan22$1,068.00$3,539.25$6,010.505.6×
rightcare scott and white12$11,007$11,315$11,6221.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Golden Plains Community HospitalBorgerTX6$2,103.00$1,472.10$386.95$988.41$1,430.04
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$27,393$16,436$5,256.83$8,059.00$12,028
Heritage Park Surgical HospitalShermanTX2$5,170.00$3,102.00$5,256.83$8,059.00$12,028
Baylor Orthopedic And Spine HospitalArlingtonTX3$55.00$7,584.00$14,275
Scott & White Hospital BrenhamBrenhamTX4$5,132.00$7,153.89$8,700.68
St. Joseph Regional Health CenterBryanTX8$5,032.51$6,822.80$18,403
Grimes St. Joseph Health CenterNavasotaTX2$5,880.17$6,822.80$18,403
College Station Medical CenterCollege StationTX8$5,032.51$6,822.80$18,403
Madison St. Joseph Health CenterMadisonvilleTX2$5,880.17$6,822.80$18,403
Ascension Seton Shoal CreekAustinTX7$131.40$673.00$938.59
Ascension Seton BastropBastropTX7$131.40$673.00$938.59
Scott And White Memorial HospitalTempleTX15$5,083.89$6,716.08$14,887
College Station HospitalCollege StationTX14$5,132.00$6,688.00$14,887
Hillcrest Baptist Medical CenterWacoTX13$5,014.95$6,625.02$14,887
Burleson St. Joseph Health CenterCaldwellTX1$5,880.17$6,463.70$7,181.89
Baylor Medical Center-GrapevineGrapevineTX14$5,029.05$6,352.49$16,338
Bsw Medical Center - AustinAustinTX11$4,903.08$6,335.30$14,887
Mid Coast Medical Center-CentralLlanoTX11$4,903.08$6,335.30$14,887
Scott And White Hospital TaylorTaylorTX11$4,903.08$6,335.30$14,887
Baylor S&W Medical Center - MckinneyMckinneyTX14$5,013.07$6,332.30$16,338
The Heart Hospital Baylor PlanoPlanoTX14$5,013.07$6,332.30$16,338
Baylor S&W Medical Center - PlanoPlanoTX14$5,013.07$6,332.30$16,338
Baylor Scott & White Wmc - BrenhamBrenhamTX14$5,013.07$6,332.30$16,338
Round Rock HospitalRound RockTX16$4,903.08$6,301.76$14,887
Baylor S&W All Saints Medical CenterFort WorthTX15$5,029.05$6,293.75$16,338
Baylor S&W Medical Center - IrvingIrvingTX15$5,013.07$6,283.65$16,338
Baylor University Medical CtrDallasTX16$5,013.07$6,235.00$16,338
Crescent Medical Center LancasterLancasterTX11$31,006$20,154$5,241.00$6,201.00$40,308
Baylor Scott & White PflugervillePflugervilleTX14$4,903.08$6,193.37$14,887
Baylor Scott & White - BudaBudaTX11$4,903.08$6,193.37$14,887
Centennial Medical CenterFriscoTX16$5,013.07$6,151.73$12,036
Baylor Scott & White Mc- Lake PointeRowlettTX16$5,013.07$6,151.73$12,036
St Lukes Health Memorial San AugustSan AugustineTX2$2,826.00$6,104.60$7,181.89
Baylor Scott & White - Marble FallsMarble FallsTX14$4,833.51$6,071.75$14,887
Acuity Hospital Of South TexasSan AntonioTX1$574.47$574.47$574.47
St Lukes Hospital At The VintageHoustonTX14$1,233.00$5,673.28$16,467
North Texas Medical CenterGainsvilleTX17$1,525.00$381.00$610.00$5,498.00$6,047.00
Scott & White Cedar ParkCedar ParkTX1$5,419.20$5,419.20$5,419.20
Chi St Lukes Health Baylor Med CtrHoustonTX13$1,369.00$5,367.61$16,457
Childrens Medical Center Of PlanoPlanoTX8$519.29$5,359.65$12,500
St. Lukes Sugar Land HospitalSugar LandTX12$1,233.00$5,320.16$11,958
St. Lukes The Woodlands HospitalThe WoodlandsTX13$1,233.00$5,316.97$16,457
St. Lukes Patients Medical CenterPasadenaTX13$8,014.00$2,804.90$1,233.00$5,212.40$7,595.67
St. Lukes Lakeside HospitalThe WoodlandsTX13$1,233.00$5,193.49$11,958
Brazosport Regional Health SystemLake JacksonTX9$3,870.00$5,148.74$11,951
Chi St Lukes Health Mem LivingstonLivingstonTX7$2,826.00$4,544.88$7,181.89
Chi St Lukes Health Memorial LufkinLufkinTX6$2,826.00$4,544.88$7,181.89
Clay County Memorial HospitalHenriettaTX5$8,250.00$5,775.00$1,650.00$2,063.00$2,640.00
Trinity Regional Hospital SachseSachseTX8$1,841.00$1,472.80$532.67$1,840.94$15,311
Glen Rose Medical CenterGlen RoseTX8$17,880$17,880$7,790.00$12,439$16,986
Wilson N Jones Regional Medical CtrShermanTX8$1,957.06$1,565.65$532.67$1,173.80$1,840.94
Shannon Medical CenterSan AngeloTX13$5,478.35$10,957$13,776
Big Spring State HospitalBig SpringsTX13$5,478.35$10,957$13,776
River Crest HospitalSan AngeloTX13$5,478.35$10,957$13,776
San Angelo Community Medical CenterSan AngeloTX13$5,478.35$10,957$13,776
Navarro Regional HospitalCorsicanaTX0$79,512$19,083
Longview Regional Medical CenterLongviewTX0$122,384$22,029
Laredo Medical CenterLaredoTX0$84,553$20,293
Yoakum County HospitalDenver CityTX0$11,050$11,050

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.