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Hip & femur procedures except major joint w MCC

MS-DRG 480 · negotiated-rate distribution across hospitals in TX

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Hospitals
67
Min
$5,528.00
Median
$25,973
Max
$78,947
Range multiplier
14.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield53267$17,476$30,871$84,7284.8×
baylor scott & white health plan23134$18,970$26,710$47,3152.5×
UnitedHealthcare47121$17,698$39,241$99,0095.6×
Humana4792$9,144.00$21,308$78,9478.6×
Cigna3969$65.00$29,375$90,1421386.8×
Aetna4255$11,231$36,486$78,9477.0×
healthsmart2040$9,424.00$24,764$40,1034.3×
Medicare933$17,454$21,948$26,5151.5×
american health plan2525$20,966$23,414$78,0653.7×
procare advantage2424$20,966$23,341$78,0653.7×
university of mary hardin-baylor2323$25,307$25,307$25,3071.0×
private health care system2323$9,348.00$9,348.00$9,348.001.0×
prime health services2022$20,918$23,801$49,6592.4×
triwest2121$19,968$22,161$26,2861.3×
superior health plan2121$20,110$22,732$61,1583.0×
corvel2020$20,918$23,660$77,8863.7×
Ambetter2020$30,058$45,505$57,4681.9×
healthspring1919$20,966$22,441$26,7001.3×
employers health network1414$30,017$30,017$30,0171.0×
Anthem BCBS214$11,641$15,894$19,8671.7×
baylor scott and white39$27,809$42,868$78,9472.8×
commercial | entrust | all plans88$43,743$48,047$58,1131.3×
sedgwick88$25,391$30,085$92,3393.6×
wellmed77$21,403$21,403$78,9473.7×
Molina57$22,732$26,798$114,4745.0×
commercial | community health choice | exchange77$23,286$29,092$33,2591.4×
wellpoint66$28,894$28,894$37,8601.3×
commercial | phcs | all plans66$55,776$55,776$55,9111.0×
amerigroup66$22,976$29,768$83,2893.6×
commercial | independent med system | all plans55$42,286$42,286$42,2861.0×
wellpoint (fka amerigroup)55$22,299$24,195$26,1911.2×
commercial | harris health | ers55$27,803$32,921$33,2591.2×
careworks fka rockport55$27,696$32,647$92,3393.3×
commercial | kelseycare | exchange55$25,022$29,629$29,9331.2×
commercial | nxhealth | all plans55$61,659$71,744$71,8121.2×
commercial | renaissance | all plans55$13,345$15,802$15,9641.2×
commercial | superior health plan | all plans55$27,803$32,921$33,2591.2×
injury management organization55$28,385$32,647$92,3393.3×
caprock44$53,508$53,508$53,5081.0×
advantage 36024$11,500$11,850$12,2001.1×
90 degree benefits44$53,508$53,508$53,5081.0×
care improvement44$21,403$21,403$21,4031.0×
city of san angelo44$15,573$15,573$15,5731.0×
commercial | healthsmart | ap344$24,461$24,461$24,4611.0×
insurance management services44$28,252$28,252$28,2521.0×
insurance services of lubbock44$28,252$28,252$28,2521.0×
kempton group44$42,806$42,806$42,8061.0×
pdh/texas trust44$34,245$34,245$34,2451.0×
prohealth24$7,939.93$7,939.93$7,939.931.0×
scott & white44$20,940$20,940$20,9401.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Tchd D/B/A Jps Health NetworkFort WorthTX13$28,634$78,947$114,474
Baylor Scott & White Continuing CareTempleTX8$9,424.00$78,065$92,339
Texas Spine And Joint HospitalTylerTX8$9,424.00$78,065$92,339
Baylor Orthopedic And Spine HospitalArlingtonTX5$3,870.00$5,528.00$33,357
Hospitals Of Providence East CampusEl PasoTX14$70.00$42,877$90,142
Wilson N Jones Regional Medical CtrShermanTX2$36,078$38,140$40,202
Corpus Christi Specialty HospitalCorpus ChristiTX17$33,106$33,106$49,659
Scott & White Hospital BrenhamBrenhamTX9$9,144.00$32,712$40,839
Covenant Hospital LevellandLevellandTX8$20,105$32,638$61,056
San Angelo Community Medical CenterSan AngeloTX15$15,573$31,451$53,508
River Crest HospitalSan AngeloTX15$15,573$31,451$53,508
Shannon Medical CenterSan AngeloTX15$15,573$31,451$53,508
Big Spring State HospitalBig SpringsTX15$15,573$31,451$53,508
Scott And White Memorial HospitalTempleTX20$9,144.00$31,081$54,844
Hillcrest Baptist Medical CenterWacoTX16$9,144.00$30,504$50,076
Acuity Hospital Of South TexasSan AntonioTX20$30,058$30,058$45,087
Madison St. Joseph Health CenterMadisonvilleTX2$21,055$28,078$40,831
St. Joseph Regional Health CenterBryanTX8$21,055$28,078$71,744
College Station Medical CenterCollege StationTX8$21,055$28,078$71,744
Grimes St. Joseph Health CenterNavasotaTX2$21,055$28,078$40,831
Baylor Scott & White - Marble FallsMarble FallsTX18$9,144.00$28,075$50,076
Round Rock HospitalRound RockTX20$9,144.00$27,936$54,844
Covenant Hospital PlainviewPlainviewTX11$65.00$27,809$55,592
College Station HospitalCollege StationTX18$9,144.00$27,696$50,076
Baylor S&W Medical Center - IrvingIrvingTX19$9,144.00$26,804$62,643
Baylor University Medical CtrDallasTX20$9,144.00$26,700$62,643
Burleson St. Joseph Health CenterCaldwellTX1$21,055$26,599$29,556
Chi St Lukes Health Baylor Med CtrHoustonTX16$15,909$26,515$71,812
St Lukes Hospital At The VintageHoustonTX16$15,802$26,468$71,330
Baylor S&W All Saints Medical CenterFort WorthTX19$9,144.00$26,430$62,643
The Heart Hospital Baylor PlanoPlanoTX18$9,144.00$25,973$99,009
Baylor Scott & White Wmc - BrenhamBrenhamTX18$9,144.00$25,973$99,009
Trinity Regional Hospital SachseSachseTX8$22,444$25,743$40,202
Baylor Heart And Vascular HospitalDallasTX13$9,144.00$25,669$62,643
Baylor Scott & White Mc- Lake PointeRowlettTX20$9,144.00$25,665$67,055
Baylor S&W Medical Center - MckinneyMckinneyTX18$9,144.00$25,647$62,643
Centennial Medical CenterFriscoTX20$9,144.00$25,576$67,055
Bsw Medical Center - AustinAustinTX13$9,144.00$25,462$54,844
Scott And White Hospital TaylorTaylorTX13$9,144.00$25,462$54,844
Mid Coast Medical Center-CentralLlanoTX13$9,144.00$25,462$54,844
The Heart Hospital Baylor DentonDentonTX18$9,144.00$25,399$99,009
Baylor Scott & White PflugervillePflugervilleTX17$9,144.00$25,349$54,844
Baylor S&W Medical Center - PlanoPlanoTX18$9,144.00$25,307$62,643
Baylor Scott & White - BudaBudaTX13$9,144.00$25,273$54,844
Baylor Medical Center-GrapevineGrapevineTX18$9,144.00$25,060$62,643
St. Lukes Patients Medical CenterPasadenaTX8$19,394$24,884$55,911
St. Lukes The Woodlands HospitalThe WoodlandsTX15$13,660$24,425$61,659
St. Lukes Sugar Land HospitalSugar LandTX14$15,964$24,390$55,776
Scott & White Cedar ParkCedar ParkTX1$23,997$23,997$23,997
St. Lukes Lakeside HospitalThe WoodlandsTX15$13,345$23,866$55,776
St Lukes Health Memorial San AugustSan AugustineTX2$20,567$23,675$26,783
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$17,476$22,744$39,241
Brazosport Regional Health SystemLake JacksonTX8$17,515$22,398$57,415
Chi St Lukes Health Mem LivingstonLivingstonTX6$20,398$21,471$26,836
Heritage Park Surgical HospitalShermanTX2$17,476$19,487$34,714
Chi St Lukes Health Memorial LufkinLufkinTX6$17,698$18,630$26,836
Childrens Medical Center Of PlanoPlanoTX4$15,425$15,425$15,425
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.