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Hip & femur procedures except major joint w/o CC/MCC

MS-DRG 482 · negotiated-rate distribution across hospitals in TX

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Hospitals
67
Min
$5,528.00
Median
$14,075
Max
$78,065
Range multiplier
14.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield53267$9,681.37$17,190$78,0658.1×
baylor scott & white health plan23134$10,232$14,643$27,0812.6×
UnitedHealthcare47121$10,294$21,892$66,8446.5×
Humana4792$9,144.00$12,275$66,8447.3×
Cigna3969$65.00$15,845$48,623748.0×
Aetna4255$10,255$21,307$66,8446.5×
healthsmart2040$9,424.00$15,528$21,6322.3×
Medicare933$9,503.55$12,623$15,6851.7×
american health plan2525$11,309$12,833$78,0656.9×
procare advantage2424$11,309$12,812$78,0656.9×
university of mary hardin-baylor2323$13,651$13,651$13,6511.0×
private health care system2323$9,348.00$9,348.00$9,348.001.0×
prime health services2022$11,284$13,129$49,6594.4×
triwest2121$10,771$12,183$15,0451.4×
superior health plan2121$10,847$12,563$34,2513.2×
corvel2020$11,284$13,011$77,8866.9×
Ambetter2020$18,560$25,901$33,5961.8×
healthspring1919$11,309$12,563$15,6091.4×
employers health network1414$16,168$16,168$16,1681.0×
Anthem BCBS214$11,641$15,894$19,8671.7×
baylor scott and white39$17,369$23,123$66,8443.8×
commercial | entrust | all plans88$23,817$27,969$33,1991.4×
sedgwick88$13,696$17,374$92,3396.7×
wellmed77$12,060$12,060$66,8445.5×
Molina57$12,833$15,609$96,9247.6×
commercial | community health choice | exchange77$14,150$15,824$19,6061.4×
wellpoint66$16,281$16,281$30,0581.8×
commercial | phcs | all plans66$30,402$30,402$30,4111.0×
amerigroup66$12,394$20,221$70,5205.7×
commercial | independent med system | all plans55$23,226$23,226$23,2261.0×
wellpoint (fka amerigroup)55$12,588$13,587$15,3111.2×
commercial | harris health | ers55$15,138$18,935$19,6061.3×
careworks fka rockport55$15,311$18,686$92,3396.0×
commercial | kelseycare | exchange55$13,624$17,041$17,6461.3×
commercial | nxhealth | all plans55$33,572$41,600$42,4801.3×
commercial | renaissance | all plans55$7,266.33$9,088.66$9,411.031.3×
commercial | superior health plan | all plans55$15,138$18,935$19,6061.3×
injury management organization55$15,311$18,686$92,3396.0×
caprock44$30,150$30,150$30,1501.0×
advantage 36024$11,500$11,850$12,2001.1×
90 degree benefits44$30,150$30,150$30,1501.0×
care improvement44$12,060$12,060$12,0601.0×
city of san angelo44$8,399.99$8,399.99$8,399.991.0×
commercial | healthsmart | ap344$13,521$13,521$13,5211.0×
insurance management services44$15,919$15,919$15,9191.0×
insurance services of lubbock44$15,919$15,919$15,9191.0×
kempton group44$24,120$24,120$24,1201.0×
pdh/texas trust44$19,296$19,296$19,2961.0×
prohealth24$7,939.93$7,939.93$7,939.931.0×
scott & white44$11,295$11,295$11,2951.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baylor Scott & White Continuing CareTempleTX8$9,424.00$78,065$92,339
Texas Spine And Joint HospitalTylerTX8$9,424.00$78,065$92,339
Tchd D/B/A Jps Health NetworkFort WorthTX13$13,985$66,844$96,924
Baylor Orthopedic And Spine HospitalArlingtonTX5$3,870.00$5,528.00$17,993
Corpus Christi Specialty HospitalCorpus ChristiTX17$33,106$33,106$49,659
Acuity Hospital Of South TexasSan AntonioTX20$30,058$30,058$45,087
Hospitals Of Providence East CampusEl PasoTX14$70.00$24,554$48,623
Covenant Hospital LevellandLevellandTX8$10,845$22,084$32,887
Wilson N Jones Regional Medical CtrShermanTX2$20,104$21,253$22,402
Covenant Hospital PlainviewPlainviewTX11$65.00$18,358$29,944
Scott & White Hospital BrenhamBrenhamTX9$9,144.00$17,620$21,998
Scott And White Memorial HospitalTempleTX20$8,725.20$17,372$29,583
Hillcrest Baptist Medical CenterWacoTX16$9,144.00$17,213$27,012
River Crest HospitalSan AngeloTX15$8,399.99$16,965$30,150
San Angelo Community Medical CenterSan AngeloTX15$8,399.99$16,965$30,150
Big Spring State HospitalBig SpringsTX15$8,399.99$16,965$30,150
Shannon Medical CenterSan AngeloTX15$8,399.99$16,965$30,150
Baylor Scott & White - Marble FallsMarble FallsTX18$8,725.20$15,681$27,012
Baylor University Medical CtrDallasTX20$9,144.00$15,609$33,790
St. Joseph Regional Health CenterBryanTX8$11,638$15,519$41,600
Grimes St. Joseph Health CenterNavasotaTX2$11,638$15,519$22,232
College Station Medical CenterCollege StationTX8$11,638$15,519$41,600
Madison St. Joseph Health CenterMadisonvilleTX2$11,638$15,519$22,232
College Station HospitalCollege StationTX18$9,144.00$15,464$27,012
Baylor S&W Medical Center - IrvingIrvingTX19$9,144.00$15,165$33,790
Chi St Lukes Health Baylor Med CtrHoustonTX16$9,088.66$15,148$41,025
Round Rock HospitalRound RockTX20$8,725.20$15,069$29,583
St Lukes Hospital At The VintageHoustonTX16$9,411.03$15,064$42,480
Burleson St. Joseph Health CenterCaldwellTX1$11,638$14,702$16,336
Baylor S&W All Saints Medical CenterFort WorthTX19$9,144.00$14,556$33,790
Baylor Scott & White Mc- Lake PointeRowlettTX20$9,144.00$14,075$36,170
Baylor Scott & White Wmc - BrenhamBrenhamTX18$9,144.00$14,010$53,406
The Heart Hospital Baylor PlanoPlanoTX18$9,144.00$14,010$53,406
Centennial Medical CenterFriscoTX20$9,144.00$13,998$36,170
St. Lukes Sugar Land HospitalSugar LandTX14$9,387.51$13,951$30,770
Baylor S&W Medical Center - MckinneyMckinneyTX18$9,144.00$13,941$33,790
Trinity Regional Hospital SachseSachseTX8$12,136$13,901$22,402
Baylor Heart And Vascular HospitalDallasTX13$9,144.00$13,846$33,790
Ascension Seton BastropBastropTX16$7,939.93$13,833$19,901
Ascension Seton Shoal CreekAustinTX16$7,939.93$13,833$19,901
Bsw Medical Center - AustinAustinTX13$9,144.00$13,734$29,583
Scott And White Hospital TaylorTaylorTX13$9,144.00$13,734$29,583
Mid Coast Medical Center-CentralLlanoTX13$9,144.00$13,734$29,583
The Heart Hospital Baylor DentonDentonTX18$9,144.00$13,701$53,406
Baylor Scott & White PflugervillePflugervilleTX17$9,144.00$13,674$29,583
Baylor S&W Medical Center - PlanoPlanoTX18$9,144.00$13,651$33,790
Baylor Scott & White - BudaBudaTX13$9,144.00$13,632$29,583
St. Lukes Patients Medical CenterPasadenaTX8$10,549$13,549$30,411
Baylor Medical Center-GrapevineGrapevineTX18$9,144.00$13,517$33,790
St. Lukes The Woodlands HospitalThe WoodlandsTX15$7,437.56$13,500$33,572
Brazosport Regional Health SystemLake JacksonTX8$9,681.37$13,358$31,229
St. Lukes Lakeside HospitalThe WoodlandsTX15$7,266.33$12,945$30,402
Scott & White Cedar ParkCedar ParkTX1$12,944$12,944$12,944
St Lukes Health Memorial San AugustSan AugustineTX2$11,198$12,898$14,599
Chi St Lukes Health Mem LivingstonLivingstonTX6$11,198$12,496$14,612
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$9,698.82$12,459$21,137
Chi St Lukes Health Memorial LufkinLufkinTX6$10,349$10,894$14,612
Heritage Park Surgical HospitalShermanTX2$9,698.82$10,652$18,699
Childrens Medical Center Of PlanoPlanoTX4$10,255$10,255$10,255
Northwest Texas Surgery CenterAmarilloTX0
Northwest Texas HospitalAmarilloTX0
St Joseph Medical CenterHoustonTX0
Laredo Medical CenterLaredoTX0
Navarro Regional HospitalCorsicanaTX0
The Medical Ctr Of Southeast TexasPort ArthurTX0
Longview Regional Medical CenterLongviewTX0
Texoma Medical CenterDenisonTX0

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.