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Open umbilical hernia repair

CPT 49560 · negotiated-rate distribution across hospitals in TX

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Hospitals
30
Min
$80.00
Median
$3,219.29
Max
$76,966
Range multiplier
962.1×

By payer (44 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27120$80.00$3,842.73$227,3312841.6×
UnitedHealthcare2055$65.00$2,716.13$11,861182.5×
Medicaid1838$100.00$890.39$952.959.5×
Aetna1538$65.00$1,789.50$217,9883353.7×
Medicare932$2,859.08$3,281.08$3,824.901.3×
Anthem BCBS324$508.66$782.30$249,130489.8×
Humana1323$65.00$3,185.51$295,8414551.4×
Cigna1123$80.00$2,859.08$217,9882724.8×
commercial | entrust | all plans88$6,331.68$7,520.06$8,377.891.3×
commercial | community health choice | exchange77$3,268.92$4,778.27$4,781.131.5×
commercial | phcs | all plans66$7,089.00$7,089.00$7,089.001.0×
commercial | beechstreet | all plans66$2,353.00$2,353.00$2,353.001.0×
commercial | renaissance | all plans55$2,293.57$2,294.94$2,294.941.0×
commercial | superior health plan | all plans55$4,778.27$4,781.13$4,781.131.0×
commercial | kelseycare | all plans55$1,848.60$1,848.60$1,848.601.0×
commercial | kelseycare | exchange55$4,300.44$4,303.02$4,303.021.0×
commercial | nxhealth | all plans55$10,289$10,353$10,3591.0×
commercial | harris health | ers55$4,778.27$4,781.13$4,781.131.0×
patoka valley tier 224$782.30$782.30$782.301.0×
mhs care connect24$508.66$508.66$508.661.0×
commercial | healthsmart | ap344$1,929.00$1,929.00$1,929.001.0×
patoka valley tier 124$782.30$782.30$782.301.0×
Ambetter33$4,590.47$4,590.47$4,618.991.0×
commercial | ellwood | all plans22$9,497.52$9,497.52$9,497.521.0×
cook children's12$5,172.00$74,211$143,25027.7×
encore exclusive22$782.30$782.30$782.301.0×
galaxy health network12$80.00$80.00$80.001.0×
rightcare scott and white12$7,308.00$104,863$202,41827.7×
scott and white12$8,432.00$120,996$233,55927.7×
commercial | angelina county | all plans11$3,924.40$3,924.40$3,924.401.0×
healthcare highways11$1,064.00$1,064.00$1,064.001.0×
Multiplan11$1,242.00$1,242.00$1,242.001.0×
muti-plan11$1,969.00$1,969.00$1,969.001.0×
oscar11$2,911.00$2,911.00$2,911.001.0×
friday health insurance company11$18,923$18,923$18,9231.0×
First Health11$1,064.00$1,064.00$1,064.001.0×
prime health11$1,597.00$1,597.00$1,597.001.0×
prime health services11$9,461.00$9,461.00$9,461.001.0×
provider select11$1,508.00$1,508.00$1,508.001.0×
commercial | healthsmart | ppo11$1,929.00$1,929.00$1,929.001.0×
wellmed11$65.00$65.00$65.001.0×
superior health11$100.00$100.00$100.001.0×
commercial | employerdirect | all plans11$4,462.39$4,462.39$4,462.391.0×
healthsmart11$1,969.00$1,969.00$1,969.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Burleson St. Joseph Health CenterCaldwellTX3$877.23$921.09$4,657.86
Shannon Medical CenterSan AngeloTX1$8,426.31$8,861.62$8,861.62
River Crest HospitalSan AngeloTX1$8,426.31$8,861.62$8,861.62
San Angelo Community Medical CenterSan AngeloTX1$8,426.31$8,861.62$8,861.62
Big Spring State HospitalBig SpringsTX1$8,426.31$8,861.62$8,861.62
Baylor County Hospital DistrictSeymourTX9$6,150.00$4,305.00$65.00$80.00$100.00
Ascension Seton Shoal CreekAustinTX7$165.01$782.30$1,178.64
Ascension Seton BastropBastropTX7$165.01$782.30$1,178.64
Glen Rose Medical CenterGlen RoseTX8$311,412$311,412$5,172.00$76,966$295,841
Crescent Medical Center LancasterLancasterTX5$14,556$9,461.00$2,911.00$7,278.00$18,923
Baylor Orthopedic And Spine HospitalArlingtonTX2$3,344.00$6,615.00$8,427.00
College Station Medical CenterCollege StationTX9$877.23$3,537.22$11,861
St. Joseph Regional Health CenterBryanTX9$877.23$3,537.22$11,861
Brazosport Regional Health SystemLake JacksonTX10$907.57$3,268.92$7,517.80
St. Lukes Sugar Land HospitalSugar LandTX16$907.57$3,251.17$7,522.31
St Lukes Hospital At The VintageHoustonTX18$907.57$3,251.17$10,359
St. Lukes The Woodlands HospitalThe WoodlandsTX17$907.57$3,249.22$10,353
Chi St Lukes Health Baylor Med CtrHoustonTX17$907.57$3,249.22$10,353
St. Lukes Lakeside HospitalThe WoodlandsTX17$907.57$3,219.29$7,522.31
St. Lukes Patients Medical CenterPasadenaTX10$862.19$3,185.51$7,089.00
Chi St Lukes Health Mem LivingstonLivingstonTX8$529.48$2,859.08$4,657.86
Chi St Lukes Health Memorial LufkinLufkinTX7$848.61$2,842.54$4,657.86
Clay County Memorial HospitalHenriettaTX5$9,843.00$6,890.00$1,969.00$2,461.00$3,150.00
Madison St. Joseph Health CenterMadisonvilleTX3$877.23$2,367.36$11,861
Grimes St. Joseph Health CenterNavasotaTX3$877.23$2,367.36$11,861
Wilson N Jones Regional Medical CtrShermanTX1$1,405.00$1,405.00$1,652.00
Trinity Regional Hospital SachseSachseTX1$1,405.00$1,405.00$1,652.00
St Lukes Health Memorial San AugustSan AugustineTX4$877.23$1,377.56$4,657.86
North Texas Medical CenterGainsvilleTX9$1,774.00$444.00$710.00$1,100.00$3,109.00
Nocona General HospitalNoconaTX0$9,795.00$27.85

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.