▸ Compare · PriceTransparency
Umbilical hernia repair age 5+
CPT 49585 · negotiated-rate distribution across hospitals in TX
Hospitals
32
Min
$80
Median
$3,219.29
Max
$8,861.62
Range multiplier
110.8×
By payer (45 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 28 | 122 | $80 | $3,842.73 | $8,861.62 | 110.8× |
| UnitedHealthcare | 21 | 59 | $65 | $2,716.13 | $11,861 | 182.5× |
| Medicaid | 18 | 38 | $100 | $890.39 | $952.95 | 9.5× |
| Aetna | 17 | 37 | $65 | $1,697 | $7,870 | 121.1× |
| Medicare | 9 | 32 | $2,859.08 | $3,281.08 | $3,824.9 | 1.3× |
| Anthem BCBS | 3 | 23 | $305.91 | $472.8 | $8,994 | 29.4× |
| Humana | 13 | 21 | $65 | $3,165.84 | $10,681 | 164.3× |
| Cigna | 11 | 20 | $80 | $2,842.54 | $14,556 | 181.9× |
| commercial | phcs | all plans | 8 | 8 | $571.2 | $7,089 | $7,089 | 12.4× |
| commercial | entrust | all plans | 8 | 8 | $6,331.68 | $7,520.06 | $8,377.89 | 1.3× |
| commercial | community health choice | exchange | 7 | 7 | $3,268.92 | $4,778.27 | $4,781.13 | 1.5× |
| commercial | beechstreet | all plans | 6 | 6 | $2,353 | $2,353 | $2,353 | 1.0× |
| Multiplan | 6 | 6 | $571.2 | $588 | $750 | 1.3× |
| commercial | harris health | ers | 5 | 5 | $4,778.27 | $4,781.13 | $4,781.13 | 1.0× |
| commercial | kelseycare | all plans | 5 | 5 | $1,848.6 | $1,848.6 | $1,848.6 | 1.0× |
| commercial | kelseycare | exchange | 5 | 5 | $4,300.44 | $4,303.02 | $4,303.02 | 1.0× |
| commercial | nxhealth | all plans | 5 | 5 | $10,289 | $10,353 | $10,359 | 1.0× |
| commercial | renaissance | all plans | 5 | 5 | $2,293.57 | $2,294.94 | $2,294.94 | 1.0× |
| commercial | superior health plan | all plans | 5 | 5 | $4,778.27 | $4,781.13 | $4,781.13 | 1.0× |
| patoka valley tier 1 | 2 | 4 | $472.8 | $472.8 | $472.8 | 1.0× |
| mhs care connect | 2 | 4 | $305.91 | $305.91 | $305.91 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $472.8 | $472.8 | $472.8 | 1.0× |
| commercial | healthsmart | ap3 | 4 | 4 | $1,929 | $1,929 | $1,929 | 1.0× |
| Ambetter | 3 | 3 | $4,590.47 | $4,590.47 | $4,618.99 | 1.0× |
| encore exclusive | 2 | 2 | $472.8 | $472.8 | $472.8 | 1.0× |
| commercial | ellwood | all plans | 2 | 2 | $9,497.52 | $9,497.52 | $9,497.52 | 1.0× |
| commercial | firstcare | all plans | 2 | 2 | $403.2 | $403.2 | $403.2 | 1.0× |
| galaxy health network | 1 | 2 | $80 | $80 | $80 | 1.0× |
| healthsmart | 1 | 1 | $1,969 | $1,969 | $1,969 | 1.0× |
| healthcare highways | 1 | 1 | $643 | $643 | $643 | 1.0× |
| friday health insurance company | 1 | 1 | $18,923 | $18,923 | $18,923 | 1.0× |
| First Health | 1 | 1 | $643 | $643 | $643 | 1.0× |
| cook children's | 1 | 1 | $5,172 | $5,172 | $5,172 | 1.0× |
| muti-plan | 1 | 1 | $1,969 | $1,969 | $1,969 | 1.0× |
| oscar | 1 | 1 | $2,911 | $2,911 | $2,911 | 1.0× |
| commercial | healthsmart | ppo | 1 | 1 | $1,929 | $1,929 | $1,929 | 1.0× |
| commercial | employerdirect | all plans | 1 | 1 | $4,462.39 | $4,462.39 | $4,462.39 | 1.0× |
| prime health | 1 | 1 | $965 | $965 | $965 | 1.0× |
| prime health services | 1 | 1 | $9,461 | $9,461 | $9,461 | 1.0× |
| provider select | 1 | 1 | $911 | $911 | $911 | 1.0× |
| rightcare scott and white | 1 | 1 | $7,308 | $7,308 | $7,308 | 1.0× |
| scott and white | 1 | 1 | $8,432 | $8,432 | $8,432 | 1.0× |
| superior health | 1 | 1 | $100 | $100 | $100 | 1.0× |
| commercial | angelina county | all plans | 1 | 1 | $3,924.4 | $3,924.4 | $3,924.4 | 1.0× |
| wellmed | 1 | 1 | $65 | $65 | $65 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| GRIMES ST. JOSEPH HEALTH CENTER | NAVASOTA | TX | 4 | $672 | $235.2 | $571.2 | $921.09 | $11,861 |
| MADISON ST. JOSEPH HEALTH CENTER | MADISONVILLE | TX | 7 | $672 | $235.2 | $403.2 | $907.93 | $11,861 |
| BURLESON ST. JOSEPH HEALTH CENTER | CALDWELL | TX | 7 | $672 | $235.2 | $403.2 | $894.77 | $4,657.86 |
| RIVER CREST HOSPITAL | SAN ANGELO | TX | 1 | — | — | $8,426.31 | $8,861.62 | $8,861.62 |
| BIG SPRING STATE HOSPITAL | BIG SPRINGS | TX | 1 | — | — | $8,426.31 | $8,861.62 | $8,861.62 |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | 1 | — | — | $8,426.31 | $8,861.62 | $8,861.62 |
| SAN ANGELO COMMUNITY MEDICAL CENTER | SAN ANGELO | TX | 1 | — | — | $8,426.31 | $8,861.62 | $8,861.62 |
| TRINITY REGIONAL HOSPITAL SACHSE | SACHSE | TX | 1 | — | — | $854 | $854 | $1,005 |
| WILSON N JONES REGIONAL MEDICAL CTR | SHERMAN | TX | 1 | — | — | $854 | $854 | $1,005 |
| BAYLOR COUNTY HOSPITAL DISTRICT | SEYMOUR | TX | 9 | $6,153 | $4,307.1 | $65 | $80 | $100 |
| GLEN ROSE MEDICAL CENTER | GLEN ROSE | TX | 8 | $11,243 | $11,243 | $5,172 | $7,870 | $10,681 |
| CRESCENT MEDICAL CENTER LANCASTER | LANCASTER | TX | 5 | $14,556 | $9,461 | $2,911 | $7,278 | $18,923 |
| NORTH TEXAS MEDICAL CENTER | GAINSVILLE | TX | 9 | $1,072 | $268 | $429 | $665 | $3,109 |
| BAYLOR ORTHOPEDIC AND SPINE HOSPITAL | ARLINGTON | TX | 2 | — | — | $3,344 | $6,615 | $8,427 |
| ASCENSION SETON SHOAL CREEK | AUSTIN | TX | 7 | — | — | $96.3 | $472.8 | $687.88 |
| ASCENSION SETON BASTROP | BASTROP | TX | 7 | — | — | $96.3 | $472.8 | $687.88 |
| BRAZOSPORT REGIONAL HEALTH SYSTEM | LAKE JACKSON | TX | 10 | — | — | $907.57 | $3,268.92 | $7,517.8 |
| ST. JOSEPH REGIONAL HEALTH CENTER | BRYAN | TX | 10 | $672 | $235.2 | $571.2 | $3,260.82 | $11,861 |
| COLLEGE STATION MEDICAL CENTER | COLLEGE STATION | TX | 10 | $672 | $235.2 | $571.2 | $3,260.82 | $11,861 |
| ST. LUKES SUGAR LAND HOSPITAL | SUGAR LAND | TX | 16 | — | — | $907.57 | $3,251.17 | $7,522.31 |
| ST LUKES HOSPITAL AT THE VINTAGE | HOUSTON | TX | 18 | — | — | $907.57 | $3,251.17 | $10,359 |
| ST. LUKES THE WOODLANDS HOSPITAL | THE WOODLANDS | TX | 17 | — | — | $907.57 | $3,249.22 | $10,353 |
| CHI ST LUKES HEALTH BAYLOR MED CTR | HOUSTON | TX | 17 | — | — | $907.57 | $3,249.22 | $10,353 |
| ST. LUKES LAKESIDE HOSPITAL | THE WOODLANDS | TX | 17 | — | — | $907.57 | $3,219.29 | $7,522.31 |
| ST. LUKES PATIENTS MEDICAL CENTER | PASADENA | TX | 10 | — | — | $862.19 | $3,185.51 | $7,089 |
| CRANE COUNTY HOSPITAL DISTRICT | CRANE | TX | 2 | $4,812 | $3,368 | $2,672 | $2,935 | $4,331 |
| CHI ST LUKES HEALTH MEM LIVINGSTON | LIVINGSTON | TX | 8 | — | — | $529.48 | $2,859.08 | $4,657.86 |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | LUFKIN | TX | 7 | — | — | $848.61 | $2,842.54 | $4,657.86 |
| CLAY COUNTY MEMORIAL HOSPITAL | HENRIETTA | TX | 5 | $9,843 | $6,890 | $1,969 | $2,461 | $3,150 |
| ST LUKES HEALTH MEMORIAL SAN AUGUST | SAN AUGUSTINE | TX | 4 | — | — | $877.23 | $1,377.56 | $4,657.86 |
| NOCONA GENERAL HOSPITAL | NOCONA | TX | 0 | $9,795 | $27.85 | — | — | — |
| KINGWOOD EMERGENCY HOSPITAL | KINGWOOD | TX | 0 | $2,625.36 | $1,312.68 | — | — | — |
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.