▸ Compare · PriceTransparency
Umbilical hernia repair age 5+
CPT 49585 · negotiated-rate distribution across hospitals in TX
Hospitals
32
Min
$80.00
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 | $80.00 | $3,842.73 | $8,861.62 | 110.8× |
| UnitedHealthcare | 21 | 59 | $65.00 | $2,716.13 | $11,861 | 182.5× |
| Medicaid | 18 | 38 | $100.00 | $890.39 | $952.95 | 9.5× |
| Aetna | 17 | 37 | $65.00 | $1,697.00 | $7,870.00 | 121.1× |
| Medicare | 9 | 32 | $2,859.08 | $3,281.08 | $3,824.90 | 1.3× |
| Anthem BCBS | 3 | 23 | $305.91 | $472.80 | $8,994.00 | 29.4× |
| Humana | 13 | 21 | $65.00 | $3,165.84 | $10,681 | 164.3× |
| Cigna | 11 | 20 | $80.00 | $2,842.54 | $14,556 | 181.9× |
| commercial | phcs | all plans | 8 | 8 | $571.20 | $7,089.00 | $7,089.00 | 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 | $2,353.00 | $2,353.00 | $2,353.00 | 1.0× |
| Multiplan | 6 | 6 | $571.20 | $588.00 | $750.00 | 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 | $1,848.60 | $1,848.60 | $1,848.60 | 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 | $472.80 | $472.80 | $472.80 | 1.0× |
| mhs care connect | 2 | 4 | $305.91 | $305.91 | $305.91 | 1.0× |
| patoka valley tier 2 | 2 | 4 | $472.80 | $472.80 | $472.80 | 1.0× |
| commercial | healthsmart | ap3 | 4 | 4 | $1,929.00 | $1,929.00 | $1,929.00 | 1.0× |
| Ambetter | 3 | 3 | $4,590.47 | $4,590.47 | $4,618.99 | 1.0× |
| encore exclusive | 2 | 2 | $472.80 | $472.80 | $472.80 | 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 | $403.20 | $403.20 | $403.20 | 1.0× |
| galaxy health network | 1 | 2 | $80.00 | $80.00 | $80.00 | 1.0× |
| healthsmart | 1 | 1 | $1,969.00 | $1,969.00 | $1,969.00 | 1.0× |
| healthcare highways | 1 | 1 | $643.00 | $643.00 | $643.00 | 1.0× |
| friday health insurance company | 1 | 1 | $18,923 | $18,923 | $18,923 | 1.0× |
| First Health | 1 | 1 | $643.00 | $643.00 | $643.00 | 1.0× |
| cook children's | 1 | 1 | $5,172.00 | $5,172.00 | $5,172.00 | 1.0× |
| muti-plan | 1 | 1 | $1,969.00 | $1,969.00 | $1,969.00 | 1.0× |
| oscar | 1 | 1 | $2,911.00 | $2,911.00 | $2,911.00 | 1.0× |
| commercial | healthsmart | ppo | 1 | 1 | $1,929.00 | $1,929.00 | $1,929.00 | 1.0× |
| commercial | employerdirect | all plans | 1 | 1 | $4,462.39 | $4,462.39 | $4,462.39 | 1.0× |
| prime health | 1 | 1 | $965.00 | $965.00 | $965.00 | 1.0× |
| prime health services | 1 | 1 | $9,461.00 | $9,461.00 | $9,461.00 | 1.0× |
| provider select | 1 | 1 | $911.00 | $911.00 | $911.00 | 1.0× |
| rightcare scott and white | 1 | 1 | $7,308.00 | $7,308.00 | $7,308.00 | 1.0× |
| scott and white | 1 | 1 | $8,432.00 | $8,432.00 | $8,432.00 | 1.0× |
| superior health | 1 | 1 | $100.00 | $100.00 | $100.00 | 1.0× |
| commercial | angelina county | all plans | 1 | 1 | $3,924.40 | $3,924.40 | $3,924.40 | 1.0× |
| wellmed | 1 | 1 | $65.00 | $65.00 | $65.00 | 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 | $672.00 | $235.20 | $571.20 | $921.09 | $11,861 |
| Madison St. Joseph Health Center | Madisonville | TX | 7 | $672.00 | $235.20 | $403.20 | $907.93 | $11,861 |
| Burleson St. Joseph Health Center | Caldwell | TX | 7 | $672.00 | $235.20 | $403.20 | $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 | — | — | $854.00 | $854.00 | $1,005.00 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 1 | — | — | $854.00 | $854.00 | $1,005.00 |
| Baylor County Hospital District | Seymour | TX | 9 | $6,153.00 | $4,307.10 | $65.00 | $80.00 | $100.00 |
| Glen Rose Medical Center | Glen Rose | TX | 8 | $11,243 | $11,243 | $5,172.00 | $7,870.00 | $10,681 |
| Crescent Medical Center Lancaster | Lancaster | TX | 5 | $14,556 | $9,461.00 | $2,911.00 | $7,278.00 | $18,923 |
| North Texas Medical Center | Gainsville | TX | 9 | $1,072.00 | $268.00 | $429.00 | $665.00 | $3,109.00 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 2 | — | — | $3,344.00 | $6,615.00 | $8,427.00 |
| Ascension Seton Shoal Creek | Austin | TX | 7 | — | — | $96.30 | $472.80 | $687.88 |
| Ascension Seton Bastrop | Bastrop | TX | 7 | — | — | $96.30 | $472.80 | $687.88 |
| Brazosport Regional Health System | Lake Jackson | TX | 10 | — | — | $907.57 | $3,268.92 | $7,517.80 |
| St. Joseph Regional Health Center | Bryan | TX | 10 | $672.00 | $235.20 | $571.20 | $3,260.82 | $11,861 |
| College Station Medical Center | College Station | TX | 10 | $672.00 | $235.20 | $571.20 | $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 | $7,089.00 |
| Crane County Hospital District | Crane | TX | 2 | $4,812.00 | $3,368.00 | $2,672.00 | $2,935.00 | $4,331.00 |
| 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 | $9,843.00 | $6,890.00 | $1,969.00 | $2,461.00 | $3,150.00 |
| St Lukes Health Memorial San August | San Augustine | TX | 4 | — | — | $877.23 | $1,377.56 | $4,657.86 |
| Nocona General Hospital | Nocona | TX | 0 | $9,795.00 | $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.