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Lap inguinal hernia repair

CPT 49650 · negotiated-rate distribution across hospitals in TX

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Hospitals
59
Min
$413.55
Median
$5,531.83
Max
$12,516
Range multiplier
30.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield49280$55.00$7,153.89$16,338297.1×
UnitedHealthcare44133$94.14$6,068.46$18,403195.5×
Aetna4076$344.08$5,098.79$15,11443.9×
baylor scott & white health plan1872$4,833.51$6,449.49$8,971.431.9×
Humana4165$344.08$5,161.14$16,98649.4×
Cigna3263$275.26$5,452.00$12,51645.5×
Medicaid1839$294.95$1,105.89$2,568.988.7×
Medicare1136$2,648.76$5,191.93$6,080.182.3×
superior health plan1935$1,888.85$1,983.29$5,558.432.9×
Anthem BCBS325$294.95$516.40$14,30448.5×
american health plan1919$5,342.31$5,540.77$5,709.091.1×
triwest1818$5,087.91$5,276.92$5,437.231.1×
procare advantage1818$5,342.31$5,540.77$5,709.091.1×
Ambetter1717$2,648.76$10,923$11,7784.4×
healthsmart1616$1,969.00$11,526$11,5265.9×
healthspring1515$5,342.31$5,540.77$5,558.431.0×
prime health services1414$5,330.09$5,528.10$5,696.041.1×
corvel1414$5,330.09$5,528.10$5,696.041.1×
wellpoint (fka amerigroup)510$1,888.85$3,662.04$5,452.552.9×
wellpoint59$2,058.85$5,498.00$7,395.773.6×
Molina89$1,983.29$5,498.00$6,047.003.0×
commercial | entrust | all plans88$10,065$11,954$13,3181.3×
commercial | community health choice | exchange77$5,081.79$7,595.67$7,600.231.5×
sedgwick66$7,606.43$7,803.93$8,128.661.1×
wellmed66$344.08$5,478.35$5,498.0016.0×
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×
Medicare Advantage26$2,648.76$2,648.76$2,648.761.0×
90 degree benefits55$5,498.00$13,696$13,6962.5×
commercial | harris health | ers55$7,595.67$7,600.23$7,600.231.0×
commercial | kelseycare | all plans55$2,404.80$2,404.80$2,404.801.0×
commercial | kelseycare | exchange55$6,836.10$6,840.21$6,840.211.0×
commercial | nxhealth | all plans55$16,356$16,457$16,4671.0×
commercial | renaissance | all plans55$3,645.92$3,648.11$3,648.111.0×
commercial | superior health plan | all plans55$7,595.67$7,600.23$7,600.231.0×
pdh/texas trust44$10,957$10,957$10,9571.0×
commercial | healthsmart | ap344$1,929.00$1,929.00$1,929.001.0×
mhs care connect24$294.95$294.95$294.951.0×
patoka valley tier 224$516.40$516.40$516.401.0×
care improvement44$5,478.35$5,478.35$5,478.351.0×
patoka valley tier 124$516.40$516.40$516.401.0×
caprock44$13,696$13,696$13,6961.0×
insurance management services44$8,929.71$8,929.71$8,929.711.0×
insurance services of lubbock44$8,929.71$8,929.71$8,929.711.0×
scott & white44$8,765.36$8,765.36$8,765.361.0×
kempton group44$10,957$10,957$10,9571.0×
health partners open network23$791.01$791.01$9,238.1211.7×
careworks fka rockport33$7,715.90$8,000.43$8,128.661.1×
prominence health13$5,498.00$5,772.00$5,772.001.0×
injury management organization33$6,410.14$6,556.39$6,646.511.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Shannon Medical CenterSan AngeloTX14$1,983.29$8,929.71$13,776
Big Spring State HospitalBig SpringsTX14$1,983.29$8,929.71$13,776
River Crest HospitalSan AngeloTX14$1,983.29$8,929.71$13,776
San Angelo Community Medical CenterSan AngeloTX14$1,983.29$8,929.71$13,776
Wilson N Jones Regional Medical CtrShermanTX8$2,632.00$2,105.60$384.86$848.40$1,315.76
Heritage Park Surgical HospitalShermanTX2$5,170.00$3,102.00$5,256.83$8,059.00$12,028
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$23,993$14,396$5,256.83$8,059.00$12,028
Baylor Orthopedic And Spine HospitalArlingtonTX3$55.00$7,584.00$14,275
Scott & White Hospital BrenhamBrenhamTX5$5,132.00$7,153.89$11,526
Golden Plains Community HospitalBorgerTX6$1,496.00$1,047.20$275.26$703.12$1,017.28
College Station HospitalCollege StationTX15$5,132.00$6,791.36$11,526
Scott And White Memorial HospitalTempleTX16$1,888.85$6,716.08$11,526
Hillcrest Baptist Medical CenterWacoTX15$1,888.85$6,625.02$11,526
Baylor S&W Medical Center - MckinneyMckinneyTX15$1,888.85$6,332.30$16,338
Baylor S&W Medical Center - PlanoPlanoTX15$1,888.85$6,332.30$16,338
Round Rock HospitalRound RockTX17$1,888.85$6,301.76$11,526
Baylor Medical Center-GrapevineGrapevineTX15$1,888.85$6,293.75$16,338
Baylor S&W Medical Center - IrvingIrvingTX16$1,888.85$6,235.00$16,338
Scott And White Hospital TaylorTaylorTX11$1,888.85$6,193.37$10,200
Baylor Scott & White PflugervillePflugervilleTX15$1,888.85$6,193.37$11,526
Mid Coast Medical Center-CentralLlanoTX11$1,888.85$6,193.37$10,200
Bsw Medical Center - AustinAustinTX11$1,888.85$6,193.37$10,200
Baylor University Medical CtrDallasTX17$1,888.85$6,151.73$16,338
Baylor Scott & White - BudaBudaTX11$1,888.85$6,115.69$10,200
Baylor S&W All Saints Medical CenterFort WorthTX17$1,888.85$6,087.80$16,338
Baylor Scott & White - Marble FallsMarble FallsTX15$1,888.85$6,071.75$11,526
Centennial Medical CenterFriscoTX17$1,888.85$6,068.46$13,821
Baylor Scott & White Mc- Lake PointeRowlettTX17$1,888.85$6,068.46$13,821
College Station Medical CenterCollege StationTX9$1,073.68$5,531.83$18,403
St. Joseph Regional Health CenterBryanTX9$1,073.68$5,531.83$18,403
Scott & White Cedar ParkCedar ParkTX1$5,419.20$5,419.20$5,419.20
St. Lukes Sugar Land HospitalSugar LandTX16$1,121.47$5,168.16$11,958
St Lukes Hospital At The VintageHoustonTX18$1,121.47$5,168.16$16,467
Chi St Lukes Health Baylor Med CtrHoustonTX17$1,121.47$5,165.06$16,457
St. Lukes The Woodlands HospitalThe WoodlandsTX17$1,121.47$5,165.06$16,457
Ascension Seton Shoal CreekAustinTX18$94.14$516.40$2,648.76
Ascension Seton BastropBastropTX18$94.14$516.40$2,648.76
St. Lukes Lakeside HospitalThe WoodlandsTX17$1,121.47$5,117.49$11,958
Brazosport Regional Health SystemLake JacksonTX10$1,121.47$5,063.78$11,951
St. Lukes Patients Medical CenterPasadenaTX10$1,065.40$5,063.78$7,595.67
Crane County Hospital DistrictCraneTX2$7,625.00$5,338.00$4,651.00$4,721.00$6,863.00
Chi St Lukes Health Mem LivingstonLivingstonTX8$529.48$4,544.88$7,181.89
Chi St Lukes Health Memorial LufkinLufkinTX7$1,028.60$4,431.26$7,181.89
Acuity Hospital Of South TexasSan AntonioTX1$413.55$413.55$413.55
Madison St. Joseph Health CenterMadisonvilleTX3$1,073.68$3,503.77$18,403
Grimes St. Joseph Health CenterNavasotaTX3$1,073.68$3,503.77$18,403
Clay County Memorial HospitalHenriettaTX5$9,843.00$6,890.00$1,969.00$2,461.00$3,150.00
Childrens Medical Center Of PlanoPlanoTX5$373.98$1,983.29$2,568.98
St Lukes Health Memorial San AugustSan AugustineTX4$1,073.68$1,976.68$7,181.89
Pam Squared At Corpus ChristiCorpus ChrstiTX2$1,888.85$1,888.85$1,888.85
Eastland Memorial HospitalEastlandTX3$2,387.00$1,194.00$1,480.00$1,706.50$2,148.00
North Texas Medical CenterGainsvilleTX17$1,580.00$395.00$421.00$1,382.50$6,047.00
Trinity Regional Hospital SachseSachseTX8$2,632.00$2,105.60$384.86$1,315.76$15,311
Glen Rose Medical CenterGlen RoseTX8$17,880$17,880$8,225.00$12,516$16,986
Burleson St. Joseph Health CenterCaldwellTX3$1,073.68$1,127.36$7,181.89
Navarro Regional HospitalCorsicanaTX0$69,342$16,642
Laredo Medical CenterLaredoTX0$90,789$21,789
Yoakum County HospitalDenver CityTX0$11,050$11,050
Longview Regional Medical CenterLongviewTX0$90,074$16,213

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.