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OR procedure for obesity w/o CC/MCC

MS-DRG 621 · negotiated-rate distribution across hospitals in TX

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Hospitals
67
Min
$8,919.63
Median
$14,421
Max
$74,883
Range multiplier
8.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield53267$9,162.06$16,473$74,8838.2×
baylor scott & white health plan23134$9,428.66$13,548$25,2202.7×
UnitedHealthcare47121$9,767.08$20,191$65,6866.7×
Humana47115$6,182.00$12,899$65,68610.6×
Aetna4275$8,919.63$21,013$65,6867.4×
Cigna3969$65.00$14,600$44,801689.2×
Medicare933$9,212.70$12,277$15,2951.7×
american health plan2525$10,421$11,922$74,8837.2×
procare advantage2424$10,421$11,855$74,8837.2×
private health care system2323$28,880$28,880$28,8801.0×
university of mary hardin-baylor2323$12,579$12,579$12,5791.0×
prime health services2022$10,397$12,194$49,6594.8×
superior health plan2121$9,995.38$11,655$31,6763.2×
triwest2121$9,924.90$11,226$14,0111.4×
corvel2020$10,397$12,032$74,7127.2×
healthsmart2020$19,933$19,933$19,9331.0×
Ambetter2020$18,068$23,951$33,1061.8×
healthspring1919$10,421$11,655$14,5881.4×
employers health network1414$15,445$15,445$15,4451.0×
Anthem BCBS214$11,641$15,894$19,8671.7×
baylor scott and white39$16,004$21,306$65,6864.1×
commercial | entrust | all plans88$23,089$27,259$32,2871.4×
sedgwick88$12,620$16,205$88,5767.0×
wellmed77$11,201$11,201$65,6865.9×
Molina57$11,922$14,588$95,2458.0×
commercial | community health choice | exchange77$13,816$15,355$19,1191.4×
wellpoint66$15,121$15,121$30,0582.0×
commercial | phcs | all plans66$29,047$29,047$29,5111.0×
amerigroup66$11,420$19,318$69,2996.1×
commercial | independent med system | all plans55$22,024$22,024$22,0241.0×
wellpoint (fka amerigroup)55$11,695$12,611$14,3111.2×
commercial | harris health | ers55$14,675$18,415$19,1191.3×
careworks fka rockport55$14,108$17,402$88,5766.3×
commercial | kelseycare | exchange55$13,207$16,573$17,2071.3×
commercial | nxhealth | all plans55$32,545$40,498$41,4251.3×
commercial | renaissance | all plans55$7,043.95$8,839.14$9,177.231.3×
commercial | superior health plan | all plans55$14,675$18,415$19,1191.3×
injury management organization55$14,108$17,402$88,5766.3×
caprock44$28,002$28,002$28,0021.0×
advantage 36024$11,500$11,850$12,2001.1×
90 degree benefits44$28,002$28,002$28,0021.0×
care improvement44$11,201$11,201$11,2011.0×
city of san angelo44$7,740.23$7,740.23$7,740.231.0×
commercial | healthsmart | ap344$12,819$12,819$12,8191.0×
insurance management services44$14,785$14,785$14,7851.0×
insurance services of lubbock44$14,785$14,785$14,7851.0×
kempton group44$22,401$22,401$22,4011.0×
pdh/texas trust44$17,921$17,921$17,9211.0×
prohealth24$7,939.93$7,939.93$7,939.931.0×
scott & white44$10,408$10,408$10,4081.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Heritage Park Surgical HospitalShermanTX1$9,162.06$9,950.45$14,850
Childrens Medical Center Of PlanoPlanoTX4$8,919.63$8,919.63$8,919.63
Texas Spine And Joint HospitalTylerTX8$19,933$74,883$88,576
Baylor Scott & White Continuing CareTempleTX8$19,933$74,883$88,576
Tchd D/B/A Jps Health NetworkFort WorthTX13$18,101$65,686$95,245
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$22,801$44,801
Covenant Hospital LevellandLevellandTX8$9,992.18$21,183$47,036
Wilson N Jones Regional Medical CtrShermanTX2$18,635$19,699$20,764
Covenant Hospital PlainviewPlainviewTX11$65.00$17,890$47,036
Scott & White Hospital BrenhamBrenhamTX9$6,182.00$16,831$28,880
Scott And White Memorial HospitalTempleTX20$6,182.00$16,788$28,880
Hillcrest Baptist Medical CenterWacoTX16$6,182.00$16,390$28,880
Baylor Orthopedic And Spine HospitalArlingtonTX5$11,585$16,221$28,245
Chi St Lukes Health Baylor Med CtrHoustonTX16$8,839.14$16,002$39,899
San Angelo Community Medical CenterSan AngeloTX15$7,740.23$15,632$28,002
Big Spring State HospitalBig SpringsTX15$7,740.23$15,632$28,002
Shannon Medical CenterSan AngeloTX15$7,740.23$15,632$28,002
River Crest HospitalSan AngeloTX15$7,740.23$15,632$28,002
Baylor Scott & White - Marble FallsMarble FallsTX18$6,182.00$15,616$28,880
St Lukes Hospital At The VintageHoustonTX16$9,177.23$15,295$41,425
Baylor S&W Medical Center - IrvingIrvingTX19$6,182.00$15,023$31,136
St. Lukes Patients Medical CenterPasadenaTX8$10,237$14,995$29,511
College Station Medical CenterCollege StationTX8$11,034$14,714$40,498
Grimes St. Joseph Health CenterNavasotaTX2$11,034$14,714$21,551
Madison St. Joseph Health CenterMadisonvilleTX2$11,034$14,714$21,551
St. Joseph Regional Health CenterBryanTX8$11,034$14,714$40,498
Baylor University Medical CtrDallasTX20$6,182.00$14,600$31,400
Baylor S&W All Saints Medical CenterFort WorthTX19$6,182.00$14,595$31,136
St. Lukes Sugar Land HospitalSugar LandTX14$9,146.91$14,464$29,982
College Station HospitalCollege StationTX18$6,182.00$14,421$28,880
Round Rock HospitalRound RockTX20$6,182.00$14,108$28,880
The Heart Hospital Baylor PlanoPlanoTX18$6,182.00$14,088$49,212
Baylor Scott & White Wmc - BrenhamBrenhamTX18$6,182.00$14,088$49,212
Ascension Seton BastropBastropTX17$7,939.93$13,965$19,901
Ascension Seton Shoal CreekAustinTX17$7,939.93$13,965$19,901
Burleson St. Joseph Health CenterCaldwellTX1$11,034$13,940$15,489
St. Lukes The Woodlands HospitalThe WoodlandsTX15$7,209.94$13,940$32,545
Baylor S&W Medical Center - MckinneyMckinneyTX18$6,182.00$13,930$31,136
Baylor Scott & White Mc- Lake PointeRowlettTX20$6,182.00$13,787$33,329
The Heart Hospital Baylor DentonDentonTX18$6,182.00$13,723$49,212
Centennial Medical CenterFriscoTX20$6,182.00$13,599$33,329
Bsw Medical Center - AustinAustinTX13$6,182.00$13,553$28,880
Scott And White Hospital TaylorTaylorTX13$6,182.00$13,553$28,880
Mid Coast Medical Center-CentralLlanoTX13$6,182.00$13,553$28,880
Baylor Heart And Vascular HospitalDallasTX13$6,182.00$13,251$31,136
St. Lukes Lakeside HospitalThe WoodlandsTX15$7,043.95$13,207$29,047
Brazosport Regional Health SystemLake JacksonTX8$9,179.09$13,037$30,305
Baylor Scott & White - BudaBudaTX13$6,182.00$12,858$28,880
Baylor S&W Medical Center - PlanoPlanoTX18$6,182.00$12,846$31,136
Baylor Medical Center-GrapevineGrapevineTX18$6,182.00$12,846$31,136
Trinity Regional Hospital SachseSachseTX8$11,187$12,811$20,764
Baylor Scott & White PflugervillePflugervilleTX17$6,182.00$12,805$28,880
St Lukes Health Memorial San AugustSan AugustineTX2$10,856$12,402$13,948
Chi St Lukes Health Mem LivingstonLivingstonTX6$10,856$12,168$14,165
Scott & White Cedar ParkCedar ParkTX1$11,927$11,927$11,927
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$9,162.06$11,827$20,191
Chi St Lukes Health Memorial LufkinLufkinTX6$10,080$10,611$14,165
Northwest Texas HospitalAmarilloTX0
Northwest Texas Surgery CenterAmarilloTX0
St Joseph Medical CenterHoustonTX0
Texoma Medical CenterDenisonTX0
Navarro Regional HospitalCorsicanaTX0
The Medical Ctr Of Southeast TexasPort ArthurTX0
Laredo Medical CenterLaredoTX0
Longview Regional Medical CenterLongviewTX0

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.