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CPT 71551 · negotiated-rate distribution across hospitals in TX

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Hospitals
42
Min
$335.35
Median
$1,094.13
Max
$3,335.78
Range multiplier
9.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield32198$76.96$1,600.90$8,427.00109.5×
UnitedHealthcare29117$79.22$602.35$6,666.6684.2×
Medicaid2392$61.83$417.66$3,645.8759.0×
Aetna3185$75.45$1,055.00$5,641.0274.8×
Anthem BCBS270$61.83$335.35$1,044.0316.9×
Humana2762$75.45$1,050.00$6,837.6090.6×
Cigna2037$160.08$2,097.35$6,153.8438.4×
Medicare1136$375.97$733.76$859.302.3×
First Health1217$1,680.00$3,245.60$6,410.253.8×
Multiplan1617$1,960.00$3,448.45$4,131.002.1×
healthsmart714$704.00$7,606.83$7,606.8310.8×
mhs care connect212$61.83$259.67$321.505.2×
Molina711$412.23$417.66$1,298.243.1×
wellpoint610$427.93$882.25$1,338.813.1×
health partners open network29$167.55$1,146.13$1,765.6410.5×
commercial | galaxy | all plans99$3,609.95$3,815.65$4,780.801.3×
healthcare highways [2210]39$938.00$1,326.39$1,866.252.0×
Ambetter99$375.97$1,037.69$1,594.984.2×
commercial | entrust | all plans88$1,422.46$1,689.44$1,882.161.3×
assurant health48$5,641.02$5,641.02$5,641.021.0×
web tpa48$3,846.15$3,846.15$3,846.151.0×
commercial | community health choice | exchange77$715.76$1,073.47$1,074.121.5×
Medicare Advantage37$375.97$375.97$1,183.903.1×
wellmed66$727.00$741.85$763.001.0×
scott & white56$1,186.96$1,186.96$2,880.472.4×
tmhp [50160]16$417.66$417.66$417.661.0×
commercial | harris health | ers55$1,073.47$1,074.12$1,074.121.0×
commercial | usa health network | all plans55$3,815.65$3,815.65$3,815.651.0×
wellpoint amerigroup [50170]15$417.66$417.66$417.661.0×
commercial | renaissance | all plans55$515.27$515.58$515.581.0×
commercial | phcs | all plans55$3,585.60$3,585.60$3,901.501.1×
commercial | nxhealth | all plans55$2,311.50$2,325.86$2,327.261.0×
commercial | nppn | all plans55$3,591.20$3,591.20$3,591.201.0×
commercial | kelseycare | exchange55$966.13$966.71$966.711.0×
commercial | kelseycare | all plans55$1,398.60$1,398.60$1,398.601.0×
commercial | healthsmart | ppo55$1,100.00$3,142.30$3,142.302.9×
90 degree benefits55$763.00$1,854.63$1,854.632.4×
commercial | superior health plan | all plans55$1,073.47$1,074.12$1,074.121.0×
commercial | healthsmart | ap344$1,100.00$1,100.00$1,100.001.0×
care improvement44$741.85$741.85$741.851.0×
patoka valley tier 224$335.35$335.35$335.351.0×
caprock44$1,854.63$1,854.63$1,854.631.0×
pdh/texas trust44$1,483.70$1,483.70$1,483.701.0×
parkland community health plan [50190]14$417.66$417.66$417.661.0×
patoka valley tier 124$335.35$335.35$335.351.0×
kempton group44$1,483.70$1,483.70$1,483.701.0×
cook childrens health plan [50177]14$417.66$417.66$417.661.0×
insurance services of lubbock44$1,209.22$1,209.22$1,209.221.0×
city of san angelo44$1,188.03$1,188.03$1,188.031.0×
iowa health14$79.22$315.75$1,446.0618.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Lifecare Spec Hosp Of North TexasDallasTX9$3,752.00$375.20$938.00$938.00$2,513.84
Clay County Memorial HospitalHenriettaTX5$3,520.00$2,464.00$704.00$880.00$1,126.00
North Texas Medical CenterGainsvilleTX17$2,800.00$700.00$681.00$801.00$2,576.00
Wilson N Jones Regional Medical CtrShermanTX12$3,531.28$2,825.03$75.45$755.82$3,531.28
Brazosport Regional Health SystemLake JacksonTX11$4,512.00$1,579.20$432.70$737.12$2,256.00
Chi St Lukes Health Mem LivingstonLivingstonTX11$5,312.00$1,859.20$412.00$702.42$4,780.80
Trinity Regional Hospital SachseSachseTX10$4,401.63$3,521.31$75.45$664.00$3,741.39
Acuity Hospital Of South TexasSan AntonioTX1$475.44$475.44$475.44
Driscoll Childrens HospitalCorpus ChristiTX25$5,458.88$1,091.78$165.82$417.66$1,000.00
Pam Squared At Corpus ChristiCorpus ChrstiTX2$392.60$392.60$392.60
Ascension Seton Shoal CreekAustinTX20$61.83$335.35$1,044.03
Ascension Seton BastropBastropTX20$61.83$335.35$1,044.03
Big Spring State HospitalBig SpringsTX22$8,547.00$4,273.50$412.23$3,335.78$7,606.83
Shannon Medical CenterSan AngeloTX22$8,547.00$4,273.50$412.23$3,335.78$7,606.83
River Crest HospitalSan AngeloTX22$8,547.00$4,273.50$412.23$3,335.78$7,606.83
San Angelo Community Medical CenterSan AngeloTX22$8,547.00$4,273.50$412.23$3,335.78$7,606.83
Baylor Orthopedic And Spine HospitalArlingtonTX2$5,712.00$3,427.20$1,213.71$2,856.00$8,427.00
Childrens Medical Center Of PlanoPlanoTX31$4,057.00$3,042.75$311.73$2,839.90$3,935.29
Madison St. Joseph Health CenterMadisonvilleTX8$4,590.00$1,606.50$432.70$2,107.01$4,500.00
St Lukes Health Memorial San AugustSan AugustineTX9$5,312.00$1,859.20$432.70$2,102.18$4,780.80
Hansford County Hospital DistrictSpearmanTX5$2,193.00$1,645.00$1,535.00$1,974.00$2,303.00
Burleson St. Joseph Health CenterCaldwellTX8$4,590.00$1,606.50$432.70$1,936.54$4,131.00
Ut Health East Texas Specialty HospiTylerTX12$7,465.00$746.50$1,866.25$1,866.25$4,777.60
Grimes St. Joseph Health CenterNavasotaTX5$4,590.00$1,606.50$432.70$1,608.04$4,500.00
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$2,260.00$1,356.00$729.47$1,399.74$2,089.17
Heritage Park Surgical HospitalShermanTX2$3,098.00$1,858.80$729.47$1,399.74$2,089.17
Seton Medical Center Harker HeightsHarker HeightsTX12$3,401.00$340.10$612.18$1,326.39$3,645.87
St. Joseph Regional Health CenterBryanTX10$4,590.00$1,606.50$432.70$1,226.87$4,500.00
College Station Medical CenterCollege StationTX10$4,590.00$1,606.50$432.70$1,226.87$4,500.00
Limestone Medical CenterGroesbeckTX8$4,082.40$2,449.44$681.88$1,207.57$3,265.92
Chi St Lukes Health Memorial LufkinLufkinTX10$5,312.00$1,859.20$432.70$1,094.13$4,780.80
Chi St Lukes Health Baylor Med CtrHoustonTX22$4,489.00$1,571.15$432.70$1,055.00$3,815.65
St. Lukes The Woodlands HospitalThe WoodlandsTX21$4,489.00$1,571.15$432.70$1,052.50$3,815.65
St. Lukes Sugar Land HospitalSugar LandTX20$4,489.00$1,571.15$432.70$1,052.50$3,815.65
St Lukes Hospital At The VintageHoustonTX22$4,489.00$1,571.15$432.70$1,052.50$3,815.65
Crescent Medical Center LancasterLancasterTX12$3,402.00$2,211.00$680.00$1,051.50$103,892
St. Lukes Lakeside HospitalThe WoodlandsTX21$4,489.00$1,571.15$432.70$1,039.82$3,815.65
St. Lukes Patients Medical CenterPasadenaTX12$4,247.00$1,486.45$411.06$1,004.98$3,609.95
Trustpoint Rehabilitation Hospital OLubbockTX0$2,017.80
Longview Regional Medical CenterLongviewTX0$3,940.61$1,063.96
Laredo Medical CenterLaredoTX0$5,741.49$2,009.52
Laredo Specialty HospitalLaredoTX0$2,017.80

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.