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CPT 74170 · negotiated-rate distribution across hospitals in TX

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Hospitals
63
Min
$80.00
Median
$850.00
Max
$7,459.20
Range multiplier
93.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield44236$62.16$756.21$8,427.00135.6×
UnitedHealthcare40142$57.40$338.45$7,746.91135.0×
Aetna42116$60.94$614.00$5,067.4083.2×
Medicaid2699$1.00$190.02$4,305.154305.1×
Anthem BCBS371$50.02$263.77$3,754.0075.0×
Humana3370$60.94$724.38$5,023.2082.4×
Cigna2850$80.00$1,247.31$7,736.2696.7×
Medicare1241$111.20$182.45$214.521.9×
Multiplan2224$1,868.00$4,035.75$9,057.604.8×
First Health1419$500.00$4,709.25$7,992.0016.0×
healthsmart714$564.00$5,588.31$5,588.319.9×
mhs care connect212$50.02$140.01$190.023.8×
healthcare highways [2210]412$1,192.75$1,816.12$4,155.843.5×
Molina812$175.00$189.36$1,989.4411.4×
Ambetter1111$111.20$259.07$359.393.2×
wellpoint711$175.00$225.66$2,051.6111.7×
commercial | galaxy | all plans99$4,274.65$4,573.85$5,287.501.2×
health partners open network29$134.90$383.94$1,812.5013.4×
wellmed99$65.00$167.16$1,793.0827.6×
prime health services58$224.19$4,404.67$5,216.2823.3×
assurant health48$4,144.14$4,144.14$4,144.141.0×
commercial | entrust | all plans88$355.12$421.78$469.901.3×
web tpa48$2,825.55$2,825.55$2,825.551.0×
Medicare Advantage37$111.20$111.20$1,409.2312.7×
superior health plan47$170.00$912.00$2,079.0012.2×
commercial | community health choice | exchange77$191.57$268.00$268.161.4×
velocity provider ppo network46$206.95$4,602.60$4,602.6022.2×
web tpa [2115]46$1,192.75$2,639.40$7,459.206.3×
tmhp [50160]16$178.55$178.55$178.551.0×
scott & white56$267.45$267.45$4,414.0716.5×
wellpoint amerigroup [50170]15$178.55$178.55$178.551.0×
provider network of america45$3,170.34$4,602.60$5,523.121.7×
commercial | renaissance | all plans55$128.64$128.71$128.711.0×
commercial | superior health plan | all plans55$268.00$268.16$268.161.0×
commercial | phcs | all plans55$3,707.70$3,965.63$3,965.631.1×
commercial | usa health network | all plans55$4,573.85$4,573.85$4,573.851.0×
commercial | kelseycare | exchange55$241.20$241.34$241.341.0×
commercial | nppn | all plans55$4,304.80$4,304.80$4,304.801.0×
commercial | healthsmart | ppo55$900.00$3,766.70$3,766.704.2×
commercial | harris health | ers55$268.00$268.16$268.161.0×
quik trip45$3,170.34$4,602.60$4,602.601.5×
commercial | kelseycare | all plans55$1,154.70$1,154.70$1,154.701.0×
90 degree benefits55$175.00$417.89$417.892.4×
commercial | nxhealth | all plans55$577.07$580.68$581.001.0×
healthscope benefits [2290]45$722.88$2,066.00$4,155.845.7×
pdh/texas trust44$334.31$334.31$334.311.0×
iowa health14$63.99$202.23$1,484.4423.2×
cook childrens health plan [50177]14$178.55$178.55$178.551.0×
insurance services of lubbock44$272.47$272.47$272.471.0×
kempton group44$334.31$334.31$334.311.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Madison St. Joseph Health CenterMadisonvilleTX8$4,362.00$1,526.70$248.26$850.00$3,925.80
St Lukes Health Memorial San AugustSan AugustineTX9$5,875.00$2,056.25$248.26$825.20$5,287.50
Burleson St. Joseph Health CenterCaldwellTX8$4,362.00$1,526.70$248.26$815.49$3,925.80
Crescent Medical Center LancasterLancasterTX12$2,696.00$1,752.00$167.00$808.50$23,840
Baylor County Hospital DistrictSeymourTX11$2,232.25$1,562.58$65.00$80.00$850.00
Baptist Saint Anthonys HospitalAmarilloTX77$10,656$1,065.60$3,303.36$7,459.20$9,057.60
Grimes St. Joseph Health CenterNavasotaTX5$4,362.00$1,526.70$248.26$717.79$3,750.00
Clay County Memorial HospitalHenriettaTX5$2,821.00$1,975.00$564.00$705.00$903.00
Chi St Lukes Health Memorial LufkinLufkinTX10$5,875.00$2,056.25$152.34$515.59$5,287.50
Warm Springs Rehab Hosp KyleKyleTX8$6,136.80$6,136.80$4,295.76$4,756.02$5,523.12
Corpus Christi Specialty HospitalCorpus ChristiTX9$6,136.80$6,136.80$300.00$4,602.60$5,523.12
Childrens Medical Center Of PlanoPlanoTX31$6,217.00$4,662.75$183.81$4,351.90$6,030.49
Rice Medical CenterEagle LakeTX19$5,893.80$4,125.66$1.00$4,243.54$5,893.80
Wilson N Jones Regional Medical CtrShermanTX12$3,625.00$2,900.00$60.94$415.82$3,625.00
Falls Community Hospital And ClinicMarlinTX6$3,891.00$3,112.80$180.34$400.00$3,112.80
St. Lukes The Woodlands HospitalThe WoodlandsTX21$5,381.00$1,883.35$128.64$380.97$4,573.85
St Lukes Hospital At The VintageHoustonTX22$5,381.00$1,883.35$128.71$380.97$4,573.85
St. Lukes Sugar Land HospitalSugar LandTX20$5,381.00$1,883.35$128.71$380.97$4,573.85
Glen Rose Medical CenterGlen RoseTX8$4,692.00$4,692.00$2,158.00$3,284.00$4,457.00
St. Lukes Lakeside HospitalThe WoodlandsTX21$5,381.00$1,883.35$128.71$324.23$4,573.85
Acuity Hospital Of South TexasSan AntonioTX13$4,227.12$4,227.12$233.04$3,170.34$3,804.41
Chi St Lukes Health Baylor Med CtrHoustonTX22$5,381.00$1,883.35$128.64$312.86$4,573.85
St. Joseph Regional Health CenterBryanTX10$4,362.00$1,526.70$177.56$307.90$3,750.00
College Station Medical CenterCollege StationTX10$4,362.00$1,526.70$177.56$307.90$3,750.00
Brazosport Regional Health SystemLake JacksonTX11$4,951.00$1,732.85$178.67$296.34$2,475.50
St. Lukes Patients Medical CenterPasadenaTX12$5,029.00$1,760.15$178.67$278.87$4,274.65
Chi St Lukes Health Mem LivingstonLivingstonTX11$5,875.00$2,056.25$152.34$269.44$5,287.50
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$2,777.00$1,666.00$1,055.00$2,541.00$2,666.00
Trinity Regional Hospital SachseSachseTX10$3,015.46$2,412.37$60.94$249.33$2,563.14
Baylor Orthopedic And Spine HospitalArlingtonTX2$4,072.00$2,443.20$1,470.63$2,255.83$8,427.00
Ut Health East Texas Specialty HospiTylerTX7$8,264.00$826.40$2,066.00$2,066.00$2,066.00
Pam Squared At Corpus ChristiCorpus ChrstiTX26$6,136.80$6,136.80$129.34$206.95$5,216.28
San Angelo Community Medical CenterSan AngeloTX22$6,279.00$3,139.50$167.16$1,849.17$5,588.31
Shannon Medical CenterSan AngeloTX22$6,279.00$3,139.50$167.16$1,849.17$5,588.31
River Crest HospitalSan AngeloTX22$6,279.00$3,139.50$167.16$1,849.17$5,588.31
Big Spring State HospitalBig SpringsTX22$6,279.00$3,139.50$167.16$1,849.17$5,588.31
Mccamey County Hospital DistrictMccameyTX14$2,100.00$2,100.00$1,260.00$1,848.00$2,100.00
North Texas Medical CenterGainsvilleTX17$2,669.00$667.00$175.00$184.00$2,455.00
Heritage Park Surgical HospitalShermanTX2$5,336.00$3,201.60$167.39$1,836.65$2,741.26
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$2,965.00$1,779.00$167.39$1,836.65$2,741.26
Methodist Hospital For SurgeryAddisonTX32$5,138.00$3,082.80$171.21$183.54$512.04
Golden Plains Community HospitalBorgerTX6$7,796.00$5,457.20$355.33$1,793.08$5,301.28
Driscoll Childrens HospitalCorpus ChristiTX25$13,375$2,675.01$165.82$178.55$1,000.00
Seton Medical Center Harker HeightsHarker HeightsTX14$4,016.00$401.60$722.88$1,566.24$4,305.15
Crane County Hospital DistrictCraneTX2$2,447.00$1,713.00$1,045.00$1,515.00$2,202.00
Limestone Medical CenterGroesbeckTX8$4,859.40$2,915.64$227.23$1,437.41$3,887.52
Ascension Seton BastropBastropTX20$904.00$542.40$50.02$140.01$650.00
Ascension Seton Shoal CreekAustinTX20$904.00$542.40$50.02$140.01$650.00
Muleshoe Area Medical CenterMuleshoeTX4$1,545.00$927.00$603.00$1,236.00$1,545.00
Lifecare Spec Hosp Of North TexasDallasTX7$4,771.00$477.10$1,192.75$1,192.75$1,192.75
Eastland Memorial HospitalEastlandTX3$1,547.00$774.00$959.00$1,106.00$1,392.00
Hansford County Hospital DistrictSpearmanTX5$1,200.00$900.00$840.00$1,080.00$1,260.00
Nocona General HospitalNoconaTX0$2,848.00$27.85
Yoakum County HospitalDenver CityTX0$2,240.00$2,240.00
The Medical Ctr Of Southeast TexasPort ArthurTX0$6,698.46$6,698.46
Navarro Regional HospitalCorsicanaTX0$8,484.00$2,969.40
Haskell Memorial HospitalHaskellTX0$1,670.92$1,670.92
Kingwood Emergency HospitalKingwoodTX0$3,032.88$1,516.44
St Joseph Medical CenterHoustonTX0$7,907.81$7,907.81
Laredo Medical CenterLaredoTX0$11,855$4,149.10
Longview Regional Medical CenterLongviewTX0$6,993.16$1,888.15
Laredo Specialty HospitalLaredoTX0$1,769.88
Trustpoint Rehabilitation Hospital OLubbockTX0$1,769.88

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.