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CPT 87086 · negotiated-rate distribution across hospitals in TX

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Hospitals
60
Min
$6.61
Median
$32.28
Max
$294.70
Range multiplier
44.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield42219$5.25$29.21$8,427.001605.1×
UnitedHealthcare38118$4.84$9.16$282.0758.3×
Aetna40105$5.33$69.72$294.7055.3×
Medicaid2683$1.00$6.78$184.25184.3×
Humana3468$7.18$24.24$315.7544.0×
Cigna2952$6.92$28.71$290.4942.0×
Medicare1139$7.42$8.31$9.681.3×
Multiplan2238$20.30$184.84$357.8517.6×
Anthem BCBS325$3.98$3.98$42.0010.6×
First Health1318$38.00$227.25$336.808.9×
commercial | galaxy | all plans918$26.10$284.58$315.9012.1×
commercial | phcs | all plans516$19.58$200.48$236.9312.1×
healthcare highways [2210]515$9.00$53.00$79.008.8×
healthsmart613$22.00$269.67$357.8516.3×
Ambetter1212$8.07$11.70$17.352.1×
commercial | entrust | all plans1111$16.14$19.05$21.221.3×
web tpa [2115]510$9.00$66.61$130.5114.5×
wellpoint610$8.80$10.89$81.009.2×
Molina710$6.78$7.63$11.701.7×
assurant health48$199.98$199.98$199.981.0×
web tpa48$136.35$136.35$136.351.0×
wellmed77$8.07$8.07$65.008.1×
prime health services47$10.49$196.39$196.3918.7×
commercial | community health choice | exchange77$8.47$12.10$12.101.4×
tmhp [50160]16$6.78$6.78$6.781.0×
superior health plan36$8.47$60.50$121.0014.3×
TRICARE16$8.73$8.73$8.731.0×
smarthealth ppo/hdhp 2016100126$2.65$6.61$9.263.5×
healthscope benefits [2290]56$9.00$48.83$79.008.8×
velocity provider ppo network46$9.68$173.29$173.2917.9×
commercial | nxhealth | all plans66$26.23$26.23$26.231.0×
scott & white56$12.51$12.51$298.9123.9×
smarthealth ppo26$2.65$6.61$9.263.5×
wellpoint amerigroup [50170]15$6.78$6.78$6.781.0×
health partners open network25$12.56$15.87$24.111.9×
phcs [1780]45$23.04$94.50$211.729.2×
commercial | superior health plan | all plans55$12.10$12.10$12.101.0×
commercial | usa health network | all plans55$284.75$284.75$284.751.0×
commercial | renaissance | all plans55$5.81$5.81$5.811.0×
commercial | nppn | all plans55$268.00$268.00$268.001.0×
commercial | kelseycare | exchange55$10.89$10.89$10.891.0×
provider network of america45$119.39$173.29$207.951.7×
commercial | harris health | ers55$12.10$12.10$12.101.0×
quik trip45$119.39$173.29$173.291.5×
commercial | ellwood | all plans55$24.21$24.21$24.211.0×
caprock44$20.18$20.18$20.181.0×
galaxy health network34$80.00$95.00$157.412.0×
mhs care connect24$8.07$8.07$8.071.0×
black lung [6055]44$9.00$52.83$79.008.8×
group pension admin [1450]44$23.04$104.77$211.729.2×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baptist Saint Anthonys HospitalAmarilloTX79$135.00$13.50$41.85$94.50$114.75
Crane County Hospital DistrictCraneTX2$20.00$14.00$5.00$9.00$18.00
Methodist Hospital For SurgeryAddisonTX28$402.00$241.20$5.25$8.63$16.14
Brazosport Regional Health SystemLake JacksonTX11$167.00$58.45$6.78$8.47$93.52
Heritage Park Surgical HospitalShermanTX2$183.00$109.80$10.09$74.91$111.81
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$400.00$240.00$52.89$74.91$111.81
Eastland Memorial HospitalEastlandTX3$100.00$50.00$62.00$71.50$90.00
Baylor County Hospital DistrictSeymourTX11$53.00$37.10$7.26$70.00$100.00
Muleshoe Area Medical CenterMuleshoeTX4$76.00$46.00$30.00$61.00$76.00
Driscoll Childrens HospitalCorpus ChristiTX28$615.25$123.05$6.78$6.78$1,000.00
Ascension Seton BastropBastropTX10$373.00$223.80$2.65$6.61$18.40
Ascension Seton Shoal CreekAustinTX10$373.00$223.80$2.65$6.61$18.40
Seton Medical Center Harker HeightsHarker HeightsTX15$139.00$13.90$25.02$54.21$149.01
Lifecare Spec Hosp Of North TexasDallasTX9$212.00$21.20$53.00$53.00$142.04
Chi St Lukes Health Memorial LufkinLufkinTX10$351.00$122.85$6.78$39.24$315.90
North Texas Medical CenterGainsvilleTX9$64.00$16.00$8.00$38.00$59.00
Glen Rose Medical CenterGlen RoseTX8$52.00$52.00$24.00$36.00$49.00
River Crest HospitalSan AngeloTX22$303.00$151.50$8.07$34.62$269.67
Shannon Medical CenterSan AngeloTX22$303.00$151.50$8.07$34.62$269.67
Big Spring State HospitalBig SpringsTX22$303.00$151.50$8.07$34.62$269.67
San Angelo Community Medical CenterSan AngeloTX22$303.00$151.50$8.07$34.62$269.67
Golden Plains Community HospitalBorgerTX6$149.00$104.30$9.68$34.27$101.32
Falls Community Hospital And ClinicMarlinTX6$209.00$167.20$8.07$32.28$167.20
St Lukes Health Memorial San AugustSan AugustineTX11$351.00$122.85$6.78$31.48$315.90
Childrens Medical Center Of PlanoPlanoTX31$421.00$315.75$6.78$294.70$408.37
Chi St Lukes Health Mem LivingstonLivingstonTX11$351.00$122.85$6.78$29.79$315.90
Clay County Memorial HospitalHenriettaTX5$110.00$77.00$22.00$28.00$35.00
Limestone Medical CenterGroesbeckTX8$87.15$52.29$9.86$25.27$69.72
Wilson N Jones Regional Medical CtrShermanTX12$48.22$38.58$4.84$21.22$48.22
Ut Health East Texas Specialty HospiTylerTX14$36.00$3.60$9.00$20.09$23.04
Warm Springs Rehab Hosp KyleKyleTX8$231.05$231.05$161.74$179.07$207.95
Corpus Christi Specialty HospitalCorpus ChristiTX8$231.05$231.05$161.74$173.29$207.95
Burleson St. Joseph Health CenterCaldwellTX11$150.00$52.50$6.78$16.14$135.00
Madison St. Joseph Health CenterMadisonvilleTX12$150.00$52.50$6.78$16.14$135.00
College Station Medical CenterCollege StationTX10$150.00$52.50$6.78$15.70$127.50
St. Joseph Regional Health CenterBryanTX10$150.00$52.50$6.78$15.70$127.50
Texas Rehabilitation Hospital Of KelKellerTX17$316.00$31.60$79.00$130.51$211.72
Baylor Orthopedic And Spine HospitalArlingtonTX2$36.00$21.60$20.10$130.44$8,427.00
Grimes St. Joseph Health CenterNavasotaTX9$150.00$52.50$6.78$13.70$127.50
Rice Medical CenterEagle LakeTX19$174.90$122.43$1.00$125.93$174.90
St. Lukes The Woodlands HospitalThe WoodlandsTX19$335.00$117.25$5.81$12.10$284.75
St Lukes Hospital At The VintageHoustonTX20$335.00$117.25$5.81$12.10$284.75
Chi St Lukes Health Baylor Med CtrHoustonTX20$335.00$117.25$5.81$12.10$284.75
St. Lukes Sugar Land HospitalSugar LandTX18$335.00$117.25$5.81$12.10$284.75
St. Lukes Lakeside HospitalThe WoodlandsTX19$335.00$117.25$5.81$12.10$284.75
Acuity Hospital Of South TexasSan AntonioTX11$159.19$159.19$5.33$119.39$143.27
St. Lukes Patients Medical CenterPasadenaTX12$367.00$128.45$6.44$11.74$311.95
Mccamey County Hospital DistrictMccameyTX14$122.00$122.00$73.00$107.50$122.00
Trinity Regional Hospital SachseSachseTX8$48.22$38.58$4.84$10.49$40.99
Pam Squared At Corpus ChristiCorpus ChrstiTX26$231.05$231.05$5.65$10.09$196.39
Yoakum County HospitalDenver CityTX0$98.00$98.00
Longview Regional Medical CenterLongviewTX0$314.77$84.99
Nocona General HospitalNoconaTX0$53.00$17.35
The Medical Ctr Of Southeast TexasPort ArthurTX0$293.16$293.16
Navarro Regional HospitalCorsicanaTX0$527.00$184.45
Laredo Specialty HospitalLaredoTX0$76.75
St Joseph Medical CenterHoustonTX0$22.80$22.80
Laredo Medical CenterLaredoTX0$582.55$203.89
Kingwood Emergency HospitalKingwoodTX0$322.42$161.21
Trustpoint Rehabilitation Hospital OLubbockTX0$76.75

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.