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PCI single major coronary artery

CPT 92920 · negotiated-rate distribution across hospitals in TX

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Hospitals
35
Min
$474.72
Median
$8,963.50
Max
$14,191
Range multiplier
29.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27144$55.00$13,897$18,989345.3×
UnitedHealthcare2779$179.03$7,091.80$16,77193.7×
Aetna2666$445.27$7,044.00$14,77033.2×
Humana2147$445.27$5,353.61$18,00040.4×
Medicare1136$3,339.40$5,085.63$5,955.711.8×
Medicaid1031$380.34$3,445.11$14,55338.3×
Cigna1526$1,187.29$8,227.05$15,48113.0×
Anthem BCBS226$380.34$796.79$9,845.5325.9×
Multiplan1617$8,053.50$10,622$12,7481.6×
First Health1217$6,979.70$11,125$16,1262.3×
healthsmart512$10,151$19,136$19,1361.9×
Ambetter99$3,339.40$7,192.16$11,5103.4×
commercial | galaxy | all plans99$9,127.30$9,766.50$16,3901.8×
web tpa48$9,675.45$9,675.45$9,675.451.0×
assurant health48$14,191$14,191$14,1911.0×
commercial | entrust | all plans88$9,858.96$11,709$13,0451.3×
commercial | community health choice | exchange77$5,208.16$7,440.16$7,444.641.4×
commercial | beechstreet | all plans66$4,410.00$4,410.00$4,410.001.0×
healthcare highways [2210]26$4,511.91$4,903.10$5,294.291.2×
scott & white56$8,565.78$8,565.78$9,873.261.2×
Medicare Advantage26$3,339.40$3,339.40$3,339.401.0×
web tpa [2115]25$4,511.91$8,098.30$10,8602.4×
commercial | nppn | all plans55$9,192.00$9,192.00$9,192.001.0×
commercial | kelseycare | exchange55$6,696.15$6,700.17$6,700.171.0×
wellpoint55$5,284.28$7,227.38$7,227.381.4×
commercial | harris health | ers55$7,440.16$7,444.64$7,444.641.0×
commercial | usa health network | all plans55$9,766.50$9,766.50$9,766.501.0×
commercial | renaissance | all plans55$3,571.28$3,573.42$3,573.421.0×
commercial | superior health plan | all plans55$7,440.16$7,444.64$7,444.641.0×
commercial | nxhealth | all plans55$16,021$16,120$16,1301.0×
commercial | phcs | all plans55$10,622$12,292$12,2921.2×
insurance management services44$8,726.39$8,726.39$8,726.391.0×
wellmed44$5,353.61$5,353.61$5,353.611.0×
insurance services of lubbock44$8,726.39$8,726.39$8,726.391.0×
umr [2035]14$4,511.91$6,021.67$8,410.661.9×
care improvement44$5,353.61$5,353.61$5,353.611.0×
patoka valley tier 224$796.79$796.79$796.791.0×
pdh/texas trust44$10,707$10,707$10,7071.0×
mhs care connect24$380.34$380.34$380.341.0×
patoka valley tier 124$796.79$796.79$796.791.0×
txp optum health (transplant)14$7,370.18$8,621.72$10,4301.4×
90 degree benefits44$13,384$13,384$13,3841.0×
city of san angelo44$2,988.64$2,988.64$2,988.641.0×
kempton group44$10,707$10,707$10,7071.0×
caprock44$13,384$13,384$13,3841.0×
commercial | healthsmart | ppo44$8,043.00$8,043.00$8,043.001.0×
insurance management services (ims) [1540]13$4,049.15$4,858.98$5,668.811.4×
healthscope benefits [2290]23$2,443.52$3,855.95$4,511.911.8×
health partners open network23$1,096.02$1,096.02$9,027.778.2×
infusion copay assistance [6060]12$4,511.91$4,511.91$4,511.911.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens Medical Center Of PlanoPlanoTX31$13,906$10,430$445.27$9,734.20$13,489
Chi St Lukes Health Memorial LufkinLufkinTX9$18,211$6,373.85$3,727.00$9,688.26$17,899
Baylor Orthopedic And Spine HospitalArlingtonTX3$55.00$8,963.50$18,989
Baptist Saint Anthonys HospitalAmarilloTX83$11,569$1,156.90$1,082.86$8,098.30$9,833.65
Chi St Lukes Health Mem LivingstonLivingstonTX10$18,211$6,373.85$4,229.25$8,096.82$17,899
Ascension Seton Shoal CreekAustinTX18$179.03$796.79$9,845.53
Ascension Seton BastropBastropTX18$179.03$796.79$9,845.53
St. Lukes Lakeside HospitalThe WoodlandsTX20$11,490$4,021.50$3,573.42$7,444.64$17,899
St Lukes Hospital At The VintageHoustonTX21$11,490$4,021.50$3,573.42$7,444.64$17,899
St. Lukes Sugar Land HospitalSugar LandTX19$11,490$4,021.50$3,573.42$7,444.64$17,899
St. Lukes The Woodlands HospitalThe WoodlandsTX20$11,490$4,021.50$3,571.28$7,440.16$17,899
Chi St Lukes Health Baylor Med CtrHoustonTX22$11,490$4,021.50$3,571.28$7,440.16$18,000
St. Lukes Patients Medical CenterPasadenaTX12$10,738$3,758.30$4,410.00$7,440.16$17,899
Seton Medical Center Harker HeightsHarker HeightsTX15$13,575$1,357.51$929.08$5,294.29$14,553
Brazosport Regional Health SystemLake JacksonTX10$9,943.00$3,480.05$2,935.00$5,108.91$15,916
Trinity Regional Hospital SachseSachseTX10$9,659.71$7,727.77$452.43$4,859.49$14,962
Acuity Hospital Of South TexasSan AntonioTX1$474.72$474.72$474.72
Big Spring State HospitalBig SpringsTX21$21,501$10,751$2,988.64$14,191$19,136
Shannon Medical CenterSan AngeloTX21$21,501$10,751$2,988.64$14,191$19,136
River Crest HospitalSan AngeloTX21$21,501$10,751$2,988.64$14,191$19,136
San Angelo Community Medical CenterSan AngeloTX21$21,501$10,751$2,988.64$14,191$19,136
St Lukes Health Memorial San AugustSan AugustineTX7$18,211$6,373.85$5,237.55$13,658$17,899
Grimes St. Joseph Health CenterNavasotaTX3$12,497$4,373.95$10,363$13,526$17,899
Burleson St. Joseph Health CenterCaldwellTX5$12,497$4,373.95$7,498.20$11,247$17,899
Madison St. Joseph Health CenterMadisonvilleTX6$12,497$4,373.95$7,498.20$10,935$17,899
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$31,030$18,618$5,207.34$10,719$15,999
Heritage Park Surgical HospitalShermanTX2$16,651$9,990.60$5,207.34$10,719$15,999
College Station Medical CenterCollege StationTX9$12,497$4,373.95$4,929.48$10,363$17,899
St. Joseph Regional Health CenterBryanTX9$12,497$4,373.95$4,929.48$10,363$17,899
Wilson N Jones Regional Medical CtrShermanTX8$1,434.00$1,147.20$452.43$1,033.60$1,489.06
Laredo Medical CenterLaredoTX0$19,524$6,833.50
Longview Regional Medical CenterLongviewTX0$39,326$10,618
The Medical Ctr Of Southeast TexasPort ArthurTX0$19,821$19,821
Navarro Regional HospitalCorsicanaTX0$39,326$13,764
St Joseph Medical CenterHoustonTX0$17,870$17,870

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.