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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in TX

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Hospitals
35
Min
$528.13
Median
$10,719
Max
$22,757
Range multiplier
43.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27153$55.00$17,973$36,997672.7×
UnitedHealthcare2879$198.81$10,257$29,760149.7×
Aetna2767$494.80$9,288.40$29,37959.4×
Humana2249$494.80$10,649$25,13450.8×
Medicare1136$6,474.15$10,304$12,0671.9×
Cigna1628$1,321.06$11,201$22,62017.1×
Anthem BCBS226$422.15$884.66$15,99137.9×
Multiplan1622$8,520.75$16,133$21,3372.5×
Medicaid1020$422.15$6,248.55$20,04047.5×
First Health1116$7,384.65$21,354$23,5633.2×
healthsmart512$17,470$27,961$27,9611.6×
Ambetter99$6,474.15$14,572$22,8943.5×
commercial | galaxy | all plans99$9,656.85$9,656.85$21,0402.2×
assurant health48$20,735$20,735$20,7351.0×
web tpa48$14,138$14,138$14,1381.0×
commercial | entrust | all plans88$19,975$23,724$26,4301.3×
commercial | phcs | all plans57$15,180$15,780$16,1931.1×
commercial | community health choice | exchange77$10,417$15,074$15,0831.4×
healthcare highways [2210]26$7,290.66$8,540.22$9,789.781.3×
commercial | beechstreet | all plans66$4,410.00$4,410.00$4,410.001.0×
Medicare Advantage26$6,474.15$6,474.15$6,474.151.0×
scott & white56$16,992$17,038$17,0381.0×
wellpoint55$9,094.16$14,376$14,3761.6×
commercial | nppn | all plans55$9,088.80$9,088.80$9,088.801.0×
commercial | harris health | ers55$15,074$15,083$15,0831.0×
commercial | nxhealth | all plans55$32,459$32,661$32,6811.0×
commercial | renaissance | all plans55$7,235.69$7,240.02$7,240.021.0×
commercial | superior health plan | all plans55$15,074$15,083$15,0831.0×
commercial | usa health network | all plans55$9,656.85$9,656.85$9,656.851.0×
commercial | kelseycare | exchange55$13,567$13,575$13,5751.0×
insurance services of lubbock44$17,357$17,357$17,3571.0×
insurance management services44$17,357$17,357$17,3571.0×
kempton group44$21,297$21,297$21,2971.0×
wellmed44$10,649$10,649$10,6491.0×
care improvement44$10,649$10,649$10,6491.0×
txp optum health (transplant)14$12,684$14,838$17,9491.4×
web tpa [2115]24$7,290.66$13,681$18,8272.6×
commercial | healthsmart | ppo44$7,952.70$7,952.70$7,952.701.0×
patoka valley tier 124$884.66$884.66$884.661.0×
pdh/texas trust44$21,297$21,297$21,2971.0×
commercial | firstcare | all plans24$10,715$11,073$11,4301.1×
patoka valley tier 224$884.66$884.66$884.661.0×
caprock44$26,621$26,621$26,6211.0×
baylor scott & white health plan14$9,693.04$12,524$16,8351.7×
90 degree benefits44$26,621$26,621$26,6211.0×
city of san angelo44$4,366.96$4,366.96$4,366.961.0×
mhs care connect24$422.15$422.15$422.151.0×
healthscope benefits [2290]23$3,364.92$8,366.50$9,789.782.9×
health partners open network23$1,216.27$1,216.27$17,95714.8×
ascension complete mcr22$6,474.15$6,474.15$6,474.151.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baylor Orthopedic And Spine HospitalArlingtonTX3$55.00$8,963.50$18,989
Ascension Seton Shoal CreekAustinTX18$198.81$884.66$15,991
Ascension Seton BastropBastropTX18$198.81$884.66$15,991
Trinity Regional Hospital SachseSachseTX10$13,516$10,813$502.96$8,650.16$29,760
Seton Medical Center Harker HeightsHarker HeightsTX13$18,694$1,869.40$3,249.02$7,290.66$20,040
Acuity Hospital Of South TexasSan AntonioTX1$528.13$528.13$528.13
River Crest HospitalSan AngeloTX21$31,417$15,709$4,366.96$22,757$30,122
Shannon Medical CenterSan AngeloTX21$31,417$15,709$4,366.96$22,757$30,122
Big Spring State HospitalBig SpringsTX21$31,417$15,709$4,366.96$22,757$30,122
San Angelo Community Medical CenterSan AngeloTX21$31,417$15,709$4,366.96$22,757$30,122
Grimes St. Joseph Health CenterNavasotaTX3$19,050$6,667.50$10,363$22,075$36,997
Baptist Saint Anthonys HospitalAmarilloTX67$25,102$2,510.20$8,366.50$17,571$21,337
St Lukes Health Memorial San AugustSan AugustineTX7$23,378$8,182.30$10,826$17,534$36,997
Childrens Medical Center Of PlanoPlanoTX31$23,932$17,949$494.80$16,752$23,214
Burleson St. Joseph Health CenterCaldwellTX5$19,050$6,667.50$10,715$16,073$36,997
St. Joseph Regional Health CenterBryanTX9$19,050$6,667.50$9,987.50$15,686$36,997
College Station Medical CenterCollege StationTX9$19,050$6,667.50$9,987.50$15,686$36,997
Madison St. Joseph Health CenterMadisonvilleTX6$19,050$6,667.50$10,363$15,627$36,997
Chi St Lukes Health Mem LivingstonLivingstonTX10$23,378$8,182.30$8,568.78$12,833$36,997
Scott And White Memorial HospitalTempleTX15$6,379.00$12,672$23,216
Chi St Lukes Health Memorial LufkinLufkinTX9$23,378$8,182.30$3,727.00$12,437$36,997
Wilson N Jones Regional Medical CtrShermanTX8$1,594.00$1,275.20$502.96$1,148.30$1,652.56
Baylor Scott And White Mc At SunnyvaSunnyvaleTX2$19,997$11,998$6,931.00$10,719$15,999
Heritage Park Surgical HospitalShermanTX2$25,379$15,227$7,568.00$10,719$18,046
Brazosport Regional Health SystemLake JacksonTX10$15,108$5,287.80$2,935.00$10,351$32,898
Chi St Lukes Health Baylor Med CtrHoustonTX22$11,361$3,976.35$4,410.00$10,351$33,213
St Lukes Hospital At The VintageHoustonTX21$11,361$3,976.35$4,410.00$10,307$36,997
St. Lukes Sugar Land HospitalSugar LandTX19$11,361$3,976.35$4,410.00$10,257$36,997
St. Lukes Lakeside HospitalThe WoodlandsTX20$11,361$3,976.35$4,410.00$10,257$36,997
St. Lukes Patients Medical CenterPasadenaTX12$12,156$4,254.60$4,410.00$10,251$36,997
St. Lukes The Woodlands HospitalThe WoodlandsTX20$11,361$3,976.35$4,410.00$10,251$36,997
Navarro Regional HospitalCorsicanaTX0$38,543$13,490
The Medical Ctr Of Southeast TexasPort ArthurTX0$45,496$45,496
Longview Regional Medical CenterLongviewTX0$210,802$37,944
St Joseph Medical CenterHoustonTX0$35,242$35,242

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.