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Llano, TX, 78643
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychoses | MS-DRG | 885 | 11 | — | — | $2,778 | $11,669 | 0.91× | $26,286 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $2,778 | $17,359 | 0.86× | $37,095 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $2,778 | $8,874.26 | 0.83× | $18,963 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $2,778 | $6,006.64 | 0.79× | $12,835 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $2,778 | $14,107 | 0.91× | $30,144 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $2,778 | $9,800.17 | 0.87× | $20,942 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $2,778 | $7,497.18 | 0.85× | $16,021 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $2,778 | $5,647.97 | 0.81× | $12,069 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $2,778 | $7,155.96 | 0.84× | $15,291 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $2,778 | $5,434.17 | 0.81× | $11,612 |
| AMI discharged alive w MCC | MS-DRG | 280 | 13 | — | — | $10,757 | $16,000 | 1.0× | $30,609 |
| AMI discharged alive w CC | MS-DRG | 281 | 13 | — | — | $6,041.05 | $8,985.29 | 0.93× | $26,466 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 13 | — | — | $4,751.96 | $7,067.95 | 0.91× | $19,849 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $2,778 | $11,387 | 0.89× | $24,332 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $2,778 | $7,515.51 | 0.84× | $16,060 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $2,778 | $4,788.39 | 0.77× | $10,232 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $2,778 | $10,524 | 0.87× | $22,488 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $2,778 | $6,451.71 | 0.83× | $13,786 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $2,778 | $4,882.63 | 0.79× | $10,434 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $2,778 | $8,603.73 | 0.86× | $18,385 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $2,778 | $5,556.34 | 0.81× | $11,873 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $2,778 | $5,652 | 0.70× | $14,551 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $2,778 | $13,307 | 0.88× | $28,436 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $2,778 | $10,213 | 0.88× | $21,824 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $2,778 | $7,004.11 | 0.84× | $14,967 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $2,778 | $17,123 | 0.92× | $36,589 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $2,778 | $8,997.3 | 0.87× | $19,226 |
| preventive | |||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | — | — | $334.95 | $1,163.16 | 1.3× | $4,419 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | — | — | $334.95 | $1,163.16 | 1.2× | $4,958 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | — | — | $130.67 | $858.4 | 1.0× | $4,419 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | — | — | $328.5 | $1,130.54 | 1.3× | $4,419 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | — | — | $328.5 | $1,130.54 | 1.3× | $4,958 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | — | — | $429.26 | $1,486.25 | 1.2× | $4,958 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | — | — | $429.26 | $1,486.25 | 1.2× | $4,958 |
| surgery | |||||||||
| Total hip replacement | CPT | 27130 | 11 | — | — | $5,388 | $14,030 | 3.2× | $21,421 |
| Total knee replacement | CPT | 27447 | 11 | — | — | $5,388 | $14,030 | 3.4× | $21,421 |
| Knee revision arthroplasty single component | CPT | 27486 | 5 | — | — | $2,162.32 | $2,629.85 | 1.6× | $17,086 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | — | — | $2,705.82 | $3,290.87 | 1.6× | $17,086 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $2,866 | $5,250 | 16.1× | $8,360 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | — | — | $2,398.52 | $7,679 | 2.3× | $12,483 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | — | — | $1,088.27 | $4,051.43 | 2.0× | $10,200 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $6,182 | $40,072 | 0.93× | $85,630 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $6,182 | $20,627 | 0.89× | $44,078 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $6,182 | $14,408 | 0.88× | $30,788 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $6,182 | $14,472 | 0.88× | $30,926 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $6,182 | $11,498 | 0.85× | $24,571 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $6,182 | $30,801 | 0.95× | $65,818 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | — | — | $4,903.08 | $6,335.3 | 4.1× | $14,887 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 4 | — | — | $35,308 | $73,572 | 1.5× | $91,851 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 4 | — | — | $35,308 | $40,577 | 1.2× | $50,658 |
| Major joint replacement w MCC | MS-DRG | 469 | 13 | — | — | $21,422 | $34,573 | 1.2× | $61,515 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 13 | — | — | $12,357 | $19,538 | 1.0× | $35,742 |
| Laparoscopic cholecystectomy | CPT | 47562 | 11 | — | — | $1,888.85 | $7,153.89 | 4.0× | $14,887 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | — | — | $1,888.85 | $7,153.89 | 3.8× | $14,887 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 13 | — | — | $9,144 | $25,462 | 0.91× | $54,844 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 13 | — | — | $9,144 | $17,964 | 0.88× | $38,693 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 13 | — | — | $9,144 | $13,734 | 0.86× | $29,583 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | — | — | $1,888.85 | $6,193.37 | 5.5× | $10,200 |
| Total abdominal hysterectomy | CPT | 58150 | 5 | — | — | $1,552.14 | $1,887.73 | 1.9× | $15,605 |
| Vaginal hysterectomy | CPT | 58260 | 11 | — | — | $1,526.99 | $6,110 | 3.4× | $14,887 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | — | — | $1,888.85 | $7,153.89 | 4.8× | $13,933 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 11 | — | — | $3,110.01 | $10,589 | 4.8× | $15,605 |
| Lap salpingo-oophorectomy | CPT | 58661 | 11 | — | — | $1,888.85 | $6,477.23 | 3.2× | $12,483 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 13 | — | — | $6,182 | $25,279 | 0.93× | $50,844 |
| OR procedure for obesity w CC | MS-DRG | 620 | 13 | — | — | $6,182 | $14,807 | 0.91× | $29,781 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 13 | — | — | $6,182 | $13,553 | 0.89× | $28,880 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $6,182 | $10,461 | 0.85× | $22,353 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $6,182 | $17,052 | 0.89× | $36,438 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 68 | $13,933 |
| Humana | 68 | $9,001.09 |
| Blue Cross Blue Shield | 66 | $10,962 |
| UnitedHealthcare | 66 | $11,743 |
| Cigna | 66 | $7,589.24 |
| baylor scott & white health plan | 62 | $9,988.04 |
| healthspring | 62 | $7,253.51 |
| triwest | 62 | $6,908.11 |
| american health plan | 62 | $7,253.51 |
| procare advantage | 62 | $7,253.51 |
| superior health plan | 62 | $5,272 |
| university of mary hardin-baylor | 43 | $11,228 |
| private health care system | 13 | $28,880 |