▸ Payer

commercial | kelseycare | all plans

Negotiated rates published by hospitals for commercial | kelseycare | all plans across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

480

Median neg. rate

$1,398.6

Top procedures for commercial | kelseycare | all plans

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	5	$1,361.7
Colonoscopy with biopsy	CPT	45380	5	$1,361.7
Colonoscopy with polyp removal	CPT	45385	5	$1,361.7
Knee arthroscopy with meniscectomy	CPT	29881	5	$2,404.8
Shoulder arthroscopy with decompression	CPT	29826	5	$2,404.8
Total hip replacement	CPT	27130	5	$2,404.8
Total knee replacement	CPT	27447	5	$2,404.8
Upper GI endoscopy diagnostic	CPT	43235	5	$942.3
Upper GI endoscopy with biopsy	CPT	43239	5	$1,361.7
Sigmoidoscopy diagnostic	CPT	45330	5	$942.3
Sigmoidoscopy with biopsy	CPT	45331	5	$942.3
CABG single arterial graft	CPT	33533	5	$2,404.8
CABG 2 arterial grafts	CPT	33534	5	$2,404.8
CABG 3 arterial grafts	CPT	33535	5	$2,404.8
CABG 4+ arterial grafts	CPT	33536	5	$2,404.8
Total shoulder arthroplasty	CPT	23472	5	$2,404.8
Hip hemiarthroplasty	CPT	27125	5	$2,404.8
Knee revision arthroplasty single component	CPT	27486	5	$2,404.8
Knee revision arthroplasty all components	CPT	27487	5	$2,404.8
Shoulder arthroscopy with rotator cuff repair	CPT	29827	5	$2,404.8
ACL reconstruction	CPT	29888	5	$2,404.8
Open appendectomy	CPT	44950	5	$1,848.6
Laparoscopic appendectomy	CPT	44970	5	$6,466.5
Laparoscopic cholecystectomy	CPT	47562	5	$6,466.5
Lap cholecystectomy with cholangiography	CPT	47563	5	$6,466.5
Open umbilical hernia repair	CPT	49560	5	$1,848.6
Umbilical hernia repair age 5+	CPT	49585	5	$1,848.6
Lap inguinal hernia repair	CPT	49650	5	$2,404.8
PCI w drug-eluting stent w/o MCC	MS-DRG	247	5	$1,808.2
PCI w drug-eluting stent w MCC	MS-DRG	246	5	$1,808.2

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Top 20 cheapest hospitals for commercial | kelseycare | all plans

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
St. Lukes The Woodlands Hospital	The Woodlands	TX	$2,416.5
St Lukes Hospital At The Vintage	Houston	TX	$2,416.5
St. Lukes Sugar Land Hospital	Sugar Land	TX	$2,416.5
Chi St Lukes Health Baylor Med Ctr	Houston	TX	$2,416.5
St. Lukes Lakeside Hospital	The Woodlands	TX	$2,416.5

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States covered

States with hospitals publishing rates for commercial | kelseycare | all plans.

State	Hospitals	Avg rate
TX	5	$2,416.5

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