▸ Payer

commercial | nxhealth | all plans

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

Hospitals

Procedures

175

States

Rate rows

862

Median neg. rate

$2,253.37

Top procedures for commercial | nxhealth | all plans

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Complete blood count without differential	CPT	85027	6	$21.03
Urine culture bacterial	CPT	87086	6	$26.23
Comprehensive metabolic panel	CPT	80053	6	$34.32
Lipid panel	CPT	80061	6	$43.52
Complete blood count with automated differential	CPT	85025	6	$25.25
Basic metabolic panel (BMP)	CPT	80048	6	$27.5
Electrolyte panel	CPT	80051	6	$22.78
Hepatic function panel	CPT	80076	6	$26.55
Urinalysis non-automated	CPT	81002	6	$11.31
Urinalysis automated	CPT	81003	6	$7.31
Glucose quantitative	CPT	82947	6	$12.77
Hemoglobin A1c	CPT	83036	6	$31.56
Thyroid stimulating hormone (TSH)	CPT	84443	6	$54.6
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	5	$19,946
COPD w CC	MS-DRG	191	5	$23,646
COPD w/o CC/MCC	MS-DRG	192	5	$19,603
Knee arthroscopy with meniscectomy	CPT	29881	5	$9,183.25
Major small/large bowel procedures w MCC	MS-DRG	329	5	$108,888
Total hip replacement	CPT	27130	5	$39,955
Total knee replacement	CPT	27447	5	$39,955
Hip hemiarthroplasty	CPT	27125	5	$39,955
Shoulder arthroscopy with rotator cuff repair	CPT	29827	5	$20,327
ACL reconstruction	CPT	29888	5	$20,327
Heart failure & shock w CC	MS-DRG	292	5	$23,904
Heart failure & shock w/o CC/MCC	MS-DRG	293	5	$18,694
PCI w drug-eluting stent w/o MCC	MS-DRG	247	5	$47,391
PCI w drug-eluting stent w MCC	MS-DRG	246	5	$71,832
Cardiac arrhythmia w MCC	MS-DRG	308	5	$30,441
Cardiac arrhythmia w CC	MS-DRG	309	5	$20,774
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	5	$16,670

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Top 20 cheapest hospitals for commercial | nxhealth | all plans

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Madison St. Joseph Health Center	Madisonville	TX	$26.62
St. Lukes The Woodlands Hospital	The Woodlands	TX	$13,996
St. Joseph Regional Health Center	Bryan	TX	$15,711
College Station Medical Center	College Station	TX	$15,711
Chi St Lukes Health Baylor Med Ctr	Houston	TX	$16,133
St Lukes Hospital At The Vintage	Houston	TX	$16,517

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States covered

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

State	Hospitals	Avg rate
TX	6	$15,344

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