▸ Payer

superior health plan

Negotiated rates published by hospitals for superior health plan across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

201

States

Rate rows

5,223

Median neg. rate

$1,001

Top procedures for superior health plan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Upper GI endoscopy with biopsy	CPT	43239	28	$607.6
Colonoscopy with biopsy	CPT	45380	28	$781.29
Colonoscopy with polyp removal	CPT	45385	28	$768.41
Upper GI endoscopy diagnostic	CPT	43235	28	$605.53
Colonoscopy diagnostic	CPT	45378	28	$588.97
Heart failure & shock w MCC	MS-DRG	291	26	$11,671
Kidney/UTI w MCC	MS-DRG	689	26	$10,576
Cardiac arrhythmia w MCC	MS-DRG	308	26	$10,883
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	26	$17,403
Sigmoidoscopy diagnostic	CPT	45330	26	$484.2
Laparoscopic cholecystectomy	CPT	47562	26	$3,531.18
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	26	$17,112
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	26	$9,426.78
Intracranial hemorrhage/CVA w CC	MS-DRG	065	26	$9,311.89
Respiratory infections & inflammations w MCC	MS-DRG	177	26	$14,197
COPD w MCC	MS-DRG	190	26	$10,176
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	25	$15,133
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	25	$6,788.77
Simple pneumonia & pleurisy w CC	MS-DRG	194	25	$7,904.98
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	25	$15,199
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	25	$31,040
COPD w CC	MS-DRG	191	25	$8,238.1
COPD w/o CC/MCC	MS-DRG	192	25	$6,432.9
GI hemorrhage w CC	MS-DRG	378	25	$9,347.59
GI hemorrhage w/o CC/MCC	MS-DRG	379	25	$6,340.69
Major small/large bowel procedures w MCC	MS-DRG	329	25	$40,396
Major small/large bowel procedures w CC	MS-DRG	330	25	$21,269
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	25	$5,698.01
AMI discharged alive w MCC	MS-DRG	280	25	$14,935
Cardiac arrhythmia w CC	MS-DRG	309	25	$7,228.15

Loading procedures...

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Voyages Of Sugar Land Bh	Sugar Land	TX	$175
Voyages Behavioral Health of Conroe	—	—	$175
Muleshoe Area Medical Center	Muleshoe	TX	$408.45
Childrens Medical Center Of Plano	Plano	TX	$608.61
Children's Medical Center of Plano	—	—	$608.61
Children's Medical Center of Dallas	—	—	$625.5
Children's Medical Center Dallas	—	—	$625.5
Crescent Medical Center Lancaster	Lancaster	TX	$757.21
Mccamey County Hospital District	Mccamey	TX	$781.27
Hillcrest Baptist Medical Center	Waco	TX	$1,320.88
Tyler Continuecare Hospital	Tyler	TX	$1,809
Baylor Scott & White Pflugerville	Pflugerville	TX	$6,923.87
Mid Coast Medical Center-Central	Llano	TX	$6,987.65
Scott And White Hospital Taylor	Taylor	TX	$6,987.65
Bsw Medical Center - Austin	Austin	TX	$6,987.65
Round Rock Hospital	Round Rock	TX	$7,016.76
Baylor Scott & White - Buda	Buda	TX	$7,194.83
Baylor S&W Medical Center - Plano	Plano	TX	$7,313.59
Baylor Medical Center-Grapevine	Grapevine	TX	$7,337.96
Centennial Medical Center	Frisco	TX	$7,844.49

Loading hospitals...

States with hospitals publishing rates for superior health plan.

State	Hospitals	Avg rate
TX	28	$6,420.34

Loading state coverage...